Fall Detection Devices: A Complete Guide to Staying Safe

For many older adults, falling while alone is a serious concern.

Every year, one in four adults experience falls that result in injuries, and for those over 65, falls are the leading cause of injury-related death, according to the CDC. While making your home safer can reduce fall risks, age-related changes in balance, vision, and strength—often combined with mobility issues and medication effects—still make falls more likely.

A fall detection system can be a valuable safety measure, automatically alerting emergency help if you fall alone in your home.

This guide provides all the information you need about fall detection devices and advice on choosing the best fall detection system.

What is a fall detection device?

Fall detection devices use technology to alert help in case of a fall. When the device senses you have fallen, it reaches out to emergency services, caregivers, family members, and other chosen contacts. The notifications are designed to summon help and provide peace of mind to those concerned about your welfare.

The device is a type of medical alert system that assists in any medical emergency. Fall detection is an optional feature on many home medical alert devices.

What types of fall detection devices are on the market?

There are two types of fall detectors available - wearable and non-wearable:

Wearable devices

• These devices are worn on the body, such as around the neck on a lanyard as a fall detection pendant or on the wrist as a watch or bracelet.

• Many utilize Bluetooth technology so they can connect with your cell phone network.

• Some popular smartwatches by Apple, Google, Samsung, and Garmin have fall detection features. Aside from these pricey devices, lesser-known alternatives start around $50. Some devices are water-resistant so that you can wear them in the shower.

• Wearables can detect falls by tracking acceleration, motion, or impact changes. They work with cellular networks, so they're a good option if you spend much time outdoors.

Non-wearable devices

• These home-based devices are placed in your home or work area and detect falls with sensors.

• Examples include cameras, acoustic sensors, and pressure sensors.

• They're a good option if you mostly stay home but may be out of reach during a fall.

How fall detection works

Automatic fall detection devices sensors to detect falls while mostly avoiding false alarms. The key parts of a fall detection system include:

• Accelerometers measure sudden changes in movement, like the impact of a fall.

• Gyroscopes tell the difference between an actual fall and regular movements like sitting down.

• Barometers to detect changes in height that might mean someone has fallen.

• GPS will help pinpoint where the fall happened.

Fall detection devices process information from these sensors to tell the difference between a fall and everyday activities.

How accurate are fall detectors?

Fall detection technology has limitations, as devices cannot always differentiate between falls and everyday movements.

Studies show that fall detection devices have accuracy rates ranging from 73% to 98%. Factors like the type of fall, the wearer's movements, the device's placement, and the specific technology used affect accuracy. Even movements like coughing, sneezing, or getting out of bed can trigger the system and call in a false alarm.

Fall detection devices vs. medical alert systems

Medical alert systems are designed to provide emergency assistance for older adults and those with mobility issues. These systems typically include a base station and a wearable device (pendant, wristband) with a help button. Someone in crisis must press a call button to report an emergency, which may include a fall. The monitoring center will contact EMS or other emergency services.

Fall detection devices have a single purpose—to detect and report falls. They detect falls through sensor technology used in accelerometers and gyroscopes that measure sudden changes in movement. However, the user can also manually activate the system.

Both devices can alert emergency contacts, family members, or a monitoring center. Medical alert products may have additional features like two-way communication and real-time GPS tracking.

Many systems work with a landline, but other mobile medical alert systems work wherever there is cell service.

Should you choose a fall detection system or a medical alert system?

Many older people, even those in fairly good health, are at risk of falling. A fall detection device may calm their fears and those of loved ones who worry about parents and other older relatives and friends who live alone. This type of product would alert an emergency response team if someone fell and was unconscious or trapped and unable to call for help.

A medical alert system has more features and services, such as manually requesting assistance for other emergencies. When equipped with fall detection, a medical alert device offers superior protection but at a higher monthly cost.

Where to buy fall detection devices

To find the best medical alert system for your needs, consider the following brands:

• Medical Guardian: Known for its range of devices and robust features, the company offers plans that use landline or cellular connectivity, starting at $19.95 per month, plus an additional $10 for fall detection.

• Bay Alarm Medical: This well-established company with a strong reputation for customer service has plans starting at $24.95 per month, with no activation fees.

• Life Alert: A widely recognized brand with a strong marketing presence, Life Alert popularized the "I've fallen, and I can't get up" slogan. Its plans range from $49.95 to $89.95 per month.

• MobileHelp: MobileHelp offers a variety of devices and plans to suit different needs. Plans start at $24.95, have no equipment charges, and offer reduced rates for fall detection.

• Alert 1: This company focuses on user-friendly technology and personalized plans. Its pricing starts at $19.95 per month, plus additional fees for fall detection. There is no equipment fee.

Additionally, here are some alert system options with no monthly fee.

Steps to help prevent in-home falls

Getting a fall detector to help you get help quickly after a fall is important, but there are precautions you can take to reduce your risk of falling.

1. Wear sensible, well-fitting, sturdy, flat shoes with nonskid soles instead of heels, floppy slippers, or stocking feet.

2. Make sure everywhere in your home is well-lit.

3. Keep your home free of clutter so your path is free of things to trip over.

4. Remove throw rugs and move tables and other small furniture pieces that could be tripping hazards out of the way.

5. Use mobility aids like a cane or walker and assistive devices like grab bars and railings.

6. Get help retrieving things from high cupboards, washing tall windows, and raking ladder-related home repairs.

Discuss fall prevention precautions with your doctor if you're concerned about falls at home.

Should you get a fall detection system?

Fall detection devices can provide protection and peace of mind for those at risk of falling. While the accuracy of these devices varies, they can help prevent serious injuries and reduce hospitalization costs by getting first responders to your home when you activate them by falling or pushing a button.

When choosing a fall detection device, consider your needs and preferences, as well as the device's accuracy, comfort, and cost. By carefully shopping for the right device, you can ensure that you or your loved ones are always protected.