Abstract--Falls among elderly and disabled individuals remain a leading cause of injury and mortality worldwide, necessitating robust, accurate, and privacy-aware fall detection systems. Traditional fall detection approaches, whether centralized or point-wise, often struggle with key challenges such as limited gener-alizability, data privacy concerns, and variability in individual movement behaviors. T o address these limitations, we propose EPFL--an Ensembled Penalized Federated Learning framework that integrates continual learning, personalized modeling, and a novel Specialized Weighted Aggregation (SW A) strategy. EPFL leverages wearable sensor data to capture sequential motion patterns while preserving user privacy through homomorphic encryption and federated training. Unlike existing federated models, EPFL incorporates both penalized local training and ensemble-based inference to improve inter-client consistency and adaptability to behavioral differences. Extensive experiments on a benchmark fall detection dataset demonstrate the effectiveness of our approach, achieving a Recall of 88.31% and an F1-score of 89.94%, significantly outperforming both centralized and baseline models. This work presents a scalable, secure, and accurate solution for real-world fall detection in healthcare settings, with strong potential for continuous improvement via its adaptive feedback mechanism. Due to changes in traditional family structures, the number of older individuals living alone has significantly increased over the past few decades [1]. According to the report from World Health Organization (WHO) [2], falls are the second leading cause of unintentional injury deaths worldwide, with particularly high morbidity among individuals aged 60 and older. Resulting in severe injuries, including fractures, head trauma, and even death, falls can significantly decline the quality of life of older adults [3]. Considering this, the need for effective monitoring and fall detection systems has been raised by this change aiming to ensure the safety of seniors. Falls can have long-term impacts on individuals, including significant disability-adjusted life years (DAL Ys) and high financial costs. According to the report [2], falls cause over 38 million DAL Ys lost annually worldwide. In Canada, a 20% reduction in falls could save approximately US$120 million each year. Considering the severe injuries, potential fatalities and other additional costs resulting from sudden falls [4], fall detection is a critical research area, especially for the elderly and individuals with disabilities.

Abstract-- Real-time fall detection is crucial for enabling timely interventions and mitigating the severe health consequences of falls, particularly in older adults. However, existing methods often rely on simulated data or assumptions such as prior knowledge of fall events, limiting their real-world applicability. Practical deployment also requires efficient computation and robust evaluation metrics tailored to continuous monitoring. This paper presents a real-time fall detection framework for continuous monitoring without prior knowledge of fall events. Using over 60 hours of inertial measurement unit (IMU) data from the FARSEEING real-world falls dataset, we employ recent efficient classifiers to compute fall probabilities in streaming mode. To enhance robustness, we introduce a cost-sensitive learning strategy that tunes the decision threshold using a cost function reflecting the higher risk of missed falls compared to false alarms. Unlike many methods that achieve high recall only at the cost of precision, our framework achieved Recall of 1.00, Precision of 0.84, and an F These results demonstrate that cost-sensitive threshold tuning enhances the robustness of accelerometer-based fall detection. They also highlight the potential of our computationally efficient framework for deployment in real-time wearable sensor systems for continuous monitoring. A fall is an event that results in a person coming to rest unintentionally on the ground, floor, or other lower level [1].

The aging population is growing rapidly, and so is the danger of falls in older adults. A major cause of injury is falling, and detection in time can greatly save medical expenses and recovery time. However, to provide timely intervention and avoid unnecessary alarms, detection systems must be effective and reliable while addressing privacy concerns regarding the user. In this work, we propose a framework for detecting falls using several complementary systems: a semi-supervised federated learning-based fall detection system (SF2D), an indoor localization and navigation system, and a vision-based human fall recognition system. A wearable device and an edge device identify a fall scenario in the first system. On top of that, the second system uses an indoor localization technique first to localize the fall location and then navigate a robot to inspect the scenario. A vision-based detection system running on an edge device with a mounted camera on a robot is used to recognize fallen people. Each of the systems of this proposed framework achieves different accuracy rates. Specifically, the SF2D has a 0.81% failure rate equivalent to 99.19% accuracy, while the vision-based fallen people detection achieves 96.3% accuracy. However, when we combine the accuracy of these two systems with the accuracy of the navigation system (95% success rate), our proposed framework creates a highly reliable performance for fall detection, with an overall accuracy of 99.99%. Not only is the proposed framework safe for older adults, but it is also a privacy-preserving solution for detecting falls.

--Fall detection is critical to support the growing elderly population, projected to reach 2.1 billion by 2050. However, existing methods often face data scarcity challenges or compromise privacy. We propose a novel IoT -based Fall Detection as a Service (FDaaS) framework to assist the elderly in living independently and safely by accurately detecting falls. We address the challenges of data scarcity by utilizing a Fall Detection Generative Pre-trained Transformer (FD-GPT) that uses augmentation techniques. We developed a protocol to collect a comprehensive dataset of the elderly daily activities and fall events. This resulted in a real dataset that carefully mimics the elderly's routine. We rigorously evaluate and compare various models using this dataset. Experimental results show our approach achieves 90.72% accuracy and 89.33% precision in distinguishing between fall events and regular activities of daily living. The Internet of Things (IoT) enables everyday physical objects, or "things," to be connected to the Internet [1]. These objects are often equipped with pervasive intelligence capabilities. IoT devices' capabilities may be abstracted as IoT services [2]. An IoT service has a set of functional and non-functional, i.e., quality of service (QoS) properties.

Unintentional or accidental falls are one of the significant health issues in senior persons. The population of senior persons is increasing steadily. So, there is a need for an automated fall detection monitoring system. This paper introduces a vision-based fall detection system using a pre-trained 3D CNN. Unlike 2D CNN, 3D CNN extracts not only spatial but also temporal features. The proposed model leverages the original learned weights of a 3D CNN model pre-trained on the Sports1M dataset to extract the spatio-temporal features. Only the SVM classifier was trained, which saves the time required to train the 3D CNN. Stratified shuffle five split cross-validation has been used to split the dataset into training and testing data. Extracted features from the proposed 3D CNN model were fed to an SVM classifier to classify the activity as fall or ADL. Two datasets, GMDCSA and CAUCAFall, were utilized to conduct the experiment. The source code for this work can be accessed via the following link: https://github.com/ekramalam/HFD_3DCNN.

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.

In recent years, as the population ages, falls have increasingly posed a significant threat to the health of the elderly. We propose a real-time fall detection system that integrates the inertial measurement unit (IMU) of a smartphone with optimized Wi-Fi channel state information (CSI) for secondary validation. Initially, the IMU distinguishes falls from routine daily activities with minimal computational demand. Subsequently, the CSI is employed for further assessment, which includes evaluating the individual's post-fall mobility. This methodology not only achieves high accuracy but also reduces energy consumption in the smartphone platform. An Android application developed specifically for the purpose issues an emergency alert if the user experiences a fall and is unable to move. Experimental results indicate that the CSI model, based on convolutional neural networks (CNN), achieves a detection accuracy of 99%, \revised{surpassing comparable IMU-only models, and demonstrating significant resilience in distinguishing between falls and non-fall activities.

The increasing shortage of nursing staff and the acute risk of falls in nursing homes pose significant challenges for the healthcare system. This study presents the development of an automated fall detection system integrated into care beds, aimed at enhancing patient safety without compromising privacy through wearables or video monitoring. Mechanical vibrations transmitted through the bed frame are processed using a short-time Fourier transform, enabling robust classification of distinct human fall patterns with a convolutional neural network. Challenges pertaining to the quantity and diversity of the data are addressed, proposing the generation of additional data with a specific emphasis on enhancing variation. While the model shows promising results in distinguishing fall events from noise using lab data, further testing in real-world environments is recommended for validation and improvement. Despite limited available data, the proposed system shows the potential for an accurate and rapid response to falls, mitigating health implications, and addressing the needs of an aging population. This case study was performed as part of the ZIM Project. Further research on sensors enhanced by artificial intelligence will be continued in the ShapeFuture Project.

Fall detection based on embedded sensor is a practical and popular research direction in recent years. In terms of a specific application: fall detection methods based upon physics sensors such as [gyroscope and accelerator] have been exploited using traditional hand crafted features and feed them in machine learning models like Markov chain or just threshold based classification methods. In this paper, we build a complete system named TSFallDetect including data receiving device based on embedded sensor, mobile deep-learning model deploying platform, and a simple server, which will be used to gather models and data for future expansion. On the other hand, we exploit the sequential deep-learning methods to address this falling motion prediction problem based on data collected by inertial and film pressure sensors. We make a empirical study based on existing datasets and our datasets collected from our system separately, which shows that the deep-learning model has more potential advantage than other traditional methods, and we proposed a new deep-learning model based on the time series data to predict the fall, and it may be superior to other sequential models in this particular field.

Falls among individuals, especially the elderly population, can lead to serious injuries and complications. Detecting impact moments within a fall event is crucial for providing timely assistance and minimizing the negative consequences. In this work, we aim to address this challenge by applying thorough preprocessing techniques to the multisensor dataset, the goal is to eliminate noise and improve data quality. Furthermore, we employ a feature selection process to identify the most relevant features derived from the multisensor UP-FALL dataset, which in turn will enhance the performance and efficiency of machine learning models. We then evaluate the efficiency of various machine learning models in detecting the impact moment using the resulting data information from multiple sensors. Through extensive experimentation, we assess the accuracy of our approach using various evaluation metrics. Our results achieve high accuracy rates in impact detection, showcasing the power of leveraging multisensor data for fall detection tasks. This highlights the potential of our approach to enhance fall detection systems and improve the overall safety and well-being of individuals at risk of falls.