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

Recent developments and technological advancements in wireless communication, MicroElectroMechanical Systems (MEMS) technology and integrated circuits has enabled low-power, intelligent, miniaturized, invasive/non-invasive micro and nano-technology sensor nodes strategically placed in or around the human body to be used in various applications, such as personal health monitoring. This exciting new area of research is called Wireless Body Area Networks (WBANs) and leverages the emerging IEEE 802.15.6 and IEEE 802.15.4j standards, specifically standardized for medical WBANs. The aim of WBANs is to simplify and improve speed, accuracy, and reliability of communication of sensors/actuators within, on, and in the immediate proximity of a human body. The vast scope of challenges associated with WBANs has led to numerous publications. In this paper, we survey the current state-of-art of WBANs based on the latest standards and publications. Open issues and challenges within each area are also explored as a source of inspiration towards future developments in WBANs.

Wireless Body Area Networks: A Survey

RF harvesting circuits have been demonstrated for more than 50 years, but only a few have been able to harvest energy from freely available ambient (i.e., non-dedicated) RF sources. In this paper, our objectives were to realize harvester operation at typical ambient RF power levels found within urban and semi-urban environments. To explore the potential for ambient RF energy harvesting, a city-wide RF spectral survey was undertaken from outside all of the 270 London Underground stations at street level. Using the results from this survey, four harvesters (comprising antenna, impedance-matching network, rectifier, maximum power point tracking interface, and storage element) were designed to cover four frequency bands from the largest RF contributors (DTV, GSM900, GSM1800, and 3G) within the ultrahigh frequency (0.3-3 GHz) part of the frequency spectrum. Prototypes were designed and fabricated for each band. The overall end-to-end efficiency of the prototypes using realistic input RF power sources is measured; with our first GSM900 prototype giving an efficiency of 40%. Approximately half of the London Underground stations were found to be suitable locations for harvesting ambient RF energy using our four prototypes. Furthermore, multiband array architectures were designed and fabricated to provide a broader freedom of operation. Finally, an output dc power density comparison was made between all the ambient RF energy harvesters, as well as alternative energy harvesting technologies, and for the first time, it is shown that ambient RF harvesting can be competitive with the other technologies.

Ambient RF Energy Harvesting in Urban and Semi-Urban Environments

Smart wearable systems: Current status and future challenges

Emotion recognition from EEG signals allows the direct assessment of the “inner” state of a user, which is considered an important factor in human-machine-interaction. Many methods for feature extraction have been studied and the selection of both appropriate features and electrode locations is usually based on neuro-scientific findings. Their suitability for emotion recognition, however, has been tested using a small amount of distinct feature sets and on different, usually small data sets. A major limitation is that no systematic comparison of features exists. Therefore, we review feature extraction methods for emotion recognition from EEG based on 33 studies. An experiment is conducted comparing these features using machine learning techniques for feature selection on a self recorded data set. Results are presented with respect to performance of different feature selection methods, usage of selected feature types, and selection of electrode locations. Features selected by multivariate methods slightly outperform univariate methods. Advanced feature extraction techniques are found to have advantages over commonly used spectral power bands. Results also suggest preference to locations over parietal and centro-parietal lobes.

Feature Extraction and Selection for Emotion Recognition from EEG

Wireless sensor nodes (WSNs) are employed today in many different application areas, ranging from health and lifestyle to automotive, smart building, predictive maintenance (e.g., of machines and infrastructure), and active RFID tags. Currently these devices have limited lifetimes, however, since they require significant operating power. The typical power requirements of some current portable devices, including a body sensor network, are shown in Figure 1.

Energy Harvesting for Autonomous Wireless Sensor Networks

3D gait assessment in young and elderly subjects using foot-worn inertial sensors

Monitoring human brain activity has great potential in helping us understand the functioning of our brain, as well as in preventing mental disorders and cognitive decline and improve our quality of life. Noninvasive surface EEG is the dominant modality for studying brain dynamics and performance in real-life interaction of humans with their environment. To take full advantage of surface EEG recordings, EEG technology has to be advanced to a level that it can be used in daily life activities. Furthermore, users have to see it as an unobtrusive option to monitor and improve their health. To achieve this, EEG systems have to be transformed from stationary, wired, and cumbersome systems used mostly in clinical practice today, to intelligent wearable, wireless, convenient, and comfortable lifestyle solutions that provide high signal quality. Here, we discuss state-of-the-art in wireless and wearable EEG solutions and a number of aspects where such solutions require improvements when handling electrical activity of the brain. We address personal traits and sensory inputs, brain signal generation and acquisition, brain signal analysis, and feedback generation. We provide guidelines on how these aspects can be advanced further such that we can develop intelligent wearable, wireless, lifestyle EEG solutions. We recognized the following aspects as the ones that need rapid research progress: application driven design, end-user driven development, standardization and sharing of EEG data, and development of sophisticated approaches to handle EEG artifacts.

Wearable, Wireless EEG Solutions in Daily Life Applications: What are we Missing?

Early mental stress detection can prevent many stress related health problems. This study aimed at using a wearable sensor system to measure physiological signals and detect mental stress. Three different stress conditions were presented to a healthy subject group. During the procedure, ECG, respiration, skin conductance, and EMG of the trapezius muscles were recorded. In total, 19 physiological features were calculated from these signals. After normalization of the feature values and analysis of correlations among these features, a subset of 9 features was selected for further analysis. Principal component analysis reduced these 9 features to 7 principal components (PCs). Using these PCs and different classifiers, a consistent classification accuracy between stress and non stress conditions of almost 80% was found. This suggests that a promising feature subset was found for future development of a personalized stress monitor.

Towards mental stress detection using wearable physiological sensors

Several methods to estimate energy expenditure (EE) using body-worn sensors exist; however, quantifications of the differences in estimation error are missing. In this paper, we compare three prevalent EE estimation methods and five body locations to provide a basis for selecting among methods, sensors number, and positioning. We considered 1) counts-based estimation methods, 2) activity-specific estimation methods using METs lookup, and 3) activity-specific estimation methods using accelerometer features. The latter two estimation methods utilize subsequent activity classification and EE estimation steps. Furthermore, we analyzed accelerometer sensors number and on-body positioning to derive optimal EE estimation results during various daily activities. To evaluate our approach, we implemented a study with 15 participants that wore five accelerometer sensors while performing a wide range of sedentary, household, lifestyle, and gym activities at different intensities. Indirect calorimetry was used in parallel to obtain EE reference data. Results show that activity-specific estimation methods using accelerometer features can outperform counts-based methods by $\hbox{88}\%$ and activity-specific methods using METs lookup for active clusters by $\hbox{23}\%$ . No differences were found between activity-specific methods using METs lookup and using accelerometer features for sedentary clusters. For activity-specific estimation methods using accelerometer features, differences in EE estimation error between the best combinations of each number of sensors (1 to 5), analyzed with repeated measures ANOVA, were not significant. Thus, we conclude that choosing the best performing single sensor does not reduce EE estimation accuracy compared to a five sensors system and can reliably be used. However, EE estimation errors can increase up to $\hbox{80}\%$ if a nonoptimal sensor location is chosen.

Julien Penders

Papers

Energy Harvesting for Autonomous Wireless Sensor Networks

3D gait assessment in young and elderly subjects using foot-worn inertial sensors

Wearable, Wireless EEG Solutions in Daily Life Applications: What are we Missing?

Towards mental stress detection using wearable physiological sensors

Estimating Energy Expenditure Using Body-Worn Accelerometers: A Comparison of Methods, Sensors Number and Positioning