Beyond Simulated Benchmarks: Evaluating Motion Representations for Fall Detection Under Real-World Data Scarcity

Falls are a major health concern for older adults, and wearable sensors have been widely explored for detecting falls and enabling timely intervention. However, real-world falls are extremely rare: collecting 100 of them requires an estimated 100,000 days of monitoring, resulting in severely limited labelled data for training machine learning models. Consequently, many approaches rely on simulated datasets, often reporting high laboratory performance but limited real-world generalisation. We present a systematic evaluation of motion representations for wearable fall detection under real-world data scarcity. Using accelerometer signals, we compare interval-based, kernel-based, symbolic, and foundation model representations. As an interpretable baseline, we additionally investigate a lightweight symbolic representation that converts short motion segments into symbolic sentences augmented with physically-grounded impact descriptors. Experiments use FallAllD, a simulated falls dataset, and FARSEEING, a clinically verified real-world falls dataset. Through cross-validation, controlled data scarcity, and cross-dataset transfer, we examine how representation choices affect robustness under realistic deployment. Our results reveal that highly parameterised kernel and foundation models excel on simulated data but degrade severely under both data scarcity and domain shift. Although the interval-based representation achieves the strongest absolute real-world performance, augmenting a symbolic representation with physically-grounded impact descriptors yields the smallest degradation under domain shift and retains detection sensitivity under extreme scarcity, albeit at lower precision. These findings highlight the importance of evaluating beyond simulated benchmarks and show that representation choice is critical for deployable fall detection given the scarcity of real-world data.

FLASH: Efficient Impact Fall Detection with Unified Hypergraph State-Space Model

Falls represent a critical public health challenge, and accurate detection of the impact moment when an individual hits the ground is crucial for timely intervention. Existing skeleton-based methods rely on graph neural networks modeling only pairwise joint connections, failing to capture multi-joint coordination characteristic of fall impacts, while transformer-based temporal models suffer from quadratic complexity limiting real-time deployment. We propose FLASH, a novel framework integrating single-matrix hypergraph representations with Mamba's selective state-space models through adaptive feedback mechanisms for efficient impact detection. Our approach constructs biomechanically-grounded hyperedges to model functional joint coordination while leveraging Mamba's linear-time complexity to capture temporal dynamics. Experiments on UP-Fall and UMAFall datasets demonstrate that FLASH achieves state-of-the-art accuracy with real-time inference capability and strong zero-shot cross-dataset generalization, while significantly reducing computational cost compared to dual-representation and transformer-based methods. The model provides interpretable feedback through learned attention patterns aligned with biomechanical principles. Code is available at https://github.com/Tresor-Koffi/FLASH-Impact-Fall-Detection.

Impact Detection in Fall Events: Leveraging Spatio-Temporal Graph Convolutional Networks and Recurrent Neural Networks Using 3D Skeletons Data

Fall represents a significant risk of accidental death among individuals aged over 65, presenting a global health concern. A fall is defined as any event where a person loses balance and moves to an off-position, which may or may not result in an impact where the person hits the ground. While fall detection systems have achieved good results in general, impact detection within falls remains challenging. This study proposes an efficient methodology for accurately detecting impacts within fall events by incorporating 3D joints skeleton data treated as a graph using Spatio-Temporal Graph Convolutional Networks (STGCN), Gated Recurrent Unit (GRU), and Bidirectional Long Short-Term Memory (BiLSTM) layers. By pinpointing impact moments, our approach enhances precision by distinguishing between false falls and actual impacts, contributing to better healthcare resource allocation. Our methodology, evaluated using the improved 3D skeletons UP-Fall dataset, achieves accuracy exceeding 90\% across various fall scenarios. We have made this improved dataset publicly available at https://zenodo.org/records/12773013 to facilitate further research.

Unsupervised Keypoints for Real-Time Fall Detection: Comparative Analysis Under Real-world Conditions with Predictive Bandwidth Reduction

Falls among older adults are a major safety challenge, but continuous monitoring is difficult to sustain. Video captures fall-related posture and motion, yet deployment is limited by privacy, computation, and bandwidth. Supervised pose estimation is anatomically interpretable but vulnerable to occlusion and partial body visibility. We propose a privacy-preserving framework that replaces RGB transmission with compact motion representations based on unsupervised keypoints and predictive temporal modeling. Local processing performs segmentation and keypoint extraction; variational recurrent prediction and sequence classification then detect falls from observed and forecasted motion. We evaluate the framework on the UR Fall Detection and Human Fall datasets using random, subject-disjoint, and occlusion-based splits. Under random splits, neither representation consistently dominates, suggesting that standard protocols may hide meaningful differences. Under subject-disjoint evaluation, supervised keypoints show a statistically significant advantage, but performance varies by subject: they perform better when anatomical landmarks are visible, whereas unsupervised keypoints are more robust to occlusion and partial visibility, though they produce more false positives for complex activities. Under occlusion-based evaluation, supervised keypoints miss nearly half of all falls, while unsupervised keypoints retain strong sensitivity and substantially outperform them. Their anatomical independence allows spatial anchors to adapt to visible body structure rather than fail on absent landmarks. The gap widens under bandwidth constraints, where supervised localization errors compound through the temporal model. These findings show that representation choice should reflect expected visual conditions and that unsupervised keypoints offer an advantage when body visibility is compromised.

Real-time fall detection based on vision for low-power edge platforms

Falling detection is vital for elderly care and intelligent surveillance; however, prevailing vision-based approaches predominantly frame it as static pose classification or discrete temporal pattern matching, fundamentally overlooking the instability dynamics of the human support system. This paper proposes a physics-informed falling detection framework that recasts falling as a stability-loss event in a coupled dynamical system. We introduce a novel dual-LTC architecture comprising a Center-of-Mass (CoM) subsystem and a Base-of-Support (BoS) subsystem, both instantiated as Liquid Time-Constant (LTC) neural networks to continuously model inertial trajectory evolution and ground-contact adjustment through adaptive time constants, Physical interpretability of falling motion. A learnable coupling module emulates physical interaction between the two subsystems, while a Stability Manifold classifier operates in the joint latent space to detect boundary crossing via Lyapunov-inspired stability metrics. Complementary counterfactual trajectory projection and Time-to-Collision (TTC) estimation further enable irreversibility assessment and early warning. The architecture is designed to support a three-state prediction paradigm (Normal, Falling, Fallen); in this preliminary study, we validate the core stability discrimination capability on a two-class dataset (Normal vs. Falling), leaving the full three-state temporal transition to future work. Unlike conventional CNN--RNN pipelines, the proposed formulation encodes continuous-time mechanical inertia, yielding a sub-50K-parameter network capable of real-time inference on resource-constrained edge devices. Extensive experiments demonstrate competitive accuracy with superior physical interpretability, validating its efficacy for low-compute visual fall detection.

DistillH-Mamba: A Hypergraph-Mamba-Based Knowledge Distillation Model for Efficient Impact Fall Detection

Falls among the elderly represent a significant public health concern due to their prevalence, consequences, and societal burden. While deep learning has improved fall detection, accurately identifying impact moments (when an individual hits the ground) remains challenging. Additionally, current algorithms often rely on complex models with high computational demands, limiting real-time deployment feasibility. In this work, we propose DistillH-Mamba, a novel architecture for impact fall detection that addresses these challenges through three key innovations: First, we introduce a hypergraph-based approach that captures higher-order relationships between multiple joints simultaneously, enabling more accurate modeling of complex interactions during impact falls. Second, we integrate the Mamba architecture with hypergraphs for impact detection, significantly accelerating processing speed while efficiently capturing both long-term dependencies and sudden skeletal motion changes. Third, we employ relational knowledge distillation that preserves crucial spatial-temporal relationships while reducing computational demands for real-time impact fall detection. Evaluated on the 3D Skeletons UP-Fall and UMAFall datasets, our DistillH-Mamba model achieves 97.38% accuracy in detecting impact within fall events and 73.8% reduction in inference time compared to its teacher model, outperforming state-of-the-art methods in both precision and efficiency.

Low-Cost Neuromorphic Fall Detection Using Synthetic Event Data and Hybrid SNNs

This work presents the development of hybrid models that integrate spiking neural networks (SNNs) with components of convolutional neural networks (CNNs) to learn from simulated event-based camera data (Dynamic Vision Sensor, DVS) generated from conventional smartphone videos. Aimed primarily at human fall detection, the approach leverages the energy efficiency and spatio-temporal processing capabilities of SNNs by converting video frames into event-based data. The proposed models are evaluated through simulations on multiple datasets, comparing their performance to that of traditional machine learning models. Results demonstrate significant gains in efficiency without sacrificing accuracy, underscoring the potential of combining SNNs and DVS technology for complex tasks in real-world environments.

Stereo Vision-Based Fall Prediction and Detection using Human Pose Estimation on the AMD Kria K26 SOM

Background and Objective: Falls among elderly people can cause serious injury and reduce quality of life. Timely prediction and detection are essential to prevent harm and support well-being. We propose a portable, low-power, battery-operated, vision-based fall prediction and detection system using HPE on an AMD Kria K26 System-on-Module (SOM). The objective is a non-intrusive, privacy-preserving system for real-time fall detection. Methods: The system uses an Intel RealSense D455 range-sensing camera connected to the K26 SOM by USB. It captures synchronized RGB and depth frames, 640 x 480 x 3 and 640 x 480 pixels, at 60 FPS. The SOM runs a three-stage pipeline with quantized YOLOX, Anchor-to-Joint (A2J), and fall-detection models. YOLOX identifies human bounding boxes from RGB frames, then discards the RGB frames to preserve privacy. A2J uses depth frames to estimate 15 joint keypoints per person. A CNN uses selected joint coordinates (x, y, z) to classify fall activity. YOLOX was trained on CrowdHuman; A2J on ITOP, MP-3DHP, UR Fall Detection, and a custom SDSU PSG dataset; and the CNN on UR Fall Detection and SDSU PSG. The design used a single-core DPU with a serial pipeline and a dual-core DPU running YOLOX and A2J with multiple threads. Results: Quantized accuracy was evaluated using IoU >= 50% for YOLOX, mAP with a 10-cm rule for A2J, and classification accuracy, (TP + TN)/(TP + TN + FP + FN), for the CNN. Accuracies were 74%, 84.13%, and 75.85%. Throughput improved from 2.5 FPS for the single-threaded pipeline to 4.5 FPS for the multi-threaded version. Conclusion: Results demonstrate the feasibility of privacy-preserving fall detection on an AMD Kria K26 edge device. On-device HPE and fall classification runs without cloud dependency, supporting elderly monitoring and assistive healthcare. Future work will improve model accuracy and speed.