Department of Biomedical Engineering, Zhejiang University, Hangzhou, 310027, China.
Department of Rehabilitation, Zhejiang Hospital, Hangzhou, 310013, China.
Med Biol Eng Comput. 2024 Apr;62(4):1061-1076. doi: 10.1007/s11517-023-02999-5. Epub 2023 Dec 23.
Early detection of falls is important for reducing fall injuries. However, existing fall detection strategies mostly focus on reducing impact injuries rather than avoiding falls. This study proposed the concept of identifying "Imbalance Point" to warn the body imbalance, allowing sufficient time to recover balance. And if falling cannot be avoided, an impact sign is released by detecting the "Fall Point" prior to the impact. To achieve this goal, motion prediction model and balance recovery model are integrated into a spatiotemporal framework to analyze dynamic and kinematic features of body motion. Eight healthy young volunteers participated in three sets of experiment: Normal trial, Recovery trial and Fall trial. The body motion in the trials was recorded using Microsoft Azure Kinect. The results show that the developed algorithm for Fall Point detection achieved 100% sensitivity and 98.6% specificity, along with an average lead time of 297 ms. Moreover, Imbalance Point was successfully detected in all Fall trials, and the average time interval between Imbalance Point and Fall Point was 315 ms, longer than reported step reaction time for elderly (approximately 270 ms). The experiment results demonstrate that the developed algorithm have great potential for fall warning and protection in the elderly.
早期发现跌倒对于减少跌倒伤害很重要。然而,现有的跌倒检测策略主要侧重于减少冲击伤,而不是避免跌倒。本研究提出了识别“失衡点”的概念,以警告身体失衡,从而有足够的时间恢复平衡。如果无法避免跌倒,则通过在撞击前检测到“跌倒点”来释放撞击信号。为了实现这一目标,运动预测模型和平衡恢复模型被集成到一个时空框架中,以分析身体运动的动态和运动学特征。八名健康的年轻志愿者参与了三组实验:正常实验、恢复实验和跌倒实验。使用 Microsoft Azure Kinect 记录了实验中的身体运动。结果表明,所开发的跌倒点检测算法的灵敏度达到 100%,特异性达到 98.6%,平均提前时间为 297ms。此外,在所有跌倒实验中都成功检测到了失衡点,失衡点和跌倒点之间的平均时间间隔为 315ms,长于报道的老年人步反应时间(约 270ms)。实验结果表明,所开发的算法在老年人的跌倒预警和保护方面具有很大的潜力。