{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:15:15Z","timestamp":1785420915529,"version":"3.56.0"},"reference-count":48,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:00:00Z","timestamp":1778889600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004945","name":"Nankai University","doi-asserted-by":"crossref","award":["202510055061"],"award-info":[{"award-number":["202510055061"]}],"id":[{"id":"10.13039\/501100004945","id-type":"DOI","asserted-by":"crossref"}]},{"award":["202510055061"],"award-info":[{"award-number":["202510055061"]}],"id":[{"id":"https:\/\/ror.org\/01y1kjr75","id-type":"ROR","asserted-by":"publisher"}]},{"name":"Tianjin Key Laboratory of Optoelectronic Sensor and Sensing Network Technology"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Bioengineering"],"abstract":"<jats:p>As global population aging intensifies, fall-related injuries among the elderly have become a critical public health concern. Existing fall detection methods based on wearable IMUs all extract features in the sensor\u2019s body frame, failing to exploit the information embedded in sensor signals. Some higher-performing methods incorporate magnetometer-fused Euler angles to enrich features, but their dependence on specific hardware and fusion algorithms makes exact replication during deployment difficult. In contrast, the proposed MadgwickFall-Net relies on acceleration and angular velocity, and, to the best of our knowledge, for the first time introduces the Madgwick algorithm into fall detection to transform inertial signals into a gravity-aligned global coordinate system. A four-branch parallel architecture processes signals from both coordinate frames, fully exploiting the complementarity between dual-frame signals. Cross-validation on the KFall dataset using 5-fold subject-independent stratification demonstrates an F1-Score of 0.9824 and accuracy of 98.36%, specifically, four main evaluation indicators outperform all comparison models. With only 59.7 KB parameters, the model is suitable for edge device deployment. Rolling inference experiments demonstrate a median pre-impact lead time of 390 ms. MadgwickFall-Net offers a practical and deployable solution for real-world wearable fall detection systems, demonstrating strong potential for protecting elderly individuals in daily life scenarios.<\/jats:p>","DOI":"10.3390\/bioengineering13050568","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T14:12:54Z","timestamp":1779286374000},"page":"568","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["MadgwickFall-Net: A Lightweight Dual-Frame Feature Fusion Network for Pre-Impact Fall Detection Using Wearable IMUs"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8872-8524","authenticated-orcid":false,"given":"Qijun","family":"Zhong","sequence":"first","affiliation":[{"name":"College of Electronic Information and Optical Engineering, Nankai University, Tianjin 300350, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wang","sequence":"additional","affiliation":[{"name":"College of Electronic Information and Optical Engineering, Nankai University, Tianjin 300350, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guiling","family":"Sun","sequence":"additional","affiliation":[{"name":"College of Electronic Information and Optical Engineering, Nankai University, Tianjin 300350, China"},{"name":"Tianjin Key Laboratory of Optoelectronic Sensor and Sensing Network Technology, Tianjin 300350, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1186\/s13018-022-03222-1","article-title":"Global prevalence of falls in the older adults: A comprehensive systematic review and meta-analysis","volume":"17","author":"Salari","year":"2022","journal-title":"J. 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