Abstract

Fall risk prediction is an important issue for the elderly. A center of pressure signal, derived from a force plate, is useful for the estimation of body calibration. However, it is still difficult to distinguish elderly people’s fall history by using a force plate signal. In this study, older adults with and without a history of falls were recruited to stand still for 60 s on a force plate. Forces in the x, y and z directions (Fx, Fy, and Fz) and center of pressure in the anteroposterior (COPx) and mediolateral directions (COPy) were derived. There were 49 subjects in the non-fall group, with an average age of 71.67 (standard derivation: 6.56). There were also 27 subjects in the fall group, with an average age of 70.66 (standard derivation: 6.38). Five signal series—forces in x, y, z (Fx, Fy, Fz), COPX, and COPy directions—were used. These five signals were further decomposed with empirical mode decomposition (EMD) with seven intrinsic mode functions. Time domain features (mean, standard derivation and coefficient of variations) and entropy features (approximate entropy and sample entropy) of the original signals and EMD-derived signals were extracted. Results showed that features extracted from the raw COP data did not differ significantly between the fall and non-fall groups. There were 10 features extracted using EMD, with significant differences observed among fall and non-fall groups. These included four features from COPx and two features from COPy, Fx and Fz.

Highlights

  • The aging of society worldwide has raised awareness on topics associated with the health of older adults, those relevant to preventive medicine [1]

  • The results indicate that features extracted from the functions decomposed through empirical mode decomposition (EMD) can be used to distinguish between older adults with and without a history of falls

  • In contrast to Montesinos et al [26], the present study did not further explore the effect of default parameters, namely time series length, subseries length and tolerance. This does not affect the objectives, which are centered on the integrated use of EMD and entropy features, or the findings

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Summary

Introduction

The aging of society worldwide has raised awareness on topics associated with the health of older adults, those relevant to preventive medicine [1]. Falls are both one of the most critical factors affecting the health of this population and the second most common cause of death after traffic incidents. Injuries caused by falls may be fatal, and older adults are susceptible to severe injury or death from falls. Effective tools for exploring falls in older adults include wearable devices [2,3,4,5,6] and sociological questionnaires [7,8,9].

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