Sit-to-Stand Transitions Detection and Duration Measurement Using Smart Lacelock Sensor

Falls in older adults are often preceded by changes in mobility, balance, and postural transitions. This paper presents a wireless smart insole platform and machine-learning workflow for recognizing sitting, standing, walking, and unstable walking from plantar-pressure and inertial signals. Each insole integrates 16 active pressure-sensing locations and a six-dimensional IMU stream consisting of tri-axial acceleration and angular velocity. Data were collected from 15 healthy adults at 80~Hz and segmented into overlapping windows. Window length and candidate model families were first screened with stratified 10-fold cross-validation; the primary performance estimate was then obtained with participant-independent 5-fold Stratified Group cross-validation, ensuring that all windows from a participant remained in a single fold. Under this protocol, Histogram-Based Gradient Boosting (HGB) achieved macro-F1 scores of 0.954 and 0.959 for the left and right feet, respectively, and 0.980 with bilateral sensing. A compact 1D-CNN evaluated with the same participant-independent folds did not significantly outperform HGB ($p=0.0625$). The results show that low-profile footwear sensing can infer activity state from pressure and IMU measurements for participants unseen during training, establishing a basis for activity monitoring and fall prevention in elderly care.

Falls among older adults are a significant public health concern, leading to severe injuries, loss of independence, and increased healthcare costs. This study evaluates the effectiveness of various models, including a Geometric approach, XGBoost, SVM, and several deep learning architectures, in classifying walker usage, standing vs. sitting, and posture for smart walkers used. Geometric and XGBoost were the top performers. XGBoost achieved near-perfect training accuracy in binary classification tasks, with 99.84% for walker choice and 99.69% for standing vs. sitting. For posture classification, Geometric approach attained 89.9% accuracy for 8 postures, and XGBoost obtained 99.24% during training for 17 postures. Deep learning models such as the 4-layer CNN and Encoder-Decoder CNN also demonstrated strong performance in binary classification, with accuracies above 98%. This study underscores the potential of machine learning to enhance human-robot interaction in smart walkers, particularly for fall prevention.

Reliable fall detection in elderly care requires monitoring systems that are not only accurate but also capable of producing stable, interpretable explanations of motion dynamics, a requirement that existing post hoc explainability methods rarely satisfy when applied to sequential biosignals. This study introduces a lightweight framework for skeleton-based fall detection that combines a Long Short-Term Memory (LSTM) model with a temporally stabilized attribution mechanism. We propose Temporal SHAP (T-SHAP), which treats frame-wise SHAP attributions as a temporal signal and applies a linear smoothing operator to reduce high-frequency variance. From a signal processing perspective, this operation is analogous to low-pass filtering, enabling the extraction of consistent temporal patterns while preserving the theoretical properties of Shapley-based attributions. Experiments conducted on the NTU RGB+D dataset demonstrate that the proposed approach achieves 94.3% classification accuracy with an end-to-end latency below 25 ms, supporting real-time applicability. Quantitative evaluation using perturbation-based faithfulness metrics shows that T-SHAP improves attribution reliability compared to standard SHAP (AUP: 0.91 vs. 0.89) and Grad-CAM (0.82), while also reducing temporal variance in the attribution signals. The resulting explanations highlight biomechanically relevant motion patterns, such as lower-limb instability and changes in trunk posture, which are consistent with known characteristics of fall events. The resulting framework is computationally lightweight, requires no additional model training, and produces explanations that are both temporally stable and biomechanically meaningful, properties directly relevant to the reliability demands of AI-assisted clinical monitoring.