Life expectancy in most countries has been increasing continually over the several few decades thanks to significant improvements in medicine, public health, as well as personal and environmental hygiene. However, increased life expectancy combined with falling birth rates are expected to engender a large aging demographic in the near future that would impose significant burdens on the socio-economic structure of these countries. Therefore, it is essential to develop cost-effective, easy-to-use systems for the sake of elderly healthcare and well-being. Remote health monitoring, based on non-invasive and wearable sensors, actuators and modern communication and information technologies offers an efficient and cost-effective solution that allows the elderly to continue to live in their comfortable home environment instead of expensive healthcare facilities. These systems will also allow healthcare personnel to monitor important physiological signs of their patients in real time, assess health conditions and provide feedback from distant facilities. In this paper, we have presented and compared several low-cost and non-invasive health and activity monitoring systems that were reported in recent years. A survey on textile-based sensors that can potentially be used in wearable systems is also presented. Finally, compatibility of several communication technologies as well as future perspectives and research challenges in remote monitoring systems will be discussed.

Wearable Sensors for Remote Health Monitoring.

Cardiovascular diseases remain the leading cause of death worldwide. The rapid development of flexible sensing technologies and wearable pressure sensors have attracted keen research interest and have been widely used for long‐term and real‐time cardiovascular status monitoring. Owing to compelling characteristics, including light weight, wearing comfort, and high sensitivity to pulse pressures, physiological pulse waveforms can be precisely and continuously monitored by flexible pressure sensors for wearable health monitoring. Herein, an overview of wearable pressure sensors for human pulse wave monitoring is presented, with a focus on the transduction mechanism, microengineering structures, and related applications in pulse wave monitoring and cardiovascular condition assessment. The conceptualizations and methods for the acquisition of physiological and pathological information related to the cardiovascular system are outlined. The biomechanics of arterial pulse waves and the working mechanism of various wearable pressure sensors, including triboelectric, piezoelectric, magnetoelastic, piezoresistive, capacitive, and optical sensors, are also subject to systematic debate. Exemple applications of pulse wave measurement based on microengineering structured devices are then summarized. Finally, a discussion of the opportunities and challenges that wearable pressure sensors face, as well as their potential as a wearable intelligent system for personalized healthcare is given in conclusion.

Wearable Pressure Sensors for Pulse Wave Monitoring

In the last decades, fiber Bragg gratings (FBGs) have become increasingly attractive to medical applications due to their unique properties such as small size, biocompatibility, immunity to electromagnetic interferences, high sensitivity and multiplexing capability. FBGs have been employed in the development of surgical tools, assistive devices, wearables, and biosensors, showing great potentialities for medical uses. This paper reviews the FBG-based measuring systems, their principle of work, and their applications in medicine and healthcare. Particular attention is given to sensing solutions for biomechanics, minimally invasive surgery, physiological monitoring, and medical biosensing. Strengths, weaknesses, open challenges, and future trends are also discussed to highlight how FBGs can meet the demands of next-generation medical devices and healthcare system.

/pdf/fiber-bragg-gratings-for-medical-applications-and-future-4zkfznppij.pdf

Fiber Bragg Gratings for Medical Applications and Future Challenges: A Review

Wearable e-textiles are able to perform electronic functions and are perceived as a way to add features into common wearable textiles, building competitive market advantages. The e-textile production has become not only a research effort but also an industrial production challenge. It is important to know how to use existing industrial processes or to develop new ones that are able to scale up production, ensuring the behavior and performance of prototypes. Despite the technical challenges, there are already some examples of wearable e-textiles where sensors, actuators, and production techniques were used to seamlessly embed electronic features into traditional wearable textiles, which allow for daily use without a bionic stigma.

https://www.mdpi.com/2411-5134/3/1/14/pdf

Wearable E-Textile Technologies: A Review on Sensors, Actuators and Control Elements

Flexible sensors have the potential to be seamlessly applied to soft and irregularly shaped surfaces such as the human skin or textile fabrics. This benefits conformability dependant applications including smart tattoos, artificial skins and soft robotics. Consequently, materials and structures for innovative flexible sensors, as well as their integration into systems, continue to be in the spotlight of research. This review outlines the current state of flexible sensor technologies and the impact of material developments on this field. Special attention is given to strain, temperature, chemical, light and electropotential sensors, as well as their respective applications.

Flexible Sensors—From Materials to Applications

Measuring body temperature is considerably important to physiological studies as well as clinical investigations. In recent years, numerous observations have been reported and various methods of measurement have been employed. The present paper introduces a novel wearable sensor in intelligent clothing for human body temperature measurement. The objective is the integration of optical fiber Bragg grating (FBG)-based sensors into functional textiles to extend the capabilities of wearable solutions for body temperature monitoring. In addition, the temperature sensitivity is 150 pm/°C, which is almost 15 times higher than that of a bare FBG. This study combines large and small pipes during fabrication to implant FBG sensors into the fabric. The law of energy conservation of the human body is considered in determining heat transfer between the body and its clothing. The mathematical model of heat transmission between the body and clothed FBG sensors is studied, and the steady-state thermal analysis is presented. The simulation results show the capability of the material to correct the actual body temperature. Based on the skin temperature obtained by the weighted average method, this paper presents the five points weighted coefficients model using both sides of the chest, armpits, and the upper back for the intelligent clothing. The weighted coefficients of 0.0826 for the left chest, 0.3706 for the left armpit, 0.3706 for the right armpit, 0.0936 for the upper back, and 0.0826 for the right chest were obtained using Cramer's Rule. Using the weighting coefficient, the deviation of the experimental result was ± 0.18 °C, which favors the use for clinical armpit temperature monitoring. Moreover, in special cases when several FBG sensors are broken, the weighted coefficients of the other sensors could be changed to obtain accurate body temperature.

/pdf/wearable-sensors-in-intelligent-clothing-for-measuring-human-2ktgh3mfk2.pdf

Haijiang Yang

Papers

Wearable sensors in intelligent clothing for measuring human body temperature based on optical fiber Bragg grating.