A Comparison among Different Strategies to Detect Potential Unstable Behaviors in Postural Sway

Sensors (Basel). 2022 Sep 20;22(19):7106. doi: 10.3390/s22197106.

Abstract

Assistive Technology helps to assess the daily living and safety of frail people, with particular regards to the detection and prevention of falls. In this paper, a comparison is provided among different strategies to analyze postural sway, with the aim of detecting unstable postural status in standing condition as precursors of potential falls. Three approaches are considered: (i) a time-based features threshold algorithm, (ii) a time-based features Neuro-Fuzzy inference system, and (iii) a Neuro-Fuzzy inference fed by Discrete-Wavelet-Transform-based features. The analysis was performed across a wide dataset and exploited performance indexes aimed at assessing the accuracy and the reliability of predictions provided by the above-mentioned strategies. The results obtained demonstrate valuable performances of the three considered strategies in correctly distinguishing among stable and unstable postural status. However, the analysis of robustness against noisy data highlights better performance of Neuro-Fuzzy inference systems with respect to the threshold-based algorithm.

Keywords: Discrete Wavelet Transform; Neuro-Fuzzy inference; accelerometer; postural stability; threshold algorithm; wearable devices.

MeSH terms

  • Algorithms*
  • Humans
  • Postural Balance
  • Reproducibility of Results
  • Wavelet Analysis*