Smartphone-based vestibular & gait analysis for remote fall risk assessment - Summary - MDSpire

Smartphone-based vestibular & gait analysis for remote fall risk assessment

  • By

  • Eugene Rezk

  • Marion Luschin-Ebengreuth

  • Hannes Kaufmann

  • July 2, 2026

  • 0 min

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Objective:

To propose a conceptual framework for smartphone-based assessment of vestibular function and gait stability to support fall-related screening.

Approach:
  • Framework Development: Integration of near-infrared eye tracking with inertial measurement unit (IMU)-based motion analysis within a smartphone-based sensing environment.
  • Feature Extraction: Methods for extracting oculomotor and biomechanical features, including vestibulo-ocular behavior and gait stability metrics.
  • Biomechanical Stability Description: Introduction of virtual anatomical reference points and projection of sacral motion onto the interpatellar axis.
Key Findings:
  • Dizziness and vertigo are major clinical burdens and risk factors for falls.
  • Current diagnostic tools like video-oculography (VOG) are limited by cost and complexity.
  • Smartphone-based assessments can provide accessible alternatives for fall risk evaluation, utilizing metrics such as Triangular Area Variability (TAV) and inter-limb symmetry.
Interpretation:

The framework aims to facilitate early identification of balance-related impairments using mobile technology; however, it is conceptual and lacks clinical validation.

Limitations:
  • The proposed framework is conceptual and does not include clinical validation or real-world data.
  • Accessibility and effectiveness in diverse populations have not been tested.
Conclusion:

The framework provides a structured methodological foundation for future studies on smartphone-based fall risk assessment.

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