用联邦学习提升老人跌倒检测准确率，兼顾隐私与个性化。

Falls among elderly and disabled individuals remain a leading cause of injury and mortality worldwide, necessitating robust, accurate, and privacy-aware fall detection systems. Traditional fall detection approaches, whether centralized or point-wise, often struggle with key challenges such as limited generalizability, data privacy concerns, and variability in individual movement behaviors. To address these limitations, we propose EPFL-an Ensembled Penalized Federated Learning framework that integrates continual learning, personalized modeling, and a novel Specialized Weighted Aggregation (SWA) strategy. EPFL leverages wearable sensor data to capture sequential motion patterns while preserving user privacy through homomorphic encryption and federated training. Unlike existing federated models, EPFL incorporates both penalized local training and ensemble-based inference to improve inter-client consistency and adaptability to behavioral differences. Extensive experiments on a benchmark fall detection dataset demonstrate the effectiveness of our approach, achieving a Recall of 88.31 percent and an F1-score of 89.94 percent, significantly outperforming both centralized and baseline models. This work presents a scalable, secure, and accurate solution for real-world fall detection in healthcare settings, with strong potential for continuous improvement via its adaptive feedback mechanism.