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The most accurate pedometers on the market today are Accelerometers. Accelerometers also test more accurate than spring-levered pedometers.  An accelerometer pedometer doesn’t have any moving parts so it is silent while you walk.  A pedometer with a spring-levered mechanism will make a clicking noise while counting steps.
While the Digi-Walker or mechanical pedometers had to be worn on the waistband at a vertical angle for accuracy, the accelerometer can be worn on the waist, on the wrist, in a pocket or hang from a lanyard around the neck (this depends on the model and the brand).
If there is a drawback to the Accelerometer Pedometer it is that it will use more battery power than a normal pedometer battery. Careful selection of your accelerometer is important as you want a model that will go into “sleep mode” when inactive which will help to save battery power. Depending on the accelerometer, your battery can last well over a year and is easy to replace.