Skeleton-Based Posture Classification to Promote Safer Walker-Assisted Gait in Older Adults

arXiv cs.CV / 5/5/2026

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Key Points

  • The study addresses fall prevention for older adults by using machine learning to classify walker usage, whether a user is standing or sitting, and multiple postures in smart walkers.
  • It compares several modeling approaches, including geometric methods, XGBoost, SVM, and multiple deep learning architectures, to determine which best captures skeleton-based motion/posture patterns.
  • XGBoost and the geometric approach delivered the strongest overall results, with XGBoost reaching 99.84% (walker choice) and 99.69% (standing vs. sitting) training accuracy.
  • For posture recognition, the geometric approach achieved 89.9% accuracy across 8 postures, while XGBoost reached 99.24% (training) for 17 postures.
  • The findings suggest that machine learning-based human-robot interaction can improve smart-walker safety and support fall prevention through more reliable posture and activity awareness.

Abstract

Falls among older adults are a significant public health concern, leading to severe injuries, loss of independence, and increased healthcare costs. This study evaluates the effectiveness of various models, including a Geometric approach, XGBoost, SVM, and several deep learning architectures, in classifying walker usage, standing vs. sitting, and posture for smart walkers used. Geometric and XGBoost were the top performers. XGBoost achieved near-perfect training accuracy in binary classification tasks, with 99.84% for walker choice and 99.69% for standing vs. sitting. For posture classification, Geometric approach attained 89.9% accuracy for 8 postures, and XGBoost obtained 99.24% during training for 17 postures. Deep learning models such as the 4-layer CNN and Encoder-Decoder CNN also demonstrated strong performance in binary classification, with accuracies above 98%. This study underscores the potential of machine learning to enhance human-robot interaction in smart walkers, particularly for fall prevention.