by Liangli Wang, Yulin Song, Jinfei Nong, Kai Guo, Xuan Pan
2026,13(3);
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Abstract
To address the instability of vision-only fall detection under low-light conditions and occlusion,
as well as the constraints of edge computing, we designed a lightweight device that integrates multi-zone time-of-flight (ToF) laser ranging with low-resolution visual sensing and established a reproducible
verification workflow based on digital human simulation. The ToF branch extracts distance, vertical
position, descent velocity, effective ranging ratio, and near-ground region ratio, while the visual branch
extracts the human body bounding box, centroid, tilt angle, motion amplitude, detection confidence, and
brightness. Features from the two branches are gated and fused according to real-time quality scores, after
which a depthwise separable temporal convolution identifies the continuous upright-descent-near-ground
progression. The simulator generated 9,600 sequences across 32 virtual body profiles, including 3,840 fall
sequences and 5,760 daily-activity sequences, under low light, backlighting, occlusion, invalid ToF echoes,
and structured unimodal distortions. In composite stress tests using splits that were disjoint by virtual
body profile, the proposed method achieved accuracy, precision, recall, and F1 scores of 96.89%, 96.89%,
95.28%, and 96.08%, respectively, with 1.22 false alarms per hour and an average alarm latency of 88.7
ms. The model contains 14,532 parameters and 1.42 M MACs; under the equivalent-cost model for a quadcore ARM processor, the INT8 end-to-end latency was 12.8 ms. The results indicate that quality gating can
mitigate the performance degradation caused by unimodal disturbances, although these findings still require
validation using physical prototypes and real-world scenarios.
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