Gait declines for months before a fall — but it's measured once a year, in clinic. A shoe is worn every day. Put the measurement where the walking already happens, and you catch the decline weeks ahead, while there's still time to act.
90 days of one person's gait speed. The shoe reads it every day; the clinic sees it once. Press play and watch which one catches the fall coming.
Last clinic check: 1.14 m/s — "normal." Next visit in ~8 months. The decline happens in the gap. The fall arrives before the calendar does.
Crosses the 1.0 m/s fall-risk line on day —. Alert fires — days before the fall — time to intervene: PT, balance work, the offloading shoe, a caregiver check.
Adherence is the whole game in monitoring — and a senior already carries a phone and puts their shoes on every morning. The measurement rides along, no new habit required. Four ways to capture it:
The iPhone already measures gait daily, passively. Read the real 6-month trend today — on-device, no hardware.
Run the Gait Check → Camera tier — freeA phone camera reads gait in 60 seconds (no hardware). Good for screening and weekly check-ins.
Try it live → Clinical insole tierA partner insole inside the shoe streams gait every day, passively — continuous, for high-risk patients.
See the spec → Partner shoeA fall-prevention shoe that also proves it's working — measurement + reimbursement on top of the hardware.
Partner program →An alert that routes into an under-dosed program does not reduce falls — and the outcome the billing depends on never arrives. These are the published thresholds the intervention has to clear. The same sensor that flags the decline can verify they were met.
This is what closes the loop. A platform that measures the decline and the dose can show the intervention was actually delivered at the level the evidence requires — which is the difference between a monitoring service and a monitoring service that moves the outcome it bills for.
The shoe partner provides daily wear. MotionSole provides the measurement, the risk-trajectory engine, and the billing. The intervention and the patient relationship route into the network we already run.
Camera or sensor insole captures gait every day — the trajectory, not a snapshot.
The engine watches the slope; an alert fires when risk rises — weeks before a fall.
Route to PT, balance training, the offloading shoe, or a co-op.care caregiver. Patient front door: fallrisks.com.
Continuous monitoring qualifies under CMS RPM/RTM (98975–98981), under the clinician's own NPI via SurgeonValue. Falls also move Medicare Advantage Star ratings.