Abstract
Wearable fall-detection systems have received significant research attention during the last years. Fall detection in wearable devices presents key challenges, particularly in balancing high precision with low power consumption-both of which are essential for the continuous monitoring of older adults and individuals with reduced mobility. This study introduces a hybrid system that integrates a threshold-based model for preliminary detection with a deep learning-based approach that combines a CNN (Convolutional Neural Network) for spatial feature extraction with a LSTM (Long Short-Term Memory) model for temporal pattern recognition, aimed at improving classification accuracy. LoRa technology enables long-range, energy-efficient communication, ensuring real-time monitoring across diverse environments. The wearable device operates in ultra-low-power mode, capturing acceleration data at 20 Hz and transmitting a 4-s window when a predefined threshold in the acceleration magnitude is exceeded. The CNN-LSTM classifier refines event identification, significantly reducing false positives. This design extends operational autonomy to 178 h of continuous monitoring. The experimental and systematic evaluation of the prototype achieved a 96.67% detection rate (sensitivity) for simulated falls and a 100% specificity in classifying conventional Activities of Daily Living as non-falls. These results establish the system as a robust and scalable solution, effectively addressing limitations in power efficiency, connectivity, and detection accuracy while enhancing user safety and quality of life.