Abstract

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.

Highlights

  • According to the World Health Organization (WHO), a fall is defined as an involuntary event that results in a person losing their balance and coming to lie unintentionally on the ground or other lower level [1]

  • Due to the high number of combinations that were evaluated, for each dataset and each type of One-Class Classifiers (OCCs), the table only shows the combination of hyperparameters and input feature set

  • This work has assessed the effectiveness of utilizing one-class classifiers as the decision core of fall detection systems based on wearable inertial sensors

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Summary

Introduction

According to the World Health Organization (WHO), a fall is defined as an involuntary event that results in a person losing their balance and coming to lie unintentionally on the ground or other lower level [1]. 32–42% among those over 70 [2] This situation poses a logistical and economic challenge for national health systems, especially if we think that the share of population aged over 60 will double in 2050, reaching a figure of 2 billion people, compared to 900 million in 2015 [3]. This problem is aggravated as a significant proportion of older adults live alone, so that if an accident occurs, a caregiver (a family member, medical or nursing staff, etc.) must be alerted to provide help. The last decade has witnessed an increasing interest in the development of affordable Fall Detection Systems (FDSs), which are able to permanently monitor patients and to trigger an automatic alarm message to a remote agent as soon as the occurrence of a fall is presumed

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