Smart Textile Based on Piezoresistive Sensing Elements for Respiratory Monitoring

Wearable systems are gaining large interest in applications related to the monitoring of physiological parameters. Piezoresistive strain sensors are a valid option to develop wearables for several medical applications. Among them, respiratory monitoring can be performed by recording chest movements. The aim of this paper is threefold: 1) the experimental assessment of elastic piezoresistive textile; 2) the influence of length and width on piezoresistive response; and 3) the use of these elements to develop a smart textile (ST) for respiratory monitoring. The ST consists of six piezoresistive elements. The static calibration and the hysteresis analysis were carried out to assess the characteristics of the piezoresistive elements. The feasibility assessment of the ST for respiratory monitoring was performed on four healthy volunteers under two conditions (i.e., quiet breathing and tachypnea). Respiratory frequency values were estimated by the ST and compared with the ones gathered by means of a reference system (i.e., a motion capture system). Length and width influence both the sensitivity and hysteresis of the piezoresistive element. Regarding the ST performance, good agreement with data provided by the reference system was found. Indeed, results obtained by considering the output of single sensing elements and their sum were promising: the difference between the average respiratory frequency was always lower than 1% and 4% during quiet breathing and tachypnea, respectively. The proposed ST seems to be suitable for respiratory frequency monitoring in a wide range of values, where unobtrusiveness is of great value.

[1]  Emiliano Schena,et al.  Smart textile for respiratory monitoring and thoraco‐abdominal motion pattern evaluation , 2018, Journal of biophotonics.

[2]  Sung-Bock Kim,et al.  Wearable Respiratory Rate Monitoring using Piezo-resistive Fabric Sensor , 2009 .

[3]  Yan Liu,et al.  Validity and Reliability of Multiparameter Physiological Measurements Recorded by the Equivital Lifemonitor During Activities of Various Intensities , 2013, Journal of occupational and environmental hygiene.

[4]  J W Ward,et al.  Analysis of human chest wall motion using a two-compartment rib cage model. , 1992, Journal of applied physiology.

[5]  Emiliano Schena,et al.  Smart Textile Based on 12 Fiber Bragg Gratings Array for Vital Signs Monitoring , 2017, IEEE Sensors Journal.

[6]  R. Holm Electric contacts; theory and application , 1967 .

[7]  Subhas Chandra Mukhopadhyay,et al.  Wearable Sensors for Human Activity Monitoring: A Review , 2015, IEEE Sensors Journal.

[8]  Syed Talha Ali Hamdani,et al.  The Application of a Piezo-Resistive Cardiorespiratory Sensor System in an Automobile Safety Belt , 2015, Sensors.

[9]  R. Saatchi,et al.  Respiration rate monitoring methods: A review , 2011, Pediatric pulmonology.

[10]  J M Bland,et al.  Statistical methods for assessing agreement between two methods of clinical measurement , 1986 .

[11]  Peyman Servati,et al.  Novel Flexible Wearable Sensor Materials and Signal Processing for Vital Sign and Human Activity Monitoring , 2017, Sensors.

[12]  Xiaogang Wang,et al.  Intelligent multi-camera video surveillance: A review , 2013, Pattern Recognit. Lett..

[13]  Louis Passfield,et al.  Respiratory Frequency during Exercise: The Neglected Physiological Measure , 2017, Front. Physiol..

[14]  Emiliano Schena,et al.  Flow measurement in mechanical ventilation: a review. , 2015, Medical engineering & physics.

[15]  Se Dong Min,et al.  Simplified Structural Textile Respiration Sensor Based on Capacitive Pressure Sensing Method , 2014, IEEE Sensors Journal.

[16]  Benoit Gosselin,et al.  A Wireless Respiratory Monitoring System Using a Wearable Patch Sensor Network , 2019, IEEE Sensors Journal.

[17]  Jong Hoon Kim,et al.  Guiding curve based on the normal breathing as monitored by thermocouple for regular breathing. , 2007, Medical physics.

[18]  Sergio Silvestri,et al.  Optoelectronic Plethysmography in Clinical Practice and Research: A Review , 2017, Respiration.

[19]  Om Prakash Singh,et al.  Real-time human respiration carbon dioxide measurement device for cardiorespiratory assessment , 2018, Journal of breath research.

[20]  Shuo-Hung Chang,et al.  A wearable yarn-based piezo-resistive sensor , 2008 .

[21]  Rita Paradiso,et al.  A wearable health care system based on knitted integrated sensors , 2005, IEEE Transactions on Information Technology in Biomedicine.

[22]  Ozgur Atalay,et al.  Weft-Knitted Strain Sensor for Monitoring Respiratory Rate and Its Electro-Mechanical Modeling , 2015, IEEE Sensors Journal.

[23]  S. Silvestri,et al.  Analysis of breathing via optoelectronic systems: comparison of four methods for computing breathing volumes and thoraco-abdominal motion pattern , 2017, Computer methods in biomechanics and biomedical engineering.

[24]  Claire M. Lochner,et al.  Monitoring of Vital Signs with Flexible and Wearable Medical Devices , 2016, Advanced materials.

[25]  Fumiya Iida,et al.  Multi-Functional Soft Strain Sensors for Wearable Physiological Monitoring , 2018, Sensors.

[26]  I. Krucinska,et al.  Development of Screen-Printed Breathing Rate Sensors , 2013 .

[27]  Emiliano Schena,et al.  Fiber Bragg Grating Measuring System for Simultaneous Monitoring of Temperature and Humidity in Mechanical Ventilation , 2017, Sensors.

[28]  Sergio Silvestri,et al.  Contact-Based Methods for Measuring Respiratory Rate , 2019, Sensors.

[29]  Ramesh Jain,et al.  Respiration rate and volume measurements using wearable strain sensors , 2019, npj Digital Medicine.

[30]  Enzo Pasquale Scilingo,et al.  Comparative Evaluation of Susceptibility to Motion Artifact in Different Wearable Systems for Monitoring Respiratory Rate , 2010, IEEE Transactions on Information Technology in Biomedicine.

[31]  Emiliano Schena,et al.  Respiratory and cardiac rates monitoring during MR examination by a sensorized smart textile , 2017, 2017 IEEE International Instrumentation and Measurement Technology Conference (I2MTC).

[32]  Shinya Kano,et al.  Silica Nanoparticle-Based Portable Respiration Sensor for Analysis of Respiration Rate, Pattern, and Phase During Exercise , 2018, IEEE Sensors Letters.

[33]  Emiliano Schena,et al.  Experimental Assessment of a Variable Orifice Flowmeter for Respiratory Monitoring , 2015, J. Sensors.

[34]  Ozgur Atalay,et al.  Knitted Strain Sensors: Impact of Design Parameters on Sensing Properties , 2014, Sensors.

[35]  A. Cheng,et al.  Respiratory rate: the neglected vital sign , 2008, The Medical journal of Australia.