Gait analysis is an important tool in assessing the health and activity levels of patients and regular physical activity has been associated with health improvements in a number of populations. Step counting is one of the most commonly used measures of physical activity [1] and many studies have investigated the use of wearable sensors for step counts [2–4]. Their small size and light weight mean that they may be used in a free living environment and are suitable for home deployment. One of the main issues associated with step counts as a measure of physical activity is that a very high level of accuracy in step detection is needed.

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