Barometric Pressure and Triaxial Accelerometry-Based Falls Event Detection
Abstract
Falls and fall related injuries are a significant cause of morbidity, disability, and health care utilization, particularly among the age group of 65 years and over. The ability to detect falls events in an unsupervised manner would lead to improved prognoses for falls victims. Several wearable accelerometry and gyroscope-based falls detection devices have been described in the literature; however, they all suffer from unacceptable false positive rates. This paper investigates the augmentation of such systems with a barometric pressure sensor, as a surrogate measure of altitude, to assist in discriminating real fall events from normal activities of daily living. The acceleration and air pressure data are recorded using a wearable device attached to the subject's waist and analyzed offline. The study incorporates several protocols including simulated falls onto a mattress and simulated activities of daily living, in a cohort of 20 young healthy volunteers (12 male and 8 female; age: 23.7 ±3.0 years). A heuristically trained decision tree classifier is used to label suspected falls. The proposed system demonstrated considerable improvements in comparison to an existing accelerometry-based technique; showing an accuracy, sensitivity and specificity of 96.9%, 97.5%, and 96.5%, respectively, in the indoor environment, with no false positives generated during extended testing during activities of daily living. This is compared to 85.3%, 75%, and 91.5% for the same measures, respectively, when using accelerometry alone. The increased specificity of this system may enhance the usage of falls detectors among the elderly population.
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Bianchi et al's barometric pressure sensor method demonstrated considerable improvements in sensitivity and specificity compared to an existing accelerometer-based technique when tested in 20 young healthy volunteers.
“When tested in a cohort of 20 young healthy volunteers, the proposed method demonstrated considerable improvements in sensitivity and specificity compared to an existing accelerometer-based technique.”
From A review of wearable sensors and systems with application in rehabilitation (2012) · cites this paper as [75]
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A review of wearable sensors and systems with application in rehabilitation
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- Authors
- Bianchi, F., Redmond, S. J., Narayanan, M. R., Cerutti, S., & Lovell, N. H.
- Affiliations
- Politecnico di Milano (IT)
- UNSW Sydney (AU)
- Venue
- IEEE Transactions on Neural Systems and Rehabilitation Engineering
- Published
- 2010-12
- Volume
- 18
- Issue
- 6
- Pages
- 619-627
- ISSN
- 1534-4320 (ISSN-L)
- 1558-0210
- OpenAlex
- W2128628418
- Cited by
- 296
- References
- 24
- Citations by year
- 2026: 1 · 2025: 9 · 2024: 7 · 2023: 9 · 2022: 13 · 2021: 16 · 2020: 25 · 2019: 26 · 2018: 30 · 2017: 32 · 2016: 28 · 2015: 35 · 2014: 23 · 2013: 22 · 2012: 13
- FWCI
- 15.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- IEEE Transactions on Neural Systems and Rehabilitation Engineering (publishedVersion)
- PubMed (publishedVersion)
- Virtual Community of Pathological Anatomy (University of Castilla La Mancha) (submittedVersion)
- Topics
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Physical Sciences › Engineering › Biomedical Engineering › Gait Recognition and Analysis
- Keywords
- fall detection, barometric pressure sensor, triaxial accelerometry, wearable sensors, activities of daily living, false positive reduction, decision tree classification, falls in older adults, altitude measurement, simulated falls
- MeSH terms
- Acceleration, Accidental Falls, Activities of Daily Living, Air Pressure, Algorithms, Analog-Digital Conversion, Electronic Data Processing, Decision Trees, Equipment Design, False Negative Reactions, False Positive Reactions, Female, Humans, Male, Monitoring, Ambulatory, Young Adult
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