Abstract
Millions of people around the globe are impacted by falls annually, making it a significant public health concern. Falls are particularly challenging to detect in real time, as they often occur suddenly and with little warning, highlighting the need for innovative detection methods. This study aimed to assist in the advancement of an accurate and efficient fall detection system using electroencephalogram (EEG) data to recognize the reaction to a postural disturbance. We employed a state-space-based system identification approach to extract features from EEG signals indicative of reactions to postural perturbations and compared its performance with those of traditional autoregressive (AR) and Shannon entropy (SE) methods. Using EEG epochs starting from 80 ms after the onset of the event yielded improved performance compared with epochs that started from the onset. The classifier trained on the EEG data achieved promising results, with a sensitivity of up to 90.9%, a specificity of up to 97.3%, and an accuracy of up to 95.2%. Additionally, a real-time algorithm was developed to integrate the EEG and accelerometer data, which enabled accurate fall detection in under 400 ms and achieved an over 99% accuracy in detecting unexpected falls. This research highlights the potential of using EEG data in conjunction with other sensors for developing more accurate and efficient fall detection systems, which can improve the safety and quality of life for elderly adults and other vulnerable individuals.