Application-Based Production and Testing of a Core-Sheath Fiber Strain Sensor for Wearable Electronics: Feasibility Study of Using the Sensors in Measuring Tri-Axial Trunk Motion Angles

Distributed sensing along fibers for smart clothing

Textile sensors transform our everyday clothing into a means to track movement and biosignals in a completely unobtrusive way. One major hindrance to the adoption of "smart" clothing is the difficulty encountered with connections and space when scaling up the number of sensors. There is a lack of research addressing a key limitation in wearable electronics: Connections between rigid and textile elements are often unreliable, and they require interfacing sensors in a way incompatible with textile mass production methods. We introduce a prototype garment, compact readout circuit, and algorithm to measure localized strain along multiple regions of a fiber. We use a helical auxetic yarn sensor with tunable sensitivity along its length to selectively respond to strain signals. We demonstrate distributed sensing in clothing, monitoring arm joint angles from a single continuous fiber. Compared to optical motion capture, we achieve around five degrees error in reconstructing shoulder, elbow, and wrist joint angles.

Wearable Optical Fiber Sensors in Medical Monitoring Applications: A Review

Wearable optical fiber sensors have great potential for development in medical monitoring. With the increasing demand for compactness, comfort, accuracy, and other features in new medical monitoring devices, the development of wearable optical fiber sensors is increasingly meeting these requirements. This paper reviews the latest evolution of wearable optical fiber sensors in the medical field. Three types of wearable optical fiber sensors are analyzed: wearable optical fiber sensors based on Fiber Bragg grating, wearable optical fiber sensors based on light intensity changes, and wearable optical fiber sensors based on Fabry-Perot interferometry. The innovation of wearable optical fiber sensors in respiration and joint monitoring is introduced in detail, and the main principles of three kinds of wearable optical fiber sensors are summarized. In addition, we discuss their advantages, limitations, directions to improve accuracy and the challenges they face. We also look forward to future development prospects, such as the combination of wireless networks which will change how medical services are provided. Wearable optical fiber sensors offer a viable technology for prospective continuous medical surveillance and will change future medical benefits.

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.

A Review of Recent Advances in Vital Signals Monitoring of Sports and Health via Flexible Wearable Sensors

In recent years, vital signals monitoring in sports and health have been considered the research focus in the field of wearable sensing technologies. Typical signals include bioelectrical signals, biophysical signals, and biochemical signals, which have applications in the fields of athletic training, medical diagnosis and prevention, and rehabilitation. In particular, since the COVID-19 pandemic, there has been a dramatic increase in real-time interest in personal health. This has created an urgent need for flexible, wearable, portable, and real-time monitoring sensors to remotely monitor these signals in response to health management. To this end, the paper reviews recent advances in flexible wearable sensors for monitoring vital signals in sports and health. More precisely, emerging wearable devices and systems for health and exercise-related vital signals (e.g., ECG, EEG, EMG, inertia, body movements, heart rate, blood, sweat, and interstitial fluid) are reviewed first. Then, the paper creatively presents multidimensional and multimodal wearable sensors and systems. The paper also summarizes the current challenges and limitations and future directions of wearable sensors for vital typical signal detection. Through the review, the paper finds that these signals can be effectively monitored and used for health management (e.g., disease prediction) thanks to advanced manufacturing, flexible electronics, IoT, and artificial intelligence algorithms; however, wearable sensors and systems with multidimensional and multimodal are more compliant.

Smart E-Textiles: Overview of Components and Outlook

Smart textiles have gained great interest from academia and industries alike, spanning interdisciplinary efforts from materials science, electrical engineering, art, design, and computer science. While recent innovation has been promising, unmet needs between the commercial and academic sectors are pronounced in this field, especially for electronic-based textiles, or e-textiles. In this review, we aim to address the gap by (i) holistically investigating e-textiles' constituents and their evolution, (ii) identifying the needs and roles of each discipline and sector, and (iii) addressing the gaps between them. The components of e-textiles-base fabrics, interconnects, sensors, actuators, computers, and power storage/generation-can be made at multiscale levels of textile, e.g., fiber, yarn, fabric, coatings, and embellishments. The applications, current state, and sustainable future directions for e-textile fields are discussed, which encompasses health monitoring, soft robotics, education, and fashion applications.

The status and perspectives of nanostructured materials and fabrication processes for wearable piezoresistive sensors

The wearable sensors have attracted a growing interest in different markets, including health, fitness, gaming, and entertainment, due to their outstanding characteristics of convenience, simplicity, accuracy, speed, and competitive price. The development of different types of wearable sensors was only possible due to advances in smart nanostructured materials with properties to detect changes in temperature, touch, pressure, movement, and humidity. Among the various sensing nanomaterials used in wearable sensors, the piezoresistive type has been extensively investigated and their potential have been demonstrated for different applications. In this review article, the current status and challenges of nanomaterials and fabrication processes for wearable piezoresistive sensors are presented in three parts. The first part focuses on the different types of sensing nanomaterials, namely, zero-dimensional (0D), one-dimensional (1D), two-dimensional (2D), and three-dimensional (3D) piezoresistive nanomaterials. Then, in second part, their fabrication processes and integration are discussed. Finally, the last part presents examples of wearable piezoresistive sensors and their applications.

Low Back Pain-Behavior Correction by Providing Haptic Feedbacks: A Preliminary Investigation

The activities performed by nurses in their daily activities involve frequent forward bending and awkward back postures. These movements contribute to the prevalence and development of low back pain (LBP). In previous studies, it has been shown that modifying their posture by education and training in proper lifting techniques decreases the prevalence of LBP. However, this education and training needs to be implemented daily. Hence, implementing the use of a wearable device to monitor the back posture with haptic feedback would be of importance to prevent LBP. This paper proposes a wearable device to monitor the back posture of the user and provide feedback when the participant is performing a possible hurtful movement. In this study, a group of participants was asked to wear the device while performing three of the most common activities performed by nurses. The study was divided into three sessions: In the first session, the participants performed the activities without feedback (baseline). During the second session, the participants received feedback from the wearable device (training) while performing the three tasks. Finally, for the third session, the participants performed the three tasks again, but the haptic feedback was turned off (validation). We found an improvement in the posture of more than 40% for the pitch (lateral bending) and roll (forward/backward bending) axes and 7% for the yaw (twisting) axis when comparing to the results from session 1 and session 2. The comparison between session 1 and session 3 showed an overall improvement of more than 50% for the pitch (lateral bending) and roll (forward/backward bending) axes and more than 20% for the yaw axis. These results hinted at the impact of the haptic feedback on the participants to correct their posture.

Towards User-Friendly Wearable Platforms for Monitoring Unconstrained Indoor and Outdoor Activities

Developing wearable platforms for unconstrained monitoring of limb movements has been an active recent topic of research due to potential applications such as clinical and athletic performance evaluation. However, practicality of these platforms might be affected by the dynamic and complexity of movements as well as characteristics of the surrounding environment. This paper addresses such issues by proposing a novel method for obtaining kinematic information of joints using a custom-designed wearable platform. The proposed method uses data from two gyroscopes and an array of textile stretch sensors to accurately track three-dimensional movements, including extension, flexion, and rotation, of a joint. More specifically, gyroscopes provide angular velocity data of two sides of a joint, while their relative orientation is estimated by a machine learning algorithm. An Unscented Kalman Filter (UKF) algorithm is applied to directly fuse angular velocity/relative orientation data and estimate the kinematic orientation of the joint. Experimental evaluations were carried out using data from 10 volunteers performing a series of predefined as well as unconstrained random three-dimensional trunk movements. Results show that the proposed sensor setup and the UKF-based data fusion algorithm can accurately estimate the orientation of the trunk relative to pelvis with an average error of less than 1.72 degrees in predefined movements and a comparable accuracy of 3.00 degrees in random movements. Moreover, the proposed platform is easy to setup, does not restrict body motion, and is not affected by environmental disturbances. This study is a further step towards developing user-friendly wearable sensor systems than can be readily used in indoor and outdoor settings without requiring bulky equipment or a tedious calibration phase.

Using Accelerometer Data to Tune the Parameters of an Extended Kalman Filter for Optical Motion Capture: Preliminary Application to Gait Analysis

Optical motion capture is currently the most popular method for acquiring motion data in biomechanical applications. However, it presents a number of problems that make the process difficult and inefficient, such as marker occlusions and unwanted reflections. In addition, the obtained trajectories must be numerically differentiated twice in time in order to get the accelerations. Since the trajectories are normally noisy, they need to be filtered first, and the selection of the optimal amount of filtering is not trivial. In this work, an extended Kalman filter (EKF) that manages marker occlusions and undesired reflections in a robust way is presented. A preliminary test with inertial measurement units (IMUs) is carried out to determine their local reference frames. Then, the gait analysis of a healthy subject is performed using optical markers and IMUs simultaneously. The filtering parameters used in the optical motion capture process are tuned in order to achieve good correlation between the obtained accelerations and those measured by the IMUs. The results show that the EKF provides a robust and efficient method for optical system-based motion analysis, and that the availability of accelerations measured by inertial sensors can be very helpful for the adjustment of the filters.

Fatigue Monitoring in Running Using Flexible Textile Wearable Sensors

Fatigue is a multifunctional and complex phenomenon that affects how individuals perform an activity. Fatigue during running causes changes in normal gait parameters and increases the risk of injury. To address this problem, wearable sensors have been proposed as an unobtrusive and portable system to measure changes in human movement as a result of fatigue. Recently, a category of wearable devices that has gained attention is flexible textile strain sensors because of their ability to be woven into garments to measure kinematics. This study uses flexible textile strain sensors to continuously monitor the kinematics during running and uses a machine learning approach to estimate the level of fatigue during running. Five female participants used the sensor-instrumented garment while running to a state of fatigue. In addition to the kinematic data from the flexible textile strain sensors, the perceived level of exertion was monitored for each participant as an indication of their actual fatigue level. A stacked random forest machine learning model was used to estimate the perceived exertion levels from the kinematic data. The machine learning algorithm obtained a root mean squared value of 0.06 and a coefficient of determination of 0.96 in participant-specific scenarios. This study highlights the potential of flexible textile strain sensors to objectively estimate the level of fatigue during running by detecting slight perturbations in lower extremity kinematics. Future iterations of this technology may lead to real-time biofeedback applications that could reduce the risk of running-related overuse injuries.

Wearable Device to Monitor Back Movements Using an Inductive Textile Sensor

Low back pain (LBP) is the most common work-related musculoskeletal disorder among healthcare workers and is directly related to long hours of working in twisted/bent postures or with awkward trunk movements. It has already been established that providing relevant feedback helps individuals to maintain better body posture during the activities of daily living. With the goal of preventing LBP through objective monitoring of back posture, this paper proposes a wireless, comfortable, and compact textile-based wearable platform to track trunk movements when the user bends forward. The smart garment developed for this purpose was prototyped with an inductive sensor formed by sewing a copper wire into an elastic fabric in a zigzag pattern. The results of an extensive simulation study showed that this unique design increases the inductance value of the sensor, and, consequently, improves its resolution. Furthermore, experimental evaluation on a healthy participant confirmed that the proposed wearable system with the suggested sensor design can easily detect forward bending movements. The evaluation scenario was then extended to also include twisting and lateral bending of the trunk, and it was observed that the proposed design can successfully discriminate such movements from forward bending of the trunk. Results of the magnetic interference test showed that, most notably, moving a cellphone towards the unworn prototype affects sensor readings, however, manipulating a cellphone, when wearing the prototype, did not affect the capability of the sensor in detecting forward bends. The proposed platform is a promising step toward developing wearable systems to monitor back posture in order to prevent or treat LBP.

Lower Body Kinematics Monitoring in Running Using Fabric-Based Wearable Sensors and Deep Convolutional Neural Networks

Continuous kinematic monitoring of runners is crucial to inform runners of inappropriate running habits. Motion capture systems are the gold standard for gait analysis, but they are spatially limited to laboratories. Recently, wearable sensors have gained attention as an unobtrusive method to analyze performance metrics and the health conditions of runners. In this study, we developed a system capable of estimating joint angles in sagittal, frontal, and transverse planes during running. A prototype with fiber strain sensors was fabricated. The positions of the sensors on the pelvis were optimized using a genetic algorithm. A cohort of ten people completed 15 min of running at five different speeds for gait analysis by our prototype device. The joint angles were estimated by a deep convolutional neural network in inter- and intra-participant scenarios. In intra-participant tests, root mean square error (RMSE) and normalized root mean square error (NRMSE) of less than 2.2° and 5.3%, respectively, were obtained for hip, knee, and ankle joints in sagittal, frontal, and transverse planes. The RMSE and NRMSE in inter-participant tests were less than 6.4° and 10%, respectively, in the sagittal plane. The accuracy of this device and methodology could yield potential applications as a soft wearable device for gait monitoring of runners.