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Exploring the Feasibility of Fall Detection Using Bluetooth Low Energy Channel Sounding in Residential Environments.

Šarūnas Paulikas1, Simona Paulikiene2

  • 1Department of Computer Science and Communication Technologies, Faculty of Electronics, Vilnius Gediminas Technical University, LT-10223 Vilnius, Lithuania.

Sensors (Basel, Switzerland)
|March 28, 2026
PubMed
Summary

Bluetooth Low Energy (BLE) Channel Sounding (CS) shows promise for unobtrusive, device-free fall detection in older adults. This technology offers a privacy-preserving method for monitoring potential falls in residential settings.

Keywords:
Bluetooth Low Energyambient assisted livingchannel soundingdevice-free sensingfall detectionmachine learningprivacy-preserving monitoringradio-frequency sensingsensitivity-first evaluation

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Area of Science:

  • Engineering
  • Computer Science
  • Gerontology

Background:

  • Falls pose significant health risks for independent older adults.
  • There is a need for unobtrusive and privacy-preserving fall monitoring solutions.
  • Device-free sensing offers potential for seamless integration into homes.

Purpose of the Study:

  • To investigate the feasibility of using Bluetooth Low Energy (BLE) 6.0 Channel Sounding (CS) for device-free fall detection.
  • To evaluate low-complexity signal representations for residential fall monitoring.
  • To assess the performance of different machine learning classifiers for fall detection using BLE CS.

Main Methods:

  • Two BLE nodes were used to perform periodic channel sounding, extracting scalar distance estimates.
  • Time-domain and temporal-dynamic features were computed from sliding windows of the distance signal.
  • Support Vector Machine, Random Forest, and XGBoost classifiers were evaluated under default and sensitivity-first operating conditions.

Main Results:

  • Strong window-level sensitivity was demonstrated in subject-independent evaluations.
  • XGBoost achieved the best balance between sensitivity and specificity.
  • Sensitivity-first operation yielded high recall but increased false alarms.

Conclusions:

  • BLE Channel Sounding is a feasible technology for privacy-preserving, device-free fall detection.
  • The system offers low deployment complexity suitable for residential environments.
  • Further research with larger datasets and diverse environments is needed to confirm performance.