The Use of Fiber Bragg Grating Sensors in Biomechanics and Rehabilitation Applications: The State-of-the-Art and Ongoing Research Topics

In recent years, fiber Bragg gratings (FBGs) are becoming increasingly attractive for sensing applications in biomechanics and rehabilitation engineering due to their advantageous properties like small size, light weight, biocompatibility, chemical inertness, multiplexing capability and immunity to electromagnetic interference (EMI). They also offer a high-performance alternative to conventional technologies, either for measuring a variety of physical parameters or for performing high-sensitivity biochemical analysis. FBG-based sensors demonstrated their feasibility for specific sensing applications in aeronautic, automotive, civil engineering structure monitoring and undersea oil exploration; however, their use in the field of biomechanics and rehabilitation applications is very recent and its practicality for full-scale implementation has not yet been fully established. They could be used for detecting strain in bones, pressure mapping in orthopaedic joints, stresses in intervertebral discs, chest wall deformation, pressure distribution in Human Machine Interfaces (HMIs), forces induced by tendons and ligaments, angles between body segments during gait, and many others in dental biomechanics. This article aims to provide a comprehensive overview of all the possible applications of FBG sensing technology in biomechanics and rehabilitation and the status of ongoing researches up-to-date all over the world, demonstrating the FBG advances over other existing technologies.

[1]  O. Boric-Lubecke,et al.  Microwave non-invasive sensing of respiratory tidal volume , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[2]  L. Claes,et al.  New in vivo measurements of pressures in the intervertebral disc in daily life. , 1999, Spine.

[3]  L T D'Angelo,et al.  A system for respiratory motion detection using optical fibers embedded into textiles , 2008, 2008 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[4]  Stavros Pissadakis,et al.  Enhanced durability FBG-based sensor pads for biomedical applications as human-machine interface surfaces , 2011, 2011 International Workshop on Biophotonics.

[5]  Amos Race,et al.  Cement microcracks in thin-mantle regions after in vitro fatigue loading. , 2004, The Journal of arthroplasty.

[6]  Lídia Carvalho,et al.  FEA and experimental FBG sensing system for the analysis of different dental implant concepts , 2006 .

[7]  D. D’Lima,et al.  An implantable telemetry device to measure intra-articular tibial forces. , 2005, Journal of biomechanics.

[8]  Gerald F. Harris,et al.  Development of a miniature plantar shear force sensing transducer , 1993, Proceedings of the 15th Annual International Conference of the IEEE Engineering in Medicine and Biology Societ.

[9]  William R Ledoux,et al.  A shear and plantar pressure sensor based on fiber-optic bend loss. , 2005, Journal of rehabilitation research and development.

[10]  Paulo Mateus Mendes,et al.  A Smart Skin PVC Foil Based on FBG Sensors for Monitoring Strain and Temperature , 2011, IEEE Transactions on Industrial Electronics.

[11]  L. Claes,et al.  Intradiscal pressure recordings in the cervical spine. , 1999, Neurosurgery.

[12]  William B. Spillman,et al.  Fiber optic sensors : an introduction for engineers and scientists , 2011 .

[13]  Paul R. Fleming,et al.  Evaluation of pressure insoles during running , 2010 .

[14]  P.M. Mendes,et al.  Manufacturing technology for flexible optical sensing foils , 2009, 2009 35th Annual Conference of IEEE Industrial Electronics.

[15]  F. Berghmans,et al.  Optical fiber sensors and their application in monitoring stress build-up in dental resin cements , 2005, SPIE Optics + Optoelectronics.

[16]  O. Reikerås,et al.  Fibre optic Bragg grating sensors: an alternative method to strain gauges for measuring deformation in bone. , 2008, Medical engineering & physics.

[17]  M. Nitzan,et al.  Fiber optic sensor for the measurement of respiratory chest circumference changes. , 1999, Journal of biomedical optics.

[18]  W J Tompkins,et al.  A portable insole plantar pressure measurement system. , 1992, Journal of rehabilitation research and development.

[19]  S. C. Tjin,et al.  Recording compliance of dental splint use in obstructive sleep apnoea patients by force and temperature modelling , 2006, Medical and Biological Engineering and Computing.

[20]  D. De Rossi,et al.  Monitoring body kinematics and gesture through sensing fabrics , 2000, 1st Annual International IEEE-EMBS Special Topic Conference on Microtechnologies in Medicine and Biology. Proceedings (Cat. No.00EX451).

[21]  Dominiek Reynaerts,et al.  A pressure sensing sheet based on optical fibre technology , 2011 .

[22]  José Higino Correia,et al.  PVC formulation study for the manufacturing of a skin smart structure based in optical fiber elements , 2012 .

[23]  Hypolito José Kalinowski Fiber Bragg grating applications in biomechanics , 2008, International Conference on Optical Fibre Sensors.

[24]  Mingguo Zhao,et al.  Novel force sensor based on a couple of fiber Bragg gratings , 2005 .

[25]  Radek Kuchta,et al.  Design of a Pressure Sensor Based on Optical Fiber Bragg Grating Lateral Deformation , 2010, Sensors.

[26]  Kyriacos Kalli,et al.  Fiber Bragg Gratings: Fundamentals and Applications in Telecommunications and Sensing , 2000 .

[27]  George T. Kanellos,et al.  Optical fiber sensors in orthopedic biomechanics and rehabilitation , 2009, 2009 9th International Conference on Information Technology and Applications in Biomedicine.

[28]  Francis Berghmans,et al.  Dose-rate dependencies in gamma-irradiated fiber Bragg grating filters , 2002 .

[29]  Vincent A. Handerek,et al.  A shear and vertical stress sensor for physiological measurements using fibre Bragg gratings , 2000, Proceedings of the 22nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (Cat. No.00CH37143).

[30]  M Roffman,et al.  Supracondylar fracture of the femur following total knee replacement. Report of four cases. , 1981, The Journal of bone and joint surgery. American volume.

[31]  Katerina Krebber,et al.  Smart Textile Embedding Optical Fibre Sensors for Healthcare Monitoring during MRI , 2008 .

[32]  T. L. Yeo,et al.  Characterisation of a polymer-coated fibre Bragg grating sensor for relative humidity sensing , 2005 .

[33]  F. Pirotte,et al.  Optical Fiber Sensors Embedded Into Medical Textiles for Healthcare Monitoring , 2008, IEEE Sensors Journal.

[34]  Angus McFadyen,et al.  Dynamic interface pressure distributions of two transtibial prosthetic socket concepts. , 2009, Journal of rehabilitation research and development.

[35]  Phyo Wai Aung Aung,et al.  FBG-based smart bed system for healthcare applications , 2010 .

[36]  G. Sagvolden,et al.  Differences in External and Internal Cortical Strain with Prosthesis in the Femur , 2011, The open orthopaedics journal.

[37]  Gangbing Song,et al.  Fiber Bragg grating displacement sensor for movement measurement of tendons and ligaments. , 2007, Applied optics.

[38]  N. Pleros,et al.  Two dimensional polymer-embedded quasi-distributed FBG pressure sensor for biomedical applications. , 2010, Optics express.

[39]  W D Spence,et al.  Transducers for the determination of the pressure and shear stress distribution at the stump—socket interface of trans-tibial amputees , 2010 .

[40]  D. De Rossi,et al.  Wearable, redundant fabric-based sensor arrays for reconstruction of body segment posture , 2004, IEEE Sensors Journal.

[41]  S. Tjin,et al.  Fiber Bragg grating based shear-force sensor: modeling and testing , 2004, Journal of Lightwave Technology.

[42]  Ilda Abe,et al.  On the use of fiber bragg sensors to assess temperature and thermal induce strain profiles in cemented hip mantles , 2006 .

[43]  J W Tappin,et al.  Method of measuring 'shearing' forces on the sole of the foot , 1980 .

[44]  Max Aebi,et al.  Lumbar intradiscal pressure measured in the anterior and posterolateral annular regions during asymmetrical loading. , 1998, Clinical biomechanics.

[45]  Hypolito José Kalinowski,et al.  A fibre optic Bragg grating strain sensor for monitoring ventilatory movements , 2001 .

[46]  K. M. Tan,et al.  Design of a foot-pressure monitoring transducer for diabetic patients based on FBG sensors , 2003, The 16th Annual Meeting of the IEEE Lasers and Electro-Optics Society, 2003. LEOS 2003..

[47]  José Higino Correia,et al.  Simultaneous cardiac and respiratory frequency measurement based on a single fiber Bragg grating sensor , 2011 .

[48]  Hypolito J. Kalinowski,et al.  Fibre Bragg grating sensing and finite element analysis of the biomechanics of the mandible , 2005, International Conference on Optical Fibre Sensors.

[49]  James Cho Hong Goh,et al.  Comparative study between patellar-tendon-bearing and pressure cast prosthetic sockets. , 2004, Journal of rehabilitation research and development.

[50]  Carlos Rodrigues,et al.  Development of a long-term monitoring system based on FBG sensors applied to concrete bridges , 2010 .

[51]  I. Abe,et al.  Plated and Intact Femur Strains in Fracture Fixation Using Fiber Bragg Gratings and Strain Gauges , 2007 .

[52]  A. Nachemson,et al.  IN VIVO MEASUREMENTS OF INTRADISCAL PRESSURE. DISCOMETRY, A METHOD FOR THE DETERMINATION OF PRESSURE IN THE LOWER LUMBAR DISCS. , 1964, The Journal of bone and joint surgery. American volume.

[53]  Byung-Jo Kim,et al.  In vitro measurement of pressure differences using manometry at various injection speeds during discography. , 2007, The spine journal : official journal of the North American Spine Society.

[54]  Lídia Carvalho,et al.  In the trail of a new bio-sensor for measuring strain in bone: osteoblastic biocompatibility. , 2011, Biosensors & bioelectronics.

[55]  Ying-Wen Bai,et al.  Design and implementation of an embedded monitor system for detection of a patient's breath by double Webcams , 2010, 2010 IEEE International Workshop on Medical Measurements and Applications.

[56]  Hypolito J. Kalinowski,et al.  Stress monitoring in a maxilla model and dentition , 2011, International Conference on Optical Fibre Sensors.

[57]  Swee Chuan Tjin,et al.  Fiber grating sensor for pressure mapping during total knee arthroplasty , 2007 .

[58]  R. Bunge,et al.  Clinical use of frozen semen: report of four cases. , 1954, Fertility and sterility.

[59]  Benjamin J. Ellis,et al.  Validation of finite element predictions of cartilage contact pressure in the human hip joint. , 2008, Journal of biomechanical engineering.

[60]  Yuliang Liu,et al.  FBG pressure sensor based on the double shell cylinder with temperature compensation , 2009 .

[61]  C. Davis,et al.  A new sensor for monitoring chest wall motion during high-frequency oscillatory ventilation. , 1999, Medical engineering & physics.

[62]  M. Adams,et al.  Internal Intervertebral Disc Mechanics as Revealed by Stress Profilometry , 1992, Spine.

[63]  Swee Chuan Tjin,et al.  Pressure mapping at orthopaedic joint interfaces with fiber Bragg gratings , 2006 .

[64]  Ilda Abe,et al.  Measuring Orthodontic Forces with HiBi FBG Sensors , 2006 .

[65]  M Lord,et al.  Method for in-shoe shear stress measurement. , 1992, Journal of biomedical engineering.

[66]  Zhang Yan-ping Application of fiber grating sensor for oil leak detection in oil industry , 2008 .

[67]  Lídia Carvalho,et al.  Mandibular strains induced by conventional and novel dental implants , 2004 .

[68]  Wolfgang R. Fahrner,et al.  Review on materials, microsensors, systems and devices for high-temperature and harsh-environment applications , 2001, IEEE Trans. Ind. Electron..

[69]  R. Marculescu,et al.  Ready to ware , 2003, IEEE Spectrum.

[70]  Xiaobin Xu,et al.  A New Wireless Fiber Optic Sensor for Monitoring Breath Motion , 2008, 2008 New Technologies, Mobility and Security.

[71]  R. Kashyap Fiber Bragg Gratings , 1999 .

[72]  M. G. Pepper,et al.  In-shoe biaxial shear force measurement: The Kent shear system , 2006, Medical and Biological Engineering and Computing.

[73]  C. Relvas,et al.  Improved stability with intramedullary stem after anterior femoral notching in total knee arthroplasty , 2012, Knee Surgery, Sports Traumatology, Arthroscopy.

[74]  José Higino Gomes Correia,et al.  Wearable Sensor Network for Body Kinematics Monitoring , 2006, 2006 10th IEEE International Symposium on Wearable Computers.

[75]  Michiko Nishiyama,et al.  Wearable Sensing Glove With Embedded Hetero-Core Fiber-Optic Nerves for Unconstrained Hand Motion Capture , 2009, IEEE Transactions on Instrumentation and Measurement.

[76]  Michael A. Davis,et al.  Fiber grating sensors , 1997 .

[77]  N Verdonschot,et al.  Finite element and experimental models of cemented hip joint reconstructions can produce similar bone and cement strains in pre-clinical tests. , 2002, Journal of biomechanics.

[78]  Peter A Cripton,et al.  Validation of a Novel Minimally Invasive Intervertebral Disc Pressure Sensor Utilizing In-Fiber Bragg Gratings in a Porcine Model: An Ex Vivo Study , 2008, Spine.

[79]  C. Milgrom,et al.  In-vivo strain measurements to evaluate the strengthening potential of exercises on the tibial bone. , 2000, The Journal of bone and joint surgery. British volume.

[80]  M. Harris,et al.  An improved method for measuring tibiofemoral contact areas in total knee arthroplasty: a comparison of K-scan sensor and Fuji film. , 1999, Journal of biomechanics.

[81]  Enzo Pasquale Scilingo,et al.  Strain sensing fabric for hand posture and gesture monitoring , 2005, IEEE Transactions on Information Technology in Biomedicine.

[82]  Hypolito J. Kalinowski,et al.  FBG applied in dynamic analysis of an implanted cadaveric mandible , 2004, European Workshop on Optical Fibre Sensors.

[83]  Umesh Tiwari,et al.  Fiber Bragg grating sensor for measurement of impact absorption capability of mouthguards. , 2011, Dental traumatology : official publication of International Association for Dental Traumatology.

[84]  Peter A Cripton,et al.  Ex vivo measurement of lumbar intervertebral disc pressure using fibre-Bragg gratings. , 2008, Journal of biomechanics.

[85]  Hiroaki Ishizawa,et al.  Application to vital signs by Fiber Bragg Grating sensing , 2011, SICE Annual Conference 2011.

[86]  P. Chaud,et al.  OFSETH: Optical Fibre Embedded into technical Textile for Healthcare, an efficient way to monitor patient under magnetic resonance imaging , 2007, 2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[87]  Katerina Krebber,et al.  Optical fibre sensors embedded into technical textile for healthcare (ofseth) , 2007 .

[88]  Chin-Shyurng Fahn,et al.  Development of a data glove with reducing sensors based on magnetic induction , 2005, IEEE Transactions on Industrial Electronics.

[89]  P. M. Mendes,et al.  FBG Sensing Glove for Monitoring Hand Posture , 2011, IEEE Sensors Journal.

[90]  Yong Wang,et al.  Measurement of contact forces between human and vibrating floors using fiber Bragg grating foot sensors , 2001, SPIE Micro + Nano Materials, Devices, and Applications.

[91]  John Botsis,et al.  Monitoring of non-homogeneous strains in composites with embedded wavelength multiplexed fiber Bragg gratings: A methodological study , 2012 .

[92]  D. Kinet,et al.  FBG-based smart textiles for continuous monitoring of respiratory movements for healthcare applications , 2010, The 12th IEEE International Conference on e-Health Networking, Applications and Services.

[93]  C Milgrom,et al.  Are overground or treadmill runners more likely to sustain tibial stress fracture? , 2003, British journal of sports medicine.

[94]  Ahmad Fauzi Abas,et al.  Dual-phase sensing for early detection of prepreg structural failures via etched cladding Bragg grating , 2011 .

[95]  Lídia Carvalho,et al.  Determination of setting expansion of dental materials using fibre optical sensing , 2006 .

[96]  I. Abe,et al.  Ex Vivo Intervertebral Disc Bulging Measurement Using a Fibre Bragg Grating Sensor , 2011 .

[97]  Ming Zhang,et al.  Pressure distribution at the stump/socket interface in transtibial amputees during walking on stairs, slope and non-flat road. , 2006, Clinical Biomechanics.

[98]  Vilmos Vécsei,et al.  Measuring the pressure pattern of the joint surface in the uninjured knee , 2009, Wiener Klinische Wochenschrift.

[99]  William E Lee,et al.  Torsion-Induced Pressure Distribution Changes in Human Intervertebral Discs: An In Vitro Study , 2007, Spine.

[100]  A. Nachemson,et al.  Lumbar intradiscal pressure. Experimental studies on post-mortem material. , 1960, Acta orthopaedica Scandinavica. Supplementum.

[101]  Christos Mitrogiannis,et al.  Assessment of Vacuum-assisted trans-tibial amputee socket dynamics , 2009, 2009 9th International Conference on Information Technology and Applications in Biomedicine.

[102]  Yage Zhan,et al.  A novel fiber Bragg grating high-temperature sensor , 2008 .

[103]  P.M. Mendes,et al.  PVC Smart Sensing Foil for Advanced Strain Measurements , 2010, IEEE Sensors Journal.

[104]  B. Cunningham,et al.  The Effect of Spinal Destabilization and Instrumentation on Lumbar Intradiscal Pressure: An In Vitro Biomechanical Analysis , 1997, Spine.

[105]  Dominiek Reynaerts,et al.  Development of flexible pressure sensing polymer foils based on embedded fibre Bragg grating sensors , 2010 .

[106]  E M Carlisle,et al.  Silicon: A Possible Factor in Bone Calcification , 1970, Science.

[107]  David R Wilson,et al.  The measurement of joint mechanics and their role in osteoarthritis genesis and progression. , 2013, Rheumatic diseases clinics of North America.

[108]  T. Lind,et al.  [Supracondylar fracture of the femur following total knee replacement]. , 1989, Ugeskrift for laeger.

[109]  A. Othonos Fiber Bragg gratings , 1999 .

[110]  David R. Wilson,et al.  A minimally invasive in-fiber Bragg grating sensor for intervertebral disc pressure measurements , 2008 .

[111]  P A Cripton,et al.  A minimally disruptive technique for measuring intervertebral disc pressure in vitro: application to the cervical spine. , 2001, Journal of biomechanics.

[112]  W D Spence,et al.  Interface pressure profile analysis for patellar tendon-bearing socket and hydrostatic socket. , 2009, Acta of bioengineering and biomechanics.

[113]  Xiufeng Yang,et al.  A simple temperature-insensitive fiber Bragg grating displacement sensor , 2007 .

[114]  A. Nachemson The Load on Lumbar Disks in Different Positions of the Body , 1966, Clinical orthopaedics and related research.

[115]  Dragan Coric,et al.  High-speed internal strain measurements in composite structures under dynamic load using embedded FBG sensors , 2010 .

[116]  D. Thelen,et al.  Tracking the Position of Insole Pressure Sensors during Walking and Running , 2007 .

[117]  S. Mondal,et al.  Fiber Bragg grating sensor for monitoring bone decalcification. , 2010, Orthopaedics & traumatology, surgery & research : OTSR.

[118]  Lídia Carvalho,et al.  Application of Bragg Grating Sensors in Dental Biomechanics , 2006 .

[119]  M. Zhang,et al.  Comparison of computational analysis with clinical measurement of stresses on below-knee residual limb in a prosthetic socket. , 2000, Medical engineering & physics.

[120]  R. P. Rocha,et al.  FBG in PVC foils for monitoring the knee joint movement during the rehabilitation process , 2011, 2011 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[121]  Enzo Pasquale Scilingo,et al.  Strain-sensing fabrics for wearable kinaesthetic-like systems , 2003 .

[122]  Mariusz Krej,et al.  Fiber-optic sensor for monitoring respiration and cardiac activity , 2011, 2011 IEEE SENSORS Proceedings.

[123]  L E Claes,et al.  Influence of varying muscle forces on lumbar intradiscal pressure: an in vitro study. , 1996, Journal of biomechanics.

[124]  A. Augousti,et al.  Improved fibre optic respiratory monitoring using a figure-of-eight coil , 2005, Physiological measurement.

[125]  D. Kinet,et al.  OFSETH: A breathing motions monitoring system for patients under MRI , 2010, 2010 Annual International Conference of the IEEE Engineering in Medicine and Biology.

[126]  Miloslav Vilimek USING A FIBER BRAGG GRATING SENSOR FOR TENDON FORCE MEASUREMENTS , 2008 .

[127]  A. Gefen,et al.  Real-Time Patient-Specific Finite Element Analysis of Internal Stresses in the Soft Tissues of a Residual Limb: A New Tool for Prosthetic Fitting , 2006, Annals of Biomedical Engineering.

[128]  F. Narbonneau,et al.  OFSETH: Smart medical textile for continuous monitoring of respiratory motions under magnetic resonance imaging , 2009, 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[129]  Yuji Yamamoto,et al.  An Alternative Approach to the Acquisition of a Complex Motor Skill: Multiple Movement Training on Tennis Strokes , 2004 .

[130]  Orlando Frazão,et al.  Mechanical characterization of bone cement using fiber Bragg grating sensors , 2009 .

[131]  J. P. Carmo,et al.  Application of Fiber Bragg Gratings to Wearable Garments , 2012, IEEE Sensors Journal.

[132]  Umesh Tiwari,et al.  Fiber grating sensors in medicine: Current and emerging applications , 2011 .

[133]  Braden C. Fleming,et al.  In Vivo Measurement of Ligament/Tendon Strains and Forces: A Review , 2004, Annals of Biomedical Engineering.

[134]  David R. Wilson,et al.  An in-fiber Bragg grating sensor for contact force and stress measurements in articular joints , 2010 .

[135]  P.M. Mendes,et al.  Fiber Bragg Grating Sensors Integrated in Polymeric Foils , 2010 .

[136]  Lídia Carvalho,et al.  On the Use of FBG Sensors to Assess the Performance of a Dental Implant System , 2006 .

[137]  Stephen J. Mihailov,et al.  Fiber Bragg Grating Sensors for Harsh Environments , 2012, Sensors.

[138]  J. H. Correia,et al.  Smart Sensing Polymeric Foil with Integrated Optic Fiber Sensors: Fabrication and Characterization of a Polymeric Foil Sensitive to Strain , 2009, 2009 Third International Conference on Sensor Technologies and Applications.

[139]  Chi-Chang Hsieh,et al.  Strain measurement for composite tubes using embedded, fiber Bragg grating sensor , 2011 .

[140]  W D Spence,et al.  The patellar tendon bar! Is it a necessary feature? , 2010, Medical engineering & physics.

[141]  Braden C Fleming,et al.  Accuracy of circular contact area measurements with thin-film pressure sensors. , 2007, Journal of biomechanics.

[142]  Xiaojing Yuan,et al.  Monitoring of the heartbeat sounds using an optical fiber Bragg grating sensor , 2005, IEEE Sensors, 2005..

[143]  Kristofer S. J. Pister,et al.  Acceleration sensing glove (ASG) , 1999, Digest of Papers. Third International Symposium on Wearable Computers.

[144]  F. Berghmans,et al.  Multi-parameter force sensing with fiber Bragg grating sensors , 2003 .

[145]  S. J. Redmond,et al.  Sensors-Based Wearable Systems for Monitoring of Human Movement and Falls , 2012, IEEE Sensors Journal.

[146]  J. Cobb,et al.  Transducers for foot pressure measurement: survey of recent developments , 2006, Medical and Biological Engineering and Computing.

[147]  Joris Degrieck,et al.  Strain Measurements of Composite Laminates with Embedded Fibre Bragg Gratings: Criticism and Opportunities for Research , 2010, Sensors.