A Mass-Producible Washable Smart Garment with Embedded Textile EMG Electrodes for Control of Myoelectric Prostheses: A Pilot Study

Electromyography (EMG) is the resulting electrical signal from muscle activity, commonly used as a proxy for users’ intent in voluntary control of prosthetic devices. EMG signals are recorded with gold standard Ag/AgCl gel electrodes, though there are limitations in continuous use applications, with potential skin irritations and discomfort. Alternative dry solid metallic electrodes also face long-term usability and comfort challenges due to their inflexible and non-breathable structures. This is critical when the anatomy of the targeted body region is variable (e.g., residual limbs of individuals with amputation), and conformal contact is essential. In this study, textile electrodes were developed, and their performance in recording EMG signals was compared to gel electrodes. Additionally, to assess the reusability and robustness of the textile electrodes, the effect of 30 consumer washes was investigated. Comparisons were made between the signal-to-noise ratio (SNR), with no statistically significant difference, and with the power spectral density (PSD), showing a high correlation. Subsequently, a fully textile sleeve was fabricated covering the forearm, with 14 textile electrodes. For three individuals, an artificial neural network model was trained, capturing the EMG of 7 distinct finger movements. The personalized models were then used to successfully control a myoelectric prosthetic hand.

Preliminary Analysis of a Wireless and Wearable Electronic-Textile EASI-Based Electrocardiogram

Background: With cardiovascular disease continuing to be the leading cause of death and the primary reason for hospitalization worldwide, there is an increased burden on healthcare facilities. Electronic-textile (e-textile)-based cardiac monitoring offers a viable option to allow cardiac rehabilitation programs to be conducted outside of the hospital.Objectives: This study aimed to determine whether signals produced by an e-textile ECG monitor with textile electrodes in an EASI configuration are of sufficient quality to be used for cardiac monitoring. Specific objectives were to investigate the effect of the textile electrode characteristics, placement, and condition on signal quality, and finally to compare results to a reference ECG obtained from a current clinical standard the Holter monitor.Methods: ECGs during different body movements (yawning, deep-breathing, coughing, sideways, and up movement) and activities of daily living (sitting, sitting/standing from a chair, and climbing stairs) were collected from a baseline standard of normal healthy adult male using a novel e-textile ECG and a reference Holter monitor. Each movement or activity was recorded for 5 min with 2-min intervals between each recording. Three different textile area electrodes (40, 60, and 70 mm2) and electrode thicknesses (3, 5, and 10 mm) were considered in the experiment. The effect of electrode placement within the EASI configuration was also studied. Different signal quality parameters, including signal to noise ratio, approximate entropy, baseline power signal quality index, and QRS duration and QT intervals, were used to evaluate the accuracy and reliability of the textile-based ECG monitor.Results: The overall signal quality from the 70 mm2 textile electrodes was higher compared to the smaller area electrodes. Results showed that the ECGs from 3 and 5 mm textile electrodes showed good quality. Regarding location, placing the “A” and “I” electrodes on the left and right anterior axillary points, respectively, showed higher signal quality compared to the standard EASI electrode placement. Wet textile electrodes showed better signal quality compared to their dry counterparts. When compared to the traditional Holter monitor, there was no significant difference in signal quality, which indicated textile monitoring was as good as current clinical standards (non-inferior).Conclusion: The e-textile EASI ECG monitor could be a viable option for real-time monitoring of cardiac activities. A clinical trial in a larger sample is recommended to validate the results in a clinical population.

Dry Wearable Textile Electrodes for Portable Electrical Impedance Tomography

Electrical impedance tomography (EIT), a noninvasive and radiation-free medical imaging technique, has been used for continuous real-time regional lung aeration. However, adhesive electrodes could cause discomfort and increase the risk of skin injury during prolonged measurement. Additionally, the conductive gel between the electrodes and skin could evaporate in long-term usage and deteriorate the signal quality. To address these issues, in this work, textile electrodes integrated with a clothing belt are proposed to achieve EIT lung imaging along with a custom portable EIT system. The simulation and experimental results have verified the validity of the proposed portable EIT system. Furthermore, the imaging results of using the proposed textile electrodes were compared with commercial electrocardiogram electrodes to evaluate their performance.

Impact of size and shape for textile surface electromyography electrodes: a study of the biceps brachii muscle

Electromyography is a technique to record and analyze signals from muscle tissue. Commonly, gel-based (Ag/AgCl) electrodes are used to detect muscle action potentials. Current gel-based electrode designs, however, do not perform well under constant movement and therefore are less suitable to monitor muscle behavior under everyday activities. Textile electrodes do well under movement and extended use, but produce weaker signals than their gel-based counterparts. This work points towards a reduction of this performance gap when the textile electrodes are designed to fit the target muscle. Four textile electrodes of different sizes and shapes are tested on the biceps brachii of 13 subjects. Signal parameters such as the signal-to-noise ratio and voltage root-mean-square are used to determine the quality of the myoelectric signals generated by these electrodes. Results with statistically significant differences show that the electrode area and alignment to the muscle fibers affect signal quality and strength. These results indicate that target muscle characteristics should dictate the electrode dimensional parameters to optimize surface electromyography signal acquisition.

Electrochemical Characteristics Based on Skin-Electrode Contact Pressure for Dry Biomedical Electrodes and the Application to Wearable ECG Signal Acquisition

Based on one simulated skin-electrode electrochemical interface, some electrochemical characteristics based on skin-electrode contact pressure (SECP) for dry biomedical electrodes were analysed and applied in this research. First, 14 electrochemical characteristics including 2 static impedance (SI) characteristics, 11 alternating current impedance (ACI) characteristics and one polarization voltage (PV), and 4 SECP characteristics were extracted in one electrochemical evaluation platform, and their correlation trends were statistically analysed. Second, dry biomedical electrode samples developed by the company and the laboratory, including textile electrodes, Apple watch, AMAZFIT rice health bracelet 1S, and stainless steel electrodes, were placed horizontally and vertically on the “skin” surface of the electrochemical evaluation platform, whose polarization voltages were quantitatively analysed. Third, electrocardiogram (ECG) collection circuits based on an impedance transformation (IT) circuit for textile electrodes were designed, and a wearable ECG acquisition device was designed, which could obtain complete ECG signals. Experimental results showed SECP characteristics for dry electrodes had good correlations with static impedance and ACI characteristics and the better correlation values among 2-10 Hz. In addition, polarization voltages in vertical state were smaller in horizontal state for dry biomedical electrodes, and polarization voltage of electrode pair (PVEP) values for Apple watch bottom was always smaller than ones for Apple watch crown and LMF-2 textile electrode. And the skin-electrode contact impedance of IT textile electrodes was less than the traditional textile electrodes.

Detection of the Complete ECG Waveform with Woven Textile Electrodes

Wearable physiological monitoring systems are becoming increasingly prevalent in the push toward autonomous health monitoring and offer new modalities for playful and purposeful interaction within human computer interaction (HCI). Sensing systems that can be integrated into garments and, therefore, daily activities offer promising pathways toward ubiquitous integration. The electrocardiogram (ECG) signal is commonly monitored in healthcare and is increasingly utilized as a method of determining emotional and psychological state; however, the complete ECG waveform with the P, Q, R, S, and T peaks is not commonly used, due to the challenges associated with collecting the full waveform with wearable systems. We present woven textile electrodes as an option for garment-integrated ECG monitoring systems that are capable of capturing the complete ECG waveform. In this work, we present the changes in the peak detection performance caused by different sizes, patterns, and thread types with data from 10 human participants. These testing results provide empirically-derived guidelines for future woven textile electrodes, present a path forward for assessing design decisions, and highlight the importance of testing novel wearable sensor systems with more than a single individual.