Development of a Wearable Sensor Platform for Fall Risk Assessment and Fall Detection

Objective: Falls among the elderly constitute a major global public health issue. Research has therefore focused on two complementary areas: fall risk prevention and fall detection. Existing solutions mainly rely on body-attached sensors confined to laboratory settings, whereas recent research has shifted toward wearable e-textiles with non-invasive, long-term-wear sensors. In this context, the study presents a wearable sensor platform to both predict fall risk and detect falls, based on sensorized clothing integrating inertial measurement units and surface electromyography sensors. Methods: Fall risk was estimated from gait parameters extracted during a 10 m walking test as the probability of belonging to a faller (vs. non-faller) group, using a logistic regression model trained on the G-STRIDE dataset, complemented by neuromuscular parameters extracted from sEMG and associated with fall risk. Fall detection, focused on improving pre-impact identification, was framed as a binary classification between activities of daily living and falls, using a reduced Spatio-Temporal Attention Network trained on the FallTL dataset and refined with our own platform's data. Results: The obtained results were: fall-risk assessment, Area Under the Curve = 77.8%, Accuracy = 68.7%; fall detection, Accuracy = 96.7%, F1 Score = 77.3%, lead time = 390 ms. Conclusions: As a single-subject proof of concept, these results support the feasibility of a unified platform integrating objective fall-risk screening and fall event identification, with a predicted time before impact suitable for protective systems intervention; validation on a larger, representative cohort is required before any clinical claim can be made.