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      A Large-Scale Open Motion Dataset (KFall) and Benchmark Algorithms for Detecting Pre-impact Fall of the Elderly Using Wearable Inertial Sensors

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          Abstract

          Research on pre-impact fall detection with wearable inertial sensors (detecting fall accidents prior to body-ground impacts) has grown rapidly in the past decade due to its great potential for developing an on-demand fall-related injury prevention system. However, most researchers use their own datasets to develop fall detection algorithms and rarely make these datasets publicly available, which poses a challenge to fairly evaluate the performance of different algorithms on a common basis. Even though some open datasets have been established recently, most of them are impractical for pre-impact fall detection due to the lack of temporal labels for fall time and limited types of motions. In order to overcome these limitations, in this study, we proposed and publicly provided a large-scale motion dataset called “KFall,” which was developed from 32 Korean participants while wearing an inertial sensor on the low back and performing 21 types of activities of daily living and 15 types of simulated falls. In addition, ready-to-use temporal labels of the fall time based on synchronized motion videos were published along with the dataset. Those enhancements make KFall the first public dataset suitable for pre-impact fall detection, not just for post-fall detection. Importantly, we have also developed three different types of latest algorithms (threshold based, support-vector machine, and deep learning), using the KFall dataset for pre-impact fall detection so that researchers and practitioners can flexibly choose the corresponding algorithm. Deep learning algorithm achieved both high overall accuracy and balanced sensitivity (99.32%) and specificity (99.01%) for pre-impact fall detection. Support vector machine also demonstrated a good performance with a sensitivity of 99.77% and specificity of 94.87%. However, the threshold-based algorithm showed relatively poor results, especially the specificity (83.43%) was much lower than the sensitivity (95.50%). The performance of these algorithms could be regarded as a benchmark for further development of better algorithms with this new dataset. This large-scale motion dataset and benchmark algorithms could provide researchers and practitioners with valuable data and references to develop new technologies and strategies for pre-impact fall detection and proactive injury prevention for the elderly.

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          Deep learning for sensor-based activity recognition: A Survey

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            Challenges, issues and trends in fall detection systems

            Since falls are a major public health problem among older people, the number of systems aimed at detecting them has increased dramatically over recent years. This work presents an extensive literature review of fall detection systems, including comparisons among various kinds of studies. It aims to serve as a reference for both clinicians and biomedical engineers planning or conducting field investigations. Challenges, issues and trends in fall detection have been identified after the reviewing work. The number of studies using context-aware techniques is still increasing but there is a new trend towards the integration of fall detection into smartphones as well as the use of machine learning methods in the detection algorithm. We have also identified challenges regarding performance under real-life conditions, usability, and user acceptance as well as issues related to power consumption, real-time operations, sensing limitations, privacy and record of real-life falls.
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              Evaluation of Accelerometer-Based Fall Detection Algorithms on Real-World Falls

              Despite extensive preventive efforts, falls continue to be a major source of morbidity and mortality among elderly. Real-time detection of falls and their urgent communication to a telecare center may enable rapid medical assistance, thus increasing the sense of security of the elderly and reducing some of the negative consequences of falls. Many different approaches have been explored to automatically detect a fall using inertial sensors. Although previously published algorithms report high sensitivity (SE) and high specificity (SP), they have usually been tested on simulated falls performed by healthy volunteers. We recently collected acceleration data during a number of real-world falls among a patient population with a high-fall-risk as part of the SensAction-AAL European project. The aim of the present study is to benchmark the performance of thirteen published fall-detection algorithms when they are applied to the database of 29 real-world falls. To the best of our knowledge, this is the first systematic comparison of fall detection algorithms tested on real-world falls. We found that the SP average of the thirteen algorithms, was (mean±std) 83.0%±30.3% (maximum value = 98%). The SE was considerably lower (SE = 57.0%±27.3%, maximum value = 82.8%), much lower than the values obtained on simulated falls. The number of false alarms generated by the algorithms during 1-day monitoring of three representative fallers ranged from 3 to 85. The factors that affect the performance of the published algorithms, when they are applied to the real-world falls, are also discussed. These findings indicate the importance of testing fall-detection algorithms in real-life conditions in order to produce more effective automated alarm systems with higher acceptance. Further, the present results support the idea that a large, shared real-world fall database could, potentially, provide an enhanced understanding of the fall process and the information needed to design and evaluate a high-performance fall detector.
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                Author and article information

                Contributors
                Journal
                Front Aging Neurosci
                Front Aging Neurosci
                Front. Aging Neurosci.
                Frontiers in Aging Neuroscience
                Frontiers Media S.A.
                1663-4365
                16 July 2021
                2021
                : 13
                : 692865
                Affiliations
                Department of Industrial and Systems Engineering, College of Engineering, Korea Advanced Institute of Science and Technology (KAIST) , Daejeon, South Korea
                Author notes

                Edited by: Nina Skjæret-Maroni, Norwegian University of Science and Technology, Norway

                Reviewed by: Rogier Landman, Broad Institute, United States; Eduardo Casilari, University of Malaga, Spain

                *Correspondence: Shuping Xiong shupingx@ 123456kaist.ac.kr
                Article
                10.3389/fnagi.2021.692865
                8322729
                34335231
                2ceb145e-ce82-4a31-b4c2-7f556cdf6951
                Copyright © 2021 Yu, Jang and Xiong.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 09 April 2021
                : 15 June 2021
                Page count
                Figures: 7, Tables: 4, Equations: 2, References: 56, Pages: 14, Words: 9796
                Categories
                Neuroscience
                Original Research

                Neurosciences
                pre-impact fall,fall detection,public dataset,wearable sensor,algorithm development
                Neurosciences
                pre-impact fall, fall detection, public dataset, wearable sensor, algorithm development

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