Pre-impact fall detection: optimal sensor positioning based on a machine learning paradigm

PLoS One. 2014 Mar 21;9(3):e92037. doi: 10.1371/journal.pone.0092037. eCollection 2014.

Abstract

The aim of this study was to identify the best subset of body segments that provides for a rapid and reliable detection of the transition from steady walking to a slipping event. Fifteen healthy young subjects managed unexpected perturbations during walking. Whole-body 3D kinematics was recorded and a machine learning algorithm was developed to detect perturbation events. In particular, the linear acceleration of all the body segments was parsed by Independent Component Analysis and a Neural Network was used to classify walking from unexpected perturbations. The Mean Detection Time (MDT) was 351±123 ms with an Accuracy of 95.4%. The procedure was repeated with data related to different subsets of all body segments whose variability appeared strongly influenced by the perturbation-induced dynamic modifications. Accordingly, feet and hands accounted for most data information and the performance of the algorithm were slightly reduced using their combination. Results support the hypothesis that, in the framework of the proposed approach, the information conveyed by all the body segments is redundant to achieve effective fall detection, and suitable performance can be obtained by simply observing the kinematics of upper and lower distal extremities. Future studies are required to assess the extent to which such results can be reproduced in older adults and in different experimental conditions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidental Falls*
  • Adult
  • Algorithms
  • Artificial Intelligence*
  • Biomechanical Phenomena
  • Female
  • Humans
  • Male
  • Neural Networks, Computer
  • Proprioception
  • Time Factors
  • Walking / physiology*

Grants and funding

This work was supported by the Italian Ministry of Education and Research (MIUR) through the relevant interest national project (PRIN) “A quantitative and multi factorial approach for estimating and preventing the risk of falls in the elderly people” and by the following FP7 EC projects: CLONS “CLOsed-loop Neural prostheses for vestibular disorders” (GA 341 225929); CYBERLEGs “The CYBERnetic LowEr-Limb CoGnitive Ortho-prosthesis” (ICT 287894); I-DONT-FALL “Integrated prevention and Detection sOlutioNs Tailored to the population and Risk Factors associated with FALLs” (CIP-ICT-PSP-2011-5-297225). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.