journal article·2025-07-28Open access

Long Short-Term Memory-Based Fall Detection by Frequency-Modulated Continuous Wave Millimeter-Wave Radar Sensor for Seniors Living Alone

Yun Seop Yu, Seongjo Wie, Hojin Lee, Jeongwoo Lee, Nam Ho Kim

Applied Sciences· Volume 15· Issue 15

Abstract

In this study, four types of fall detection systems for seniors living alone using x-y scatter and Doppler range images measured from frequency-modulated continuous wave (FMCW) millimeter-wave (mmWave) sensors were introduced. Despite advancements in fall detection, existing long short-term memory (LSTM)-based approaches often struggle with effectively distinguishing falls from similar activities of daily living (ADLs) due to their uniform treatment of all time steps, potentially overlooking critical motion cues. To address this limitation, an attention mechanism has been integrated. Data was collected from seven participants, resulting in a dataset of 669 samples, including 285 falls and 384 ADLs with walking, lying, inactivity, and sitting. Four LSTM-based architectures for fall detection were proposed and evaluated: Raw-LSTM, Raw-LSTM-Attention, HOG-LSTM, and HOG-LSTM-Attention. The histogram of oriented gradient (HOG) method was used for feature extraction, while LSTM networks captured temporal dependencies. The attention mechanism further enhanced model performance by focusing on relevant input features. The Raw-LSTM model processed raw mmWave radar images through LSTM layers and dense layers for classification. The Raw-LSTM-Attention model extended Raw-LSTM with an added self-attention mechanism within the traditional attention framework. The HOG-LSTM model included an additional preprocessing step upon the RAW-LSTM model where HOG features were extracted and classified using an SVM. The HOG-LSTM-Attention model built upon the HOG-LSTM model by incorporating a self-attention mechanism to enhance the model’s ability to accurately classify activities. Evaluation metrics such as Sensitivity, Precision, Accuracy, and F1-Score were used to compare four architectural models. The results showed that the HOG-LSTM-Attention model achieved the highest performance, with an Accuracy of 95.3% and an F1-Score of 95.5%. Optimal self-attention configuration was found at a 2:64 ratio of number of attention heads to channels for keys and queries.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Non-Invasive Vital Sign Monitoring · Indoor and Outdoor Localization Technologies · Context-Aware Activity Recognition Systems

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

ICT & Robotics Engineering, Semiconductor Convergence Engineering, AISPC Laboratory, and IITC, Hankyong National University, 327 Jungang-ro, Anseong-si 17579, Gyenggi-do, Republic of Korea

Department of Electrical, Electronics, and Control Engineering, Hankyong National University, 327 Jungang-ro, Anseong-si 17579, Gyenggi-do, Republic of Korea

Department of AI Application Software, Bundang Convergence Technology Campus of Korea Polytechnic, Sengnam 13590, Gyeonggi-do, Republic of Korea

Funding

Ministry of Education

References (41)

Show source-provided references
1. World Health Organization (2025, June 10). Falls. Available online: https://www.who.int/news-room/fact-sheets/detail/falls.
2. National Health Administration, Ministry of Health and Welfare (2020, March 09). Available online: https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=807&pid=4326.
3. A systematic review on fall detection systems for elderly healthcare10.1007/s11042-023-17190-z ↗
4. Elderly fall detection systems: A literature survey10.1364/FIO.2020.FM7D.1 ↗
5. Research of fall detection and fall prevention technologies: A systematic review10.1109/ACCESS.2019.2922708 ↗
6. Ramachandran, A., and Karuppiah, A. (2020). A survey on recent advances in wearable fall detection systems. BioMed Res. Int., 2020.10.1155/2020/2167160 ↗
7. Jeong, S.S., and Yu, Y.S. (2022). Fall detection system based on simple threshold method and long short-term memory: Comparison with hidden Markov model and extraction of optimal parameters. Appl. Sci., 12.10.3390/app122111031 ↗
8. Comparison of fall detection systems based on YOLOPose and long short-term memory
9. Radar-based fall detection: A Survey10.1109/MRA.2024.3352851 ↗
10. A survey on radar-based continuous human activity recognition10.1109/JMW.2023.3264494 ↗
11. Katrompas, A., Ntakouris, T., and Metsis, V. (2022, January 14–17). Recurrence and self-attention vs the transformer for time-series classification: A comparative study. Proceedings of the International Conference on Artificial Intelligence in Medicine, Halifax, NS, Canada.10.1007/978-3-031-09342-5_10 ↗
12. MKLS-Net: Multikernel convolution LSTM and self-attention for fall detection based on wearable sensors10.1109/JIOT.2024.3508877 ↗
13. Castro, F., Dentamaro, V., Gattulli, V., and Impedovo, D. (2023, January 26). Fall detection with LSTM and attention mechanism. Proceedings of the Workshop on Advances of Mobile and Wearable Biometrics (WAMWB) 2023, Athens, Greece.
14. Haque, S.T., Debnath, M., Yasmin, A., Mahmud, T., and Ngu, A.H.H. (2024). Experimental study of long short-term memory and transformer models for fall detection on smartwatches. Sensors, 24.10.3390/s24196235 ↗
15. Suard, F., Rakotomamonjy, A., Bensrhair, A., and Broggi, A. (2006, January 13–15). Pedestrian detection using infrared images and histograms of oriented gradients. Proceedings of the 2006 IEEE Intelligent Vehicles Symposium, Meguro-Ku, Japan.
16. Vaswani, A., Shazeer, N., Parmar, N., Uszkoreit, J., Jones, L., Gomez, A.N., Kaiser, L., and Polosukhin, I. (2017, January 4–9). Attention is All You Need. Proceedings of the 31st International Conference on Neural Information Processing Systems 2017, Long Beach, CA, USA.
17. Long Short-Term Memory10.1162/neco.1997.9.8.1735 ↗
18. User verification leveraging gait recognition for smartphone enabled mobile healthcare systems10.1109/TMC.2014.2365185 ↗
19. Casilari, E., Lora-Rivera, R., and García-Lagos, F. (2020). A study on the application of convolutional neural networks to fall detection evaluated with multiple public datasets. Sensors, 20.10.3390/s20051466 ↗
20. Deep learning algorithms for human activity recognition using mobile and wearable sensor networks: State of the art and research challenges10.1016/j.eswa.2018.03.056 ↗
21. Acceleration-based low-cost CW radar system for real-time elderly fall detection10.1109/JERM.2024.3368688 ↗
22. Shen, Z., Nunez-Yanez, J., and Dahnoun, N. (2024). Advanced millimeter-wave radar system for real-time multiple-human tracking and fall detection. Sensors, 24.10.3390/s24113660 ↗
23. A millimetre-wave radar-based fall detection method using line kernel convolutional neural network10.1109/JSEN.2020.3006918 ↗
24. Millimeter-wave radar-based elderly fall detection fed by one-dimensional point cloud and Doppler10.1109/ACCESS.2023.3297512 ↗
25. mmFall: Fall detection using 4D mmWave radar and a hybrid variational RNN autoencoder10.1109/TASE.2020.3042158 ↗
26. Liang, T., Liu, R., Yang, L., Lin, Y., Shi, C.-J.R., and Xu, H. (2024). Fall detection system based on point cloud enhancement model for 24 GHz FMCW radar. Sensors, 24.10.3390/s24020648 ↗
27. Song, C., Ma, K., He, J., and Jia, Y. (2022, January 19–21). Fall detection based on HOG features for millimeter wave radar. Proceedings of the 2022 2nd International Conference on Frontiers of Electronics, Information and Computation Technologies (ICFEICT), Wuhan, China.10.1109/ICFEICT57213.2022.00064 ↗
28. Study on fall detection by exploiting Wi-Fi CSI and LSTM-Attention Scheme in indoors
29. Spatio-temporal fall event detection in complex scenes using attention guided LSTM10.1016/j.patrec.2018.08.031 ↗
30. Deep learning for fall detection: Three-dimensional CNN combined with LSTM on video kinematic data10.1109/JBHI.2018.2808281 ↗
31. Texas Instruments (2022, June 28). IWR6843 Intelligent MmWave Overhead Detection Sensor (ODS) Antenna Plug-in Module. Available online: https://www.ti.com/tool/IWR6843ISK-ODS.
32. Texas Instruments (2023, January 26). User’s Guide 60 GHz mmWave Sensor EVMs. Dallas, TX, USA., Available online: https://www.ti.com/lit/ug/swru546e/swru546e.pdf?ts=1680862770246&ref_url=https%253A%252F%252Fwww.google.com.hk%252F.
33. Texas Instruments (2022, July 14). mmWave Demo Visualizer. Available online: https://dev.ti.com/gallery/view/mmwave/mmWave_Demo_Visualizer/ver/3.6.0/.
34. Ma, L., Liu, M., Wang, N., Wang, L., Yang, Y., and Wang, H. (2020). Room-level fall detection based on ultra-wideband (UWB) monostatic radar and convolutional long short-term memory (LSTM). Sensors, 20.10.3390/s20041105 ↗
35. Fall detection in the elderly using different machine learning algorithms with optimal window size10.1007/s11036-023-02215-6 ↗
36. Fall detection system for elderly people using IoT and ensemble machine learning algorithm10.1007/s00779-018-01196-8 ↗
37. Automated fault diagnosis detection of air handling units using real operational labelled data and transformer-based methods at 24-hour operation hospital10.1016/j.buildenv.2025.113257 ↗
38. Long short-term memory recurrent neural network architectures for large scale acoustic modeling
39. Malware detection and classification system based on behavior
40. The MathWorks Inc (2025). MATLAB Version: 25.1.0.2943329 (R2025a), The MathWorks Inc.. Available online: https://www.mathworks.com.
41. Understanding and using sensitivity, specificity and predictive values10.4103/0301-4738.37595 ↗