Fall is a major threat to the health and life of the elders. A Fall Detection System (FDS) assist the elders by identifying the fall and save their life. Machine Learning-(ML) based FDS has turned into a major research area due to its capability to assist the elders automatically. The efficiency of a FDS depends on its strength to identify the fall from nonfall accurately. The initial fall detection scheme depends on the threshold-based classification to classify the fall from the Activity of Daily Living (ADL) but this classification method has failed to reduce the false alarm rate, which raises a question on the efficiency of the technique. This review work identifies the problems in threshold-based classification from existing works and finds the need for an efficient ML-based classification technique to accurately identify the fall. Then, presents a comprehensive literature review on various ML-based classification in fall detection. Moreover, the scrutiny investigates the shortcomings associated with the ML-based techniques for future research. This study finds that present ML-based FDS has not addressed problems like data preprocessing and data dimensionality reduction techniques even though ML-based techniques are far superior to threshold-based techniques.The study concludes that Self-Adaptive-based FDS, as

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