Fall prevention intervention technologies: A conceptual framework and survey of the state of the art

In recent years, an ever increasing range of technology-based applications have been developed with the goal of assisting in the delivery of more effective and efficient fall prevention interventions. Whilst there have been a number of studies that have surveyed technologies for a particular sub-domain of fall prevention, there is no existing research which surveys the full spectrum of falls prevention interventions and characterises the range of technologies that have augmented this landscape. This study presents a conceptual framework and survey of the state of the art of technology-based fall prevention systems which is derived from a systematic template analysis of studies presented in contemporary research literature. The framework proposes four broad categories of fall prevention intervention system: Pre-fall prevention; Post-fall prevention; Fall injury prevention; Cross-fall prevention. Other categories include, Application type, Technology deployment platform, Information sources, Deployment environment, User interface type, and Collaborative function. After presenting the conceptual framework, a detailed survey of the state of the art is presented as a function of the proposed framework. A number of research challenges emerge as a result of surveying the research literature, which include a need for: new systems that focus on overcoming extrinsic falls risk factors; systems that support the environmental risk assessment process; systems that enable patients and practitioners to develop more collaborative relationships and engage in shared decision making during falls risk assessment and prevention activities. In response to these challenges, recommendations and future research directions are proposed to overcome each respective challenge.The Royal Society, grant Ref: RG13082

Fall Prediction and Prevention Systems: Recent Trends, Challenges, and Future Research Directions.

Fall prediction is a multifaceted problem that involves complex interactions between physiological, behavioral, and environmental factors. Existing fall detection and prediction systems mainly focus on physiological factors such as gait, vision, and cognition, and do not address the multifactorial nature of falls. In addition, these systems lack efficient user interfaces and feedback for preventing future falls. Recent advances in internet of things (IoT) and mobile technologies offer ample opportunities for integrating contextual information about patient behavior and environment along with physiological health data for predicting falls. This article reviews the state-of-the-art in fall detection and prediction systems. It also describes the challenges, limitations, and future directions in the design and implementation of effective fall prediction and prevention systems

Gait Velocity Estimation using time interleaved between Consecutive Passive IR Sensor Activations

Gait velocity has been consistently shown to be an important indicator and predictor of health status, especially in older adults. It is often assessed clinically, but the assessments occur infrequently and do not allow optimal detection of key health changes when they occur. In this paper, we show that the time gap between activations of a pair of Passive Infrared (PIR) motion sensors installed in the consecutively visited room pair carry rich latent information about a person's gait velocity. We name this time gap transition time and show that despite a six second refractory period of the PIR sensors, transition time can be used to obtain an accurate representation of gait velocity. Using a Support Vector Regression (SVR) approach to model the relationship between transition time and gait velocity, we show that gait velocity can be estimated with an average error less than 2.5 cm/sec. This is demonstrated with data collected over a 5 year period from 74 older adults monitored in their own homes. This method is simple and cost effective and has advantages over competing approaches such as: obtaining 20 to 100x more gait velocity measurements per day and offering the fusion of location-specific information with time stamped gait estimates. These advantages allow stable estimates of gait parameters (maximum or average speed, variability) at shorter time scales than current approaches. This also provides a pervasive in-home method for context-aware gait velocity sensing that allows for monitoring of gait trajectories in space and time

Real-Time Obstacle Detection System in Indoor Environment for the Visually Impaired Using Microsoft Kinect Sensor

Any mobility aid for the visually impaired people should be able to accurately detect and warn about nearly obstacles. In this paper, we present a method for support system to detect obstacle in indoor environment based on Kinect sensor and 3D-image processing. Color-Depth data of the scene in front of the user is collected using the Kinect with the support of the standard framework for 3D sensing OpenNI and processed by PCL library to extract accurate 3D information of the obstacles. The experiments have been performed with the dataset in multiple indoor scenarios and in different lighting conditions. Results showed that our system is able to accurately detect the four types of obstacle: walls, doors, stairs, and a residual class that covers loose obstacles on the floor. Precisely, walls and loose obstacles on the floor are detected in practically all cases, whereas doors are detected in 90.69% out of 43 positive image samples. For the step detection, we have correctly detected the upstairs in 97.33% out of 75 positive images while the correct rate of downstairs detection is lower with 89.47% from 38 positive images. Our method further allows the computation of the distance between the user and the obstacles

Hardware for recognition of human activities: a review of smart home and AAL related technologies

Activity recognition (AR) from an applied perspective of ambient assisted living (AAL) and smart homes (SH) has become a subject of great interest. Promising a better quality of life, AR applied in contexts such as health, security, and energy consumption can lead to solutions capable of reaching even the people most in need. This study was strongly motivated because levels of development, deployment, and technology of AR solutions transferred to society and industry are based on software development, but also depend on the hardware devices used. The current paper identifies contributions to hardware uses for activity recognition through a scientific literature review in the Web of Science (WoS) database. This work found four dominant groups of technologies used for AR in SH and AAL—smartphones, wearables, video, and electronic components—and two emerging technologies: Wi-Fi and assistive robots. Many of these technologies overlap across many research works. Through bibliometric networks analysis, the present review identified some gaps and new potential combinations of technologies for advances in this emerging worldwide field and their uses. The review also relates the use of these six technologies in health conditions, health care, emotion recognition, occupancy, mobility, posture recognition, localization, fall detection, and generic activity recognition applications. The above can serve as a road map that allows readers to execute approachable projects and deploy applications in different socioeconomic contexts, and the possibility to establish networks with the community involved in this topic. This analysis shows that the research field in activity recognition accepts that specific goals cannot be achieved using one single hardware technology, but can be using joint solutions, this paper shows how such technology works in this regard

Radar and RGB-depth sensors for fall detection: a review

This paper reviews recent works in the literature on the use of systems based on radar and RGB-Depth (RGB-D) sensors for fall detection, and discusses outstanding research challenges and trends related to this research field. Systems to detect reliably fall events and promptly alert carers and first responders have gained significant interest in the past few years in order to address the societal issue of an increasing number of elderly people living alone, with the associated risk of them falling and the consequences in terms of health treatments, reduced well-being, and costs. The interest in radar and RGB-D sensors is related to their capability to enable contactless and non-intrusive monitoring, which is an advantage for practical deployment and users’ acceptance and compliance, compared with other sensor technologies, such as video-cameras, or wearables. Furthermore, the possibility of combining and fusing information from The heterogeneous types of sensors is expected to improve the overall performance of practical fall detection systems. Researchers from different fields can benefit from multidisciplinary knowledge and awareness of the latest developments in radar and RGB-D sensors that this paper is discussing