Validation study demonstrates rapid pre-fall and fall detection on low-cost edge hardware, indicating potential for real-time elderly safety monitoring without cloud dependency.
Falls are a major cause of severe injury and mortality among older adults, requiring rapid state recognition and alerts in healthcare and caregiving environments. However, many existing fall-recognition approaches primarily focus on post-fall detection or assume access to cloud/GPU computing, leaving limited evidence for short-term pre-fall recognition on low-end CPU-based edge devices. This study proposes a lightweight CNN–TCN–Attention framework for recognizing fall and pre-fall states on resource-constrained edge devices. Using MediaPipe, three-dimensional coordinates and visibility scores of 33 human body landmarks are extracted from input videos. Raw RGB frames are not directly used by the classifier, thereby reducing the processing of visually identifiable information. A total of 2300 fall-related videos from the AI-Hub dataset were reorganized into three classes: normal, pre-fall, and fall. The pre-fall onset was defined as the point at which the downward vertical velocity of the nose landmark exceeded a dataset-specific threshold. The model uses a CNN to extract frame-level skeletal patterns, a temporal convolutional network (TCN) to learn temporal changes in posture, and an attention module to aggregate temporal features. It was deployed on a Raspberry Pi Zero 2 W using ONNX Runtime. The proposed model achieved 94.71% accuracy and a macro F1-score of 93.63%, with an average state-decision latency of 325.88 ms/decision. It improved accuracy by 2.83 percentage points over the lightweight CNN–LSTM–Attention baseline while maintaining comparable latency and achieved approximately 1.75× faster processing than the MobileNetV3–TCN–Attention model.
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Cho et al. (2026) studied this question.
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