Fall Detection

This article introduces an innovative system that integrates landmark identification with deep learning to enhance fall detection accuracy and reliability. By utilizing advanced computer vision techniques, such as Media Pipe for spatial recognition, the system effectively differentiates between routine movements and actual falls. The integration of landmarks with a deep learning prediction algorithm minimizes false alarms, ensuring timely responses to genuine falls. Comprehensive experimentation underscores the system's versatility across various scenarios, emphasizing its potential to improve safety and independence for older adults. The training process demonstrates a steady increase in accuracy, stabilizing by the 40th cycle, while error rates decline significantly during the initial cycles. Real-time experiments, involving both male and female participants aged 8 to 50, recorded a remarkable 95% detection rate of falls, demonstrating the system's effectiveness and promising future applications in elder care and smart health monitoring environments.

Falls are a major health concern for older adults, and wearable sensors have been widely explored for detecting falls and enabling timely intervention. However, real-world falls are extremely rare: collecting 100 of them requires an estimated 100,000 days of monitoring, resulting in severely limited labelled data for training machine learning models. Consequently, many approaches rely on simulated datasets, often reporting high laboratory performance but limited real-world generalisation. We present a systematic evaluation of motion representations for wearable fall detection under real-world data scarcity. Using accelerometer signals, we compare interval-based, kernel-based, symbolic, and foundation model representations. As an interpretable baseline, we additionally investigate a lightweight symbolic representation that converts short motion segments into symbolic sentences augmented with physically-grounded impact descriptors. Experiments use FallAllD, a simulated falls dataset, and FARSEEING, a clinically verified real-world falls dataset. Through cross-validation, controlled data scarcity, and cross-dataset transfer, we examine how representation choices affect robustness under realistic deployment. Our results reveal that highly parameterised kernel and foundation models excel on simulated data but degrade severely under both data scarcity and domain shift. Although the interval-based representation achieves the strongest absolute real-world performance, augmenting a symbolic representation with physically-grounded impact descriptors yields the smallest degradation under domain shift and retains detection sensitivity under extreme scarcity, albeit at lower precision. These findings highlight the importance of evaluating beyond simulated benchmarks and show that representation choice is critical for deployable fall detection given the scarcity of real-world data.

Falls represent a critical public health challenge, and accurate detection of the impact moment when an individual hits the ground is crucial for timely intervention. Existing skeleton-based methods rely on graph neural networks modeling only pairwise joint connections, failing to capture multi-joint coordination characteristic of fall impacts, while transformer-based temporal models suffer from quadratic complexity limiting real-time deployment. We propose FLASH, a novel framework integrating single-matrix hypergraph representations with Mamba's selective state-space models through adaptive feedback mechanisms for efficient impact detection. Our approach constructs biomechanically-grounded hyperedges to model functional joint coordination while leveraging Mamba's linear-time complexity to capture temporal dynamics. Experiments on UP-Fall and UMAFall datasets demonstrate that FLASH achieves state-of-the-art accuracy with real-time inference capability and strong zero-shot cross-dataset generalization, while significantly reducing computational cost compared to dual-representation and transformer-based methods. The model provides interpretable feedback through learned attention patterns aligned with biomechanical principles. Code is available at https://github.com/Tresor-Koffi/FLASH-Impact-Fall-Detection.

Fall represents a significant risk of accidental death among individuals aged over 65, presenting a global health concern. A fall is defined as any event where a person loses balance and moves to an off-position, which may or may not result in an impact where the person hits the ground. While fall detection systems have achieved good results in general, impact detection within falls remains challenging. This study proposes an efficient methodology for accurately detecting impacts within fall events by incorporating 3D joints skeleton data treated as a graph using Spatio-Temporal Graph Convolutional Networks (STGCN), Gated Recurrent Unit (GRU), and Bidirectional Long Short-Term Memory (BiLSTM) layers. By pinpointing impact moments, our approach enhances precision by distinguishing between false falls and actual impacts, contributing to better healthcare resource allocation. Our methodology, evaluated using the improved 3D skeletons UP-Fall dataset, achieves accuracy exceeding 90% across various fall scenarios. We have made this improved dataset publicly available at https://zenodo.org/records/12773013 to facilitate further research.

Falling detection is vital for elderly care and intelligent surveillance; however, prevailing vision-based approaches predominantly frame it as static pose classification or discrete temporal pattern matching, fundamentally overlooking the instability dynamics of the human support system. This paper proposes a physics-informed falling detection framework that recasts falling as a stability-loss event in a coupled dynamical system. We introduce a novel dual-LTC architecture comprising a Center-of-Mass (CoM) subsystem and a Base-of-Support (BoS) subsystem, both instantiated as Liquid Time-Constant (LTC) neural networks to continuously model inertial trajectory evolution and ground-contact adjustment through adaptive time constants, Physical interpretability of falling motion. A learnable coupling module emulates physical interaction between the two subsystems, while a Stability Manifold classifier operates in the joint latent space to detect boundary crossing via Lyapunov-inspired stability metrics. Complementary counterfactual trajectory projection and Time-to-Collision (TTC) estimation further enable irreversibility assessment and early warning. The architecture is designed to support a three-state prediction paradigm (Normal, Falling, Fallen); in this preliminary study, we validate the core stability discrimination capability on a two-class dataset (Normal vs. Falling), leaving the full three-state temporal transition to future work. Unlike conventional CNN--RNN pipelines, the proposed formulation encodes continuous-time mechanical inertia, yielding a sub-50K-parameter network capable of real-time inference on resource-constrained edge devices. Extensive experiments demonstrate competitive accuracy with superior physical interpretability, validating its efficacy for low-compute visual fall detection.

Skeleton-based action recognition models have recently shown strong performance on large-scale benchmarks with general actions. However, directly transferring them to domain-specific tasks e.g., healthcare monitoring, is often suboptimal, as such tasks are narrow in scope and may be relevant to only a subset of general motion priors. Moreover, not all pretrained motion patterns are equally useful for a specific task, and retaining less relevant components may hinder adaptation and increase computational cost. To address these challenges, we propose Prior-Adaptive Transfer of Skeletons (PATS), a framework that adapts general skeleton-based models by selectively retaining task-relevant motion priors while filtering redundant ones during transfer. PATS follows a standard pipeline that extracts skeleton signals from videos and employs a spatio-temporal backbone pre-trained on general actions. The key contribution lies in a novel Adaptive Prior Transfer module, which performs model compression as a prior selection mechanism through iterative pruning and refinement. Experiments on two specific action recognition tasks, Alzheimer's detection and fall detection, show consistent improvements in both performance and efficiency over competitive baselines. The code will be released upon acceptance.

Background and Objective: Falls among elderly people can cause serious injury and reduce quality of life. Timely prediction and detection are essential to prevent harm and support well-being. We propose a portable, low-power, battery-operated, vision-based fall prediction and detection system using HPE on an AMD Kria K26 System-on-Module (SOM). The objective is a non-intrusive, privacy-preserving system for real-time fall detection. Methods: The system uses an Intel RealSense D455 range-sensing camera connected to the K26 SOM by USB. It captures synchronized RGB and depth frames, 640 x 480 x 3 and 640 x 480 pixels, at 60 FPS. The SOM runs a three-stage pipeline with quantized YOLOX, Anchor-to-Joint (A2J), and fall-detection models. YOLOX identifies human bounding boxes from RGB frames, then discards the RGB frames to preserve privacy. A2J uses depth frames to estimate 15 joint keypoints per person. A CNN uses selected joint coordinates (x, y, z) to classify fall activity. YOLOX was trained on CrowdHuman; A2J on ITOP, MP-3DHP, UR Fall Detection, and a custom SDSU PSG dataset; and the CNN on UR Fall Detection and SDSU PSG. The design used a single-core DPU with a serial pipeline and a dual-core DPU running YOLOX and A2J with multiple threads. Results: Quantized accuracy was evaluated using IoU >= 50% for YOLOX, mAP with a 10-cm rule for A2J, and classification accuracy, (TP + TN)/(TP + TN + FP + FN), for the CNN. Accuracies were 74%, 84.13%, and 75.85%. Throughput improved from 2.5 FPS for the single-threaded pipeline to 4.5 FPS for the multi-threaded version. Conclusion: Results demonstrate the feasibility of privacy-preserving fall detection on an AMD Kria K26 edge device. On-device HPE and fall classification runs without cloud dependency, supporting elderly monitoring and assistive healthcare. Future work will improve model accuracy and speed.

Falls are one of the leading causes of injury and hospitalization among elderly individuals, making reliable fall awareness an essential capability for safety monitoring in residential environments. However, existing fall detection systems often rely on wearable devices or fixed sensing installations, which may suffer from low user compliance, limited spatial coverage, or degraded performance under occlusion and poor lighting conditions. In this work, we propose \textbf{EM-Fall}, an embodied fall detection framework deployed on a mobile humanoid robot. The system integrates millimeter-wave (mmWave) sensing with robotic mobility, allowing the robot to actively adjust its sensing viewpoint and maintain target observability across rooms and under occlusion. To address interference in complex residential environments, including pet motion and multipath artifacts, we design a human-centered perception pipeline combined with lightweight temporal modeling to capture motion evolution before, during, and after fall events. We evaluate the proposed system across eight real indoor environments with four participants and construct an in-home mmWave fall detection dataset. Experimental results show that the embodied mobile sensing paradigm improves monitoring continuity and maintains robust fall detection performance under diverse environmental conditions. The proposed framework provides a practical solution for robot-assisted safety monitoring in home environments.

Existing deep learning approaches for wearable fall detection systems rely on self-attention mechanisms that impose quadratic computational overhead, distributing weights across all time steps. This global weight distribution impairs the precise localization of the brief impact signatures that characterize falls within short, fixed-length windows. To overcome this challenge, we propose Gated-CNN, a lightweight dual-stream architecture that processes accelerometer and gyroscope streams through independent one-dimensional convolutional feature extractors, followed by (i) a sigmoid gating module that selectively suppresses uninformative background activations while amplifying fall-discriminative features, (ii) a global average pooling layer that compresses each stream into a compact fixed-length descriptor, and (iii) a shared classification head that fuses both descriptors for binary fall prediction. For offline evaluation, we evaluate the model across five wrist-mounted inertial measurement unit (IMU) datasets, achieving average F1-scores of 93%, 93%, 90%, 91%, and 90% on SmartFallMM, WEDA-Fall, FallAllD, UMAFall, and UP-Fall, outperforming Transformer baselines. For real-time evaluation, we deployed the model on a Google Pixel Watch 3 and tested across 12 participants. The model achieves an average F1-score of 97% and an accuracy of 98% with zero missed falls, showing that sigmoid gating offers a more structurally aligned and computationally efficient alternative to attention for commodity smartwatch-based fall detection.

Agentic AI, with goal-directed, proactive, and autonomous decision-making capabilities, offers a compelling opportunity to address movement-related risks in human activity, including the persistent hazard of falls among elderly populations. Despite numerous approaches to fall mitigation through fall prediction and detection, existing systems have not yet functioned as universal solutions across care pathways and safety-critical environments. This is largely due to limitations in consistently handling real-world complexity, particularly poor context awareness, high false alarm rates, environmental noise, and data scarcity. We argue that fall detection and fall prediction can usefully be formulated as anomaly detection problems and more effectively addressed through an agentic AI system. More broadly, this perspective enables the early identification of subtle deviations in movement patterns associated with increased risk, whether arising from age-related decline, fatigue, or environmental factors. While technical requirements for immediate deployment are beyond the scope of this paper, we propose a conceptual framework that highlights potential value. This framework promotes a well-orchestrated approach to risk management by dynamically selecting relevant tools and integrating them into adaptive decision-making workflows, rather than relying on static configurations tailored to narrowly defined scenarios.

Visual fall detection models are usually trained on small, staged datasets. Their real-world utility remains unclear; such data lacks diversity and evaluation protocols differ from paper to paper. We propose OmniFall, a unified benchmark of 15k videos (80 hours) with frame-level annotations in a single 16-class taxonomy. It spans three domains: OF-Staged unifies eight staged datasets with cross-subject and cross-view splits; OF-Synthetic adds 12k videos (17 h) with controlled demographic and environmental diversity; and OF-In-the-Wild provides a test-only set of genuine accident videos. We evaluate fine-tuned models as well as much larger zero-shot multimodal LLMs. On in-the-wild fall events, both do comparably well. The clinically critical fallen state is where they part: zero-shot models keep confusing fallen with lying, whereas models fine-tuned on synthetic data with explicit fallen-state scenes do substantially better. We release the unified annotations, the synthetic data, and the in-the-wild test set to foster the development of fall and fallen-state detectors for uncontrolled environments. Dataset: https://hf.co/datasets/simplexsigil2/omnifall

Falls among elderly residents in assisted living homes pose significant health risks, often leading to injuries and a decreased quality of life. Current fall detection solutions typically rely on sensor-based systems that require dedicated hardware, or on video-based models that demand high computational resources and GPUs for real-time processing. In contrast, this paper presents a robust fall detection system that does not require any additional sensors or high-powered hardware. The system uses pose estimation techniques, combined with threshold-based analysis and a voting mechanism, to effectively distinguish between fall and non-fall activities. For pose detection, we leverage MediaPipe, a lightweight and efficient framework that enables real-time processing on standard CPUs with minimal computational overhead. By analyzing motion, body position, and key pose points, the system processes pose features with a 20-frame buffer, minimizing false positives and maintaining high accuracy even in real-world settings. This unobtrusive, resource-efficient approach provides a practical solution for enhancing resident safety in old age homes, without the need for expensive sensors or high-end computational resources.

Smart healthcare monitoring systems require precise action recognition to ensure well-being and timely intervention in critical situations such as falls, particularly for mobility-challenged individuals. Existing datasets are often clip-based, lacking the frame-level detail needed to recognize actions online, as they unfold. To address this, we introduce SAFER-Activities, a dataset for fall detection and physical activity monitoring, with a dedicated subset for wheelchair use scenarios. It comprises over 66 hours of video data captured by multiple cameras, with 85,310 action instances and frame-level annotations for 30 action classes. We benchmark action recognition on SAFER-Activities with 2D and 3D skeleton models, RGB models with frozen backbones, and multimodal fusion strategies, and evaluate on in-lab, out-of-distribution, and cross-dataset test sets. Skeleton-based models generalize best under domain shift; fusing frozen RGB features with the skeleton stream improves in-domain recognition over the baseline CNN1D, most clearly on the wheelchair subset, but degrades out of distribution. Cross-dataset and qualitative evaluations confirm that models trained on SAFER-Activities transfer well to unseen environments and external fall data. To support research on robust fall detection and activity monitoring, we release the dataset and code at https://safer-activities.github.io/.