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Amitrano F, Coccia A, Pagano G, Biancardi A, Tombolini G, Marsico V, D’Addio G. Measuring Surface Electromyography with Textile Electrodes in a Smart Leg Sleeve. SENSORS (BASEL, SWITZERLAND) 2024; 24:2763. [PMID: 38732868 PMCID: PMC11086330 DOI: 10.3390/s24092763] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/15/2024] [Revised: 04/23/2024] [Accepted: 04/23/2024] [Indexed: 05/13/2024]
Abstract
This paper presents the design, development, and validation of a novel e-textile leg sleeve for non-invasive Surface Electromyography (sEMG) monitoring. This wearable device incorporates e-textile sensors for sEMG signal acquisition from the lower limb muscles, specifically the anterior tibialis and lateral gastrocnemius. Validation was conducted by performing a comparative study with eleven healthy volunteers to evaluate the performance of the e-textile sleeve in acquiring sEMG signals compared to traditional Ag/AgCl electrodes. The results demonstrated strong agreement between the e-textile and conventional methods in measuring descriptive metrics of the signals, including area, power, mean, and root mean square. The paired data t-test did not reveal any statistically significant differences, and the Bland-Altman analysis indicated negligible bias between the measures recorded using the two methods. In addition, this study evaluated the wearability and comfort of the e-textile sleeve using the Comfort Rating Scale (CRS). Overall, the scores confirmed that the proposed device is highly wearable and comfortable, highlighting its suitability for everyday use in patient care.
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Affiliation(s)
- Federica Amitrano
- Bioengineering Unit, Telese Terme Institute, Istituti Clinici Scientifici Maugeri IRCCS, 82037 Telese Terme, Italy; (F.A.); (G.D.)
| | - Armando Coccia
- Bioengineering Unit, Telese Terme Institute, Istituti Clinici Scientifici Maugeri IRCCS, 82037 Telese Terme, Italy; (F.A.); (G.D.)
| | - Gaetano Pagano
- Bioengineering Unit, Bari Institute, Istituti Clinici Scientifici Maugeri IRCCS, 70124 Bari, Italy;
| | - Arcangelo Biancardi
- Bioengineering Unit, Telese Terme Institute, Istituti Clinici Scientifici Maugeri IRCCS, 82037 Telese Terme, Italy; (F.A.); (G.D.)
| | | | - Vito Marsico
- Orthopaedics Unit, Bari Institute, Istituti Clinici Scientifici Maugeri IRCCS, 70124 Bari, Italy;
| | - Giovanni D’Addio
- Bioengineering Unit, Telese Terme Institute, Istituti Clinici Scientifici Maugeri IRCCS, 82037 Telese Terme, Italy; (F.A.); (G.D.)
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Rho S, Kim H, Lim D, Jeong W. Fabrication and Evaluation of Embroidery-Based Electrode for EMG Smart Wear Using Moss Stitch Technique. SENSORS (BASEL, SWITZERLAND) 2023; 23:9012. [PMID: 37960710 PMCID: PMC10648407 DOI: 10.3390/s23219012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 10/20/2023] [Accepted: 10/26/2023] [Indexed: 11/15/2023]
Abstract
Wearable 2.0 research has been conducted on the manufacture of smart fitness wear that collects bio-signals through the wearing of a textile-based electrode. Among them, the electromyography (EMG) suit measures the electrical signals generated by the muscles to check their activity, such as contraction and relaxation. General gel-type electrodes have been reported to cause skin diseases due to an uncomfortable feel and skin irritation when attached to the skin for a long time. Dry electrodes of various materials are being developed to solve this problem. Previous research has reported EMG detectio performance and conducted economic comparisons according to the size and shape of the embroidery electrode. On the other hand, these embroidery electrodes still have foreign body sensations. In this study, a moss sEMG electrode was produced with various shapes (W3 and WF) and loop lengths (1-5 mm). The optimized conditions of the embroidery-based electrodes were derived and analyzed with the tactile comfort factors and sensing performances. As the loop length of the electrode increased, MIU and Qmax increased, but the SMD decreased due to the free movement of the threads constituting the loop. Impedance and sEMG detection performance showed different trends depending on the electrode type.
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Affiliation(s)
- Soohyeon Rho
- Material and Component Convergence R&D Department, Korea Institute of Industrial Technology (KITECH), Ansan 15588, Republic of Korea; (S.R.); (H.K.); (D.L.)
- Department of Nano Science and Technology, Sungkyunkwan University, Suwon 16419, Republic of Korea
| | - Hyelim Kim
- Material and Component Convergence R&D Department, Korea Institute of Industrial Technology (KITECH), Ansan 15588, Republic of Korea; (S.R.); (H.K.); (D.L.)
| | - Daeyoung Lim
- Material and Component Convergence R&D Department, Korea Institute of Industrial Technology (KITECH), Ansan 15588, Republic of Korea; (S.R.); (H.K.); (D.L.)
| | - Wonyoung Jeong
- Material and Component Convergence R&D Department, Korea Institute of Industrial Technology (KITECH), Ansan 15588, Republic of Korea; (S.R.); (H.K.); (D.L.)
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Vidhya CM, Maithani Y, Singh JP. Recent Advances and Challenges in Textile Electrodes for Wearable Biopotential Signal Monitoring: A Comprehensive Review. BIOSENSORS 2023; 13:679. [PMID: 37504078 PMCID: PMC10377545 DOI: 10.3390/bios13070679] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/29/2023] [Revised: 06/17/2023] [Accepted: 06/20/2023] [Indexed: 07/29/2023]
Abstract
The technology of wearable medical equipment has advanced to the point where it is now possible to monitor the electrocardiogram and electromyogram comfortably at home. The transition from wet Ag/AgCl electrodes to various types of gel-free dry electrodes has made it possible to continuously and accurately monitor the biopotential signals. Fabrics or textiles, which were once meant to protect the human body, have undergone significant development and are now employed as intelligent textile materials for healthcare monitoring. The conductive textile electrodes provide the benefit of being breathable and comfortable. In recent years, there has been a significant advancement in the fabrication of wearable conductive textile electrodes for monitoring biopotential signals. This review paper provides a comprehensive overview of the advances in wearable conductive textile electrodes for biopotential signal monitoring. The paper covers various aspects of the technology, including the electrode design, various manufacturing techniques utilised to fabricate wearable smart fabrics, and performance characteristics. The advantages and limitations of various types of textile electrodes are discussed, and key challenges and future research directions are identified. This will allow them to be used to their fullest potential for signal gathering during physical activities such as running, swimming, and other exercises while being linked into wireless portable health monitoring systems.
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Affiliation(s)
- C M Vidhya
- Department of Physics, Indian Institute of Technology Delhi, Hauz Khas, New Delhi 110016, India
| | - Yogita Maithani
- Department of Physics, Indian Institute of Technology Delhi, Hauz Khas, New Delhi 110016, India
| | - Jitendra P Singh
- Department of Physics, Indian Institute of Technology Delhi, Hauz Khas, New Delhi 110016, India
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Etana BB, Malengier B, Kwa T, Krishnamoorthy J, Langenhove LV. Evaluation of Novel Embroidered Textile-Electrodes Made from Hybrid Polyamide Conductive Threads for Surface EMG Sensing. SENSORS (BASEL, SWITZERLAND) 2023; 23:s23094397. [PMID: 37177601 PMCID: PMC10181695 DOI: 10.3390/s23094397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2023] [Revised: 03/06/2023] [Accepted: 03/16/2023] [Indexed: 05/15/2023]
Abstract
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.
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Affiliation(s)
- Bulcha Belay Etana
- Department of Materials, Textiles and Chemical Engineering, Ghent University, 9000 Gent, Belgium
- Jimma Institute of Technology (JiT), School of Materials Science and Engineering, Jimma University, Jimma P.O. Box 378, Ethiopia
| | - Benny Malengier
- Department of Materials, Textiles and Chemical Engineering, Ghent University, 9000 Gent, Belgium
| | - Timothy Kwa
- Medtronic, 710 Medtronic Parkway Minneapolis, Minneapolis, MN 55432-5604, USA
| | - Janarthanan Krishnamoorthy
- Jimma Institute of Technology (JiT), School of Biomedical Engineering, Jimma University, Jimma P.O. Box 378, Ethiopia
| | - Lieva Van Langenhove
- Department of Materials, Textiles and Chemical Engineering, Ghent University, 9000 Gent, Belgium
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Fabrication of Textile-Based Dry Electrode and Analysis of Its Surface EMG Signal for Applying Smart Wear. Polymers (Basel) 2022; 14:polym14173641. [PMID: 36080714 PMCID: PMC9460933 DOI: 10.3390/polym14173641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 08/22/2022] [Accepted: 08/23/2022] [Indexed: 11/30/2022] Open
Abstract
Ag/AgCl hydrogel electrodes, which are wet electrodes, are generally used to acquire bio-signals non-invasively. Research concerning dry electrodes is ongoing due to the following limitations of wet electrodes: (1) skin irritation and disease when attached for a long time; (2) poor adhesion due to sweat; and (3) considerable cost due to disposable use. Accordingly, electrodes in film, embroidery, and knit forms were manufactured from conductive sheets and conductive yarns, which are typical textile-type dry electrode materials, using different manufacturing methods and conditions. The prepared electrodes were conducted to measure the morphology, surface resistance, skin-electrode impedance, EMG signal acquisition, and analysis. The conductive sheet type electrode exhibited a similar skin-impedance, noise, and muscle activation signal amplitude to the Ag/AgCl gel electrode due to the excellent adhesion and shape stabilization. Embroidery electrodes were manufactured based on two-dimension lock stitch (Em_LS) and three-dimension moss-stitch (Em_MS). More stable EMG signal acquisition than Em_LS was possible when manufactured with Em_MS. The knit electrode was manufactured with the typical structures of plain, purl, and interlock. Although it was possible to acquire EMG signals, considerable noise was generated as the shape and size of the electrodes were changed due to the stretch characteristics of the knit structure. Finally, the applicability of the textile-type dry electrode was confirmed by combining it with a wearable device. More stable and accurate EMG signal acquirement will be possible through more precise parameter control in the future.
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Kim H, Kim S, Lim D, Jeong W. Development and Characterization of Embroidery-Based Textile Electrodes for Surface EMG Detection. SENSORS (BASEL, SWITZERLAND) 2022; 22:4746. [PMID: 35808240 PMCID: PMC9268917 DOI: 10.3390/s22134746] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 06/15/2022] [Accepted: 06/21/2022] [Indexed: 06/15/2023]
Abstract
The interest in wearable devices has expanded to measurement devices for building IoT-based mobile healthcare systems and sensing bio-signal data through clothing. Surface electromyography, called sEMG, is one of the most popular bio-signals that can be applied to health monitoring systems. In general, gel-based (Ag/AgCl) electrodes are mainly used, but there are problems, such as skin irritation due to long-time wearing, deterioration of adhesion to the skin due to moisture or sweat, and low applicability to clothes. Hence, research on dry electrodes as a replacement is increasing. Accordingly, in this study, a textile-based electrode was produced with a range of electrode shapes, and areas were embroidered with conductive yarn using an embroidery technique in the clothing manufacturing process. The electrode was applied to EMG smart clothing for fitness, and the EMG signal detection performance was analyzed. The electrode shape was manufactured using the circle and wave type. The wave-type electrode was more morphologically stable than the circle-type electrode by up to 30% strain, and the electrode shape was maintained as the embroidered area increased. Skin-electrode impedance analysis confirmed that the embroidered area with conductive yarn affected the skin contact area, and the impedance decreased with increasing area. For sEMG performance analysis, the rectus femoris was selected as a target muscle, and the sEMG parameters were analyzed. The wave-type sample showed higher EMG signal strength than the circle-type. In particular, the electrode with three lines showed better performance than the fill-type electrode. These performances operated without noise, even with a commercial device. Therefore, it is expected to be applicable to the manufacture of electromyography smart clothing based on embroidered electrodes in the future.
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Affiliation(s)
- Hyelim Kim
- Material and Component Convergence R&D Department, Korea Institute of Industrial Technology (KITECH), Ansan 15588, Korea; (H.K.); (D.L.)
| | - Siyeon Kim
- Reliability Assesment Center, FITI Testing and Research Institute, Seoul 07791, Korea;
| | - Daeyoung Lim
- Material and Component Convergence R&D Department, Korea Institute of Industrial Technology (KITECH), Ansan 15588, Korea; (H.K.); (D.L.)
| | - Wonyoung Jeong
- Material and Component Convergence R&D Department, Korea Institute of Industrial Technology (KITECH), Ansan 15588, Korea; (H.K.); (D.L.)
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