What happened
The Evaluation Service of the Canary Islands Health Service (SESCS) assessed wearable devices for fall risk and fall detection in people aged 65 and over. It published the assessment for Spain's national health system on 6 August 2026. Its review found 16 studies but none that measured falls, injuries or quality of life. Only one study gave the data to compute sensitivity and specificity. In that Spanish study of 157 people over 70, the G-STRIDE sensor had a sensitivity of 77% and a specificity of 83%. The Timed Up and Go test had 51% and 83%. A gait-speed test had 75% and 79%. SESCS describes G-STRIDE as a shoe-mounted inertial sensor that analyzes gait with a machine-learning algorithm. It concludes that the results suggest that G-STRIDE detects fall risk better than the Timed Up and Go test and much like the gait-speed test. The study classified people by falls in the past 12 months. SESCS rated the evidence as very low in certainty. It could not recommend the devices and suggested their use in research or pilot projects.
Sources
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Assessment report, by authors with no tie to the system.
Servicio de Evaluación del Servicio Canario de la Salud (SESCS). Sistemas de telemonitorización portátiles para la evaluación del riesgo de caídas y la detección de caídas en personas de 65 o más años. Informes de Evaluación de Tecnologías Sanitarias, Ministerio de Sanidad, 2026. Resumen ejecutivo (Resultados, Coste-efectividad y análisis económico).
Los resultados sugieren que G-STRIDE mejora la detección del riesgo de caída respecto al test TUG, aunque su rendimiento es muy similar al test GS.
Details
AI system
- Workflow
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An inertial measurement unit on the foot recorded gait parameters while people walked without restrictions. A machine-learning algorithm classified fall risk from the gait parameters.
Follow-up
- Conditions for replication
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A clinician must interpret the result in a consultation, as with the conventional tests. Sensor and software costs must stay low, since the cost per extra correct case was lowest with large-scale purchase.
Entry details
- Sector
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Healthcare (fall prevention in older people).
- Purpose
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An academic consortium of Universidad Rey Juan Carlos and collaborators built G-STRIDE to analyze gait with a shoe-mounted inertial sensor and estimate the risk of falling in older people.
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Cite this record
Peter H. Vartanian. (2026). G-STRIDE spots more older people at risk of falls than the TUG test (AIBD-1031). Artificial Intelligence Benefits Database, edition of 1 November 2026. https://petervartanian.xyz/aibd/records/AIBD-1031.html (archived at https://doi.org/10.7910/DVN/AADSII, version 7.0)