The design and development of wearable biosensor systems for health monitoring has garnered lots of attention in the scientific community and the industry during the last years. Mainly motivated by increasing healthcare costs and propelled by recent technological advances in miniature biosensing devices, smart textiles, microelectronics, and wireless communications, the continuous advance of wearable sensor-based systems will potentially transform the future of healthcare by enabling proactive personal health management and ubiquitous monitoring of a patient's health condition. These systems can comprise various types of small physiological sensors, transmission modules and processing capabilities, and can thus facilitate low-cost wearable unobtrusive solutions for continuous all-day and any-place health, mental and activity status monitoring. This paper attempts to comprehensively review the current research and development on wearable biosensor systems for health monitoring. A variety of system implementations are compared in an approach to identify the technological shortcomings of the current state-of-the-art in wearable biosensor solutions. An emphasis is given to multiparameter physiological sensing system designs, providing reliable vital signs measurements and incorporating real-time decision support for early detection of symptoms or context awareness. In order to evaluate the maturity level of the top current achievements in wearable health-monitoring systems, a set of significant features, that best describe the functionality and the characteristics of the systems, has been selected to derive a thorough study. The aim of this survey is not to criticize, but to serve as a reference for researchers and developers in this scientific area and to provide direction for future research improvements.

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A Survey on Wearable Sensor-Based Systems for Health Monitoring and Prognosis

The aim of this review paper is to summarize recent developments in the field of wearable sensors and systems that are relevant to the field of rehabilitation. The growing body of work focused on the application of wearable technology to monitor older adults and subjects with chronic conditions in the home and community settings justifies the emphasis of this review paper on summarizing clinical applications of wearable technology currently undergoing assessment rather than describing the development of new wearable sensors and systems. A short description of key enabling technologies (i.e. sensor technology, communication technology, and data analysis techniques) that have allowed researchers to implement wearable systems is followed by a detailed description of major areas of application of wearable technology. Applications described in this review paper include those that focus on health and wellness, safety, home rehabilitation, assessment of treatment efficacy, and early detection of disorders. The integration of wearable and ambient sensors is discussed in the context of achieving home monitoring of older adults and subjects with chronic conditions. Future work required to advance the field toward clinical deployment of wearable sensors and systems is discussed.

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A review of wearable sensors and systems with application in rehabilitation.

Fiber-based structures are highly desirable for wearable electronics that are expected to be light-weight, long-lasting, flexible, and conformable Many fibrous structures have been manufactured by well-established lost-effective textile processing technologies, normally at ambient conditions The advancement of nanotechnology has made it feasible to build electronic devices directly on the surface or inside of single fibers, which have typical thickness of several to tens microns However, imparting electronic functions to porous, highly deformable and three-dimensional fiber assemblies and maintaining them during wear represent great challenges from both views of fundamental understanding and practical implementation This article attempts to critically review the current state-of-arts with respect to materials, fabrication techniques, and structural design of devices as well as applications of the fiber-based wearable electronic products In addition, this review elaborates the performance requirements of the fiber-based wearable electronic products, especially regarding the correlation among materials, fiber/textile structures and electronic as well as mechanical functionalities of fiber-based electronic devices Finally, discussions will be presented regarding to limitations of current materials, fabrication techniques, devices concerning manufacturability and performance as well as scientific understanding that must be improved prior to their wide adoption

Fiber‐Based Wearable Electronics: A Review of Materials, Fabrication, Devices, and Applications

Electronic Textiles (e-textiles) are fabrics that feature electronics and interconnections woven into them, presenting physical flexibility and typical size that cannot be achieved with other existing electronic manufacturing techniques. Components and interconnections are intrinsic to the fabric and thus are less visible and not susceptible of becoming tangled or snagged by surrounding objects. E-textiles can also more easily adapt to fast changes in the computational and sensing requirements of any specific application, this one representing a useful feature for power management and context awareness. The vision behind wearable computing foresees future electronic systems to be an integral part of our everyday outfits. Such electronic devices have to meet special requirements concerning wearability. Wearable systems will be characterized by their ability to automatically recognize the activity and the behavioral status of their own user as well as of the situation around her/him, and to use this information to adjust the systems' configuration and functionality. This review focuses on recent advances in the field of Smart Textiles and pays particular attention to the materials and their manufacturing process. Each technique shows advantages and disadvantages and our aim is to highlight a possible trade-off between flexibility, ergonomics, low power consumption, integration and eventually autonomy.

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Wearable Electronics and Smart Textiles: A Critical Review

Wireless sensor networks for healthcare: A survey

A comfortable health monitoring system named WEALTHY is presented. The system is based on a textile wearable interface implemented by integrating sensors, electrodes, and connections in fabric form, advanced signal processing techniques, and modern telecommunication systems. Sensors, electrodes and connections are realized with conductive and piezoresistive yarns. The sensorized knitted fabric is produced in a one step process. The purpose of this paper is to show the feasibility of a system based on fabric sensing elements. The capability of this system to acquire simultaneously several biomedical signals (i.e. electrocardiogram, respiration, activity) has been investigated and compared with a standard monitoring system. Furthermore, the paper presents two different methodologies for the acquisition of the respiratory signal with textile sensors. Results show that the information contained in the signals obtained by the integrated systems is comparable with that obtained by standard sensors. The proposed system is designed to monitor individuals affected by cardiovascular diseases, in particular during the rehabilitation phase. The system can also help professional workers who are subject to considerable physical and psychological stress and/or environmental and professional health risks.

A wearable health care system based on knitted integrated sensors

In this paper is reported the experience gained in the last five years, in the implementation of wearable systems for personalized health care and their evolution in time. Sensing bio clothes for vital signs monitoring and wearable systems for gesture and posture recognition are specifically illustrated, resulting from the EU funded projects: Wealthy and My Heart.

Sensing Fabrics for Monitoring Physiological and Biomechanical Variables: E-textile solutions

Financed by the European Commission, a consortium of 23 European partners, consisting of universities, research institutions, industries, and organizations operating in the field of emergency management, is developing a new generation of ?smart? garments for emergency-disaster personnel. Garments integrate newly developed wearable and textile solutions, such as commercial portable sensors and devices, in order to continuously monitor risks endangering rescuers' lives. The system enables detection of health-state parameters of the users (heart rate, breathing rate, body temperature, blood oxygen saturation, position, activity, and posture) and environmental variables (external temperature, presence of toxic gases, and heat flux passing through the garments), to process data and remotely transmit useful information to the operation manager. The European-integrated project, called ProeTEX (Protection e-Textiles: Micro-Nano-Structured fiber systems for Emergency-Disaster Wear) started on February, 2006 and will end on July, 2010. During this 4.5 years period, three subsequent generations of sensorized garments are being released. This paper proposes an overview of the project and gives a description of the second-generation prototypes, delivered at the end of 2008.

Smart Garments for Emergency Operators: The ProeTEX Project

A comfortable health monitoring system named WEALTHY is presented. The system is based on a wearable interface implemented by integrating fabric sensors, advanced signal processing techniques and modern telecommunication systems, on a textile platform. Conducting and piezoresistive materials in form of fibre and yarn are integrated in a garment and used as sensors, connectors and electrode elements. Simultaneous recording of vital signs allows extrapolation of more complex parameters and inter-signal elaboration that contribute to produce alert messages and patient table. The purpose of this publication is to evaluate the performance of the textile platform and the possibility of the simultaneous acquisition of several biomedical signals. Keywords— fabric sensors, fabric electrodes, physiological

WEALTHY, A Wearable Health-Care System: New frontier on E-Textile

The purpose of this study is to comparatively evaluate the performance of different wearable systems based on indirect breathing monitoring in terms of susceptibility to motion artifacts. These performances are compared with direct respiratory measurements using a spirometer, which is accurate, reliable, and less sensitive to movement artifacts, but cannot be integrated into truly wearable form. Experiments were carried out on four indirect methods implemented into wearable systems, inductive plethysmography, impedance plethysmography, piezoresistive pneumography, and piezoelectric pneumography, to ascertain the performance of each of them in terms of noise due to movement artifacts, as well as to study the effects of different movements or gestures during each test. A group of volunteers was asked to wear all of the breath monitoring systems simultaneously along with the face mask of the spirometer while carrying out four physical exercises in a gym under controlled conditions. Data are analyzed in the time and frequency domain to estimate the frequency respiration from each wearable system and compare it with those of the spirometer. Results confirmed that all the wearable systems are somehow affected by movement artifacts, but statistical investigation showed that for most of the physical exercises, three out of four, piezoelectric pneumography provided best performance in terms of robustness and reduced susceptibility to movement artifacts.

G. Loriga

Papers

A wearable health care system based on knitted integrated sensors

Sensing Fabrics for Monitoring Physiological and Biomechanical Variables: E-textile solutions

Smart Garments for Emergency Operators: The ProeTEX Project

WEALTHY, A Wearable Health-Care System: New frontier on E-Textile

Comparative Evaluation of Susceptibility to Motion Artifact in Different Wearable Systems for Monitoring Respiratory Rate