Highly Wearable, Breathable, and Washable Sensing Textile for Human Motion and Pulse Monitoring

Smart Textiles for Personalized Sports and Healthcare

Advances in wearable electronics and information technology drive sports data collection and analysis toward real-time visualization and precision. The growing pursuit of athleticism and healthy life makes it appealing for individuals to track their real-time health and exercise data seamlessly. While numerous devices enable sports and health monitoring, maintaining comfort over long periods remains a considerable challenge, especially in high-intensity and sweaty sports scenarios. Textiles, with their breathability, deformability, and moisture-wicking abilities, ensure exceptional comfort during prolonged wear, making them ideal for wearable platforms. This review summarized the progress of research on textile-based sports monitoring devices. First, the design principles and fabrication methods of smart textiles were introduced systematically. Textiles undergo a distinctive fiber-yarn-fabric or fiber-fabric manufacturing process that allows for the regulation of performance and the integration of functional elements at every step. Then, the performance requirements for precise sports data collection of smart textiles, including main vital signs, joint movement, and data transmission, were discussed. Lastly, the applications of smart textiles in various sports scenarios are demonstrated. Additionally, the review provides an in-depth analysis of the emerging challenges, strategies, and opportunities for the research and development of sports-oriented smart textiles. Smart textiles not only maintain comfort and accuracy in sports, but also serve as inexpensive and efficient information-gathering terminals. Therefore, developing multifunctional, cost-effective textile-based systems for personalized sports and healthcare is a pressing need for the future of intelligent sports.

Wearable blood pressure sensors for cardiovascular monitoring and machine learning algorithms for blood pressure estimation

With advances in materials science and medical technology, wearable sensors have become crucial tools for the early diagnosis and continuous monitoring of numerous cardiovascular diseases, including arrhythmias, hypertension and coronary artery disease. These devices employ various sensing mechanisms, such as mechanoelectric, optoelectronic, ultrasonic and electrophysiological methods, to measure vital biosignals, including pulse rate, blood pressure and changes in heart rhythm. In this Review, we provide a comprehensive overview of the current state of wearable cardiovascular sensors, focusing particularly on those that measure blood pressure. We explore biosignal sensing principles, discuss blood pressure estimation methods (including machine learning algorithms) and summarize the latest advances in cuffless wearable blood pressure sensors. Finally, we highlight the challenges of and offer insights into potential pathways for the practical application of cuffless wearable blood pressure sensors in the medical field from both technical and clinical perspectives.

Advancements in Smart Wearable Mobility Aids for Visual Impairments: A Bibliometric Narrative Review

Research into new solutions for wearable assistive devices for the visually impaired is an important area of assistive technology (AT). This plays a crucial role in improving the functionality and independence of the visually impaired, helping them to participate fully in their daily lives and in various community activities. This study presents a bibliometric analysis of the literature published over the last decade on wearable assistive devices for the visually impaired, retrieved from the Web of Science Core Collection (WoSCC) using CiteSpace, to provide an overview of the current state of research, trends, and hotspots in the field. The narrative focuses on prominent innovations in recent years related to wearable assistive devices for the visually impaired based on sensory substitution technology, describing the latest achievements in haptic and auditory feedback devices, the application of smart materials, and the growing concern about the conflicting interests of individuals and societal needs. It also summarises the current opportunities and challenges facing the field and discusses the following insights and trends: (1) optimization of the transmission of haptic and auditory information while multitasking; (2) advance research on smart materials and foster cross-disciplinary collaboration among experts; and (3) balance the interests of individuals and society. Given the two essential directions, the low-cost, stand-alone pursuit of efficiency and the high-cost pursuit of high-quality services that are closely integrated with accessible infrastructure, the latest advances will gradually allow more freedom for ambient assisted living by using robotics and automated machines, while using sensor and human-machine interaction as bridges to promote the synchronization of machine intelligence and human cognition.

Review of Liquid Metal Fiber Based Biosensors and Bioelectronics

Liquid metal, as a novel material, has become ideal for the fabrication of flexible conductive fibers and has shown great potential in the field of biomedical sensing. This paper presents a comprehensive review of the unique properties of liquid metals such as gallium-based alloys, including their excellent electrical conductivity, mobility, and biocompatibility. These properties make liquid metals ideal for the fabrication of flexible and malleable biosensors. The article explores common preparation methods for liquid metal conductive fibers, such as internal liquid metal filling, surface printing with liquid metal, and liquid metal coating techniques, and their applications in health monitoring, neural interfaces, and wearable devices. By summarizing and analyzing the current research, this paper aims to reveal the current status and challenges of liquid metal conductive fibers in the field of biosensors and to look forward to their development in the future, which will provide valuable references and insights for researchers in the field of biomedical engineering.

Graphene-Perovskite Fibre Photodetectors

The integration of optoelectronic devices, such as transistors and photodetectors (PDs), into wearables and textiles is of great interest for applications such as healthcare and physiological monitoring. These require flexible/wearable systems adaptable to body motions, thus materials conformable to non-planar surfaces, and able to maintain performance under mechanical distortions. Here, fibre PDs are prepared by combining rolled graphene layers and photoactive perovskites. Conductive fibres (~500 Ωcm-1) are made by rolling single-layer graphene (SLG) around silica fibres, followed by deposition of a dielectric layer (Al2O3 and parylene C), another rolled SLG as a channel, and perovskite as photoactive component. The resulting gate-tunable PD has a response time~9ms, with an external responsivity~22kAW-1 at 488nm for a 1V bias. The external responsivity is two orders of magnitude higher, and the response time one order of magnitude faster, than state-of-the-art wearable fibre-based PDs. Under bending at 4mm radius, up to~80% photocurrent is maintained. Washability tests show~72% of initial photocurrent after 30 cycles, promising for wearable applications.

Functional fibers/textiles for smart sensing devices and applications in personal healthcare systems

Personalized medical diagnostics and monitoring have become increasingly important due to inefficient and delayed medical services of traditional centralized healthcare systems. To enhance the comfort and portability, flexible health monitoring systems have been developed in recent years. In particular, smart fiber/textile-based sensing devices show superiority for continuously monitoring personal health and vital physiological parameters owing to their light weight, good flexibility and inherent miniaturization. This review focuses on the recent advances in smart fiber/textile-based sensing devices for wearable electronic applications. First, fabrication strategies of smart sensing fibers/textiles are introduced in detail. In addition, sensing performances, working principles and applications of smart sensing fibers/textiles such as pressure sensing fibers/textiles, stretchable strain sensing fibers/textiles, temperature sensing fibers/textiles, and biofluid, gas and humidity sensing fibers/textiles in health monitoring are also reviewed systematically. Finally, we propose current challenges and future prospects in the area of fiber/textile-based sensors for wearable healthcare monitoring and diagnosis systems. In general, this review aims to give an overall perspective of the promising field by reviewing various fiber/textile-based sensing devices and highlighting the importance for researchers to keep up with the sequential exploration of soft sensing fibers/textiles for applications in wearable smart systems.

Progress in the Preparation and Application of Breathable Membranes

Breathable membranes with micropores enable the transfer of gas molecules while blocking liquids and solids, and have a wide range of applications in medical, industrial, environmental, and energy fields. Breathability is highly influenced by the nature of a material, pore size, and pore structure. Preparation methods and the incorporation of functional materials are responsible for the variety of physical properties and applications of breathable membranes. In this review, the preparation methods of breathable membranes, including blown film extrusion, cast film extrusion, phase separation, and electrospinning, are discussed. According to the antibacterial, hydrophobic, thermal insulation, conductive, and adsorption properties, the application of breathable membranes in the fields of electronics, medicine, textiles, packaging, energy, and the environment are summarized. Perspectives on the development trends and challenges of breathable membranes are discussed.

Fabrication of a Capacitive 3D Spacer Fabric Pressure Sensor with a Dielectric Constant Change for High Sensitivity

Smart wearable sensors are increasingly integrated into everyday life, interfacing with the human body to enable real-time monitoring of biological signals. This study focuses on creating high-sensitivity capacitive-type sensors by impregnating polyester-based 3D spacer fabric with a Carbon Nanotube (CNT) dispersion. The unique properties of conductive particles lead to nonlinear variations in the dielectric constant when pressure is applied, consequently affecting the gauge factor. The results reveal that while the fabric without CNT particles had a gauge factor of 1.967, the inclusion of 0.04 wt% CNT increased it significantly to 5.210. As sensor sensitivity requirements vary according to the application, identifying the necessary CNT wt% is crucial. Artificial intelligence, particularly the Multilayer Perception (MLP) model, enables nonlinear regression analysis for this purpose. The MLP model created and validated in this research showed a high correlation coefficient of 0.99564 between the model predictions and actual target values, indicating its effectiveness and reliability.

Soft mechanical sensors for wearable and implantable applications

Wearable and implantable sensing of biomechanical signals such as pressure, strain, shear, and vibration can enable a multitude of human-integrated applications, including on-skin monitoring of vital signs, motion tracking, monitoring of internal organ condition, restoration of lost/impaired mechanoreception, among many others. The mechanical conformability of such sensors to the human skin and tissue is critical to enhancing their biocompatibility and sensing accuracy. As such, in the recent decade, significant efforts have been made in the development of soft mechanical sensors. To satisfy the requirements of different wearable and implantable applications, such sensors have been imparted with various additional properties to make them better suited for the varied contexts of human-integrated applications. In this review, focusing on the four major types of soft mechanical sensors for pressure, strain, shear, and vibration, we discussed the recent material and device design innovations for achieving several important properties, including flexibility and stretchability, bioresorbability and biodegradability, self-healing properties, breathability, transparency, wireless communication capabilities, and high-density integration. We then went on to discuss the current research state of the use of such novel soft mechanical sensors in wearable and implantable applications, based on which future research needs were further discussed. This article is categorized under: Diagnostic Tools > Biosensing Diagnostic Tools > Diagnostic Nanodevices Implantable Materials and Surgical Technologies > Nanomaterials and Implants.

Electrochemical sensing fibers for wearable health monitoring devices

Real-time monitoring of health conditions is an emerging strong issue in health care, internet information, and other strongly evolving areas. Wearable electronics are versatile platforms for non-invasive sensing. Among a variety of wearable device principles, fiber electronics represent cutting-edge development of flexible electronics. Enabled by electrochemical sensing, fiber electronics have found a wide range of applications, providing new opportunities for real-time monitoring of health conditions by daily wearing, and electrochemical fiber sensors as explored in the present report are a promising emerging field. In consideration of the key challenges and corresponding solutions for electrochemical sensing fibers, we offer here a timely and comprehensive review. We discuss the principles and advantages of electrochemical sensing fibers and fabrics. Our review also highlights the importance of electrochemical sensing fibers in the fabrication of "smart" fabric designs, focusing on strategies to address key issues in fiber-based electrochemical sensors, and we provide an overview of smart clothing systems and their cutting-edge applications in therapeutic care. Our report offers a comprehensive overview of current developments in electrochemical sensing fibers to researchers in the fields of wearables, flexible electronics, and electrochemical sensing, stimulating forthcoming development of next-generation "smart" fabrics-based electrochemical sensing.

Reversible thermochromic fibers with excellent elasticity and hydrophobicity for wearable temperature sensors

Color-changing fibers, which can intuitively convey information to the human eye, can be used to facilely add functionality to various types of clothing. However, they are often expensive and complex, and can suffer from low durability. Therefore, in this study, we developed highly elastic and hydrophobic thermochromic fibers as wearable temperature sensors using a simple method that does not require an electric current. A thermochromic pigment was embedded inside and outside hydrophobic silica aerogel particles, following which the thermochromic aerogel was fixed to highly elastic spandex fibers using polydimethylsiloxane as a flexible binder. In particular, multi-strand spandex fibers were used instead of single strands, resulting in the thermochromic aerogels penetrating the inside of the strands upon their expansion by solvent swelling. During drying, the thermochromic aerogel adhered more tightly to the fibers by compressing the strands. The thermochromic fiber was purple at room temperature (25 °C), but exhibited a two-stage color change to blue and then white as the temperature increased to 37 °C. In addition, even after 100 cycles of tension-contraction at 200%, the thermochromic aerogel did not detach and was strongly attached to the fiber. Additionally, it was confirmed that color change due to temperature was stable even after exposure to 1 wt% NaCl (artificial sweat) and 0.1 wt% detergent solutions. The developed thermochromic fiber therefore exhibited excellent elasticity and hydrophobicity, and is expected to be widely utilized as an economical wearable temperature sensor as it does not require electrical devices.

Recent Progress of Wearable Triboelectric Nanogenerator-Based Sensor for Pulse Wave Monitoring

Today, cardiovascular diseases threaten human health worldwide. In clinical practice, it has been concluded that analyzing the pulse waveform can provide clinically valuable information for the diagnosis of cardiovascular diseases. Accordingly, continuous and accurate monitoring of the pulse wave is essential for the prevention and detection of cardiovascular diseases. Wearable triboelectric nanogenerators (TENGs) are emerging as a pulse wave monitoring biotechnology due to their compelling characteristics, including being self-powered, light-weight, and wear-resistant, as well as featuring user-friendliness and superior sensitivity. Herein, a comprehensive review is conducted on the progress of wearable TENGs for pulse wave monitoring. Firstly, the four modes of operation of TENG are briefly described. Secondly, TENGs for pulse wave monitoring are classified into two categories, namely wearable flexible film-based TENG sensors and textile-based TENG sensors. Next, the materials, fabrication methods, working mechanisms, and experimental performance of various TENG-based sensors are summarized. It concludes by comparing the characteristics of the two types of TENGs and discussing the potential development and challenges of TENG-based sensors in the diagnosis of cardiovascular diseases and personalized healthcare.

Wear-Resistant Smart Textiles Using Nylon-11 Triboelectric Yarns

The ever-increasing demand for self-powered systems such as glucose biosensors and mixed reality devices has sparked significant interest in triboelectric generators, which hold large potential as renewable energy solutions. Our study explores new methods for integrating energy-harvesting capabilities into smart textiles by developing strong and efficient yarns that can convert mechanical energy into electrical energy through a triboelectric effect. Specifically, we focused on Nylon-11 (PA11), a material known for its crystalline structure well-suited for generating a powerful triboelectric response. To achieve this, we created triboelectric yarns by electrospinning PA11 fibers onto conductive carbon yarns, enabling energy-harvesting applications. Extensive testing demonstrated that these yarns possess exceptional durability, surpassing real-life usage requirements while experiencing minimal degradation. Additionally, we developed a prototype haptic device by interweaving tribopositive PA11 and tribonegative poly(vinylidene fluoride) (PVDF) triboelectric yarns. Our research has successfully yielded durable and efficient yarns with strong energy-harvesting capabilities, opening up possibilities for integrating smart textiles into practical scenarios. These technologies are promising steps to achieve greener and more reliable self-powered systems.

A Review on the Progress in Core-Spun Yarns (CSYs) Based Textile TENGs for Real-Time Energy Generation, Capture and Sensing

This review is a critical analysis of the current state-of-the-art in core spun yarn textile triboelectric nanogenerators (CSY-T-TENGs) for self-powered smart sensing applications. The rapid expansion of wireless communication, flexible conductive materials, and wearable electronics over the last ten years is now demanding autonomous energy, which has created a new research space in the field of wearable T-TENGs. Current research is exploring T-TENGs made from CSYs as stable and reliable energy harvesters and sensing devices for modern wearable IoT platforms. CSY-TENGs are emerging as an important technology due to its simple structure, low cost, and excellent performance in converting mechanical energy into electrical energy and due to its sensing ability. This paper provides a critical review on current progress, it analyzes the unique advantages of CSYs T-TENGs over conventional T-TENGs, it describes fabrication techniques and discusses the materials used along with their properties and electrical performance characteristics, and it highlights the recent advancements in their integration with self-excitation circuits, charge storage devices and IoT-enabled smart sensing applications, such as environmental and health monitoring. In the conclusion, it discusses the challenges and future directions of CSYs T-TENGs and it provides a future road map for optimization, upscaling, and commercialization of the technology.

Advanced Textile-Based Wearable Biosensors for Healthcare Monitoring

With the innovation of wearable technology and the rapid development of biosensors, wearable biosensors based on flexible textile materials have become a hot topic. Such textile-based wearable biosensors promote the development of health monitoring, motion detection and medical management, and they have become an important support tool for human healthcare monitoring. Textile-based wearable biosensors not only non-invasively monitor various physiological indicators of the human body in real time, but they also provide accurate feedback of individual health information. This review examines the recent research progress of fabric-based wearable biosensors. Moreover, materials, detection principles and fabrication methods for textile-based wearable biosensors are introduced. In addition, the applications of biosensors in monitoring vital signs and detecting body fluids are also presented. Finally, we also discuss several challenges faced by textile-based wearable biosensors and the direction of future development.

Ti3C2Tx MXene and cellulose-based aerogel phase change composite decorated laminated fabric with excellent electro/solar-thermal conversion and high latent heat

Wearable heaters have attracted growing attention for maintaining a relatively constant temperature of the human body in cold environments with near zero energy consumption. Herein, we developed a multifunctional laminated fabric with fascinating electro/solar-thermal conversion, thermal energy storage and thermal insulation properties. With cotton fabric as the substrate, MXene/polydimethylsiloxane (PDMS) conductive network was decorated on the upper layer, and carbon nanotube (CNT)/cellulose nanofiber (CNF)/paraffin (PA) aerogel phase change composites were assembled on the bottom layer. Attributed to the strong conductivity and light absorption of MXene and the light/thermal response of CNT and PA components, this wearable laminated fabric broke the limitation of intermittent solar photothermal heating, and integrated multiple heating modes to precisely heat the human body. Meanwhile, the low thermal conductivity of aerogel retarded heat loss. The laminated fabric can help people better adapt to a variety of complex and changeable environments such as cold winter, rainy days and nights. This study provides a promising and energy-efficient avenue for the development of all-day personal thermal management fabrics.

Recent progress in flexible micro-pressure sensors for wearable health monitoring

In recent years, flexible micro-pressure sensors have been used widely in wearable health monitoring applications due to their excellent flexibility, stretchability, non-invasiveness, comfort wearing and real-time detection. According to the working mechanism of the flexible micro-pressure sensor, it can be classified as piezoresistive, piezoelectric, capacitive and triboelectric types. Herein, an overview of flexible micro-pressure sensors for wearable health monitoring is presented. The physiological signaling and body motions contain a lot of health status information. Thus, this review focuses on the applications of flexible micro-pressure sensors in these fields. Additionally, the contents of sensing mechanism, sensing materials and performance of flexible micro-pressure sensors are introduced in detail. Finally, we predict the future research directions of the flexible micro-pressure sensors, and discuss the challenges in practical applications.

Electronic textiles: New age of wearable technology for healthcare and fitness solutions

Sedentary lifestyles and evolving work environments have created challenges for global health and cause huge burdens on healthcare and fitness systems. Physical immobility and functional losses due to aging are two main reasons for noncommunicable disease mortality. Smart electronic textiles (e-textiles) have attracted considerable attention because of their potential uses in health monitoring, rehabilitation, and training assessment applications. Interactive textiles integrated with electronic devices and algorithms can be used to gather, process, and digitize data on human body motion in real time for purposes such as electrotherapy, improving blood circulation, and promoting wound healing. This review summarizes research advances on e-textiles designed for wearable healthcare and fitness systems. The significance of e-textiles, key applications, and future demand expectations are addressed in this review. Various health conditions and fitness problems and possible solutions involving the use of multifunctional interactive garments are discussed. A brief discussion of essential materials and basic procedures used to fabricate wearable e-textiles are included. Finally, the current challenges, possible solutions, opportunities, and future perspectives in the area of smart textiles are discussed.

Ag NW-Embedded Coaxial Nanofiber-Coated Yarns with High Stretchability and Sensitivity for Wearable Multi-Sensing Textiles

The emerging intelligent piezoresistive yarn/textile-based sensors are of paramount importance for skin-interface electronics, owing to their unparalleled features including softness, breathability, and easy integration with functional devices. However, employing a facile way to fabricate 1D sensing yarns with mechanical robustness, multi-functional integration, and comfortability is still demanded for satisfying the practical applications. Herein, a facile one-step synchronous conjugated electrospinning and electrospraying technique is innovatively employed to continuously construct an Ag NW-embedded polyurethane (PU) nanofiber sensing yarn (AENSY) with hierarchical architecture. This 1D AENSY with weavability and stretchability can be woven into AENSY textile-based sensors integrated with functions of strain and pressure sensing. In this embedded multi-scale architecture, Ag NWs are evenly embedded and locked in the oriented and twisted PU nanofiber (PUNF) scaffold, forming the hierarchical mechanical sensing layer on the surface of the AENSY with favorable stability. Meanwhile, the presence of the elastic PUNFs enhances porosity, elasticity, and considerable deformation space, which in turn endow the AENSY textile-based sensor with a gauge factor (GF) up to 1010, a pressure sensitivity up to 16.7 N^-1, high stretchability up to 160%, and high stability under long-term cycles. In addition, the AENSY textile-based sensor exhibits light weight and the unique advantage of skin-friendliness with the human body, which can be directly and conformally attached to the curved human skin to monitor the various human movements. Furthermore, the weavable AENSYs can be integrated into smart textiles with sensing arrays, which are capable for spatial pressure and strain mapping. Thus, the continuous one-step developing process and the stable embedded-twisted fiber structure provide a promising strategy to develop innovative smart yarns and textiles for personalized healthcare and human-machine interfaces.

Toward a new generation of permeable skin electronics

Skin-mountable electronics are considered to be the future of the next generation of portable electronics, due to their softness and seamless integration with human skin. However, impermeable materials limit device comfort and reliability for long-term, continuous usage. The recent emergence of permeable skin-mountable electronics has attracted tremendous attention in the soft electronics field. Herein, we provide a comprehensive and systematic review of permeable skin-mountable electronics. Typical porous materials and structures are first highlighted, followed by discussion of important device properties. Then, we review the latest representative applications of breathable skin-mountable electronics, such as bioelectrical sensors, temperature sensors, humidity and hydration sensors, strain and pressure sensors, and energy harvesting and storage devices. Finally, a conclusion and future directions for permeable skin electronics are provided.

A Review of Recent Development of Wearable Triboelectric Nanogenerators Aiming at Human Clothing for Energy Conversion

Research in the field of wearable triboelectric generators is increasing, and pioneering research into real applications of this technology is a growing need in both scientific and industry research. In addition to the two key characteristics of wearable triboelectric generators of flexibility and generating friction, features such as softness, breathability, washability, and wear resistance have also attracted a lot of attention from the research community. This paper reviews wearable triboelectric generators that are used in human clothing for energy conversion. The study focuses on analyzing fabric structure and examining the integration method of flexible generators and common fibers/yarns/textiles. Compared to the knitting method, the woven method has fewer restrictions on the flexibility and thickness of the yarn. Remaining challenges and perspectives are also investigated to suggest how to bring fully generated clothing to practical applications in the near future.

Functionality of Flexible Pressure Sensors in Cardiovascular Health Monitoring: A Review

As the highest percentage of global mortality is caused by several cardiovascular diseases (CVD), maintenance and monitoring of a healthy cardiovascular condition have become the primary concern of each and every individual. Simultaneously, recent progress and advances in wearable pressure sensor technology have provided many pathways to monitor and detect underlying cardiovascular illness in terms of irregularities in heart rate, blood pressure, and blood oxygen saturation. These pressure sensors can be comfortably attached onto human skin or can be implanted on the surface of vascular grafts for uninterrupted monitoring of arterial blood pressure. While the traditional monitoring systems are time-consuming, expensive, and not user-friendly, flexible sensor technology has emerged as a promising and dynamic practice to collect important health information at a comparatively low cost in a reliable and user-friendly way. This Review explores the importance and necessity of cardiovascular health monitoring while emphasizing the role of flexible pressure sensors in monitoring patients' health conditions to avoid adverse effects. A comprehensive discussion on the current research progress along with the real-time impact and accessibility of pressure sensors developed for cardiovascular health monitoring applications has been provided.

Multiwalled Carbon Nanotube/Graphite Powder Film for Wearable Pressure Sensors with High Sensing Performance

With the continuous progress of artificial intelligence and other manufacturing technologies, there is promising potential for wearable piezoresistive sensors in human physiological signal detection and bionic robots. Here, we present a facile solution-mixing process to fabricate a multiwalled carbon nanotube/graphite powder (MWCNT@Gp) film, which has high sensitivity and great linearity and is more oriented to flexible piezoresistive sensors. The sensor consists of two parts: a spinosum microstructure shaped by a sandpaper template and polydimethylsiloxane (PDMS) as the top substrate and interdigital electrodes as the bottom substrate. The experiments we have conducted show that these two parts provide good protection to the MWCNTs@Gp film and improve sensor sensitivity. Additionally, the sensitivity of the optimal ratio of multiwalled carbon nanotubes and graphite powder is analyzed. The 5%MWCNT@5%Gp composites were found to have relatively good conductivity, which is convenient for the fabrication of conductive films of piezoresistive sensors. Finally, we conducted application experiments and found that the flexible piezoresistive sensor can detect minute signals of human motion and different pressure points. This indicates the feasibility of portable sensors in electronic skin and smart devices.

Advances in the Robustness of Wearable Electronic Textiles: Strategies, Stability, Washability and Perspective

Flexible electronic textiles are the future of wearable technology with a diverse application potential inspired by the Internet of Things (IoT) to improve all aspects of wearer life by replacing traditional bulky, rigid, and uncomfortable wearable electronics. The inherently prominent characteristics exhibited by textile substrates make them ideal candidates for designing user-friendly wearable electronic textiles for high-end variant applications. Textile substrates (fiber, yarn, fabric, and garment) combined with nanostructured electroactive materials provide a universal pathway for the researcher to construct advanced wearable electronics compatible with the human body and other circumstances. However, e-textiles are found to be vulnerable to physical deformation induced during repeated wash and wear. Thus, e-textiles need to be robust enough to withstand such challenges involved in designing a reliable product and require more attention for substantial advancement in stability and washability. As a step toward reliable devices, we present this comprehensive review of the state-of-the-art advances in substrate geometries, modification, fabrication, and standardized washing strategies to predict a roadmap toward sustainability. Furthermore, current challenges, opportunities, and future aspects of durable e-textiles development are envisioned to provide a conclusive pathway for researchers to conduct advanced studies.

Advances in High-Performance Autonomous Energy and Self-Powered Sensing Textiles with Novel 3D Fabric Structures

The seamless integration of emerging triboelectric nanogenerator (TENG) technology with traditional wearable textile materials has given birth to the next-generation smart textiles, i.e., textile TENGs, which will play a vital role in the era of Internet of Things and artificial intelligences. However, low output power and inferior sensing ability have largely limited the development of textile TENGs. Among various approaches to improve the output and sensing performance, such as material modification, structural design, and environmental management, a 3D fabric structural scheme is a facile, efficient, controllable, and scalable strategy to increase the effective contact area for contact electrification of textile TENGs without cumbersome material processing and service area restrictions. Herein, the recent advances of the current reported textile TENGs with 3D fabric structures are comprehensively summarized and systematically analyzed in order to clarify their superiorities over 1D fiber and 2D fabric structures in terms of power output and pressure sensing. The forward-looking integration abilities of the 3D fabrics are also discussed at the end. It is believed that the overview and analysis of textile TENGs with distinctive 3D fabric structures will contribute to the development and realization of high-power output micro/nanowearable power sources and high-quality self-powered wearable sensors.

Effects of Fe Staple-Fiber Spun-Yarns and Correlation Models on Textile Pressure Sensors

As an aspect of intelligent clothing, e-textile sensors can flexibly sense and transmit information about human bodies and environments. However, difficulties relating to their technology and the variation in textile materials employed in their manufacture still limit their ability to analyze and be applied. The authors’ previous publication deployed a pressure sensor with warp-knitted spacer fabrics, wet-knitted fabrics, Ag-yarns, and Fe-yarns. An equivalent circuit analyzed the resistance behavior with some effects of the Ag-coated twisted yarns. In the present paper, the authors continue to evaluate the correlation model R-ε and the effects of the Fe staple-fiber spun yarns in detail. Together, the two studies provide an extensive understanding of the textile-related elements that affect pressure sensors. In addition, the process and the analysis (correlation model) could bring the textile sensors here developed close to the manufacturing stage, particularly for high precision/adjustable applications. We also develop a simple touch sensor matrix to demonstrate the potential of the sensor and the analyzing method.

Harvesting circuits for triboelectric nanogenerators for wearable applications

Internet of Things (IoT) and recently Internet of Nano Things (IoNT) bear the promise of new devices able to communicate and assist our daily lives toward wearable technologies which demand a versatile integration such as in wireless body networks (WBN), sensing, and health monitorization. These must comply with stringent constraints on energy usage. Dimensions and complexity intensify the need for small and maintenance-free power sources. Environment energy harvesting and storage is an important approach to sustain operation for a long time. Triboelectric nanogenerators (TENGs) arise as a strong and promising solution to power the new field of outcoming self-sustainable devices, implantable, and wearable devices. They can transform mechanical energy in different modes, have simple structures, and use vulgar and sustainable materials. This paper makes a review about TENGs technology, construction, materials, operation, and focus on strategies for harvesting circuits. Main challenges like efficiency, reliability, energy storage, and sustainability are discussed.

Layered MXene/Aramid Composite Film for a Soft and Sensitive Pressure Sensor

In recent years, the two-dimensional material MXene has shown great advantages in the field of wearable electronics and pressure sensors. Toward advanced applications, achieving a conformal pressure sensor with ultrathin thickness and great flexibility through a simple preparation principle, while maintaining its high sensitivity and wide detection range, is still a key challenge for the development of high-performance pressure sensors. Herein, we proposed an optimized mild LiF/HCl etching scheme and successfully achieved a high-concentration (>25 mg/mL) preparation of few-layer Ti₃C₂T_x MXene. Combining the prepared MXene with an aramid nanofiber (ANF), we designed an ultrathin layered pressure sensor based on an MXene/ANF composite through layer-by-layer suction filtration. The mechanical strength is greatly enhanced by composition with the ANF, while the pure MXene film is fragile. The sensor achieves a high sensitivity of 16.7 kPa^-1, wide detection range (>100 kPa), only 10 μm thickness, great flexibility, and up to 10% stretchability, which are greatly beneficial to practical sensors. We demonstrated the wide application perspective of the sensor in human motion monitoring and human-machine interfaces from low pressure (human pulse) to high pressure (push-up).

Monitoring the Degree of Comfort of Shoes In-Motion Using Triboelectric Pressure Sensors with an Ultrawide Detection Range

Shoes play an important role in sports and human daily life. Here, an in-shoe sensor pad (ISSP) attached to the vamp lining is based on a triboelectric nanogenerator (TENG) for monitoring the real-time stress distribution on the top side of a foot. Each sensor unit on this ISSP is an air-capsule TENG (AC-TENG) consisting of activated carbon/polyurethane (AC/PU) and microsphere array electrodes. The detection range of each AC-TENG reaches 7.27 MPa, which is enough for monitoring the pressure change during different sports. This multifunctional ISSP can realize many typical functions of conventional smart shoes, including step counting and human-machine interaction. Moreover, it can also reveal special information, including the fitness of shoes, the stress concentration on toes, and the in-motion comfort degree. The signal processing and data transmission modules in the system have a hybrid power supply with wireless power transfer, while the real-time information about feet can be observed on a cell phone. Hence, this ISSP provides a potential approach to study the feet motion and comfort degree of shoes in long-term operations, which can guide both athlete training and the customized design of shoes.

MXenes-A New Class of Two-Dimensional Materials: Structure, Properties and Potential Applications

A new class of two-dimensional nanomaterials, MXenes, which are carbides/nitrides/carbonitrides of transition and refractory metals, has been critically analyzed. Since the synthesis of the first family member in 2011 by Yury Gogotsi and colleagues, MXenes have quickly become attractive for a variety of research fields due to their exceptional properties. Despite the fact that this new family of 2D materials was discovered only about ten years ago, the number of scientific publications related to MXene almost doubles every year. Thus, in 2021 alone, more than 2000 papers are expected to be published, which indicates the relevance and prospects of MXenes. The current paper critically analyzes the structural features, properties, and methods of synthesis of MXenes based on recent available research data. We demonstrate the recent trends of MXene applications in various fields, such as environmental pollution removal and water desalination, energy storage and harvesting, quantum dots, sensors, electrodes, and optical devices. We focus on the most important medical applications: photo-thermal cancer therapy, diagnostics, and antibacterial treatment. The first results on obtaining and studying the structure of high-entropy MXenes are also presented.

Conductive Polymer Nanocomposites for Stretchable Electronics: Material Selection, Design, and Applications

Stretchable electronics that can elongate elastically as well as flex are crucial to a wide range of emerging technologies, such as wearable medical devices, electronic skin, and soft robotics. Critical to stretchable electronics is their ability to withstand large mechanical strain without failure while retaining their electrical conduction properties, a feat significantly beyond traditional metals and silicon-based semiconductors. Herein, we present a review of the recent advances in stretchable conductive polymer nanocomposites with exceptional stretchability and electrical properties, which have the potential to transform a wide range of applications, including wearable sensors for biophysical signals, stretchable conductors and electrodes, and deformable energy-harvesting and -storage devices. Critical to achieving these stretching properties are the judicious selection and hybridization of nanomaterials, novel microstructure designs, and facile fabrication processes, which are the focus of this Review. To highlight the potentials of conductive nanocomposites, a summary of some recent important applications is presented, including COVID-19 remote monitoring, connected health, electronic skin for augmented intelligence, and soft robotics. Finally, perspectives on future challenges and new research opportunities are also presented and discussed.

Design of a metamaterial film with excellent conformability and adhesion for bandage substrates

Developing films with excellent conformability and adhesion has become a research hotspot in many fields, such as medical bandages. The conventional method for enhancing films conformability and adhesion is to make the films thinner or modify the material of the films, which usually compromises the function of the films. In this paper, a novel metamaterial film was proposed to cover the skin area of a human elbow during the rotation of elbow. This structure is composed of unit cells with rectangular perforations, whose Poisson's ratio (PR) is determined by the length of the perforation. With finite element analysis (FEA), relations among the stretch strain, Poisson's ratio and length of the perforation of unit cell was obtained. Then, the proposed film was generated by mapping unit cells with different PR to the target skin surface. With the same deformation behavior as the elbow skin, conformability and adhesion of the generated film can be guaranteed during the entire rotation process of the elbow, which has been verified by both FEA and experimental tests. Theoretically, by changing the arrangement of different PR unit cells, the proposed method can be applied to design films for other complex surface on human body. It also provides a new way to introduce materials with better biocompatibility but poor mechanical properties as bandage substrates. As a possible application, a prototype of smart bandage was developed by installing a high-resolution temperature sensor on the proposed film, which can monitor the inflammation of the wounded skin in real time.

Lab-on-Eyeglasses to Monitor Kidneys and Strengthen Vulnerable Populations in Pandemics: Machine Learning in Predicting Serum Creatinine Using Tear Creatinine

The serum creatinine level is commonly recognized as a measure of glomerular filtration rate (GFR) and is defined as an indicator of overall renal health. A typical procedure in determining kidney performance is venipuncture to obtain serum creatinine in the blood, which requires a skilled technician to perform on a laboratory basis and multiple clinical steps to acquire a meaningful result. Recently, wearable sensors have undergone immense development, especially for noninvasive health monitoring without a need for a blood sample. This article addresses a fiber-based sensing device selective for tear creatinine, which was fabricated using a copper-containing benzenedicarboxylate (BDC) metal-organic framework (MOF) bound with graphene oxide-Cu(II) and hybridized with Cu₂O nanoparticles (NPs). Density functional theory (DFT) was employed to study the binding energies of creatinine toward the ternary hybrid materials that irreversibly occurred at pendant copper ions attached with the BDC segments. Electrochemical impedance spectroscopy (EIS) was utilized to probe the unique charge-transfer resistances of the derived sensing materials. The single-use modified sensor achieved 95.1% selectivity efficiency toward the determination of tear creatinine contents from 1.6 to 2400 μM of 10 repeated measurements in the presence of interfering species of dopamine, urea, and uric acid. The machine learning with the supervised training estimated 83.3% algorithm accuracy to distinguish among low, moderate, and high normal serum creatinine by evaluating tear creatinine. With only one step of collecting tears, this lab-on-eyeglasses with disposable hybrid textile electrodes selective for tear creatinine may be greatly beneficial for point-of-care (POC) kidney monitoring for vulnerable populations remotely, especially during pandemics.

Two-Dimensional MOF Modulated Fiber Nanogenerator for Effective Acoustoelectric Conversion and Human Motion Detection

The real-time application of piezoelectric nanogenerators (PNGs) under a harsh environment remains a challenge due to lower output performance and poor durability. Thus, the development of flexible, sensitive, and stable PNGs became a topic of interest to capture different human motions including gesture monitoring to speech recognition. Herein, a scalable approach is adapted where naphthylamine bridging a [Cd(II)-μ-I₄] two-dimensional (2D) metal-organic framework (MOF)-reinforced poly(vinylidene fluoride) (PVDF) composite nanofibers mat is prepared to fabricate a flexible and sensitive composite piezoelectric nanogenerator (C-PNG). The needle-shaped MOF was successfully synthesized by the layering and diffusion of two different solutions. The incorporation of single-crystalline 2D MOF ensures a large content of electroactive phases (98%) with a resultant high-magnitude piezoelectric coefficient of 41 pC/N in a composite nanofibers mat due to the interfacial specific interaction with -CH₂-/-CF₂- dipoles of PVDF. As an outcome, C-PNG generates high electrical output (open-circuit voltage of 22 V and maximum power density of 24 μW/cm²) with a very fast response time (t_r ≈ 5 ms) under periodic pressure imparting stimuli. Benefiting from bending and twisting functionality, C-PNG is capable of scavenging biomechanical energy by mimicking complex musculoskeletal motions that broaden its application in wearable electronics and fabric integrated medical devices. In addition, C-PNG also demonstrates an efficient acoustic vibration to electric energy conversion capability with an improved power density and acoustic sensitivity of 6.25 μW and 0.95 V/Pa, respectively. The overall energy conversion efficiency is sufficient to operate several consumer electronics without any energy storage unit. This acoustic observation is further validated by the finite element method-based theoretical simulation. Overall, the 2D MOF-based device design strategy opens up a new possibility to develop a human-motion compatible energy generator and a self-powered acoustic sensor to power up electronic gadgets as well as low-frequency noise detection.

All-Fiber-Structured Triboelectric Nanogenerator via One-Pot Electrospinning for Self-Powered Wearable Sensors

With the rapid development in wearable electronics, self-powered devices have recently attracted tremendous attention to overcome the restriction of conventional power sources. In this regard, a simple, scalable, and one-pot electrospinning fabrication technique was utilized to construct an all-fiber-structured triboelectric nanogenerator (TENG). Ethyl cellulose was co-electrospun with polyamide 6 to serve as the triboelectric positive material, and a kind of strongly electronegative conductive material of MXene sheet was innovatively incorporated into poly(vinylidene fluoride) nanofiber to act as a triboelectric negative material. The assembled all-fiber TENG exhibited excellent durability and stability, as well as excellent output performance, which reached a peak power density of 290 mW/m² at a load resistance of 100 MΩ. More importantly, the TENG was capable of harvesting energy to power various light-emitting diodes (LEDs) and monitoring human movements as a self-powered sensor, providing a promising application prospect in wearable electronics.

Textile Triboelectric Nanogenerators for Wearable Pulse Wave Monitoring

Arterial pulse waves are regarded as vital diagnostic tools in the assessment of cardiovascular disease (CVD). Because of their high sensitivity, rapid response time, wearability, and low cost, textile triboelectric nanogenerators (TENGs) are emerging as a compelling biotechnology for wearable pulse wave monitoring. We discuss sensing mechanisms for pulse-to-electricity conversion, analytical models for calculating cardiovascular parameters, and application scenarios for textile TENGs. We provide a prospective on the challenges that limit the wider application of this technology and suggest some future research directions. In the future, textile TENGs are expected to make an impact in the fields of wearable pulse wave monitoring and CVD diagnosis.

Wearable triboelectric nanogenerators for heart rate monitoring

Triboelectric nanogenerator emerges as a cost-effective biotechnology that could convert the subtle skin deformation caused by arterial pressure fluctuation into high voltage output, creating electrical signals with an extremely high signal-to-noise ratio for high-fidelity continuous pulse waveform monitoring.

Toward graphene textiles in wearable eye tracking systems for human-machine interaction

The study of eye movements and the measurement of the resulting biopotential, referred to as electrooculography (EOG), may find increasing use in applications within the domain of activity recognition, context awareness, mobile human-computer and human-machine interaction (HCI/HMI), and personal medical devices; provided that, seamless sensing of eye activity and processing thereof is achieved by a truly wearable, low-cost, and accessible technology. The present study demonstrates an alternative to the bulky and expensive camera-based eye tracking systems and reports the development of a graphene textile-based personal assistive device for the first time. This self-contained wearable prototype comprises a headband with soft graphene textile electrodes that overcome the limitations of conventional "wet" electrodes, along with miniaturized, portable readout electronics with real-time signal processing capability that can stream data to a remote device over Bluetooth. The potential of graphene textiles in wearable eye tracking and eye-operated remote object interaction is demonstrated by controlling a mouse cursor on screen for typing with a virtual keyboard and enabling navigation of a four-wheeled robot in a maze, all utilizing five different eye motions initiated with a single channel EOG acquisition. Typing speeds of up to six characters per minute without prediction algorithms and guidance of the robot in a maze with four 180° turns were successfully achieved with perfect pattern detection accuracies of 100% and 98%, respectively.

Amplifying and Leveraging Generated Force Upon Heating and Cooling in SMA Knitted Actuators

This work reexamines traditional shape memory alloy (SMA) loading paths commonly used in SMA-based actuator applications and presents a novel, superimposed condition in which SMA generates substantial forces upon heating and cooling. This atypical effect, which is investigated with a textile-based actuator, was found to be prominent at the completion of material phase transformation, at which point thermal expansion/contraction became the dominant force-generating mechanism. We demonstrate that amplification of generated forces can be accomplished by varying the applied thermal load, applied structural strain, as well as actuator architecture. Specifically, we present SMA knitted actuators as an actuator architecture that increases the effect by aggregating SMA wires within a complex strain profile-effectively providing a larger operational window for the effect to propagate. The amplification of blocking forces through this novel operational procedure suggests reconsidering traditional blocking force design paradigms and opens untapped actuator application spaces, such as the highlighted medical and aerospace wearable technologies.

Towards Truly Wearable Systems: Optimizing and Scaling Up Wearable Triboelectric Nanogenerators

Triboelectric nanogenerator (TENG) is an upcoming technology to harvest energy from ambient movements. A major focus herein is harvesting energy from human movements through wearable TENGs, which are constructed by integrating nanogenerators into clothing or accessories. Textile-based TENGs, which include fiber, yarn, and fabric-based TENG structures, account for the majority of wearable TENGs, with many designs and applications demonstrated recently. This calls for a comprehensive analysis of textile-based TENG technology, and how the state-of-the-art device optimization concepts can be deployed to construct them efficiently. Concurrently, how advanced engineering concepts and industrial manufacturing techniques, which are bound with fiber, yarn, and fabric-related developments, can be applied into the TENG context for their output enhancement is still under investigation. Herein, we fill this vital gap by analyzing the state-of-the-art developments, upcoming trends, output optimization strategies, scalability, and prospects of the textile-based TENG technology, presenting a textile engineering perspective.