Skip to main content
Log in

A Multi-sensor Fall Detection System Based on Multivariate Statistical Process Analysis

  • Original Article
  • Published:
Journal of Medical and Biological Engineering Aims and scope Submit manuscript

Abstract

Physical injuries of elders resulting from fall accidents have become a serious social problem. An automatic fall detection system can provide timely feedback regarding the activities of elders and improve the quality of life of the elderly. This article aims to design an automatic fall detection system using multiple wearable sensors and find optimal sensor attachment locations. Six sensors are fixed on different parts of the human body to obtain real-time movement data. The autoregressive integrated moving average model is adopted to remove autocorrelation from the original data. Then, the multidimensional data are processed using principal component analysis. Finally, a novel threshold method based on a multivariate control chart is proposed for detection falls. This method can achieve high detection accuracy and can adapt to different individuals because the detection threshold is established using individual historical data. Different activities and simulated falls were performed by volunteers. Compared with most other single-sensor systems, the proposed multi-sensor system achieved higher sensitivity (94.8%) and specificity (95.2%), especially at a low sampling frequency (20 Hz). By evaluating the performance of different sensor attachment locations, the results showed that three sensors fixed on the waist, arm and thigh were able to efficiently distinguish falls from non-falls.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11

Similar content being viewed by others

References

  1. Stevens, J. (2003). Falls among older adults: Moving from research to practice. In Proceedings of international conference on aging, disability and independence.

  2. Tinetti, M. E., & Williams, C. S. (1997). Falls, injuries due to falls, and the risk of admission to a nursing home. New England Journal of Medicine, 337(18), 1279–1284.

    Article  Google Scholar 

  3. Bourke, A., O’Brien, J., & Lyons, G. (2007). Evaluation of threshold-based tri-axial accelerometer fall detection algorithm. Gait & Posture, 26(2), 194–199.

    Article  Google Scholar 

  4. Miaou, S. G., Sung, P. H., & Huang, C. Y. (2006). A customized human fall detection system using omni-camera images and personal information. In Transdisciplinary conference on distributed diagnosis and home healthcare, Vol. 2006, pp. 39–42. D2h2. IEEE.

  5. Mirmahboub, B., Samavi, S., Karimi, N., & Shirani, S. (2013). Automatic monocular system for human fall detection based on variations in silhouette area. IEEE Transactions on Biomedical Engineering, 60(2), 427–436.

    Article  Google Scholar 

  6. Mubashir, M., Shao, L., & Seed, L. (2013). A survey on fall detection: Principles and approaches. Neurocomputing, 100(2), 144–152.

    Article  Google Scholar 

  7. Aslan, M., Sengur, A., Xiao, Y., Wang, H., Ince, M. C., & Ma, X. (2015). Shape feature encoding via fisher vector for efficient fall detection in depth-videos. Applied Soft Computing, 37, 1023–1028.

    Article  Google Scholar 

  8. Kwolek, B., & Kepski, M. (2014). Human fall detection on embedded platform using depth maps and wireless accelerometer. Computer Methods and Programs in Biomedicine, 117(3), 489–501.

    Article  Google Scholar 

  9. Fan, Y., Levine, M. D., Wen, G., & Qiu, S. (2017). A deep neural network for real-time detection of falling humans in naturally occurring scenes. Neurocomputing, 230, 43–58.

    Article  Google Scholar 

  10. Yun, Y., & Gu, Y. H. (2016). Human fall detection in videos via boosting and fusing statistical features of appearance, shape and motion dynamics on riemannian manifolds with applications to assisted living. Computer Vision and Image Understanding, 148, 111–122.

    Article  Google Scholar 

  11. Cucchiara, R., Grana, C., Prati, A., & Vezzani, R. (2004). Probabilistic posture classification for human-behavior analysis. IEEE Transactions on Systems, Man, and Cybernetics Part A: Systems and Humans, 35(1), 42–54.

    Article  Google Scholar 

  12. Ivanov, Y. A., & Bobick, A. F. (2000). Recognition of visual activities and interactions by stochastic parsing. IEEE Transactions on Pattern Analysis and Machine Intelligence, 22, 852–872.

    Article  Google Scholar 

  13. Debard, G., Mertens, M., Goedemé, T., Tuytelaars, T., & Vanrumste, B. (2017). Three ways to improve the performance of real-life camera-based fall detection systems. Journal of Sensors, 2017(1), 1–15.

    Article  Google Scholar 

  14. Senouci, B., Charfi, I., Heyrman, B., Dubois, J., & Miteran, J. (2016). Fast prototyping of a SoC-based smart-camera: a real-time fall detection case study. Journal of Real-Time Image Processing, 12, 649–662.

    Article  Google Scholar 

  15. Werghi, N. (2005). A discriminative 3d wavelet-based descriptors: application to the recognition of human body postures. Pattern Recognition Letters, 26(5), 663–677.

    Article  Google Scholar 

  16. Yang, L., Ren, Y., Hu, H., & Tian, B. (2015). New fast fall detection method based on spatio-temporal context tracking of head by using depth images. Sensors, 15(9), 23004–23019.

    Article  Google Scholar 

  17. Khan, M. S., Yu, M., Feng, P., Wang, L., & Chambers, J. (2015). An unsupervised acoustic fall detection system using source separation for sound interference suppression. Signal Processing, 110, 199–210.

    Article  Google Scholar 

  18. Zigel, Y., Litvak, D., & Gannot, I. (2009). A method for automatic fall detection of elderly people using floor vibrations and sound–proof of concept on human mimicking doll falls. IEEE transactions on bio-medical engineering, 56(12), 2858–2867.

    Article  Google Scholar 

  19. Popescu, M., & Mahnot, A. (2009). Acoustic fall detection using one-class classifier. In Annual int. conf of the IEEE engineering in medicine and biology society, pp. 3505–3508.

  20. Garripoli, C., Mercuri, M., Karsmakers, P., Ping, J. S., Crupi, G., Vandenbosch, G. A. E., et al. (2015). Embedded DSP-based telehealth radar system for remote in-door fall detection. IEEE Journal of Biomedical & Health Informatics, 19(1), 92–101.

    Article  Google Scholar 

  21. Su, B. Y., Ho, K. C., Rantz, M., & Skubic, M. (2015). Doppler radar fall activity detection using the wavelet transform. IEEE Transactions on Biomedical Engineering, 62(3), 865–875.

    Article  Google Scholar 

  22. Backere, F. D., Ongenae, F., Abeele, F. V. D., Nelis, J., Philpott, M., Philpott, M., et al. (2015). Towards a social and context-aware multi-sensor fall detection and risk assessment platform. Computers in Biology & Medicine, 64, 307–320.

    Article  Google Scholar 

  23. Kwolek, B., & Kepski, M. (2015). Improving fall detection by the use of depth sensor and accelerometer. Neurocomputing, 168, 637–645.

    Article  Google Scholar 

  24. Zerrouki, N., Harrou, F., Sun, Y., & Houacine, A. (2016). Accelerometer and camera-based strategy for improved human fall detection. Journal of Medical Systems, 40(12), 284.

    Article  Google Scholar 

  25. Kwolek, B., & Kepski, M. (2016). Fuzzy inference-based fall detection using kinect and body-worn accelerometer. Applied Soft Computing, 40, 305–318.

    Article  Google Scholar 

  26. Godfrey, A., Bourke, A. K., Ólaighin, G. M., Ven, P. V. D., & Nelson, J. (2011). Activity classification using a single chest mounted tri-axial accelerometer. Medical Engineering & Physics, 33(9), 1127–1135.

    Article  Google Scholar 

  27. Najafi, B., Aminian, K., Paraschiv-Ionescu, A., Loew, F., Bula, C. J., & Robert, P. (2003). Ambulatory system for human motion analysis using a kinematic sensor: Monitoring of daily physical activity in the elderly. IEEE Transactions on Biomedical Engineering, 50(6), 711–723.

    Article  Google Scholar 

  28. Lindemann, U., Hock, A., Stuber, M., Keck, W., & Becker, C. (2005). Evaluation of a fall detector based on accelerometers: A pilot study. Medical & Biological Engineering & Computing, 43(5), 548–551.

    Article  Google Scholar 

  29. Bourke, A. K., & Lyons, G. M. (2008). A threshold-based fall-detection algorithm using a bi-axial gyroscope sensor. Medical Engineering & Physics, 30(1), 84–90.

    Article  Google Scholar 

  30. Kern, N., Schiele, B., & Schmidt, A. (2003). Multi-sensor activity context detection for wearable computing. Ambient Intelligence, 2875, 220–232. https://doi.org/10.1007/978-3-540-39863-9_17.

    Article  Google Scholar 

  31. Aziz, O., & Robinovitch, S. N. (2011). An analysis of the accuracy of wearable sensors for classifying the causes of falls in humans. IEEE Transactions on Neural Systems and Rehabilitation Engineering, 19(6), 670–676.

    Article  Google Scholar 

  32. Gao, L., Bourke, A. K., & Nelson, J. (2014). Evaluation of accelerometer based multi-sensor versus single-sensor activity recognition systems. Medical Engineering & Physics, 36(6), 779–785.

    Article  Google Scholar 

  33. Berg, W. P., Alessio, H. M., Mills, E. M., & Tong, C. (1997). Circumstances and consequences of falls in independent community-dwelling older adults. Age and Ageing, 26(4), 261–268.

    Article  Google Scholar 

  34. Liu, J., & Lockhart, T. E. (2014). Development and evaluation of a prior-to-impact fall event detection algorithm. IEEE Transactions on Bio-medical Engineering, 61(7), 2135–2140.

    Article  Google Scholar 

  35. Xinyao, Hu, & Xingda, Qu. (2013). Differentiating slip-induced falls from normal walking and successful recovery after slips using kinematic measures. Ergonomics, 56(5), 856–867.

    Article  Google Scholar 

  36. Yuan, J., Tan, K. K., Lee, T. H., & Koh, G. C. H. (2015). Power-efficient interrupt-driven algorithms for fall detection and classification of activities of daily living. Sensors Journal IEEE, 15(3), 1377–1387.

    Article  Google Scholar 

  37. Barth, A. T., Hanson, M. A., Powell, H. C., & Lach, J. (2009). TEMPO 3.1: A body area sensor network platform for continuous movement assessment. In Sixth international workshop on wearable and implantable body sensor networks, 2009. BSN 2009, pp. 71–76. https://doi.org/10.1109/bsn.2009.39

  38. Kau, L. J., & Chen, C. S. (2015). A smart phone-based pocket fall accident detection, positioning, and rescue system. In IEEE international symposium on bioelectronics and bioinformatics, Vol. 19, pp. 44–56.

  39. Abbate, S., Avvenuti, M., Bonatesta, F., Cola, G., Corsini, P., & Vecchio, A. (2012). A smartphone-based fall detection system. Pervasive & Mobile Computing, 8(6), 883–899.

    Article  Google Scholar 

  40. Shen, V. R. L., Lai, H. Y., & Lai, A. F. (2015). The implementation of a smartphone-based fall detection system using a high-level fuzzy petri net. Applied Soft Computing, 26, 390–400.

    Article  Google Scholar 

  41. Gao, L., Bourke, A. K., & Nelson, J. (2011). A system for activity recognition using multi-sensor fusion. In 2011 Annual international conference of the IEEE engineering in medicine and biology society, 2011(4), 7869–7872. https://doi.org/10.1109/iembs.2011.6091939

  42. Majumder, A. J. A., Zerin, I., Ahamed, S. I., & Smith, R. O. (2014). A multi-sensor approach for fall risk prediction and prevention in elderly. ACM SIGAPP Applied Computing Review, 14(1), 41–52.

    Article  Google Scholar 

  43. Bianchi, F., Redmond, S. J., Narayanan, M. R., Cerutti, S., & Lovell, N. H. (2010). Barometric pressure and triaxial accelerometry-based falls event detection. IEEE Transactions on Neural Systems & Rehabilitation Engineering, 18(6), 619–627.

    Article  Google Scholar 

  44. Li, W., Bao, J., Fu, X., Fortino, G., & Galzarano, S. (2012). Human postures recognition based on D-S evidence theory and multi-sensor data fusion BT—12th IEEE/ACM international symposium on cluster, cloud and grid computing, CCGrid 2012, May 13, 2012–May 16, 2012. In IEEE/ACM international symposium on cluster, cloud and grid computing, pp. 912–917. https://doi.org/10.1109/ccgrid.2012.144

  45. Li, Q., Zhou, G., & Stankovic, J. A. (2008). Accurate, fast fall detection using posture and context information. In Proceedings of the 6th ACM conference on Embedded network sensor systems, pp. 443–444. https://doi.org/10.1145/1460412.1460494

  46. Liu, J., & Lockhart, T. E. (2013). Automatic individual calibration in fall detection—an integrative ambulatory measurement framework. Computer Methods in Biomechanics & Biomedical Engineering, 16(5), 504–510.

    Article  Google Scholar 

  47. Hu, X., & Qu, X. (2014). An individual-specific fall detection model based on the statistical process control chart. Safety Science, 64(3), 13–21.

    Article  Google Scholar 

  48. Wang, S., & Cui, J. (2005). Sensor-fault detection, diagnosis and estimation for centrifugal chiller systems using principal-component analysis method. Applied Energy, 82(3), 197–213.

    Article  Google Scholar 

  49. Thaga, K. (2008). Control chart for autocorrelated processes with heavy tailed distributions. Economic Quality Control, 23(2), 197–206.

    Article  MathSciNet  MATH  Google Scholar 

  50. Leoni, R. C., & Costa, A. F. B. (2015). The effect of the autocorrelation on the performance of the T 2 chart. European Journal of Operational Research, 247(1), 155–165.

    Article  MathSciNet  MATH  Google Scholar 

  51. Montgomery, D. C., Jennings, C. L., & Kulachi, M. (2008). Introduction to time series analysis and forecasting, 17(4), 445. https://doi.org/10.1017/CBO9781107415324.004.

    Article  Google Scholar 

  52. Nau, R. (1998). Introduction to ARIMA: Non-seasonal models. https://people.duke.edu/~rnau/411arim.htm

  53. Phaladiganon, P., Kim, S. B., Chen, V. C. P., & Jiang, W. (2013). Principal component analysis-based control charts for multivariate nonnormal distributions. Expert Systems with Applications, 40(8), 3044–3054.

    Article  Google Scholar 

  54. Edwardjackson, J., & Mudholkar, G. (2012). Control procedures for residuals associated with principal component analysis. Technometrics, 21(3), 341–349.

    Google Scholar 

  55. Hotelling, H. (1947). Multivariate quality control 2. Techniques of Statistical Analysis, 31(3), 17–20.

    Google Scholar 

  56. Anderson, T. W. (1984). An introduction to multivariate statistical analysis. Wiley series in probability and mathematical statistics (Vol. 66, p. 675). New York: Wiley.

    Google Scholar 

  57. Gjoreski, H., Luštrek, M., & Gams, M. (2012). Context-based fall detection using inertial and location sensors. Ambient intelligence (Vol. 6). Berlin: Springer. https://doi.org/10.3233/ais-140268

  58. Aguiar, B., Rocha, T., & Silva, J. (2014). Accelerometer based fall detection for smartphones. In IEEE international symposium on medical measurements and applications (MeMeA), pp. 1–6.

  59. Bourke, A. K., Ven, P. V. D., Gamble, M., O’Connor, R., Murphy, K., Bogan, E., et al. (2010). Evaluation of waist-mounted tri-axial accelerometer based fall-detection algorithms during scripted and continuous unscripted activities. Journal of Biomechanics, 43(15), 3051–3057.

    Article  Google Scholar 

  60. Noury, N., Rumeau, P., Bourke, A. K., Ólaighin, G., & Lundy, J. E. (2008). A proposal for the classification and evaluation of fall detectors. IRBM, 29(6), 340–349.

    Article  Google Scholar 

Download references

Acknowledgements

The authors would like to thank the volunteers who had participated in our experiment and the anonymous reviewers for their valuable suggestions to improve this paper. This work was supported in part by the National Natural Science Foundation of China (Grants: 61671039, 61473021 and 61421063).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yinfeng Wu.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wu, Y., Su, Y., Hu, Y. et al. A Multi-sensor Fall Detection System Based on Multivariate Statistical Process Analysis. J. Med. Biol. Eng. 39, 336–351 (2019). https://doi.org/10.1007/s40846-018-0404-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40846-018-0404-z

Keywords

Navigation