A Low-Cost Wearable System to Detect Fall and Non-Fall Activities for Elderly Individuals
DOI:
https://doi.org/10.56741/jnest.v5i01.1534Keywords:
Elderly Individuals, Fall Detection System, Low-cost, Multilayer Perceptron, Wearable DeviceAbstract
As the elderly population grows, the prevalence of age-related health conditions such as cardiovascular diseases, cognitive decline, and mobility impairment is also increased. Among these health conditions, falls are considered one of the greatest threats to elderly individuals. A low-cost wearable fall detection system is designed, with the purpose of monitoring and detecting their activities. Three master modules were constructed, with each consisting of an inertial sensor, a microcontroller, and a power supply circuit block. The data were collected using IMU MPU6050 and preprocessed using the MCU ESP32. Each master module is also supplied using a 3.7V 1S LiPo battery. 18 healthy subjects, consisting of 13 males and 5 females, agreed to volunteer for the experiments. They were instructed to do 8 different activities, including non-fall (stand still, sit-to-stand, walk, and sleep position) and fall events (forward fall, sideways fall, and backward fall). Overall, the system showed a good performance using the Multilayer Perceptron (MLP) algorithm with an accuracy of 95.3% across all activities. While misclassification happens between classes, our system is still able to distinguish between non-fall vs. fall events with 100% accuracy. Cost analysis was also conducted; the overall cost for the three master modules in our proposed system is $65.4. This is cheaper than commercial fall detection systems and other related research, and our proposed system can also be used continuously. The system will alert caregivers to the immediate attention of elderly individuals.
Downloads
References
A. I. Paganelli et al., “Real-time data analysis in health monitoring systems: A comprehensive systematic literature review,” Journal of Biomedical Informatics, vol. 127, p. 104009, Mar. 2022, doi: 10.1016/j.jbi.2022.104009. DOI: https://doi.org/10.1016/j.jbi.2022.104009
“Ageing and health.” Accessed: Dec. 10, 2024. [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
E. Rudnicka, P. Napierała, A. Podfigurna, B. Męczekalski, R. Smolarczyk, and M. Grymowicz, “The World Health Organization (WHO) approach to healthy ageing,” Maturitas, vol. 139, pp. 6–11, Sept. 2020, doi: 10.1016/j.maturitas.2020.05.018. DOI: https://doi.org/10.1016/j.maturitas.2020.05.018
A. Aïdoud et al., “High Prevalence of Geriatric Conditions Among Older Adults With Cardiovascular Disease,” Journal of the American Heart Association, vol. 12, no. 2, p. e026850, Jan. 2023, doi: 10.1161/JAHA.122.026850. DOI: https://doi.org/10.1161/JAHA.122.026850
R. Vaishya and A. Vaish, “Falls in Older Adults are Serious,” Indian J Orthop, vol. 54, no. 1, pp. 69–74, Jan. 2020, doi: 10.1007/s43465-019-00037-x. DOI: https://doi.org/10.1007/s43465-019-00037-x
“WHO Falls.” Accessed: Jan. 25, 2024. [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/falls
D. Shreya, P. N. Fish, and D. Du, “Navigating the Future of Elderly Healthcare: A Comprehensive Analysis of Aging Populations and Mortality Trends Using National Inpatient Sample (NIS) Data (2010-2024),” Cureus, vol. 17, no. 3, p. e80442, 2025, doi: 10.7759/cureus.80442. DOI: https://doi.org/10.7759/cureus.80442
D. W. Sherman, “A Review of the Complex Role of Family Caregivers as Health Team Members and Second-Order Patients,” Healthcare (Basel), vol. 7, no. 2, p. 63, Apr. 2019, doi: 10.3390/healthcare7020063. DOI: https://doi.org/10.3390/healthcare7020063
S. Urwin, Y.-S. Lau, G. Grande, and M. Sutton, “Informal caregiving and the allocation of time: implications for opportunity costs and measurement,” Social Science & Medicine, vol. 334, p. 116164, Oct. 2023, doi: 10.1016/j.socscimed.2023.116164. DOI: https://doi.org/10.1016/j.socscimed.2023.116164
P. Vallabh and R. Malekian, “Fall detection monitoring systems: a comprehensive review,” J Ambient Intell Human Comput, vol. 9, no. 6, pp. 1809–1833, Nov. 2018, doi: 10.1007/s12652-017-0592-3. DOI: https://doi.org/10.1007/s12652-017-0592-3
S. Li and K. Surineni, “Falls in Hospitalized Patients and Preventive Strategies: A Narrative Review,” The American Journal of Geriatric Psychiatry: Open Science, Education, and Practice, vol. 5, pp. 1–9, Mar. 2025, doi: 10.1016/j.osep.2024.10.004. DOI: https://doi.org/10.1016/j.osep.2024.10.004
I. P. E. S. Putra, J. Brusey, E. Gaura, and R. Vesilo, “An Event-Triggered Machine Learning Approach for Accelerometer-Based Fall Detection,” Sensors, vol. 18, no. 1, Art. no. 1, Jan. 2018, doi: 10.3390/s18010020. DOI: https://doi.org/10.3390/s18010020
J. Liu et al., “A review of wearable sensors-based fall-related recognition systems,” Engineering Applications of Artificial Intelligence, vol. 121, p. 105993, May 2023, doi: 10.1016/j.engappai.2023.105993. DOI: https://doi.org/10.1016/j.engappai.2023.105993
Y. Wu, Y. Xiao, and H. Ge, “Fall Detection Monitoring System Based on MEMS Sensor,” J. Phys.: Conf. Ser., vol. 1650, no. 2, p. 022037, Oct. 2020, doi: 10.1088/1742-6596/1650/2/022037. DOI: https://doi.org/10.1088/1742-6596/1650/2/022037
S. K. Gharghan and H. A. Hashim, “A comprehensive review of elderly fall detection using wireless communication and artificial intelligence techniques,” Measurement, vol. 226, p. 114186, Feb. 2024, doi: 10.1016/j.measurement.2024.114186. DOI: https://doi.org/10.1016/j.measurement.2024.114186
H. Wang, F. Wang, C. W. Chang, and F. Lai, “Real-time fall detection with ground height awareness using LiDAR and a camera of a mobile device,” Biomedical Signal Processing and Control, vol. 110, p. 108292, Dec. 2025, doi: 10.1016/j.bspc.2025.108292. DOI: https://doi.org/10.1016/j.bspc.2025.108292
F. Shu and J. Shu, “An eight-camera fall detection system using human fall pattern recognition via machine learning by a low-cost android box,” Sci Rep, vol. 11, no. 1, p. 2471, Jan. 2021, doi: 10.1038/s41598-021-81115-9. DOI: https://doi.org/10.1038/s41598-021-81115-9
A. Benkaci, L. Sliman, and H. N. Dellys, “Vision-based Human Fall Detection Systems: A Review,” Procedia Computer Science, vol. 241, pp. 203–211, Jan. 2024, doi: 10.1016/j.procs.2024.08.028. DOI: https://doi.org/10.1016/j.procs.2024.08.028
Y. Yan and Y. Ou, “Accurate fall detection by nine-axis IMU sensor,” in 2017 IEEE International Conference on Robotics and Biomimetics (ROBIO), Dec. 2017, pp. 854–859. doi: 10.1109/ROBIO.2017.8324524. DOI: https://doi.org/10.1109/ROBIO.2017.8324524
D.-W. Lee, K. Jun, K. Naheem, and M. S. Kim, “Deep Neural Network–Based Double-Check Method for Fall Detection Using IMU-L Sensor and RGB Camera Data,” IEEE Access, vol. 9, pp. 48064–48079, 2021, doi: 10.1109/ACCESS.2021.3065105. DOI: https://doi.org/10.1109/ACCESS.2021.3065105
S. Lee, B. Koo, S. Yang, J. Kim, Y. Nam, and Y. Kim, “Fall-from-Height Detection Using Deep Learning Based on IMU Sensor Data for Accident Prevention at Construction Sites,” Sensors, vol. 22, no. 16, Art. no. 16, Jan. 2022, doi: 10.3390/s22166107. DOI: https://doi.org/10.3390/s22166107
B. Koo, J. Kim, T. Kim, H. Jung, Y. Nam, and Y. Kim, “Post-fall Detection Using ANN Based on Ranking Algorithms,” Int. J. Precis. Eng. Manuf., vol. 21, no. 10, pp. 1985–1995, Oct. 2020, doi: 10.1007/s12541-020-00398-6. DOI: https://doi.org/10.1007/s12541-020-00398-6
W. Siwadamrongpong, J. Chinrungrueng, S. Hasegawa, and E. Nantajeewarawat, “Fall Detection and Prediction Based on IMU and EMG Sensors for Elders,” in 2022 19th International Joint Conference on Computer Science and Software Engineering (JCSSE), June 2022, pp. 1–6. doi: 10.1109/JCSSE54890.2022.9836284. DOI: https://doi.org/10.1109/JCSSE54890.2022.9836284
C. Nutsathaporn, S. Chomkokard, W. Wongkokua, N. Jinuntuya, S. Ruengittinun, and S. Sasimontonkul, “Human Fall Prediction and Detection Using Low Price IMU Sensor,” in 2022 IEEE 4th Eurasia Conference on IOT, Communication and Engineering (ECICE), Oct. 2022, pp. 157–159. doi: 10.1109/ECICE55674.2022.10042848. DOI: https://doi.org/10.1109/ECICE55674.2022.10042848
A. Najmurrokhman, Kusnandar, U. Komarudin, and A. Wibisono, “Development of Falling Notification System for Elderly Using MPU6050 Sensor and Short Message Service,” presented at the 2nd International Seminar of Science and Applied Technology (ISSAT 2021), Atlantis Press, Nov. 2021, pp. 345–351. doi: 10.2991/aer.k.211106.055. DOI: https://doi.org/10.2991/aer.k.211106.055
W. Saadeh, S. A. Butt, and M. A. B. Altaf, “A Patient-Specific Single Sensor IoT-Based Wearable Fall Prediction and Detection System,” IEEE Transactions on Neural Systems and Rehabilitation Engineering, vol. 27, no. 5, pp. 995–1003, May 2019, doi: 10.1109/TNSRE.2019.2911602. DOI: https://doi.org/10.1109/TNSRE.2019.2911602
K. Desai, P. Mane, M. Dsilva, A. Zare, P. Shingala, and D. Ambawade, “A Novel Machine Learning Based Wearable Belt For Fall Detection,” in 2020 IEEE International Conference on Computing, Power and Communication Technologies (GUCON), Oct. 2020, pp. 502–505. doi: 10.1109/GUCON48875.2020.9231114. DOI: https://doi.org/10.1109/GUCON48875.2020.9231114
N. Bharathiraja, R. B. Indhuja, P. R. A. Krishnan, S. Anandhan, and S. Hariprasad, “Real-Time Fall Detection using ESP32 and AMG8833 Thermal Sensor: A Non-Wearable Approach for Enhanced Safety,” in 2023 Second International Conference on Augmented Intelligence and Sustainable Systems (ICAISS), Aug. 2023, pp. 1732–1736. doi: 10.1109/ICAISS58487.2023.10250598. DOI: https://doi.org/10.1109/ICAISS58487.2023.10250598
T. Chen, X. Li, H. Li, and G. Zhu, “Deep learning-based fall detection using commodity Wi-Fi,” Journal of Information and Intelligence, vol. 2, no. 4, pp. 355–364, July 2024, doi: 10.1016/j.jiixd.2024.04.001. DOI: https://doi.org/10.1016/j.jiixd.2024.04.001
L. L. Alejandro, M. M. Gulpric, C. J. F. Lanon, F. M. A. Macalalag, and R. M. A. Placio, “ICFY (I Care For You): An IoT-Based Fall Detection and Monitoring Device using ESP32-CAM and MPU 6050 Sensors,” in 2023 8th International Conference on Business and Industrial Research (ICBIR), May 2023, pp. 1009–1013. doi: 10.1109/ICBIR57571.2023.10147586. DOI: https://doi.org/10.1109/ICBIR57571.2023.10147586
D. Bayar, C. Aridici, Y. S. Metin, O. Za, and R. Edizkan, “Elderly Fall Detection System with ESP32 Module and Edge Impulse Studio,” in 2023 7th International Symposium on Innovative Approaches in Smart Technologies (ISAS), Nov. 2023, pp. 1–6. doi: 10.1109/ISAS60782.2023.10391675. DOI: https://doi.org/10.1109/ISAS60782.2023.10391675
C. Escriba, J. Roux, B. Hajjine, and J.-Y. Fourniols, “Smart Wearable Active Patch for Elderly Health Prevention,” in 2018 International Conference on Computational Science and Computational Intelligence (CSCI), Dec. 2018, pp. 1040–1043. doi: 10.1109/CSCI46756.2018.00202. DOI: https://doi.org/10.1109/CSCI46756.2018.00202
Y. Iguchi, J. H. Lee, and S. Okamoto, “Enhancement of Fall Detection Algorithm Using Convolutional Autoencoder and Personalized Threshold,” in 2021 IEEE International Conference on Consumer Electronics (ICCE), Jan. 2021, pp. 1–5. doi: 10.1109/ICCE50685.2021.9427732. DOI: https://doi.org/10.1109/ICCE50685.2021.9427732
K. Ozcan and S. Velipasalar, “Wearable Camera- and Accelerometer-Based Fall Detection on Portable Devices,” IEEE Embedded Systems Letters, vol. 8, no. 1, pp. 6–9, Mar. 2016, doi: 10.1109/LES.2015.2487241. DOI: https://doi.org/10.1109/LES.2015.2487241
Yulastri, E. Madona, S. Ulfa, and A. Nasution, “Implementation of IMU sensor for Fall Detection in Dementia Syndrome Patients with Location Notification System,” J. Phys.: Conf. Ser., vol. 2406, no. 1, p. 012010, Dec. 2022, doi: 10.1088/1742-6596/2406/1/012010. DOI: https://doi.org/10.1088/1742-6596/2406/1/012010
T. de Quadros, A. E. Lazzaretti, and F. K. Schneider, “A Movement Decomposition and Machine Learning-Based Fall Detection System Using Wrist Wearable Device,” IEEE Sensors Journal, vol. 18, no. 12, pp. 5082–5089, June 2018, doi: 10.1109/JSEN.2018.2829815. DOI: https://doi.org/10.1109/JSEN.2018.2829815
P. Kulurkar, C. K. Dixit, V. C. Bharathi, A. Monikavishnuvarthini, A. Dhakne, and P. Preethi, “AI-based elderly fall prediction system using wearable sensors: A smart home-care technology with IOT,” Measurement: Sensors, vol. 25, p. 100614, Feb. 2023, doi: 10.1016/j.measen.2022.100614. DOI: https://doi.org/10.1016/j.measen.2022.100614
A. Alarifi and A. Alwadain, “Killer heuristic optimized convolution neural network-based fall detection with wearable IoT sensor devices,” Measurement, vol. 167, p. 108258, Jan. 2021, doi: 10.1016/j.measurement.2020.108258. DOI: https://doi.org/10.1016/j.measurement.2020.108258
M. A. Syamlan et al., “Fuzzy Logic-Based Fall Detection System for the Elderly Using a Single Inertial Measurement Unit,” in 2024 International Conference on Computer Engineering, Network, and Intelligent Multimedia (CENIM), Nov. 2024, pp. 1–5. doi: 10.1109/CENIM64038.2024.10882737. DOI: https://doi.org/10.1109/CENIM64038.2024.10882737
J. Antonio Santoyo-Ramón, E. Casilari, and J. Manuel Cano-García, “A study of the influence of the sensor sampling frequency on the performance of wearable fall detectors,” Measurement, vol. 193, p. 110945, Apr. 2022, doi: 10.1016/j.measurement.2022.110945. DOI: https://doi.org/10.1016/j.measurement.2022.110945
D. Lee and S. H. Tak, “A concept analysis of fear of falling in older adults: insights from qualitative research studies,” BMC Geriatrics, vol. 23, no. 1, p. 651, Oct. 2023, doi: 10.1186/s12877-023-04364-5. DOI: https://doi.org/10.1186/s12877-023-04364-5
V. Vargas, P. Ramos, E. A. Orbe, M. Zapata, and K. Valencia-Aragón, “Low-Cost Non-Wearable Fall Detection System Implemented on a Single Board Computer for People in Need of Care,” Sensors, vol. 24, no. 17, p. 5592, Jan. 2024, doi: 10.3390/s24175592. DOI: https://doi.org/10.3390/s24175592
M. Piñeiro, D. Araya, D. Ruete, and C. Taramasco, “Low-Cost LIDAR-Based Monitoring System for Fall Detection,” IEEE Access, vol. 12, pp. 72051–72061, 2024, doi: 10.1109/ACCESS.2024.3401651. DOI: https://doi.org/10.1109/ACCESS.2024.3401651
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2026 Journal of Novel Engineering Science and Technology

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.






















