Advances in Printed Electronic Textiles

Electronic textiles (e-textiles) have emerged as a revolutionary solution for personalized healthcare, enabling the continuous collection and communication of diverse physiological parameters when seamlessly integrated with the human body. Among various methods employed to create wearable e-textiles, printing offers unparalleled flexibility and comfort, seamlessly integrating wearables into garments. This has spurred growing research interest in printed e-textiles, due to their vast design versatility, material options, fabrication techniques, and wide-ranging applications. Here, a comprehensive overview of the crucial considerations in fabricating printed e-textiles is provided, encompassing the selection of conductive materials and substrates, as well as the essential pre- and post-treatments involved. Furthermore, the diverse printing techniques and the specific requirements are discussed, highlighting the advantages and limitations of each method. Additionally, the multitude of wearable applications made possible by printed e-textiles is explored, such as their integration as various sensors, supercapacitors, and heated garments. Finally, a forward-looking perspective is provided, discussing future prospects and emerging trends in the realm of printed wearable e-textiles. As advancements in materials science, printing technologies, and design innovation continue to unfold, the transformative potential of printed e-textiles in healthcare and beyond is poised to revolutionize the way wearable technology interacts and benefits.

Advances and Opportunities of Mobile Health in the Postpandemic Era: Smartphonization of Wearable Devices and Wearable Deviceization of Smartphones

Mobile health (mHealth) with continuous real-time monitoring is leading the era of digital medical convergence. Wearable devices and smartphones optimized as personalized health management platforms enable disease prediction, prevention, diagnosis, and even treatment. Ubiquitous and accessible medical services offered through mHealth strengthen universal health coverage to facilitate service use without discrimination. This viewpoint investigates the latest trends in mHealth technology, which are comprehensive in terms of form factors and detection targets according to body attachment location and type. Insights and breakthroughs from the perspective of mHealth sensing through a new form factor and sensor-integrated display overcome the problems of existing mHealth by proposing a solution of smartphonization of wearable devices and the wearable deviceization of smartphones. This approach maximizes the infinite potential of stagnant mHealth technology and will present a new milestone leading to the popularization of mHealth. In the postpandemic era, innovative mHealth solutions through the smartphonization of wearable devices and the wearable deviceization of smartphones could become the standard for a new paradigm in the field of digital medicine.

Analysis of strength and electromyographic activity of lower limbs of individuals with down syndrome assisted in physiotherapy and hippotherapy

INTRODUCTION

one of the characteristics of Down Syndrome (DS) is muscle hypotonia. Different therapeutic approaches have a positive influence, between them Physiotherapy applications with different therapeutic approaches such as Hippotherapy have a positive effect on the physical health and quality of live of individuals with DS.

OBJECTIVE

to evaluate the effects of both treatments on the strength and electromyographic activity of the lower limbs of children and adolescents with DS.

METHODS

fourteen individuals, aged between 10 and 18 years, participated in two groups: Physiotherapy group (n = 5) and Hippotherapy group (n = 9). Thirty interventions were performed for each type of therapy, once a week, lasting 30 min. Pre and post-interventions, the 30-Second Chair Stand Test (30s-CST) was used to assess the strength of the lower limbs and the surface electromyography equipment (EMG 800RF) to assess the lower limb myoelectric activity.

RESULTS

there was a reduction in the post-intervention electromyographic values for both treatments (p˂0.001), with significantly less myoelectric activity in Hippotherapy compared to Physiotherapy for all evaluated muscles (p˂0.001) and a significant increase in muscle strength for the Hippotherapy, post-intervention group (p = 0.0007).

CONCLUSION

Physiotherapy and Hippotherapy are interventions that promote positive changes in the myoelectric activities of individuals with DS. However, only hippotherapy promoted an increase in strength of the lower limbs.

Evaluation of Novel Embroidered Textile-Electrodes Made from Hybrid Polyamide Conductive Threads for Surface EMG Sensing

Recently, there has been an increase in the number of reports on textile-based dry electrodes that can detect biopotentials without the need for electrolytic gels. However, these textile electrodes have a higher electrode skin interface impedance due to the improper contact between the skin and the electrode, diminishing the reliability and repeatability of the sensor. To facilitate improved skin-electrode contact, the effects of load and holding contact pressure were monitored for an embroidered textile electrode composed of multifilament hybrid thread for its application as a surface electromyography (sEMG) sensor. The effect of the textile's inter-electrode distance and double layering of embroidery that increases the density of the conductive threads were studied. Electrodes embroidered onto an elastic strap were wrapped around the forearm with a hook and loop fastener and tested for their performance. Time domain features such as the Root Mean Square (RMS), Average Rectified Value (ARV), and Signal to Noise Ratio (SNR) were quantitatively monitored in relation to the contact pressure and load. Experiments were performed in triplicates, and the sEMG signal characteristics were observed for various loads (0, 2, 4, and 6 kg) and holding contact pressures (5, 10, and 20 mmHg). sEMG signals recorded with textile electrodes were comparable in amplitude to those recorded using typical Ag/AgCl electrodes (28.45 dB recorded), while the signal-to-noise ratios were, 11.77, 19.60, 19.91, and 20.93 dB for the different loads, and 21.33, 23.34, and 17.45 dB for different holding pressures. The signal quality increased as the elastic strap was tightened further, but a pressure higher than 20 mmHg is not recommended because of the discomfort experienced by the subjects during data collection.

Design and Fabrication of Embroidered Textile Strain Sensors: An Alternative to Stitch-Based Strain Sensors

Smart textile sensors have been gaining popularity as alternative methods for the continuous monitoring of human motion. Multiple methods of fabrication for these textile sensors have been proposed, but the simpler ones include stitching or embroidering the conductive thread onto an elastic fabric to create a strain sensor. Although multiple studies have demonstrated the efficacy of textile sensors using the stitching technique, there is almost little to no information regarding the fabrication of textile strain sensors using the embroidery method. In this paper, a design guide for the fabrication of an embroidered resistive textile strain sensor is presented. All of the required design steps are explained, as well as the different embroidery design parameters and their optimal values. Finally, three embroidered textile strain sensors were created using these design steps. These sensors are based on the principle of superposition and were fabricated using a stainless-steel conductive thread embroidered onto a polyester-rubber elastic knit structure. The three sensors demonstrated an average gauge factor of 1.88±0.51 over a 26% working range, low hysteresis (8.54±2.66%), and good repeatability after being pre-stretched over a certain number of stretching cycles.

Comparison of Mechanical Properties of Composites Reinforced with Technical Embroidery, UD and Woven Fabric Made of Flax Fibers

The main purpose of the article is to present the possibilities of producing composite reinforcement with the use of a computer embroidery machine. The study below presents the results of strength tests of composites containing technical embroidery, woven fabric, and UD fabric as the reinforcement. Each of the samples was made of the same material-flax roving. The samples differed from each other in the arrangement of layers in the reinforcement. The composites were made using the infusion method with epoxy resin. The embroidery was made on a ZSK embroidery machine, type JCZA 0109-550. A total of 12 types of composites were produced and tested. The test material was subjected to strength tests-tensile strength, tensile elongation, and shear strength, on the INSTRON machine. As the research showed, the use of technical embroidery as a composite reinforcement increases its tensile strength. Furthermore, the use of embroidery is a vertical reinforcement of the composite and prevents the formation of interlayer cracks. The technology of technical embroidery allows for optimizing the mechanical values of the composite reinforcement.

Experimental Study of Soft Ballistic Packages with Embroidered Structures Fabricated by Using the Tailored Fiber Placement Technique

Textile ballistic shields are the basis of protection against bullets and fragments with low kinetic energy. They are usually made of para-aramid fabrics or unidirectional structure (UD) sheets of ultra-high molecular weight polyethylene (UHMWPE). The aim of the research presented in the article was to obtain ballistic packages made of embroidered structures and to compare their ballistic properties with those of woven structures in terms of deformation of the standardized ballistic substrate after impact with a 9 mm bullet at a velocity of 380 ± 3 m/s. Using the tailored fiber placement method, embroidered structures were fabricated by embroidering two sets of para-aramid threads at an angle of 90°. As the woven structures, the use of para-aramid fabric made of the same yarn and with a surface weight comparable to that of embroidered structures was adopted. Ballistic packages consisted of 26 layers in five variants, also taking into account the hybrid arrangement of woven and embroidered layers. Ballistic tests have shown that the best ballistic properties have hybrid packages made by folding 13 woven and then 13 embroidered layers, where the maximum deformation of the plasticine substrate is below 23 mm. The conducted research confirmed that embroidered structures in appropriate combination with woven structures can significantly improve the ballistic properties of textile packages.

Common-Mode Voltage Reduction in Capacitive Sensing of Biosignal Using Capacitive Grounding and DRL Electrode

A capacitive measurement of the biosignals is a very comfortable and unobtrusive way suitable for long-term and wearable monitoring of health conditions. This type of sensing is very susceptible to noise from the surroundings. One of the main noise sources is power-line noise, which acts as a common-mode voltage at the input terminals of the acquisition unit. The origin and methods of noise reduction are described on electric models. Two methods of noise removal are modeled and experimentally verified in the paper. The first method uses a passive capacitive grounding electrode, and the second uses an active capacitive Driven Right Leg (DRL) electrode. The effect of grounding electrode size on noise suppression is experimentally investigated. The increasing electrode area reduces power-line noise: the power of power-line frequency within the measured signal is 70.96 dB, 59.13 dB, and 43.44 dB for a grounding electrode area of 1650 cm², 3300 cm², and 4950 cm², respectively. The capacitive DRL electrode shows better efficiency in common-mode noise rejection than the grounding electrode. When using an electrode area of 1650 cm², the DRL achieved 46.3 dB better attenuation than the grounding electrode at power-line frequency. In contrast to the grounding electrode, the DRL electrode reduces a capacitive measurement system’s financial costs due to the smaller electrode area made of the costly conductive textile.

Smart Textiles and Sensorized Garments for Physiological Monitoring: A Review of Available Solutions and Techniques

Several wearable devices for physiological and activity monitoring are found on the market, but most of them only allow spot measurements. However, the continuous detection of physiological parameters without any constriction in time or space would be useful in several fields such as healthcare, fitness, and work. This can be achieved with the application of textile technologies for sensorized garments, where the sensors are completely embedded in the fabric. The complete integration of sensors in the fabric leads to several manufacturing techniques that allow dealing with both the technological challenges entailed by the physiological parameters under investigation, and the basic requirements of a garment such as perspiration, washability, and comfort. This review is intended to provide a detailed description of the textile technologies in terms of materials and manufacturing processes employed in the production of sensorized fabrics. The focus is pointed at the technical challenges and the advanced solutions introduced with respect to conventional sensors for recording different physiological parameters, and some interesting textile implementations for the acquisition of biopotentials, respiratory parameters, temperature and sweat are proposed. In the last section, an overview of the main garments on the market is depicted, also exploring some relevant projects under development.

Integration of Conductive Materials with Textile Structures, an Overview

In the last three decades, the development of new kinds of textiles, so-called smart and interactive textiles, has continued unabated. Smart textile materials and their applications are set to drastically boom as the demand for these textiles has been increasing by the emergence of new fibers, new fabrics, and innovative processing technologies. Moreover, people are eagerly demanding washable, flexible, lightweight, and robust e-textiles. These features depend on the properties of the starting material, the post-treatment, and the integration techniques. In this work, a comprehensive review has been conducted on the integration techniques of conductive materials in and onto a textile structure. The review showed that an e-textile can be developed by applying a conductive component on the surface of a textile substrate via plating, printing, coating, and other surface techniques, or by producing a textile substrate from metals and inherently conductive polymers via the creation of fibers and construction of yarns and fabrics with these. In addition, conductive filament fibers or yarns can be also integrated into conventional textile substrates during the fabrication like braiding, weaving, and knitting or as a post-fabrication of the textile fabric via embroidering. Additionally, layer-by-layer 3D printing of the entire smart textile components is possible, and the concept of 4D could play a significant role in advancing the status of smart textiles to a new level.

Hand-Made Embroidered Electromyography: Towards a Solution for Low-Income Countries

Surface electromyography is used for non-invasive evaluations of the neuromuscular system and conventionally involves electrodes placed on the skin to collect electrical signals associated with muscle activity. Recently, embroidered electrodes have been presented as a low-cost alternative to the current commercial solutions. However, the high cost of equipment used in their fabrication forms a barrier to deployment. To address this, this paper presents the first study into the hand-sewing of electrodes for surface electromyography to assess its feasibility as an affordable, alternative means of production. In experiments reported here, batches of hand-sewn electrodes from six novice embroiderers are tested for (i) manufacturing consistency, and (ii) myographic data acquisition against conventional gelled and machine-sewn electrodes. First, the electrical properties of the created electrodes are assessed through simple resistance measurements. Then, linear regression is performed using electromyography data to test if force-variation detection is feasible. The results demonstrate that hand-sewn electrodes provide similar sensitivity to force variation as their machine-sewn counterparts according to the linear regression gradients calculated (8.84 using the hand-sewn electrodes and 9.38 using the machine-sewn electrodes, on the flexor muscles of the forearm). This suggests that hand-made, low-cost textile interfaces could be deployed using local production in developing economies.

Wearable and Flexible Textile Electrodes for Biopotential Signal Monitoring: A review

Wearable electronics is a rapidly growing field that recently started to introduce successful commercial products into the consumer electronics market. Employment of biopotential signals in wearable systems as either biofeedbacks or control commands are expected to revolutionize many technologies including point of care health monitoring systems, rehabilitation devices, human–computer/machine interfaces (HCI/HMIs), and brain–computer interfaces (BCIs). Since electrodes are regarded as a decisive part of such products, they have been studied for almost a decade now, resulting in the emergence of textile electrodes. This study presents a systematic review of wearable textile electrodes in physiological signal monitoring, with discussions on the manufacturing of conductive textiles, metrics to assess their performance as electrodes, and an investigation of their application in the acquisition of critical biopotential signals for routine monitoring, assessment, and exploitation of cardiac (electrocardiography, ECG), neural (electroencephalography, EEG), muscular (electromyography, EMG), and ocular (electrooculography, EOG) functions.

Muscle Performance Investigated With a Novel Smart Compression Garment Based on Pressure Sensor Force Myography and Its Validation Against EMG

Muscle activity and fatigue performance parameters were obtained and compared between both a smart compression garment and the gold-standard, a surface electromyography (EMG) system during high-speed cycling in seven participants. The smart compression garment, based on force myography (FMG), comprised of integrated pressure sensors that were sandwiched between skin and garment, located on five thigh muscles. The muscle activity was assessed by means of crank cycle diagrams (polar plots) that displayed the muscle activity relative to the crank cycle. The fatigue was assessed by means of the median frequency of the power spectrum of the EMG signal; the fractal dimension (FD) of the EMG signal; and the FD of the pressure signal. The smart compression garment returned performance parameters (muscle activity and fatigue) comparable to the surface EMG. The major differences were that the EMG measured the electrical activity, whereas the pressure sensor measured the mechanical activity. As such, there was a phase shift between electrical and mechanical signals, with the electrical signals preceding the mechanical counterparts in most cases. This is specifically pronounced in high-speed cycling. The fatigue trend over the duration of the cycling exercise was clearly reflected in the fatigue parameters (FDs and median frequency) obtained from pressure and EMG signals. The fatigue parameter of the pressure signal (FD) showed a higher time dependency (R² = 0.84) compared to the EMG signal. This reflects that the pressure signal puts more emphasis on the fatigue as a function of time rather than on the origin of fatigue (e.g., peripheral or central fatigue). In light of the high-speed activity results, caution should be exerted when using data obtained from EMG for biomechanical models. In contrast to EMG data, activity data obtained from FMG are considered more appropriate and accurate as an input for biomechanical modeling as they truly reflect the mechanical muscle activity. In summary, the smart compression garment based on FMG is a valid alternative to EMG-garments and provides more accurate results at high-speed activity (avoiding the electro-mechanical delay), as well as clearly measures the progress of muscle fatigue over time.