Wireless and Flexible Skin Moisture and Temperature Sensor Sheets toward the Study of Thermoregulator Center

Skin-Conformal Ag Flake-Decorated PEDOT:PSS Sensor Arrays for Spatially Resolved Body Temperature Monitoring

Rapid and spatial temperature measurement on the skin is essential for detecting localized physiological anomalies, such as inflammation or circulatory issues, while providing insights into thermoregulation. Skin-conformal temperature sensors, with ultra-flexible designs, enable precise and comfortable measurements, supporting real-time monitoring, early diagnosis, and effective intervention. However, achieving rapid and spatial skin-conformal temperature sensor arrays that simultaneously maintain high sensitivity under extreme mechanical stresses remains a significant challenge. This work introduces a skin-conformal temperature sensor array based on a composite of poly(3,4-ethylenedioxythiophene):poly(styrene sulfonate) (PEDOT:PSS) and Ag flakes, fabricated on a 2-µm-thick parylene-C substrate. A simple mixing process achieves uniform dispersion of Ag flakes, enhancing electrical conductivity to 2.04 kS cm-1. The sensor demonstrates a temperature coefficient of resistance of -2.02%/°C (30-50 °C), a resolution of 0.5 °C, and a rapid response time under 0.41 s per 5 °C change. It endures over 1000 cycles of 200% strain and performs reliably under 3 µm bending radii. Demonstrating high-resolution sensitivity and spatial temperature mapping through letter pattern recognition, the sensor shows promise for applications in body temperature monitoring, thermal imaging, and early diagnosis of temperature-related health conditions.

Stretchable, Rechargeable, Multimodal Hybrid Electronics for Decoupled Sensing toward Emotion Detection

Despite the rapid development of stretchable electronic devices for various applications in biomedicine and healthcare, the coupling between multiple input signals remains an obstacle in multimodal sensing before use in practical environments. This work introduces a fully integrated stretchable, rechargeable, multimodal hybrid device that combines decoupled sensors with a flexible wireless powering and transmitting module for emotion recognition. Through optimized structural design and material selection, the sensors can provide continuous real-time decoupled monitoring of biaxial strain, temperature, humidity, heart rate, and SpO2 levels. With a stacked bilayer for both the sensors and the flexible circuit, the rechargeable system showcases a reduced device footprint and improved comfort. A neural network model is also demonstrated to allow for high-precision facial expression recognition. By transmitting the real-time measured data to mobile devices and the cloud, the system can allow healthcare professionals to evaluate psychological health and provide emotional support through telemedicine when needed.

A Sensor-Based Classification for Neuromotor Robot-Assisted Rehabilitation

Neurological diseases leading to motor deficits constitute significant challenges to healthcare systems. Despite technological advancements in data acquisition, sensor development, data processing, and virtual reality (VR), a suitable framework for patient-centered neuromotor robot-assisted rehabilitation using collective sensor information does not exist. An extensive literature review was achieved based on 124 scientific publications regarding different types of sensors and the usage of the bio-signals they measure for neuromotor robot-assisted rehabilitation. A comprehensive classification of sensors was proposed, distinguishing between specific and non-specific parameters. The classification criteria address essential factors such as the type of sensors, the data they measure, their usability, ergonomics, and their overall impact on personalized treatment. In addition, a framework designed to collect and utilize relevant data for the optimal rehabilitation process efficiently is proposed. The proposed classifications aim to identify a set of key variables that can be used as a building block for a dynamic framework tailored for personalized treatments, thereby enhancing the effectiveness of patient-centered procedures in rehabilitation.

Multi-modal Wearable Patch for Localized Monitoring of Post-operative Skin Flap Transplantation

Monitoring the status of skin flap transplantation (SFT) is crucial for early intervention, particularly to mitigate risks, such as necrosis and complications arising from poor vascularization or infection. Current clinical practices for monitoring SFT rely on intermittent gauze removal, risking secondary injury and delayed complication detection. While wearable sensors have been proposed, existing systems lack simultaneous and multi-parameter monitoring, poor wearability, and the ability to localize complications within the flap. In this study, a novel multi-modal wearable patch (MMWP) was developed to monitor the essential recovery indicator reflective of the flap condition. The MMWP employed a distributed design with strain sensors in a tic-tac-toe pattern, temperature/percutaneous arterial oxygen saturation (SpO2) sensors around the grid, and a central humidity sensor, enabling zonal multi-parameter detection (2D spatial resolution: 20 mm × 20 mm). The MMWP exhibited high sensitivity in the strain sensor (15.1 kΩ mL-1), temperature sensor (47.63 Ω °C-1), humidity sensor (0.03 nF %-1), and SpO2 sensor (error <1% vs commercial oximeters). In a 14-day rat SFT model, the MMWP successfully localized uneven recovery between proximal and distal flap regions. Integrated with Bluetooth low energy (BLE) wireless transmission, this platform resolves the limitations of gauze-dependent monitoring and advances toward precision post-operative care.

Directional Liquid Transport in Thin Fibrous Matrices: Enhancement of Advanced Applications

Directional liquid transport fibrous matrices (DLTFMs) have the unique ability to direct liquid movement in a single direction through their thickness. Beyond their inherent liquid transport function, DLTFMs can also enhance the effectiveness of additional functionalities. This review focuses on recent advances in DLTFMs, particularly the role of DLTs in enhancing secondary functions. We begin with a brief overview of the historical development and major achievements in DLTFM research, followed by an outline of the classification, fabrication techniques, and basic functions derived from their natural liquid transport properties. The integration of DLT to enhance secondary functionalities such as responsiveness, thermal regulation, and wearable technology for innovative applications in various sectors is then discussed. The review concludes with a discussion of key challenges and prospects in the field, including the durability and reliability of DLT performance, the precise regulation of fluid transport rates, the resilience and longevity of DLTFMs in harsh environments, and the impact of DLT variations on performance enhancement. The goal of this review is to stimulate further innovative studies on DLTFMs and to promote their practical implementation in a variety of industries.

Flexible Pressure, Humidity, and Temperature Sensors for Human Health Monitoring

The rapid advancements in artificial intelligence, micro-nano manufacturing, and flexible electronics technology have unleashed unprecedented innovation and opportunities for applying flexible sensors in healthcare, wearable devices, and human-computer interaction. The human body's tactile perception involves physical parameters such as pressure, temperature, and humidity, all of which play an essential role in maintaining human health. Inspired by the sensory function of human skin, many bionic sensors have been developed to simulate human skin's perception to various stimuli and are widely applied in health monitoring. Given the urgent requirements for sensing performance and integration of flexible sensors in the field of wearable devices and health monitoring, here is a timely overview of recent advances in pressure, humidity, temperature, and multi-functional sensors for human health monitoring. It covers the fundamental components of flexible sensors and categorizes them based on different response mechanisms, including resistive, capacitive, voltage, and other types. Specifically, the application of these flexible tactile sensors in the area of human health monitoring is highlighted. Based on this, an extended overview of recent advances in dual/triple-mode flexible sensors integrating pressure, humidity, and temperature tactile sensing is presented. Finally, the challenges and opportunities of flexible sensors are discussed.

Toward Integrated Multifunctional Laser-Induced Graphene-Based Skin-Like Flexible Sensor Systems

The burgeoning demands for health care and human-machine interfaces call for the next generation of multifunctional integrated sensor systems with facile fabrication processes and reliable performances. Laser-induced graphene (LIG) with highly tunable physical and chemical characteristics plays vital roles in developing versatile skin-like flexible or stretchable sensor systems. This Progress Report presents an in-depth overview of the latest advances in LIG-based techniques in the applications of flexible sensors. First, the merits of the LIG technique are highlighted especially as the building blocks for flexible sensors, followed by the description of various fabrication methods of LIG and its variants. Then, the focus is moved to diverse LIG-based flexible sensors, including physical sensors, chemical sensors, and electrophysiological sensors. Mechanisms and advantages of LIG in these scenarios are described in detail. Furthermore, various representative paradigms of integrated LIG-based sensor systems are presented to show the capabilities of LIG technique for multipurpose applications. The signal cross-talk issues are discussed with possible strategies. The LIG technology with versatile functionalities coupled with other fabrication strategies will enable high-performance integrated sensor systems for next-generation skin electronics.

Evolution of Musculoskeletal Electronics

The musculoskeletal system, constituting the largest human physiological system, plays a critical role in providing structural support to the body, facilitating intricate movements, and safeguarding internal organs. By virtue of advancements in revolutionized materials and devices, particularly in the realms of motion capture, health monitoring, and postoperative rehabilitation, "musculoskeletal electronics" has actually emerged as an infancy area, but has not yet been explicitly proposed. In this review, the concept of musculoskeletal electronics is elucidated, and the evolution history, representative progress, and key strategies of the involved materials and state-of-the-art devices are summarized. Therefore, the fundamentals of musculoskeletal electronics and key functionality categories are introduced. Subsequently, recent advances in musculoskeletal electronics are presented from the perspectives of "in vitro" to "in vivo" signal detection, interactive modulation, and therapeutic interventions for healing and recovery. Additionally, nine strategy avenues for the development of advanced musculoskeletal electronic materials and devices are proposed. Finally, concise summaries and perspectives are proposed to highlight the directions that deserve focused attention in this booming field.

Janus Membrane-Based Wearable pH Sensor with Sweat Absorption, Gas Permeability, and Self-Adhesiveness

Wearable biomedical sensors have enabled noninvasive and continuous physiological monitoring for daily health management and early detection of chronic diseases. Among biomedical sensors, wearable pH sensors attracted significant interest, as pH influences most biological reactions. However, conformable pH sensors that have sweat absorption ability, are self-adhesive to the skin, and are gas permeable remain largely unexplored. In this study, we present a pioneering approach to this problem by developing a Janus membrane-based pH sensor with self-adhesiveness on the skin. The sensor is composed of a hydrophobic polyurethane-polydimethylsiloxane porous hundreds nanometer-thick substrate and a hydrophilic poly(vinyl alcohol)-poly(acrylic acid) porous nanofiber layer. This Janus membrane exhibits a thickness of around 10 μm, providing a conformable adhesion to the skin. The simultaneous realization of solution absorption, gas permeability, and self-adhesiveness makes it suitable for long-term continuous monitoring without compromising the comfort of the wearer. The pH sensor was tested successfully for continuous monitoring for 7.5 h, demonstrating its potential for stable analysis of skin health conditions. The Janus membrane-based pH sensor holds significant promise for comprehensive skin health monitoring and wearable biomedical applications.

Machine Learning-Enabled Tactile Sensor Design for Dynamic Touch Decoding

Skin-like flexible sensors play vital roles in healthcare and human-machine interactions. However, general goals focus on pursuing intrinsic static and dynamic performance of skin-like sensors themselves accompanied with diverse trial-and-error attempts. Such a forward strategy almost isolates the design of sensors from resulting applications. Here, a machine learning (ML)-guided design of flexible tactile sensor system is reported, enabling a high classification accuracy (≈99.58%) of tactile perception in six dynamic touch modalities. Different from the intuition-driven sensor design, such ML-guided performance optimization is realized by introducing a support vector machine-based ML algorithm along with specific statistical criteria for fabrication parameters selection to excavate features deeply concealed in raw sensing data. This inverse design merges the statistical learning criteria into the design phase of sensing hardware, bridging the gap between the device structures and algorithms. Using the optimized tactile sensor, the high-quality recognizable signals in handwriting applications are obtained. Besides, with the additional data processing, a robot hand assembled with the sensor is able to complete real-time touch-decoding of an 11-digit braille phone number with high accuracy.

Miniaturized Flexible Non-Contact Interface Based on Heat Shrinkage Technology

High-performance miniaturized flexible sensors are becoming increasingly important in wearable electronics. However, miniaturization of devices often requires high-precision manufacturing processes and equipment, which limits the commercialization of flexible sensors. Therefore, revolutionary technologies for manufacturing miniaturized flexible sensors are highly desired. In this work, a new method for manufacturing miniaturized flexible humidity sensor by utilizing heat shrinkage technology is presented. This method successfully achieves much smaller sensor and denser interdigital electrode. Utilizing this method, a miniaturized flexible humidity sensor and array are presented, fabricated by anchoring nano-Al2 O3 into carbon nano-tube as the humidity sensitive film. This heat shrinkage technology, forming wrinkle structure on the humidity sensitive film, endows the sensor with a high sensitivity over 200% (ΔR/R0 ) at humidity levels ranging from 0 to 90%RH and a fast recovery time (0.5 s). The sensor allows non-contact monitoring human respiration and alerting in case of an asthma attack and the sensor array can be adaptively attached to the wrist as a non-contact human-machine interface to control the mechanical hand or computer. This work provides a general and effective heat shrinkage technology for the development of smaller and more efficient flexible circuits and sensor devices.

Flexible Pressure Sensors and Machine Learning Algorithms for Human Walking Phase Monitoring

Soft sensors are attracting much attention from researchers worldwide due to their versatility in practical projects. There are already many applications of soft sensors in aspects of life, consisting of human-robot interfaces, flexible electronics, medical monitoring, and healthcare. However, most of these studies have focused on a specific area, such as fabrication, data analysis, or experimentation. This approach can lead to challenges regarding the reliability, accuracy, or connectivity of the components. Therefore, there is a pressing need to consider the sensor's placement in an overall system and find ways to maximize the efficiency of such flexible sensors. This paper proposes a fabrication method for soft capacitive pressure sensors with spacer fabric, conductive inks, and encapsulation glue. The sensor exhibits a good sensitivity of 0.04 kPa^-1, a fast recovery time of 7 milliseconds, and stability of 10,000 cycles. We also evaluate how to connect the sensor to other traditional sensors or hardware components. Some machine learning models are applied to these built-in soft sensors. As expected, the embedded wearables achieve a high accuracy of 96% when recognizing human walking phases.

Wafer-Level, High-Performance, Flexible Sensors Based on Organic Nanoforests for Human-Machine Interactions

High-performance flexible sensors are essential for real-time information analysis and constructing noncontact communication modules for emerging human-machine interactions. In these applications, batch fabrication of sensors that exhibit high performance at the wafer level is in high demand. Here, we present organic nanoforest-based humidity sensor (NFHS) arrays on a 6 in. flexible substrate prepared via a facile, cost-effective manufacturing approach. Such an NFHS achieves state-of-the-art overall performance: high sensitivity and fast recovery time; the best properties are at a small device footprint. The high sensitivity (8.84 pF/% RH) and fast response time (5 s) of the as-fabricated organic nanoforests are attributed to the abundant hydrophilic groups, the ultra-large surface area with a huge number of nanopores, and the vertically distributed structures beneficial to the transfer of molecules up and down. The NFHS also exhibits excellent long-term stability (90 days), superior mechanical flexibility, and good performance repeatability after bending. With these superiorities, the NFHS is further applied as a smart noncontact switch, and the NFHS array is used as the motion trajectory tracker. The wafer-level batch fabrication capability of our NFHS provides a potential strategy for developing practical applications of such humidity sensors.

Estimating Scalp Moisture in a Hat Using Wearable Sensors

Hair quality is easily affected by the scalp moisture content, and hair loss and dandruff will occur when the scalp surface becomes dry. Therefore, it is essential to monitor scalp moisture content constantly. In this study, we developed a hat-shaped device equipped with wearable sensors that can continuously collect scalp data in daily life for estimating scalp moisture with machine learning. We established four machine learning models, two based on learning with non-time-series data and two based on learning with time-series data collected by the hat-shaped device. Learning data were obtained in a specially designed space with a controlled environmental temperature and humidity. The inter-subject evaluation showed a Mean Absolute Error (MAE) of 8.50 using Support Vector Machine (SVM) with 5-fold cross-validation with 15 subjects. Moreover, the intra-subject evaluation showed an average MAE of 3.29 in all subjects using Random Forest (RF). The achievement of this study is using a hat-shaped device with cheap wearable sensors attached to estimate scalp moisture content, which avoids the purchase of a high-priced moisture meter or a professional scalp analyzer for individuals.

Biocompatible Material-Based Flexible Biosensors: From Materials Design to Wearable/Implantable Devices and Integrated Sensing Systems

Human beings have a greater need to pursue life and manage personal or family health in the context of the rapid growth of artificial intelligence, big data, the Internet of Things, and 5G/6G technologies. The application of micro biosensing devices is crucial in connecting technology and personalized medicine. Here, the progress and current status from biocompatible inorganic materials to organic materials and composites are reviewed and the material-to-device processing is described. Next, the operating principles of pressure, chemical, optical, and temperature sensors are dissected and the application of these flexible biosensors in wearable/implantable devices is discussed. Different biosensing systems acting in vivo and in vitro, including signal communication and energy supply are then illustrated. The potential of in-sensor computing for applications in sensing systems is also discussed. Finally, some essential needs for commercial translation are highlighted and future opportunities for flexible biosensors are considered.

Paper-based microfluidics in sweat detection: from design to application

Sweat, as a sample that includes a lot of biochemical information, is good for non-invasive monitoring. In recent years, there have been an increasing number of studies on in situ monitoring of sweat. However, there are still some challenges for the continuous analysis of samples. As a hydrophilic, easy-to-process, environmentally friendly, inexpensive and easily accessible material, paper is an ideal substrate material for making in situ sweat analysis microfluidics. This review introduces the development of paper as a sweat analysis microfluidic substrate material, focusing on the advantages of the structural characteristics of paper, trench design and equipment integration applications to expand the design and research ideas for the development of in situ sweat detection technology.

Recent Progress of Energy-Storage-Device-Integrated Sensing Systems

With the rapid prosperity of the Internet of things, intelligent human-machine interaction and health monitoring are becoming the focus of attention. Wireless sensing systems, especially self-powered sensing systems that can work continuously and sustainably for a long time without an external power supply have been successfully explored and developed. Yet, the system integrated by energy-harvester needs to be exposed to a specific energy source to drive the work, which provides limited application scenarios, low stability, and poor continuity. Integrating the energy storage unit and sensing unit into a single system may provide efficient ways to solve these above problems, promoting potential applications in portable and wearable electronics. In this review, we focus on recent advances in energy-storage-device-integrated sensing systems for wearable electronics, including tactile sensors, temperature sensors, chemical and biological sensors, and multifunctional sensing systems, because of their universal utilization in the next generation of smart personal electronics. Finally, the future perspectives of energy-storage-device-integrated sensing systems are discussed.

Ultra-Thin Flexible Encapsulating Materials for Soft Bio-Integrated Electronics

Recently, bioelectronic devices extensively researched and developed through the convergence of flexible biocompatible materials and electronics design that enables  more precise diagnostics and therapeutics in human health care and opens up the potential to expand into various fields, such as clinical medicine and biomedical research. To establish an accurate and stable bidirectional bio-interface, protection against the external environment and high mechanical deformation is essential for wearable bioelectronic devices. In the case of implantable bioelectronics, special encapsulation materials and optimized mechanical designs and configurations that provide electronic stability and functionality are required for accommodating various organ properties, lifespans, and functions in the biofluid environment. Here, this study introduces recent developments of ultra-thin encapsulations with novel materials that can preserve or even improve the electrical performance of wearable and implantable bio-integrated electronics by supporting safety and stability for protection from destruction and contamination as well as optimizing the use of bioelectronic systems in physiological environments. In addition, a summary of the materials, methods, and characteristics of the most widely used encapsulation technologies is introduced, thereby providing a strategic selection of appropriate choices of recently developed flexible bioelectronics.

Humidity Sensing of Stretchable and Transparent Hydrogel Films for Wireless Respiration Monitoring

Respiratory monitoring plays a pivotal role in health assessment and provides an important application prospect for flexible humidity sensors. However, traditional humidity sensors suffer from a trade-off between deformability, sensitivity, and transparency, and thus the development of high-performance, stretchable, and low-cost humidity sensors is urgently needed as wearable electronics. Here, ultrasensitive, highly deformable, and transparent humidity sensors are fabricated based on cost-effective polyacrylamide-based double network hydrogels. Concomitantly, a general method for preparing hydrogel films with controllable thickness is proposed to boost the sensitivity of hydrogel-based sensors due to the extensively increased specific surface area, which can be applied to different polymer networks and facilitate the development of flexible integrated electronics. In addition, sustainable tapioca rich in hydrophilic polar groups is introduced for the first time as a second cross-linked network, exhibiting excellent water adsorption capacity. Through the synergistic optimization of structure and composition, the obtained hydrogel film exhibits an ultrahigh sensitivity of 13,462.1%/%RH, which is unprecedented. Moreover, the hydrogel film-based sensor exhibits excellent repeatability and the ability to work normally under stretching with even enhanced sensitivity. As a proof of concept, we integrate the stretchable sensor with a specially designed wireless circuit and mask to fabricate a wireless respiratory interruption detection system with Bluetooth transmission, enabling real-time monitoring of human health status. This work provides a general strategy to construct high-performance, stretchable, and miniaturized hydrogel-based sensors as next-generation wearable devices for real-time monitoring of various physiological signals.

The Thermal Influence of an Electromagnetic Field with a Radio Frequency Depending on the Type of Electrode Used

Diathermy is a method used in physiotherapy based on obtaining an increase in temperature by supplying energy from the electromagnetic field to the tissues. The aim of this retrospective work, based on the data included in a medical documentation, was to assess the dynamics of temperature changes on the body surface after the application of a high-frequency electromagnetic field depending on the type of electrode used. In order to generate a radio frequency electromagnetic field, an INDIBA ACTIV® CT9 was used. In order to measure the temperature, an HT-17 thermovision camera was used, enabling measurements within the range of -20 to 300 °C, with an accuracy of ±2% or 2 °C. The participants consisted of 30 healthy subjects (15 women and 15 men) who were physiotherapy students in the Faculty of Public Health in the Silesian Medical University in Katowice, Poland; they were divided into two comparative groups (A and B). It was found that the differences between the groups were not significant in the measurements carried out before using the electrode (p = 0.84; Mann-Whitney U test). On the other hand, at 0, 5 and 15 min, statistically significant differences were noted in the tissue temperature between the groups, depending on the electrode used (p = 0.00; Mann-Whitney U test). Based on the obtained results, it can be concluded that with the extension of the observation time, the tissue temperature increased (for Group A, Me 30.40 °C vs. 34.90 °C; for Group B, Me 30.70 °C vs. 35.20 °C). Our study confirmed that the use of both a capacitive and resistive electrode during treatment with the use of a high-frequency electromagnetic field statistically significantly increased the surface temperature of the area to which the therapy was applied. The results of the study can be used in clinical practice by physiotherapists to optimize the conditions of therapy.

Recent advances in wearable medical diagnostic sensors and new therapeutic dosage forms for fever in children

Fever in children is one of the most common symptoms of pediatric diseases and the most common complaint in pediatric clinics, especially in the emergency department. Diseases such as pneumonia, sepsis, and meningitis are leading causes of death in children, and the early manifestations of these diseases are accompanied by fever symptoms. Accurate diagnosis and real-time monitoring of the status of febrile children, rapid and effective identification of the cause, and treatment can have a positive impact on relieving their symptoms and improving their quality of life. In recent years, wearable diagnostic sensors have attracted special attention for their high flexibility, real-time monitoring, and sensitivity. Temperature sensors and heart rate sensors have provided new advances in detecting children's body temperature and heart rate. Furthermore, some novel formulations have also received wide attention for addressing bottlenecks in medication administration for febrile children, such as difficulty in swallowing and inaccurate dosing. In this context, the present review provides recent advances of novel wearable medical sensor devices for diagnosing fever. Moreover, the application progress of innovative dosage forms of classical antipyretic drugs for children is presented. Finally, challenges and prospects of wearable sensor-based diagnostics and novel agent-based treatment of fever in children are discussed in brief.

Multifunctional Flexible Humidity Sensor Systems Towards Noncontact Wearable Electronics

In the past decade, the global industry and research attentions on intelligent skin-like electronics have boosted their applications in diverse fields including human healthcare, Internet of Things, human-machine interfaces, artificial intelligence and soft robotics. Among them, flexible humidity sensors play a vital role in noncontact measurements relying on the unique property of rapid response to humidity change. This work presents an overview of recent advances in flexible humidity sensors using various active functional materials for contactless monitoring. Four categories of humidity sensors are highlighted based on resistive, capacitive, impedance-type and voltage-type working mechanisms. Furthermore, typical strategies including chemical doping, structural design and Joule heating are introduced to enhance the performance of humidity sensors. Drawing on the noncontact perception capability, human/plant healthcare management, human-machine interactions as well as integrated humidity sensor-based feedback systems are presented. The burgeoning innovations in this research field will benefit human society, especially during the COVID-19 epidemic, where cross-infection should be averted and contactless sensation is highly desired.

Surface Wettability for Skin-Interfaced Sensors and Devices

The practical applications of skin-interfaced sensors and devices in daily life hinge on the rational design of surface wettability to maintain device integrity and achieve improved sensing performance under complex hydrated conditions. Various bio-inspired strategies have been implemented to engineer desired surface wettability for varying hydrated conditions. Although the bodily fluids can negatively affect the device performance, they also provide a rich reservoir of health-relevant information and sustained energy for next-generation stretchable self-powered devices. As a result, the design and manipulation of the surface wettability are critical to effectively control the liquid behavior on the device surface for enhanced performance. The sensors and devices with engineered surface wettability can collect and analyze health biomarkers while being minimally affected by bodily fluids or ambient humid environments. The energy harvesters also benefit from surface wettability design to achieve enhanced performance for powering on-body electronics. In this review, we first summarize the commonly used approaches to tune the surface wettability for target applications toward stretchable self-powered devices. By considering the existing challenges, we also discuss the opportunities as a small fraction of potential future developments, which can lead to a new class of skin-interfaced devices for use in digital health and personalized medicine.

A wearable, flexible sensor for real-time, home monitoring of sleep apnea

A flexible sensor that can be attached to the body to collect vital data wirelessly enables real-time human healthcare management. One potential application for home-use healthcare devices is monitoring of sleep conditions to diagnose sleep apnea syndrome. Such data are not readily gathered using conventional tools, owing to the bulk and cost of instrumentation. In order to monitor respiration at home, it is necessary to improve sensing performance and long-term stability of the sensors without sacrificing wearability and comfortability. To build a platform for wireless home-use respiration monitoring, this study develops a mask-borne flexible humidity sensor using ZnIn₂S₄ nanosheets as a humidity-sensitive material with high sensitivity and stability for more than 150 h. As proof-of-concept, long-term wireless respiration monitoring is demonstrated during sleep to identify symptoms of sleep apnea in wearers.

Flexible Electronics and Devices as Human-Machine Interfaces for Medical Robotics

Medical robots are invaluable players in non-pharmaceutical treatment of disabilities. Particularly, using prosthetic and rehabilitation devices with human-machine interfaces can greatly improve the quality of life for impaired patients. In recent years, flexible electronic interfaces and soft robotics have attracted tremendous attention in this field due to their high biocompatibility, functionality, conformability, and low-cost. Flexible human-machine interfaces on soft robotics will make a promising alternative to conventional rigid devices, which can potentially revolutionize the paradigm and future direction of medical robotics in terms of rehabilitation feedback and user experience. In this review, the fundamental components of the materials, structures, and mechanisms in flexible human-machine interfaces are summarized by recent and renowned applications in five primary areas: physical and chemical sensing, physiological recording, information processing and communication, soft robotic actuation, and feedback stimulation. This review further concludes by discussing the outlook and current challenges of these technologies as a human-machine interface in medical robotics.

Recent Advances in Multiresponsive Flexible Sensors towards E-skin: A Delicate Design for Versatile Sensing

Multiresponsive flexile sensors with strain, temperature, humidity, and other sensing abilities serving as real electronic skin (e-skin) have manifested great application potential in flexible electronics, artificial intelligence (AI), and Internet of Things (IoT). Although numerous flexible sensors with sole sensing function have already been reported since the concept of e-skin, that mimics the sensing features of human skin, was proposed about a decade ago, the ones with more sensing capacities as new emergences are urgently demanded. However, highly integrated and highly sensitive flexible sensors with multiresponsive functions are becoming a big thrust for the detection of human body motions, physiological signals (e.g., skin temperature, blood pressure, electrocardiograms (ECG), electromyograms (EMG), sweat, etc.) and environmental stimuli (e.g., light, magnetic field, volatile organic compounds (VOCs)), which are vital to real-time and all-round human health monitoring and management. Herein, this review summarizes the design, manufacturing, and application of multiresponsive flexible sensors and presents the future challenges of fabricating these sensors for the next-generation e-skin and wearable electronics.

Wearable Sweat Loss Measuring Devices: From the Role of Sweat Loss to Advanced Mechanisms and Designs

Wearable sweat sensors have received significant research interest and have become popular as sweat contains considerable health information about physiological and psychological states. However, measured biomarker concentrations vary with sweat rates, which has a significant effect on the accuracy and reliability of sweat biosensors. Wearable sweat loss measuring devices (SLMDs) have recently been proposed to overcome the limitations of biomarker tracking and reduce inter- and intraindividual variability. In addition, they offer substantial potential for monitoring human body homeostasis, because sweat loss plays an indispensable role in thermoregulation and skin hydration. Previous studies have not carried out a comprehensive and systematic review of the principles, importance, and development of wearable SLMDs. This paper reviews wearable SLMDs with a new health perspective from the role of sweat loss to advanced mechanisms and designs. Two types of sweat and their measurement significance for practical applications are highlighted. Then, a comprehensive review of advances in different wearable SLMDs based on hygrometers, absorbent materials, and microfluidics is presented by describing their respective device architectures, present situations, and future directions. Finally, concluding remarks on opportunities for future application fields and challenges for future sweat sensing are presented.