Acquisition of Data on Kinematic Responses to Unpredictable Gait Perturbations: Collection and Quality Assurance of Data for Use in Machine Learning Algorithms for (Near-)Fall Detection.

Slip, trip, and fall (STF) accidents cause high rates of absence from work in many companies. During the 2022 reporting period, the German Social Accident Insurance recorded 165,420 STF accidents, of which 12 were fatal and 2485 led to disability pensions. Particularly in the traffic, transport and logistics sector, STF accidents are the most frequently reported occupational accidents. Therefore, an accurate detection of near-falls is critical to improve worker safety. Efficient detection algorithms are essential for this, but their performance heavily depends on large, well-curated datasets. However, there are drawbacks to current datasets, including small sample sizes, an emphasis on older demographics, and a reliance on simulated rather than real data. In this paper we report the collection of a standardised kinematic STF dataset from real-world STF events affecting parcel delivery workers and steelworkers. We further discuss the use of the data to evaluate dynamic stability control during locomotion for machine learning and build a standardised database. We present the data collection, discuss the classification of the data, present the totality of the data statistically, and compare it with existing databases. A significant research gap is the limited number of participants and focus on older populations in previous studies, as well as the reliance on simulated rather than real-world data. Our study addresses these gaps by providing a larger dataset of real-world STF events from a working population with physically demanding jobs. The population studied included 110 participants, consisting of 55 parcel delivery drivers and 55 steelworkers, both male and female, aged between 19 and 63 years. This diverse participant base allows for a more comprehensive understanding of STF incidents in different working environments.

Near-Fall Detection in Unexpected Slips during Over-Ground Locomotion with Body-Worn Sensors among Older Adults.

Slip-induced falls are a growing health concern for older adults, and near-fall events are associated with an increased risk of falling. To detect older adults at a high risk of slip-related falls, this study aimed to develop models for near-fall event detection based on accelerometry data collected by body-fixed sensors. Thirty-four healthy older adults who experienced 24 laboratory-induced slips were included. The slip outcomes were first identified as loss of balance (LOB) and no LOB (NLOB), and then the kinematic measures were compared between these two outcomes. Next, all the slip trials were split into a training set (90%) and a test set (10%) at sample level. The training set was used to train both machine learning models (n = 2) and deep learning models (n = 2), and the test set was used to evaluate the performance of each model. Our results indicated that the deep learning models showed higher accuracy for both LOB (>64%) and NLOB (>90%) classifications than the machine learning models. Among all the models, the Inception model showed the highest classification accuracy (87.5%) and the largest area under the receiver operating characteristic curve (AUC), indicating that the model is an effective method for near-fall (LOB) detection. Our approach can be helpful in identifying individuals at the risk of slip-related falls before they experience an actual fall.

Comparison of machine learning approaches for near-fall-detection with motion sensors.

Introduction: Falls are one of the most common causes of emergency hospital visits in older people. Early recognition of an increased fall risk, which can be indicated by the occurrence of near-falls, is important to initiate interventions. Methods: In a study with 87 subjects we simulated near-fall events on a perturbation treadmill and recorded them with inertial measurement units (IMU) at seven different positions. We investigated different machine learning models for the near-fall detection including support vector machines, AdaBoost, convolutional neural networks, and bidirectional long short-term memory networks. Additionally, we analyzed the influence of the sensor position on the classification results. Results: The best results showed a DeepConvLSTM with an F1 score of 0.954 (precision 0.969, recall 0.942) at the sensor position "left wrist." Discussion: Since these results were obtained in the laboratory, the next step is to evaluate the suitability of the classifiers in the field.

The Design and Engineering of a Fall and Near-Fall Detection Electronic Textile.

Falls can be detrimental to the quality of life of older people, and therefore the ability to detect falls is beneficial, especially if the person is living alone and has injured themselves. In addition, detecting near falls (when a person is imbalanced or stumbles) has the potential to prevent a fall from occurring. This work focused on the design and engineering of a wearable electronic textile device to monitor falls and near-falls and used a machine learning algorithm to assist in the interpretation of the data. A key driver behind the study was to create a comfortable device that people would be willing to wear. A pair of over-socks incorporating a single motion sensing electronic yarn each were designed. The over-socks were used in a trial involving 13 participants. The participants performed three types of activities of daily living (ADLs), three types of falls onto a crash mat, and one type of near-fall. The trail data was visually analyzed for patterns, and a machine learning algorithm was used to classify the data. The developed over-socks combined with the use of a bidirectional long short-term memory (Bi-LSTM) network have been shown to be able to differentiate between three different ADLs and three different falls with an accuracy of 85.7%, ADLs and falls with an accuracy of 99.4%, and ADLs, falls, and stumbles (near-falls) with an accuracy of 94.2%. In addition, results showed that the motion sensing E-yarn only needs to be present in one over-sock.

Renal Artery Dissection in an Emergency Department Patient With a Near Fall.

51-year-old male presented to the emergency department with left flank pain after a near fall on steps. Computed tomography of the abdomen and pelvis with contrast showed a non-enhancing left kidney, secondary to suspected acute traumatic dissection of the left renal artery. Renal artery dissection is typically affiliated with blunt abdominal trauma, though it can also occur spontaneously. The diagnosis of a renal artery dissection after minor trauma can often go unrecognized due to a lack of initial severe symptoms.Management will vary upon the age of the injury, the preservation of the kidney, and the extent of associated injuries.Ultimately, management should be dictated by discussion with trauma surgery, vascular surgery, urology, or interventional radiology consultants. Knowing the mechanism of injury and patient risk factors can help guide your ability to successfully identify and treat the patient, limiting delays in care and potentially lowering the incidence of organ injury.

A fall and near-fall assessment and evaluation system.

The FANFARE (Falls And Near Falls Assessment Research and Evaluation) project has developed a system to fulfill the need for a wearable device to collect data for fall and near-falls analysis. The system consists of a computer and a wireless sensor network to measure, display, and store fall related parameters such as postural activities and heart rate variability. Ease of use and low power are considered in the design. The system was built and tested successfully. Different machine learning algorithms were applied to the stored data for fall and near-fall evaluation. Results indicate that the Naïve Bayes algorithm is the best choice, due to its fast model building and high accuracy in fall detection.