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March 27, 2026Sensors2 citationsOpen Access

Measuring Walking Stability with a Mobile Phone in Older Adults: A Validation Study

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ABAndisheh BastaniMPMaya G. PanissetLLL. Eduardo Cofré Lizama

Key Points

  • The study aims to validate the local divergence exponent (LDE) measured with a mobile phone and assess its effectiveness in distinguishing between healthy young and older adults.
  • Participants included 20 older adults and 20 young adults walking for 6 minutes on a 20-meter pathway.
  • 3D acceleration data were collected using both a mobile phone and a research-grade inertial measurement unit (IMU).
  • The LDE was calculated for various accelerations including vertical, mediolateral, and anteroposterior.
  • Validity was assessed using Intraclass Correlation Coefficient (ICC) analyses and age-group differences were evaluated with Mann–Whitney U tests.
  • The mobile phone-derived LDE showed excellent agreement with the IMU, indicated by an ICC of 0.844.
  • Validity of the mobile phone's LDE was confirmed with ICC values above 0.75.
  • No significant differences in LDE were found between age groups, with all p-values exceeding 0.05.

Abstract

(1) Background: The local divergence exponent (LDE) is a sensitive measure of walking stability deterioration and risk of falling in older adults. We aim to determine the validity the LDE measured using a mobile phone and to assess its ability to discriminate between healthy young and older adults; (2) Methods: 20 older adults (76.4 ± 4.6 years) and 20 young adults (29.1 ± 6.5 yrs) walked for 6 min on a 20-m walkway while wearing a research-grade inertial measurement unit (IMU) and a mobile phone placed on the sternum to record 3D acceleration data. The LDE was calculated using data from both devices for 3D, vertical (VT), mediolateral (ML), anteroposterior (AP), and norm (N) accelerations. ICC (3,1) was used to determine the validity of the mobile phone’s LDE. Mann–Whitney U tests were used to determine age-group discriminability of LDE measures; (3) Results: LDEs demonstrated excellent absolute agreement between the wearable IMU and mobile phone (ICC = 0.844). Mobile phone-derived LDEs demonstrated excellent validity relative to the wearable IMU (ICC > 0.75). No significant age-related differences in LDE were observed; wearable or mobile sensors (both p > 0.05); (4) Conclusions: LDEs measures obtained with a mobile phone are valid. No age group differences were identified.

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Cite This Study

Bastani et al. (2026) studied this question.

synapsesocial.com/papers/69c61f5615a0a509bde17ebbhttps://doi.org/10.3390/s26072060
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