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Early attention to individuals who suffer falls is a critical aspect when determining the consequences of such accidents, which are among the leading causes of mortality and disability in older adults. For this reason and considering the high number of older adults living alone, the development of automatic fall alerting systems has garnered significant research attention over the past decade. A key element for deploying a fall detection system (FDS) based on wearables is the wireless transmission method employed to transmit the medical alarms. In this regard, the vast majority of prototypes in the related literature utilize short-range technologies, such as Bluetooth, which must be complemented by the existence of a gateway device (e.g., a smartphone). In other studies, standards like Wi-Fi or 3G communications are proposed, which offer greater range but come with high power consumption, which can be unsuitable for most wearables, and higher service fees. In addition, they require reliable radio coverage, which is not always guaranteed in all application scenarios. An interesting alternative to these standards is Low Power Wide Area Network (LPWAN) technologies, which minimize both energy consumption and hardware costs while maximizing transmission range. This article provides a comprehensive search and review of that works in the literature that have implemented and evaluated wearable FDSs utilizing LPWAN interfaces to transmit alarms. The review systematically examines these proposals, considering various operational aspects and identifying key areas that have not yet been adequately addressed for the viable implementation of such detectors. [ABSTRACT FROM AUTHOR]

Due to the serious impact of falls on the autonomy and health of older people, the investigation of wearable alerting systems for the automatic detection of falls has gained considerable scientific interest in the field of body telemonitoring with wireless sensors. Because of the difficulties of systematically validating these systems in a real application scenario, Fall Detection Systems (FDSs) are typically evaluated by studying their response to datasets containing inertial sensor measurements captured during the execution of labelled nonfall and fall movements. In this context, during the last decade, numerous publicly accessible databases have been released aiming at offering a common benchmarking tool for the validation of the new proposals on FDSs. This work offers a comparative and updated analysis of these existing repositories. For this purpose, the samples contained in the datasets are characterized by different statistics that model diverse aspects of the mobility of the human body in the time interval where the greatest change in the acceleration module is identified. By using one-way analysis of variance (ANOVA) on the series of these features, the comparison shows the significant differences detected between the datasets, even when comparing activities that require a similar degree of physical effort. This heterogeneity, which may result from the great variability of the sensors, experimental users, and testbeds employed to generate the datasets, is relevant because it casts doubt on the validity of the conclusions of many studies on FDSs, since most of the proposals in the literature are only evaluated using a single database. [ABSTRACT FROM AUTHOR]

This paper describes a wearable Fall Detection System (FDS) based on a body-area network consisting of four nodes provided with inertial sensors and Bluetooth wireless interfaces. The signals captured by the nodes are sent to a smartphone which simultaneously acts as another sensing point. In contrast to many FDSs proposed by the literature (which only consider a single sensor), the multisensory nature of the prototype is utilized to investigate the impact of the number and the positions of the sensors on the effectiveness of the production of the fall detection decision. In particular, the study assesses the capability of four popular machine learning algorithms to discriminate the dynamics of the Activities of Daily Living (ADLs) and falls generated by a set of experimental subjects, when the combined use of the sensors located on different parts of the body is considered. Prior to this, the election of the statistics that optimize the characterization of the acceleration signals and the efficacy of the FDS is also investigated. As another important methodological novelty in this field, the statistical significance of all the results (an aspect which is usually neglected by other works) is validated by an analysis of variance (ANOVA). [ABSTRACT FROM AUTHOR]

Due to the boom of wireless handheld devices such as smartwatches and smartphones, wearable Fall Detection Systems (FDSs) have become a major focus of attention among the research community during the last years. The effectiveness of a wearable FDS must be contrasted against a wide variety of measurements obtained from inertial sensors during the occurrence of falls and Activities of Daily Living (ADLs). In this regard, the access to public databases constitutes the basis for an open and systematic assessment of fall detection techniques. This paper reviews and appraises twelve existing available data repositories containing measurements of ADLs and emulated falls envisaged for the evaluation of fall detection algorithms in wearable FDSs. The analysis of the found datasets is performed in a comprehensive way, taking into account the multiple factors involved in the definition of the testbeds deployed for the generation of the mobility samples. The study of the traces brings to light the lack of a common experimental benchmarking procedure and, consequently, the large heterogeneity of the datasets from a number of perspectives (length and number of samples, typology of the emulated falls and ADLs, characteristics of the test subjects, features and positions of the sensors, etc.). Concerning this, the statistical analysis of the samples reveals the impact of the sensor range on the reliability of the traces. In addition, the study evidences the importance of the selection of the ADLs and the need of categorizing the ADLs depending on the intensity of the movements in order to evaluate the capability of a certain detection algorithm to discriminate falls from ADLs. [ABSTRACT FROM AUTHOR]

During the last years, many research efforts have been devoted to the definition of Fall Detection Systems (FDSs) that benefit from the inherent computing, communication and sensing capabilities of smartphones. However, employing a smartphone as the unique sensor in a FDS application entails several disadvantages as long as an accurate characterization of the patient’s mobility may force to transport this personal device on an unnatural position. This paper presents a smartphone-based architecture for the automatic detection of falls. The system incorporates a set of small sensing motes that can communicate with the smartphone to help in the fall detection decision. The deployed architecture is systematically evaluated in a testbed with experimental users in order to determine the number and positions of the sensors that optimize the effectiveness of the FDS, as well as to assess the most convenient role of the smartphone in the architecture. [ABSTRACT FROM AUTHOR]

Due to their widespread popularity, decreasing costs, built-in sensors, computing power and communication capabilities, Android-based personal devices are being seen as an appealing technology for the deployment of wearable fall detection systems. In contrast with previous solutions in the existing literature, which are based on the performance of a single element (a smartphone), this paper proposes and evaluates a fall detection system that benefits from the detection performed by two popular personal devices: a smartphone and a smartwatch (both provided with an embedded accelerometer and a gyroscope). In the proposed architecture, a specific application in each component permanently tracks and analyses the patient’s movements. Diverse fall detection algorithms (commonly employed in the literature) were implemented in the developed Android apps to discriminate falls from the conventional activities of daily living of the patient. As a novelty, a fall is only assumed to have occurred if it is simultaneously and independently detected by the two Android devices (which can interact via Bluetooth communication). The system was systematically evaluated in an experimental testbed with actual test subjects simulating a set of falls and conventional movements associated with activities of daily living. The tests were repeated by varying the detection algorithm as well as the pre-defined mobility patterns executed by the subjects (i.e., the typology of the falls and non-fall movements). The proposed system was compared with the cases where only one device (the smartphone or the smartwatch) is considered to recognize and discriminate the falls. The obtained results show that the joint use of the two detection devices clearly increases the system’s capability to avoid false alarms or ‘false positives’ (those conventional movements misidentified as falls) while maintaining the effectiveness of the detection decisions (that is to say, without increasing the ratio of ‘false negatives’ or actual falls that remain undetected). [ABSTRACT FROM AUTHOR]

Falls are a major cause of health and psychological problems as well as hospitalization costs among older adults. Thus, the investigation on automatic Fall Detection Systems (FDSs) has received special attention from the research community during the last decade. In this area, the widespread popularity, decreasing price, computing capabilities, built-in sensors and multiplicity of wireless interfaces of Android-based devices (especially smartphones) have fostered the adoption of this technology to deploy wearable and inexpensive architectures for fall detection. This paper presents a critical and thorough analysis of those existing fall detection systems that are based on Android devices. The review systematically classifies and compares the proposals of the literature taking into account different criteria such as the system architecture, the employed sensors, the detection algorithm or the response in case of a fall alarms. The study emphasizes the analysis of the evaluation methods that are employed to assess the effectiveness of the detection process. The review reveals the complete lack of a reference framework to validate and compare the proposals. In addition, the study also shows that most research works do not evaluate the actual applicability of the Android devices (with limited battery and computing resources) to fall detection solutions. [ABSTRACT FROM AUTHOR]

Falls are a foremost source of injuries and hospitalization for seniors. The adoption of automatic fall detection mechanisms can noticeably reduce the response time of the medical staff or caregivers when a fall takes place. Smartphones are being increasingly proposed as wearable, cost-effective and not-intrusive systems for fall detection. The exploitation of smartphones' potential (and in particular, the Android Operating System) can benefit from the wide implantation, the growing computational capabilities and the diversity of communication interfaces and embedded sensors of these personal devices. After revising the state-of-the-art on this matter, this study develops an experimental testbed to assess the performance of different fall detection algorithms that ground their decisions on the analysis of the inertial data registered by the accelerometer of the smartphone. Results obtained in a real testbed with diverse individuals indicate that the accuracy of the accelerometry-based techniques to identify the falls depends strongly on the fall pattern. The performed tests also show the difficulty to set detection acceleration thresholds that allow achieving a good trade-off between false negatives (falls that remain unnoticed) and false positives (conventional movements that are erroneously classified as falls). In any case, the study of the evolution of the battery drain reveals that the extra power consumption introduced by the Android monitoring applications cannot be neglected when evaluating the autonomy and even the viability of fall detection systems. [ABSTRACT FROM AUTHOR]

This paper evaluates and characterizes the technical performance of medical wireless personal area networks (WPANs) that are based on smartphones. For this purpose, a prototype of a health telemonitoring system is presented. The prototype incorporates a commercial Android smartphone, which acts as a relay point, or "gateway", between a set of wireless medical sensors and a data server. Additionally, the paper investigates if the conventional capabilities of current commercial smartphones can be affected by their use as gateways or "Holters" in health monitoring applications. Specifically, the profiling has focused on the CPU and power consumption of the mobile devices. These metrics have been measured under several test conditions modifying the smartphone model, the type of sensors connected to the WPAN, the employed Bluetooth profile (SPP (serial port profile) or HDP (health device profile)), the use of other peripherals, such as a GPS receiver, the impact of the use of the Wi-Fi interface or the employed method to encode and forward the data that are collected from the sensors. [ABSTRACT FROM AUTHOR]

Battery consumption is a key aspect in the performance of wireless sensor networks. One of the most promising technologies for this type of networks is 802.15.4/ZigBee. This paper presents an empirical characterization of battery consumption in commercial 802.15.4/ZigBee motes. This characterization is based on the measurement of the current that is drained from the power source under different 802.15.4 communication operations. The measurements permit the definition of an analytical model to predict the maximum, minimum and mean expected battery lifetime of a sensor networking application as a function of the sensor duty cycle and the size of the sensed data. [ABSTRACT FROM AUTHOR]

In recent years, the popularity of wearable devices has fostered the investigation of automatic fall detection systems based on the analysis of the signals captured by transportable inertial sensors. Due to the complexity and variety of human movements, the detection algorithms that offer the best performance when discriminating falls from conventional Activities of Daily Living (ADLs) are those built on machine learning and deep learning mechanisms. In this regard, supervised machine learning binary classification methods have been massively employed by the related literature. However, the learning phase of these algorithms requires mobility patterns caused by falls, which are very difficult to obtain in realistic application scenarios. An interesting alternative is offered by One-Class Classifiers (OCCs), which can be exclusively trained and configured with movement traces of a single type (ADLs). In this paper, a systematic study of the performance of various typical OCCs (for diverse sets of input features and hyperparameters) is performed when applied to nine public repositories of falls and ADLs. The results show the potentials of these classifiers, which are capable of achieving performance metrics very similar to those of supervised algorithms (with values for the specificity and the sensitivity higher than 95%). However, the study warns of the need to have a wide variety of types of ADLs when training OCCs, since activities with a high degree of mobility can significantly increase the frequency of false alarms (ADLs identified as falls) if not considered in the data subsets used for training. [ABSTRACT FROM AUTHOR]

Over the last few years, the use of smartwatches in automatic Fall Detection Systems (FDSs) has aroused great interest in the research of new wearable telemonitoring systems for the elderly. In contrast with other approaches to the problem of fall detection, smartwatch-based FDSs can benefit from the widespread acceptance, ergonomics, low cost, networking interfaces, and sensors that these devices provide. However, the scientific literature has shown that, due to the freedom of movement of the arms, the wrist is usually not the most appropriate position to unambiguously characterize the dynamics of the human body during falls, as many conventional activities of daily living that involve a vigorous motion of the hands may be easily misinterpreted as falls. As also stated by the literature, sensor-fusion and multi-point measurements are required to define a robust and reliable method for a wearable FDS. Thus, to avoid false alarms, it may be necessary to combine the analysis of the signals captured by the smartwatch with those collected by some other low-power sensor placed at a point closer to the body's center of gravity (e.g., on the waist). Under this architecture of Body Area Network (BAN), these external sensing nodes must be wirelessly connected to the smartwatch to transmit their measurements. Nonetheless, the deployment of this networking solution, in which the smartwatch is in charge of processing the sensed data and generating the alarm in case of detecting a fall, may severely impact on the performance of the wearable. Unlike many other works (which often neglect the operational aspects of real fall detectors), this paper analyzes the actual feasibility of putting into effect a BAN intended for fall detection on present commercial smartwatches. In particular, the study is focused on evaluating the reduction of the battery life may cause in the watch that works as the core of the BAN. To this end, we thoroughly assess the energy drain in a prototype of an FDS consisting of a smartwatch and several external Bluetooth-enabled sensing units. In order to identify those scenarios in which the use of the smartwatch could be viable from a practical point of view, the testbed is studied with diverse commercial devices and under different configurations of those elements that may significantly hamper the battery lifetime. [ABSTRACT FROM AUTHOR]

Due to the serious impact of falls on the quality of life of the elderly and on the economical sustainability of health systems, the study of new monitoring systems capable of automatically alerting about falls has gained much research interest during the last decade. In the field of Human Activity Recognition, Fall Detection Systems (FDSs) can be contemplated as pattern recognition architectures able to discriminate falls from ordinary Activities of Daily Living (ADLs). In this regard, the combined application of cellular communications and wearable devices that integrate inertial sensors offers a cost-efficient solution to track the user mobility almost ubiquitously. Inertial Measurement Units (IMUs) typically utilized for these architectures, embed an accelerometer and a gyroscope. This paper investigates if the use of the angular velocity (captured by the gyroscope) as an input feature of the movement classifier introduces any benefit with respect to the most common case in which the classification decision is uniquely based on the accelerometry signals. For this purpose, the work assesses the performance of a deep learning architecture (a convolutional neural network) which is optimized to differentiate falls from ADLs as a function of the raw data measured by the two inertial sensors (gyroscope and accelerometer). The system is evaluated against on a well-known public dataset with a high number of mobility traces (falls and ADL) measured from the movements of a wide group of experimental users. [ABSTRACT FROM AUTHOR]

Due to the repercussion of falls on both the health and self-sufficiency of older people and on the financial sustainability of healthcare systems, the study of wearable fall detection systems (FDSs) has gained much attention during the last years. The core of a FDS is the algorithm that discriminates falls from conventional Activities of Daily Life (ADLs). This work presents and evaluates a convolutional deep neural network when it is applied to identify fall patterns based on the measurements collected by a transportable tri-axial accelerometer. In contrast with most works in the related literature, the evaluation is performed against a wide set of public data repositories containing the traces obtained from diverse groups of volunteers during the execution of ADLs and mimicked falls. Although the method can yield very good results when it is hyper-parameterized for a certain dataset, the global evaluation with the other repositories highlights the difficulty of extrapolating to other testbeds the network architecture that was configured and optimized for a particular dataset. [ABSTRACT FROM AUTHOR]

Fall Detection Systems (FDSs) based on wearable technologies have gained much research attention in recent years. Due to the networking and computing capabilities of smartphones, these widespread personal devices have been proposed to deploy cost-effective wearable systems intended for automatic fall detection. In spite of the fact that smartphones are natively provided with inertial sensors (accelerometers and gyroscopes), the effectiveness of a smartphone-based FDS can be improved if it also exploits the measurements collected by small low-power wireless sensors, which can be firmly attached to the user's body without causing discomfort. For these architectures with multiple sensing points, the smartphone transported by the user can act as the core of the FDS architecture by processing and analyzing the data measured by the external sensors and transmitting the corresponding alarm whenever a fall is detected. In this context, the wireless communications with the sensors and with the remote monitoring point may impact on the general performance of the smartphone and, in particular, on the battery lifetime. In contrast with most works in the literature (which disregard the real feasibility of implementing an FDS on a smartphone), this paper explores the actual potential of current commercial smartphones to put into operation an FDS that incorporates several external sensors. This study analyzes diverse operational aspects that may influence the consumption (as the use of a GPS sensor, the coexistence with other apps, the retransmission of the measurements to an external server, etc.) and identifies practical scenarios in which the deployment of a smartphone-based FDS is viable. [ABSTRACT FROM AUTHOR]