Wearable Temperature Sensors with Enhanced Sensitivity by Engineering Microcrack Morphology in PEDOT:PSS-PDMS Sensors

A stretchable conductive elastomer sensor with self-healing and highly linear strain for human movement detection and pressure response

Expanding the detection information of wearable smart devices in applications has practical implications for their use in daily life and healthcare. Damage and breakage caused by mechanical injuries and continuous use are unavoidable for polymer matrices so self-healing properties are expected to be conferred on flexible sensors to extend their life and durability. In addition, a good linearity of relative resistance change vs. strain (gauge factor, GF) facilitates the streamlined conversion of electrical signals to 3D information of human motion, whereas existing works on sensors neglect the quantitative analysis of signals. This letter reports a self-healable flexible electronic sensor based on hydrogen bonding and electrostatic interaction between maleic acid-grafted natural rubber (MNR), polyaniline (PANI), and phytic acid (PA). MNR is the flexible matrix and the template for aniline (ANI) polymerization, and PA acts as the dopant and crosslinking agent. The MNR-PANI-PA sensor shows easy self-healing at room temperature, enhanced mechanical behaviour (∼2.5 MPa, 1000% strain), and excellent linearity (GF of 13.8 over 250% strain and GF of 32.0 over 250-100% strain). Due to the highly linear relationship between ΔR/R and bending angle, the electrical signals of human limb movement can output relevant information on bending angle and frequency. By constructing a sensing array, changes in the position and magnitude of applied pressure could also be detected in real-time. Based on these advantages, the MNR-PANI-PA composite sensor is expected to have potential applications in health monitoring, body motion detection, and electronic skins.

Recent advances in smart wearable sensors for continuous human health monitoring

In recent years, the biochemical and biological research areas have shown great interest in a smart wearable sensor because of its increasing prevalence and high potential to monitor human health in a non-invasive manner by continuous screening of biomarkers dispersed throughout the biological analytes, as well as real-time diagnostic tools and time-sensitive information compared to conventional hospital-centered system. These smart wearable sensors offer an innovative option for evaluating and investigating human health by incorporating a portion of recent advances in technology and engineering that can enhance real-time point-of-care-testing capabilities. Smart wearable sensors have emerged progressively with a mixture of multiplexed biosensing, microfluidic sampling, and data acquisition systems incorporated with flexible substrate and bodily attachments for enhanced wearability, portability, and reliability. There is a good chance that smart wearable sensors will be relevant to the early detection and diagnosis of disease management and control. Therefore, pioneering smart wearable sensors into reality seems extremely promising despite possible challenges in this cutting-edge technology for a better future in the healthcare domain. This review presents critical viewpoints on recent developments in wearable sensors in the upcoming smart digital health monitoring in real-time scenarios. In addition, there have been proactive discussions in recent years on materials selection, design optimization, efficient fabrication tools, and data processing units, as well as their continuous monitoring and tracking strategy with system-level integration such as internet-of-things, cyber-physical systems, and machine learning algorithms.

Ultrasensitive Flexible Temperature Sensors Based on Thermal-Mediated Ions Migration Dynamics in Asymmetrical Polymer Bilayers

Accurately acquiring crucial data on the ambient surroundings and physiological processes delivered via subtle temperature fluctuation is vital for advancing artificial intelligence and personal healthcare techniques but is still challenging. Here, we introduce an electrically induced cation injection mechanism based on thermal-mediated ion migration dynamics in an asymmetrical polymer bilayer (APB) composed of nonionic polymer and polyelectrolyte layers, enabling the development of ultrasensitive flexible temperature sensors. The resulting optimized sensor achieves ultrahigh sensitivity, with a thermal index surpassing 10,000 K-1, which allows identifying temperature differences as small as 10 mK with a sensitivity that exceeds 1.5 mK. The mechanism also enables APB sensors to possess good insensitivity to various mechanical deformations─features essential for practical applications. As a proof of concept, we demonstrate the potential impact of APB sensors in various conceptual applications, such as mental tension evaluation, biomimetic thermal tactile, and thermal radiation detection.

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.

High-Performance Flexible Temperature Sensors Based on Laser-Irradiated Ag-MWCNTs/PEDOT:PSS

Recently, flexible temperature sensors have attracted significant interest due to their wide-ranging applications in areas such as biomedical monitoring, environmental monitoring, electronic skin, and intelligent robots. However, a combination of high sensitivity and high resolution remains a critical challenge. These properties depend on the synthesis techniques of the sensitive materials. In this work, we use a laser irradiation method to prepare a silver nanoparticle-modified carbon nanotube (Ag-MWCNT) which is further mixed with poly(3,4-ethylenedioxythiophene)-poly(styrenesulfonate) (PEDOT:PSS). The developed temperature sensor exhibited a high sensitivity of -0.45% °C-1 and linearity with an R2 value of 0.998 in the temperature range of 25-80 °C. Additionally, the sensor demonstrated remarkable repeatability, making it suitable for real-time temperature monitoring of the human body and environment. This temperature sensor is successfully demonstrated in practical applications such as monitoring the temperature of various parts of the human body and sensing the spatial temperature. These demonstrations highlight their significant potential in electronic skin and other related fields.

Programming crack patterns with light in colloidal plasmonic films

Crack formation observed across diverse fields like geology, nanotechnology, arts, structural engineering or surface science, is a chaotic and undesirable phenomenon, resulting in random patterns of cracks generally leading to material failure. Limiting the formation of cracks or "programming" the path of cracks is a great technological challenge since it holds promise to enhance material durability or even to develop low cost patterning methods. Drawing inspiration from negative phototropism in plants, we demonstrate the capability to organize, guide, replicate, or arrest crack propagation in colloidal films through remote light manipulation. The key consists in using plasmonic photothermal absorbers to generate "virtual" defects enabling controlled deviation of cracks. We engineer a dip-coating process coupled with selective light irradiation enabling simultaneous deposition and light-directed crack patterning. This approach represents a rare example of a robust self-assembly process with long-range order that can be programmed in both space and time.

Fabrication of highly stretchable salt and solvent blended PEDOT:PSS/PVA free-standing films: non-linear to linear electrical conduction response

Nowadays, ductile and conducting polymeric materials are highly utilizable in the realm of stretchable organic electronics. Here, mechanically ductile and electrically conducting free-standing films are fabricated by blending different solvents such as dimethyl sulfoxide (DMSO), diethylene glycol (DEG) and N,N-dimethylformamide (DMF), and salts such as silver nitrate (AgNO3), zinc chloride (ZnCl2), copper chloride (CuCl2) and indium chloride (InCl3) with the homogeneous solution of poly(3,4-ethylenedioxythiophene):polystyrenesulfonate (PEDOT:PSS) and poly(vinyl alcohol) (PVA) through solution casting method. The presence of salt modifies the PEDOT conformation from benzoid to quinoid, and induces the evolution of different morphologies. ZnCl2 or AgNO3 blended films have lower surface roughness and good miscibility with polymers, while CuCl2 or InCl3 blended films have relatively higher surface roughness as well as irregularly distributed surface morphology. Some crystalline domains are also formed due to the salt agglomeration. The presence of salt inside PEDOT:PSS/PVA/solvent system changes the current-voltage response from non-linear to linear. Among all the films, zinc salt blended PEDOT:PSS/PVA/DMSO, PEDOT:PSS/PVA/DEG and PEDOT:PSS/PVA/DMF films have higher conductivity, and zinc salt blended PEDOT:PSS/PVA/DEG film shows the highest conductivity of 0.041 ± 0.0014 S cm-1, while silver salt blended PEDOT:PSS/PVA/DMSO, PEDOT:PSS/PVA/DEG and PEDOT:PSS/PVA/DMF films have higher elongation at break, and silver salt blended PEDOT:PSS/PVA/DMSO film shows the highest elongation at break of 670 ± 31%. Both the charge carriers, i.e., electrons and ions, contribute to the electrical conduction, and the presence of hydrogen bonds and ionic interactions among PEDOT+, PSS-, PVA, residual solvent, salt cations and anions modifies the film behaviours. Among all the films, ZnCl2 blended PEDOT:PSS/PVA/DMSO film offers relatively superior behaviours having higher conductivity (0.025 ± 0.0013 S cm-1) and elongation at break (517 ± 15%), and therefore can have potential applications in the fields of wearable devices, bioelectronics, etc.

Electrospinning Nanofibers as Stretchable Sensors for Wearable Devices

Wearable devices attract great attention in intelligent medicine, electronic skin, artificial intelligence robots, and so on. However, boundedness of traditional sensors based on rigid materials unconstrained self-multilayer structure assembly and dense substrate in stretchability and permeability limits their applications. The network structure of the elastomeric nanofibers gives them excellent air permeability and stretchability. By introducing metal nanofillers, intrinsic conductive polymers, carbon materials, and other methods to construct conductive paths, stretchable conductors can be effectively prepared by elastomeric nanofibers, showing great potential in the field of flexible sensors. This perspective briefly introduces the representative preparations of conductive thermoplastic polyurethane, nylon, and hydrogel nanofibers by electrospinning and the application of integrated electronic devices in biological signal detection. The main challenge is to unify the stretchability and conductivity of the fiber structure.

Advances in the Use of Conducting Polymers for Healthcare Monitoring

Conducting polymers (CPs) are an innovative class of materials recognized for their high flexibility and biocompatibility, making them an ideal choice for health monitoring applications that require flexibility. They are active in their design. Advances in fabrication technology allow the incorporation of CPs at various levels, by combining diverse CPs monomers with metal particles, 2D materials, carbon nanomaterials, and copolymers through the process of polymerization and mixing. This method produces materials with unique physicochemical properties and is highly customizable. In particular, the development of CPs with expanded surface area and high conductivity has significantly improved the performance of the sensors, providing high sensitivity and flexibility and expanding the range of available options. However, due to the morphological diversity of new materials and thus the variety of characteristics that can be synthesized by combining CPs and other types of functionalities, choosing the right combination for a sensor application is difficult but becomes important. This review focuses on classifying the role of CP and highlights recent advances in sensor design, especially in the field of healthcare monitoring. It also synthesizes the sensing mechanisms and evaluates the performance of CPs on electrochemical surfaces and in the sensor design. Furthermore, the applications that can be revolutionized by CPs will be discussed in detail.

Doping Engineering of Conductive Polymers and Their Application in Physical Sensors for Healthcare Monitoring

Physical sensors have emerged as a promising technology for real-time healthcare monitoring, which tracks various physical signals from the human body. Accurate acquisition of these physical signals from biological tissue requires excellent electrical conductivity and long-term durability of the sensors under complex mechanical deformation. Conductive polymers, combining the advantages of conventional polymers and organic conductors, are considered ideal conductive materials for healthcare physical sensors due to their intrinsic conductive network, tunable mechanical properties, and easy processing. Doping engineering has been proposed as an effective approach to enhance the sensitivity, lower the detection limit, and widen the operational range of sensors based on conductive polymers. This approach enables the introduction of dopants into conductive polymers to adjust and control the microstructure and energy levels of conductive polymers, thereby optimizing their mechanical and conductivity properties. This review article provides a comprehensive overview of doping engineering methods to improve the physical properties of conductive polymers and highlights their applications in the field of healthcare physical sensors, including temperature sensors, strain sensors, stress sensors, and electrophysiological sensing. Additionally, the challenges and opportunities associated with conductive polymer-based physical sensors in healthcare monitoring are discussed.

Mechanically Tough and Highly Stretchable Hydrogels Based on Polyurethane for Sensitive Strain Sensor

Hydrogels with flexible and stretchable properties are ideal for applications in wearable sensors. However, traditional hydrogel-based sensors suffer from high brittleness and low electrical sensitivity. In this case, to solve this dilemma, a macromolecular polyurethane crosslinking agent (PCA) was designed and prepared; after that, PCA and two-dimensional (2D) MXene nanosheets were both introduced into a covalently crosslinked network to enhance the comprehensive mechanical and electrochemical properties of the hydrogels. The macromolecular polyurethane crosslinking agent promotes high-tensile strength and highly stretchable capacity by suitable covalent crosslinking. The optimized hydrogel, which exhibited maximum tensile strength and maximum elongation at break, had results of 1.21 MPa and 644%, respectively. Two-dimensional MXene nanosheets provide hydrogel with high electrical conductivity and strain sensitivity, producing a wearable device for the continuous monitoring of human movements and facial microexpressions. This study demonstrated an efficient structure design strategy for building mechanically tough, highly stretchable, and sensitive dual-mode MXenes-based wearable sensors.

All Resistive Pressure-Temperature Bimodal Sensing E-Skin for Object Classification

Electronic skin (E-skin) with multimodal sensing ability demonstrates huge prospects in object classification by intelligent robots. However, realizing the object classification capability of E-skin faces severe challenges in multiple types of output signals. Herein, a hierarchical pressure-temperature bimodal sensing E-skin based on all resistive output signals is developed for accurate object classification, which consists of laser-induced graphene/silicone rubber (LIG/SR) pressure sensing layer and NiO temperature sensing layer. The highly conductive LIG is employed as pressure-sensitive material as well as the interdigital electrode. Benefiting from high conductivity of LIG, pressure perception exhibits an excellent sensitivity of -34.15 kPa-1 . Meanwhile, a high temperature coefficient of resistance of -3.84%°C-1 is obtained in the range of 24-40 °C. More importantly, based on only electrical resistance as the output signal, the bimodal sensing E-skin with negligible crosstalk can simultaneously achieve pressure and temperature perception. Furthermore, a smart glove based on this E-skin enables classifying various objects with different shapes, sizes, and surface temperatures, which achieves over 92% accuracy under assistance of deep learning. Consequently, the hierarchical pressure-temperature bimodal sensing E-skin demonstrates potential application in human-machine interfaces, intelligent robots, and smart prosthetics.

Transparent Electronics for Wearable Electronics Application

Recent advancements in wearable electronics offer seamless integration with the human body for extracting various biophysical and biochemical information for real-time health monitoring, clinical diagnostics, and augmented reality. Enormous efforts have been dedicated to imparting stretchability/flexibility and softness to electronic devices through materials science and structural modifications that enable stable and comfortable integration of these devices with the curvilinear and soft human body. However, the optical properties of these devices are still in the early stages of consideration. By incorporating transparency, visual information from interfacing biological systems can be preserved and utilized for comprehensive clinical diagnosis with image analysis techniques. Additionally, transparency provides optical imperceptibility, alleviating reluctance to wear the device on exposed skin. This review discusses the recent advancement of transparent wearable electronics in a comprehensive way that includes materials, processing, devices, and applications. Materials for transparent wearable electronics are discussed regarding their characteristics, synthesis, and engineering strategies for property enhancements. We also examine bridging techniques for stable integration with the soft human body. Building blocks for wearable electronic systems, including sensors, energy devices, actuators, and displays, are discussed with their mechanisms and performances. Lastly, we summarize the potential applications and conclude with the remaining challenges and prospects.

Crack-Based Sensor with Microstructures for Strain and Pressure Sensing

Recent extensive research on flexible electronics has led to the development of various flexible sensors. In particular, sensors inspired by the slit organs of a spider, which utilize cracks in a metal film to measure strain, have garnered considerable interest. This method exhibited significantly high sensitivity, repeatability, and durability in measuring strain. In this study, a thin-film crack sensor was developed using a microstructure. The results exhibited its ability to simultaneously measure the tensile force and pressure in a thin film, further expanding its applications. Furthermore, the strain and pressure characteristics of the sensor were measured and analyzed using an FEM simulation. The proposed method is expected to contribute to the future development of wearable sensors and artificial electronic skin research.

Atomic Force Microscopy Probing and Analysis of Polyimide Supramolecular Systems for Sensor Devices

A series of polyimide supramolecular systems containing different amounts of azochromophore were tested as flexible supports that can be used in the fabrication of certain devices, such as sensors for monitoring the temperature changes, by coating them with conductive metals. That is why it is required to have good interfacial compatibility between the flexible substrate and the inorganic layer. The interface of the sensor elements must be designed in such a way as to improve the sensitivity, accuracy, and response time of the device. Laser irradiation is one of the commonly employed techniques used for surface adaptation by patterning polyimides to increase contact and enhance device reliability and signal transmission. In this context, this work highlights unreported aspects arising from the azo-polyimide morphology, local nanomechanical properties and wettability, which are impacting the compatibility with silver. The texture parameters indicate an improvement of the modulations' quality arising after laser irradiation through the phase mask, increasing the bearing capacity, fluid retention, and surface anisotropy when the amount of the azochromophore increases. The force curve spectroscopy and wettability studies indicated that the modification of the polymer morphology and surface chemistry lead to a better interfacial interaction with the metal lines when the azo component and the polyamidic acid are in equimolar quantities.

Micro/Nano-Fabrication of Flexible Poly(3,4-Ethylenedioxythiophene)-Based Conductive Films for High-Performance Microdevices

With the increasing demands for novel flexible organic electronic devices, conductive polymers are now becoming the rising star for reaching such targets, which has witnessed significant breakthroughs in the fields of thermoelectric devices, solar cells, sensors, and hydrogels during the past decade due to their outstanding conductivity, solution-processing ability, as well as tailorability. However, the commercialization of those devices still lags markedly behind the corresponding research advances, arising from the not high enough performance and limited manufacturing techniques. The conductivity and micro/nano-structure of conductive polymer films are two critical factors for achieving high-performance microdevices. In this review, the state-of-the-art technologies for developing organic devices by using conductive polymers are comprehensively summarized, which will begin with a description of the commonly used synthesis methods and mechanisms for conductive polymers. Next, the current techniques for the fabrication of conductive polymer films will be proffered and discussed. Subsequently, approaches for tailoring the nanostructures and microstructures of conductive polymer films are summarized and discussed. Then, the applications of micro/nano-fabricated conductive films-based devices in various fields are given and the role of the micro/nano-structures on the device performances is highlighted. Finally, the perspectives on future directions in this exciting field are presented.

A Review of Skin-Wearable Sensors for Non-Invasive Health Monitoring Applications

The early detection of fatal diseases is crucial for medical diagnostics and treatment, both of which benefit the individual and society. Portable devices, such as thermometers and blood pressure monitors, and large instruments, such as computed tomography (CT) and X-ray scanners, have already been implemented to collect health-related information. However, collecting health information using conventional medical equipment at home or in a hospital can be inefficient and can potentially affect the timeliness of treatment. Therefore, on-time vital signal collection via healthcare monitoring has received increasing attention. As the largest organ of the human body, skin delivers significant signals reflecting our health condition; thus, receiving vital signals directly from the skin offers the opportunity for accessible and versatile non-invasive monitoring. In particular, emerging flexible and stretchable electronics demonstrate the capability of skin-like devices for on-time and continuous long-term health monitoring. Compared to traditional electronic devices, this type of device has better mechanical properties, such as skin conformal attachment, and maintains compatible detectability. This review divides the health information that can be obtained from skin using the sensor aspect's input energy forms into five categories: thermoelectrical signals, neural electrical signals, photoelectrical signals, electrochemical signals, and mechanical pressure signals. We then summarize current skin-wearable health monitoring devices and provide outlooks on future development.

A Pressure and Temperature Dual-Parameter Sensor Based on a Composite Material for Electronic Wearable Devices

Wearable sensors integrating multiple functionalities are highly desirable in artificial wearable devices, which are of great significance in the field of biomedical research and for human-computer interactions. However, it is still a great challenge to simultaneously perceive multiple external stimuli such as pressure and temperature with one single sensor. Combining the piezoresistive effect with the negative temperature coefficient of resistance, in this paper, we report on a pressure-temperature dual-parameter sensor composed of a polydimethylsiloxane film, carbon nanotube sponge, and poly(3,4-ethylenedioxythiophene)-poly(styrenesulfonate). The proposed multifunctional sensor can stably monitor pressure signals with a high sensitivity of 16 kPa^-1, has a range of up to 2.5 kPa, and also has a fast response time. Meanwhile, the sensor can also respond to temperature changes with an ultrahigh sensitivity rate of 0.84% °C^-1 in the range of 20 °C to 80 °C. To validate the applicability of our sensor in practical environments, we conducted real-scene tests, which revealed its capability for monitoring = human motion signals while simultaneously sensing external temperature stimuli, reflecting its great application prospects for electronic wearable devices.

Recent Advances in Multifunctional Wearable Sensors and Systems: Design, Fabrication, and Applications

Multifunctional wearable sensors and systems are of growing interest over the past decades because of real-time health monitoring and disease diagnosis capability. Owing to the tremendous efforts of scientists, wearable sensors and systems with attractive advantages such as flexibility, comfort, and long-term stability have been developed, which are widely used in temperature monitoring, pulse wave detection, gait pattern analysis, etc. Due to the complexity of human physiological signals, it is necessary to measure multiple physiological information simultaneously to evaluate human health comprehensively. This review summarizes the recent advances in multifunctional wearable sensors, including single sensors with various functions, planar integrated sensors, three-dimensional assembled sensors, and stacked integrated sensors. The design strategy, manufacturing method, and potential application of each type of sensor are discussed. Finally, we offer an outlook on future developments and provide perspectives on the remaining challenges and opportunities of wearable multifunctional sensing technology.

A biomimetic laminated strategy enabled strain-interference free and durable flexible thermistor electronics

The development of flexible thermistor epidermal electronics (FTEE) to satisfy high temperature resolution without strain induced signal distortion is of great significance but still challenging. Inspired by the nacre microstructure capable of restraining the stress concentration, we exemplify a versatile MXene-based thermistor elastomer sensor (TES) platform that significantly alleviates the strain interference by the biomimetic laminated strategy combining with the in-plane stress dissipation and nacre-mimetic hierarchical architecture, delivering competitive advantages of superior thermosensitivity (-1.32% °C^-1), outstanding temperature resolution (~0.3 °C), and unparalleled mechanical durability (20000 folding fatigue cycles), together with considerable improvement in strain-tolerant thermosensation over commercial thermocouple in exercise scenario. By a combination of theoretical model simulation, microstructure observation, and superposed signal detection, the authors further reveal the underlying temperature and strain signal decoupling mechanism that substantiate the generality and customizability of the nacre-mimetic strategy, possessing insightful significance of fabricating FTEE for static and dynamic temperature detection.

Self-Powered Resilient Porous Sensors with Thermoelectric Poly(3,4-ethylenedioxythiophene):Poly(styrenesulfonate) and Carbon Nanotubes for Sensitive Temperature and Pressure Dual-Mode Sensing

Portable and wearable dual-mode sensors that can simultaneously detect multiple stimuli are essential for emerging artificial intelligence applications, and most efforts are devoted to exploring pressure-sensing devices. It is still challenging to integrate temperature and pressure-sensing functions into one sensor without the requirement for complex decoupling processes. Herein, we develop a self-powered and multifunctional dual-mode sensor by dip-coating melamine sponge with both poly(3,4-ethylenedioxythiophene):poly(styrenesulfonate) (PEDOT:PSS) and carboxylated single-walled carbon nanotubes (CNTs). By integrating thermoelectric and conductive PEDOT:PSS/CNT components with the hydrophilic and resilient porous sponge, the resultant sensor is efficient in independently detecting temperature and pressure changes. The temperature and pressure stimuli can be independently converted to voltage and electrical resistance signals on the basis of the Seebeck and piezoresistive effects, respectively. The sensor exhibits a high Seebeck coefficient of 35.9 μV K^-1 with a minimum temperature detection limit of 0.4 K and a pressure sensitivity of -3.35% kPa^-1 with a minimum pressure detection limit of 4 Pa. Interestingly, the sensor can also be self-powered upon illumination. These multi-functionalities make the sensor a promising tool for applications in electronic skin, soft robots, solar energy conversion, and personal health monitoring.

A Focused Review on the Flexible Wearable Sensors for Sports: From Kinematics to Physiologies

As an important branch of wearable electronics, highly flexible and wearable sensors are gaining huge attention due to their emerging applications. In recent years, the participation of wearable devices in sports has revolutionized the way to capture the kinematical and physiological status of athletes. This review focuses on the rapid development of flexible and wearable sensor technologies for sports. We identify and discuss the indicators that reveal the performance and physical condition of players. The kinematical indicators are mentioned according to the relevant body parts, and the physiological indicators are classified into vital signs and metabolisms. Additionally, the available wearable devices and their significant applications in monitoring these kinematical and physiological parameters are described with emphasis. The potential challenges and prospects for the future developments of wearable sensors in sports are discussed comprehensively. This review paper will assist both athletic individuals and researchers to have a comprehensive glimpse of the wearable techniques applied in different sports.

An integrated microfluidic platform featuring real-time reverse transcription loop-mediated isothermal amplification for detection of COVID-19

An integrated microfluidic platform (IMP) utilizing real-time reverse-transcription loop-mediated isothermal amplification (RT-LAMP) was developed here for detection and quantification of three genes of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2; i.e., coronavirus diseases 2019 (COVID-19)): RNA-dependent RNA polymerase, the envelope gene, and the nucleocapsid gene for molecular diagnosis. The IMP comprised a microfluidic chip, a temperature control module, a fluidic control module that collectively carried out viral lysis, RNA extraction, RT-LAMP, and the real-time detection within 90 min in an automatic format. A limit of detection of 5 × 10³ copies/reaction for each gene was determined with three samples including synthesized RNAs, inactive viruses, and RNAs extracted from clinical samples; this compact platform could be a useful tool for COVID-19 diagnostics.

Ultrasensitive, Highly Stable, and Flexible Strain Sensor Inspired by Nature

For advanced flexible strain sensors, it is not difficult to achieve high sensitivity only. However, integrating high sensitivity, high stability, and high durability into one sensor still remains a great challenge. Fortunately, natural creatures with diversified excellent performances have given us a lot of ready-made solutions. Here, scorpion and spiderweb are selected as coupling bionic prototypes, which are famous for their ultrasensitive sensing capacity and excellent structural durability, respectively. Based on that, a bioinspired strain sensor is successfully fabricated. The results demonstrate that the bioinspired strain sensor has a sensitivity of 940.5 in the strain range of 0-1.5% and a sensitivity of 2742.3 between 1.5 and 2.5%. Meantime, this sensor with a spiderweb-like reticular structure has a great improvement in stability and durability. Specifically, the sensor exhibits excellent stability during bending and stretching cycles over 80,000 times. Moreover, the response time and recovery time of the sensor are 169 and 195 ms, respectively. Besides, the sensor also has functions such as vibrating frequency identification due to its low hysteresis. Based on the excellent performance, the sensor can be applied to monitor human body motions serving as wearable electronics.

A Novel Porous PDMS-AgNWs-PDMS (PAP)-Sponge-Based Capacitive Pressure Sensor

The development of capacitive pressure sensors with low cost, high sensitivity and facile fabrication techniques is desirable for flexible electronics and wearable devices. In this project, a highly sensitive and flexible capacitive pressure sensor was fabricated by sandwiching a porous PAP sponge dielectric layer between two copper electrodes. The porous PAP sponge dielectric layer was fabricated by introducing highly conductive silver nanowires (AgNWs) into the PDMS sponge with 100% sucrose as a template and with a layer of polydimethylsiloxane (PDMS) film coating the surface. The sensitivity of the PAP sponge capacitive pressure sensor was optimized by increasing the load amount of AgNWs. Experimental results demonstrated that when the load amount of AgNWs increased to 150 mg in the PAP sponge, the sensitivity of the sensor was the highest in the low-pressure range of 0–1 kPa, reaching 0.62 kPa−1. At this point, the tensile strength and elongation of sponge were 1.425 MPa and 156.38%, respectively. In addition, the specific surface area of PAP sponge reached 2.0 cm2/g in the range of 0–10 nm pore size, and showed excellent waterproof performance with high elasticity, low hysteresis, light weight, and low density. Furthermore, as an application demonstration, ~110 LED lights were shown to light up when pressed onto the optimized sensor. Hence, this novel porous PAP-sponge-based capacitive pressure sensor has a wide range of potential applications in the field of wearable electronics.

Wearable Multi-Functional Sensing Technology for Healthcare Smart Detection

In recent years, considerable research efforts have been devoted to the development of wearable multi-functional sensing technology to fulfill the requirements of healthcare smart detection, and much progress has been achieved. Due to the appealing characteristics of flexibility, stretchability and long-term stability, the sensors have been used in a wide range of applications, such as respiration monitoring, pulse wave detection, gait pattern analysis, etc. Wearable sensors based on single mechanisms are usually capable of sensing only one physiological or motion signal. In order to measure, record and analyze comprehensive physical conditions, it is indispensable to explore the wearable sensors based on hybrid mechanisms and realize the integration of multiple smart functions. Herein, we have summarized various working mechanisms (resistive, capacitive, triboelectric, piezoelectric, thermo-electric, pyroelectric) and hybrid mechanisms that are incorporated into wearable sensors. More importantly, to make wearable sensors work persistently, it is meaningful to combine flexible power units and wearable sensors and form a self-powered system. This article also emphasizes the utility of self-powered wearable sensors from the perspective of mechanisms, and gives applications. Furthermore, we discuss the emerging materials and structures that are applied to achieve high sensitivity. In the end, we present perspectives on the outlooks of wearable multi-functional sensing technology.

Strong Bacterial Cellulose-Based Films with Natural Laminar Alignment for Highly Sensitive Humidity Sensors

Humidity sensors have been widely used for humidity monitoring in industry and agriculture fields. However, the rigid structure, nondegradability, and large dimension of traditional humidity sensors significantly restrict their applications in wearable fields. In this study, a flexible, strong, and eco-friendly bacterial cellulose-based humidity sensor (BPS) was fabricated using a two-step method, involving solvent evaporation-induced self-assembly and electrolyte permeation. Rapid evaporation of organic solvent induces the formation of nanopores of the bacterial cellulose (BC) surface and promotes structural densification. Furthermore, the successful embedding of potassium hydroxide into the sophisticated network of BC effectively enhanced the sensing performance of BPS. The BPS exhibits an excellent humidity sensing response of more than 10³ within the relative humidity ranging from 36.4 to 93% and strong (66.4 MPa) and high flexibility properties owing to the ultrafine fiber network and abundant hydrophilic functional groups of BC. Besides being strong and thin, BPS is also highly flexible, biodegradable, and humidity-sensitive, making it a potential candidate in wearable electronics, human health monitoring, and noncontact switching.

Wearable Sensors for Remote Health Monitoring: Potential Applications for Early Diagnosis of Covid-19

Wearable sensors are emerging as a new technology to detect physiological and biochemical markers for remote health monitoring. By measuring vital signs such as respiratory rate, body temperature, and blood oxygen level, wearable sensors offer tremendous potential for the noninvasive and early diagnosis of numerous diseases such as Covid-19. Over the past decade, significant progress has been made to develop wearable sensors with high sensitivity, accuracy, flexibility, and stretchability, bringing to reality a new paradigm of remote health monitoring. In this review paper, the latest advances in wearable sensor systems that can measure vital signs at an accuracy level matching those of point-of-care tests are presented. In particular, the focus of this review is placed on wearable sensors for measuring respiratory behavior, body temperature, and blood oxygen level, which are identified as the critical signals for diagnosing and monitoring Covid-19. Various designs based on different materials and working mechanisms are summarized. This review is concluded by identifying the remaining challenges and future opportunities for this emerging field.

Synthesis of a grape-like conductive carbon black/Ag hybrid as the conductive filler for soft silicone rubber

Conductive silicone rubber (CSR) is an outstanding stretchable conductive composite due to its excellent mechanical properties and stable conductivity. In this paper, silver nanoparticles were deposited on carbon black (CB) through a reduction reaction. The uniform dispersion of silver particles on the surface of CB as well as the grape-like branch structure of hybrid particles was formed by the condensation reaction of the hydroxyl groups of CB with (3-mercaptopropyl) trimethoxysilane (KH-590), along with the interattraction between sulfhydryl groups of KH-590 and silver ions. This sulfhydryl modified conductive carbon black/Ag hybrid filler (SMCB@Ag) avoided the high processing viscosity of CSR caused by the hydroxyl groups of CB. The percolation threshold of CSR made from SMCB@Ag was 5.5 wt% according to the percolation equation. With the addition amount of SMCB@Ag increasing to 10 wt%, the conductivity of CSR increased from 10^-5 to about 10¹. Moreover, the conductivity of this CSR showed excellent stability with extension of storage time and increase of stretching-recovery cycles.

Plant Bioelectronics and Biohybrids: The Growing Contribution of Organic Electronic and Carbon-Based Materials

Life in our planet is highly dependent on plants as they are the primary source of food, regulators of the atmosphere, and providers of a variety of materials. In this work, we review the progress on bioelectronic devices for plants and biohybrid systems based on plants, therefore discussing advancements that view plants either from a biological or a technological perspective, respectively. We give an overview on wearable and implantable bioelectronic devices for monitoring and modulating plant physiology that can be used as tools in basic plant science or find application in agriculture. Furthermore, we discuss plant-wearable devices for monitoring a plant's microenvironment that will enable optimization of growth conditions. The review then covers plant biohybrid systems where plants are an integral part of devices or are converted to devices upon functionalization with smart materials, including self-organized electronics, plant nanobionics, and energy applications. The review focuses on advancements based on organic electronic and carbon-based materials and discusses opportunities, challenges, as well as future steps.

Silver Conductive Threads-Based Embroidered Electrodes on Textiles as Moisture Sensors for Fluid Detection in Biomedical Applications

Wearable sensors have become part of our daily life for health monitoring. The detection of moisture content is critical for many applications. In the present research, textile-based embroidered sensors were developed that can be integrated with a bandage for wound management purposes. The sensor comprised an interdigitated electrode embroidered on a cotton substrate with silver-tech 150 and HC 12 threads, respectively, that have silver coated continuous filaments and 100% polyamide with silver-plated yarn. The said sensor is a capacitive sensor with some leakage. The change in the dielectric constant of the substrate as a result of moisture affects the value of capacitance and, thus, the admittance of the sensor. The moisture sensor's operation is verified by measuring its admittance at 1 MHz and the change in moisture level (1-50) µL. It is observed that the sensitivity of both sensors is comparable. The identically fabricated sensors show similar response and sensitivity while wash test shows the stability of sensor after washing. The developed sensor is also able to detect the moisture caused by both artificial sweat and blood serum, which will be of value in developing new sensors tomorrow for smart wound-dressing applications.

A Flexible Temperature Sensor for Noncontact Human-Machine Interaction

Flexible sensors have attracted extensive attention because of their promising applications in the fields of health monitoring, intelligent robots, and electronic skin, etc. During the COVID-19 epidemic, noncontact control of public equipment such as elevators, game consoles, and doors has become particularly important, as it can effectively reduce the risk of cross-infection. In this work, a noncontact flexible temperature sensor is prepared via a simple dip-drying progress, in which poly(3,4-ethylenedioxythiophene):poly(4-styrene sulfonate) (PEDOT:PSS) and printer paper served as the sensing material and the flexible substrate, respectively. We combined the highly sensitive temperature-responsive property of PEDOT:PSS with the good hygroscopicity of printer paper. The prepared sensor shows high sensitivity and good stability in noncontact sensing mode within the temperature range of 20-50 °C. To prove the practicability of the noncontact temperature sensor, a 3 × 2 sensing array is prepared as a noncontact human-machine interface to realize the interaction between player and "Pound-A-Mole game" and a Bluetooth car. These two demos show the sensor's ability to perceive nearby temperature changes, verifying its application potential as a noncontact human-machine interaction interface.

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.

Non-invasive wearable chemical sensors in real-life applications

Over the past decade, non-invasive wearable chemical sensors have gained tremendous attention in the field of personal health monitoring and medical diagnosis. These sensors provide non-invasive, real-time, and continuous monitoring of targeted biomarkers with more simplicity than the conventional diagnostic approaches. This review primarily describes the substrate materials used for sensor fabrication, sample collection and handling, and analytical detection techniques that are utilized to detect biomarkers in different biofluids. Common substrates including paper, textile, and hydrogel for wearable sensor fabrication are discussed. Principles and applications of colorimetric and electrochemical detection in wearable chemical sensors are illustrated. Data transmission systems enabling wireless communication between the sensor and output devices are also discussed. Finally, examples of different designs of wearable chemical sensors including tattoos, garments, and accessories are shown. Successful development of non-invasive wearable chemical sensors will effectively help users to manage their personal health, predict the potential diseases, and eventually improve the overall quality of life.

Spider-Web and Ant-Tentacle Doubly Bio-Inspired Multifunctional Self-Powered Electronic Skin with Hierarchical Nanostructure

For the practical applications of wearable electronic skin (e-skin), the multifunctional, self-powered, biodegradable, biocompatible, and breathable materials are needed to be assessed and tailored simultaneously. Integration of these features in flexible e-skin is highly desirable; however, it is challenging to construct an e-skin to meet the requirements of practical applications. Herein, a bio-inspired multifunctional e-skin with a multilayer nanostructure based on spider web and ant tentacle is constructed, which can collect biological energy through a triboelectric nanogenerator for the simultaneous detection of pressure, humidity, and temperature. Owing to the poly(vinyl alcohol)/poly(vinylidene fluoride) nanofibers spider web structure, internal bead-chain structure, and the collagen aggregate nanofibers based positive friction material, e-skin exhibits the highest pressure sensitivity (0.48 V kPa-1 ) and high detection range (0-135 kPa). Synchronously, the nanofibers imitating the antennae of ants provide e-skin with short response and recovery time (16 and 25 s, respectively) to a wide humidity range (25-85% RH). The e-skin is demonstrated to exhibit temperature coefficient of resistance (TCR = 0.0075 °C-1 ) in a range of the surrounding temperature (27-55 °C). Moreover, the natural collagen aggregate and the all-nanofibers structure ensure the biodegradability, biocompatibility, and breathability of the e-skin, showing great promise for practicability.

From Chaos to Control: Programmable Crack Patterning with Molecular Order in Polymer Substrates

Cracks are typically associated with the failure of materials. However, cracks can also be used to create periodic patterns on the surfaces of materials, as observed in the skin of crocodiles and elephants. In synthetic materials, surface patterns are critical to micro- and nanoscale fabrication processes. Here, a strategy is presented that enables freely programmable patterns of cracks on the surface of a polymer and then uses these cracks to pattern other materials. Cracks form during deposition of a thin film metal on a liquid crystal polymer network (LCN) and follow the spatially patterned molecular order of the polymer. These patterned sub-micrometer scale cracks have an order parameter of 0.98 ± 0.02 and form readily over centimeter-scale areas on the flexible substrates. The patterning of the LCN enables cracks that turn corners, spiral azimuthally, or radiate from a point. Conductive inks can be filled into these oriented cracks, resulting in flexible, anisotropic, and transparent conductors. This materials-based processing approach to patterning cracks enables unprecedented control of the orientation, length, width, and depth of the cracks without costly lithography methods. This approach promises new architectures of electronics, sensors, fluidics, optics, and other devices with micro- and nanoscale features.

Elastic-Modulus-Dependent Macroscopic Supramolecular Assembly of Poly(dimethylsiloxane) for Understanding Fast Interfacial Adhesion

Macroscopic supramolecular assembly (MSA) is a new concept of supramolecular science with an emphasis on noncovalent interactions between macroscopic building blocks with sizes exceeding 10 μm. Owing to a similar noncovalently interactive nature with the phenomena of bioadhesion, self-healing, etc. and flexible features in tailoring and designing modular building blocks, MSA has been developed as a simplified model to interpret interfacial phenomena and a facile method to fabricate supramolecular materials. However, at this early stage, MSA has always been limited to hydrogel materials, which provide flowability for high molecular mobility to the interfacial binding. The extension to a wide range of materials for MSA is desired. Herein, we have developed a strategy of adjusting intrinsic properties (e.g., elastic modulus) of nonhydrogel materials to realize MSA, which could broaden the material choices of MSA. Using the widely used elastomer of poly(dimethylsiloxane) (PDMS) as building blocks, we have demonstrated the elastic-modulus-dependent MSA of PDMS based on the host/guest molecular recognition between supramolecular groups of β-cyclodextrin and adamantane. In the varied elastic modulus range of 0.38 to 3.84 MPa, we obtained the trend of the MSA probability decreasing from 100% at 0.38 MPa to 0% at 3.84 MPa. Meanwhile, in situ measurements of interactive forces between PDMS building blocks have supported the observed assembly phenomena. The underlying reasons are interpreted with the low-modulus flexible surfaces favoring for high molecular mobility to achieve interactions between multiple sites at the interface based on the theory of multivalency. Taken together, we have demonstrated the feasibility of directly adjusting the modulus of bulk materials to realize MSA of nonhydrogel materials, which may provide clues to the fast wet adhesion and new solutions to the additive manufacture of elastomer materials.

Potentiometric Performance of a Highly Flexible-Shaped Trifunctional Sensor Based on ZnO/V2O5 Microrods

A trifunctional flexible sensor was fabricated on a polyethylene terephthalate (PET) fiber surface. Synthesized ZnO and ZnO/V2O5 composite were coated on ZnO seed layer sputtered PET fiber. X-ray diffraction (XRD) and photoelectron spectroscopy (XPS) techniques confirmed the exact formation of ZnO and ZnO/V2O5. The fabricated ZnO/V2O5 on ZnO seeds base temperature sensor recorded better electrical properties and reversibility with a maximum temperature coefficient resistance (TCR) of 0.0111 °C-1. A calibration curve (R = 0.9941) within glucose concentration of (10 µM-10 mM) was obtained at +0.8 V vs. Ag/AgCl from current-voltage curves which assisted in calculating glucose sensitivity, limit of detection (LOD), limit of quantification (LOQ). The electrode achieved an outstanding performance of sensitivity (72.06 µAmM-1cm-2), LOD (174 µM), and LOQ (582 µM) at optimum deposition time. Interference from oxidation of interfering biomolecules such as ascorbic acid, dopamine, and uric acid were negligible compared to glucose. Finally, the fabricated electrode was employed as a pH sensor and displayed a pH sensitivity of 42.26 mV/pH (R = 0.9922). This fabricated ZnO/V2O5 electrode exhibited high sensitivity and a stable combined temperature, glucose, and pH sensor which is promising for development of multifunctional sensors in next generation wearables.

Flexible temperature sensors based on carbon nanomaterials

Flexible temperature sensors based on carbon nanomaterials can be attached to the surface of human skin or curved surfaces directly for continuous and stable data measurements, and have attracted extensive attention in myriad areas.

Flexible Sensor for Invisible Respiratory Monitoring via Construction of a 2D Stacked Micronetwork

With the advent of 5G and the Internet of Things era, sensitive and stable sensors have begun to develop rapidly, which are important substantial fundaments of smart medical care. In this study, based on the positive temperature coefficient (PTC) in conductive polymer composites (CPC), a novel polyolefin elastomer (POE)/carbon fiber (CF) composite was prepared. By regulating the rheological behavior of the polymer matrix, we realized its controllable thermal expansion in the temperature field and finally realized the reversible construction-destruction of the conductive CF network. Under optimal molecular weight conditions, the POE/CF PTC sensor showed a high sensitivity of 0.11 °C^-1 and stability. It was also demonstrated that the heat transfer efficiency of the composite material played an essential role in the sensitivity of the as-prepared PTC sensor. Most impressively, we have assembled an invisible respiratory monitoring device based on the POE/CF composite to achieve real-time monitoring of human breathing, which displayed wide potential prospects in thermal monitoring and provided good prospects for micron-scale functional composites.

Printable, Highly Sensitive Flexible Temperature Sensors for Human Body Temperature Monitoring: A Review

In recent years, the development and research of flexible sensors have gradually deepened, and the performance of wearable, flexible devices for monitoring body temperature has also improved. For the human body, body temperature changes reflect much information about human health, and abnormal body temperature changes usually indicate poor health. Although body temperature is independent of the environment, the body surface temperature is easily affected by the surrounding environment, bringing challenges to body temperature monitoring equipment. To achieve real-time and sensitive detection of various parts temperature of the human body, researchers have developed many different types of high-sensitivity flexible temperature sensors, perfecting the function of electronic skin, and also proposed many practical applications. This article reviews the current research status of highly sensitive patterned flexible temperature sensors used to monitor body temperature changes. First, commonly used substrates and active materials for flexible temperature sensors have been summarized. Second, patterned fabricating methods and processes of flexible temperature sensors are introduced. Then, flexible temperature sensing performance are comprehensively discussed, including temperature measurement range, sensitivity, response time, temperature resolution. Finally, the application of flexible temperature sensors based on highly delicate patterning are demonstrated, and the future challenges of flexible temperature sensors have prospected.