1. Introduction
Pressure garments or elastic bandages are used in pressure therapy, for instance, to treat hypertrophic scars following a burn injury. They help to control the formation of excess wound collagen and suppress the growth of hypertrophic scars [
1,
2,
3]. The pressure applied from such garments or bandages onto a hypertrophic scar normally ranges from 10–25 mmHg (i.e., 1.33–3.33 kPa) [
4,
5]. Pressure garments have also been used to treat chronic venous disorders and venous leg ulcers [
6,
7]. The pressure applied for these conditions is however much higher but still does not exceed 70 mmHg (i.e., 9.33 kPa) [
8]. Controlling the applied pressure is important to treat various conditions and provide a good wear condition, and the appropriate amount of induced pressure can contribute to improving the product design. Insufficient pressure means that the treatment is less effective whilst excessive pressure can lead to tissue damage, or might even require amputation in severe cases [
9]. Nowadays, thin-film force and pressure sensors have been broadly utilized to measure the interfacial pressure of intimate apparel [
10,
11,
12,
13], compression stockings [
8,
9,
14], sports compression garments [
15,
16], a posture correction girdle [
17], and pressure garments for burn treatment [
1,
3,
18], as well as the plantar foot pressure in gait analyses [
19,
20]. The thin-film force and pressure sensors help to control the exact pressure applied and optimize the fit of the end-products.
Pliance X sensors (Novel Electronics, Germany), which are capacitive sensors, have been widely used in low interfacial pressure applications [
1,
2,
21]. These sensors are sensitive, but very costly. Alternatively, force sensors like FlexiForce
® (Tekscan, Boston, MA, USA) and SingleTact sensors have been developed to measure the interfacial pressure when force is applied to a known surface area [
22]. These force sensors are cost-effective and designed for low force measurements.
Many researchers have investigated the performance of various force sensors for the aforementioned applications [
7,
8,
23,
24]; however, no study has provided a comprehensive evaluation with the same testing conditions. In addition, the sensors are mostly calibrated on a flat rigid surface by applying different known weights [
6,
15,
23]. This may be acceptable for applications such as shoe insoles where the contacting object is relatively flat. However, for applications where the sensor is placed onto the human body which is compliant and has contours, the pressure might not be evenly distributed across the sensor surface which would result in erroneous measurements. In view of this, some researchers have tried to simulate different end-use conditions and measured surfaces with different geometries [
9,
14]. Surfaces with different curvatures have been one of their main focuses. For instance, Ferguson-Pell et al. [
22] used the FlexiForce
® sensor to measure pressure on rigid cylinders with different radii and found that changes in the curvature affect both the offset value and sensitivity of the sensor. This agrees with the findings in Komi et al. [
25], and Buis and Convery [
26] where changes in the surface curvature lead to an increase in measurement error. Surface curvature also leads to the problem of sensor bending. To reduce the likelihood of sensor bending when a sensor is placed onto a curved surface and avoid saturation of the sensor from punctual applied loads, researchers have attempted to remedy this problem by fixing attachments onto the sensor. For instance, Jensen et al. [
27], Hall et al. [
28], and Flórez and Velásquez [
29] fixed a dome onto a sensor to increase its rigidity and thereby eliminate bending when the sensor comes into contact with a curved surface. Likitlersuang et al. [
30] evaluated the possibility of adding a thin rigid disc (plastic disc with a thickness of 1.02 mm) on top of the sensor or underneath the sensor, and confirmed that adding a thin rigid disc between the sensor and human body and calibrating done on a compliant surface help to reduce measurement errors. All of these studies suggest that the sensor surface should be properly selected for compliant surface measurements and prove the importance of proper calibration. However, Likitlersuang et al. [
30] conducted their tests on the forearm of their subject, which might potentially result in inaccuracies in the sensor readings, and therefore more systematic testing should be carried out.
Apart from the sensor itself, the calibration method of a sensor affects the accuracy of the measurement results. Most of the previous studies apply a series of dead weights to the sensor repeatedly which range from 0 to 55 g [
31], 2 to 52 g [
16], 370 g to 11.2 kg [
25], and 50 g to 1 kg [
23]. This process is, however, quite time-consuming and it can be difficult to place the weight in the same position of the sensor [
23]. Most importantly, they did not calibrate the sensor or perform testing on soft tissues that are similar to those of the human body, both of which potentially affect the accuracy of the final results. On the other hand, Khodasevych et al. [
7] and Likitlersuang et al. [
30] did consider the hardness of the contacting object. The former chose to use silicone with a hardness of 10 Shore A as the contacting object whilst the latter used a polyurethane disc with a hardness of 60 Shore A to simulate the soft skin at the body/device interface for pressure evaluation. However, both failed to provide much information on how the hardness is related to human body tissues. The hardness of the human body considerably varies between individuals and different areas of the body; see
Appendix A. Therefore, the effect of the hardness of the contacting object on the interface pressure should be systematically studied, thus providing a reliable tool for measurements of low interface pressure between the human body and different surface hardness.
Normally, calibration is performed at room temperature. However, the effect of different temperatures on the sensing performance of sensors has not been systematically evaluated. To date, no study has provided a comprehensive analysis of the effect of temperature on sensor performance. When a sensor is placed onto human skin, the temperature of the contacting surface is around 33 °C. The local skin temperature can vary with activity intensity and climate. The temperature of human skin ranges from 32.6 °C at an environmental temperature of 25 °C but increases to 35.5 °C at an environmental temperature of 37 °C [
32]. In this case, the temperature difference between the skin surface and calibrated condition can be higher than 10 °C.
Tightly fitting garments, including sportswear and intimate apparel, have direct contact with the skin, so more diligence is needed to measure the pressure comfort due to variations in the body geometry and hardness and surface temperature of the skin [
7]. In light of this, the objectives of this study are to (i) develop a simple, repeatable, and representative experimental protocol for dynamic force/pressure sensor calibration; (ii) study the effect of sensor attachment on the sensitivity of the sensor, and linearity of the calibration curve on rigid surface; (iii) investigate the effect of surface temperature of the contacting object on the reading of the sensor; (iv) examine the effect of the surface hardness on the reading of the sensor; (v) quantify the result discrepancies if the sensors are calibrated in standard conditions but used in other conditions (e.g., calibrated on rigid surface at room temperature but used on skin); and (vi) determine the sensor drift against time. Details of Objectives (ii), (iii), (iv), and (vi) are illustrated in
Figure 1.
4. Conclusions
A dynamic sensor calibration setup is proposed in this study. The applied pressure is progressively increased and recorded by using both a force gauge and force/pressure sensor. The sensor is calibrated by establishing a relationship between the applied pressure and the corresponding reading. The performance of the sensors including accuracy, repeatability and drift is measured. Testing is conducted with a focus on the properties of the contacting surface. Silicone layer samples with different thickness and hardness are attached to the calibration setup to simulate different skin conditions. The temperature of the skin surrogate is also controlled to simulate the skin temperature under different activity levels. The advantages of this dynamic sensation calibration set-up include:
Ensuring that force is applied in the same location of the sensor, thus enhancing repeatability of the calibration process;
Ensuring that force is applied perpendicular to the plane of the sensor;
Simplicity of the set-up;
User-friendliness;
Efficiency in calibration time as compared to dead-weight calibration procedures;
Measuring the desired pressure range; and
Simulating the actual wear conditions where the contacting object is subjected to dynamic pressure changes, e.g., breathing and body movement.
Three commercially available sensors, the FlexiForce, SingleTact and Pliance X sensors, are used to determine the influence of the properties of the contacting surface. The FlexiForce and SingleTact sensors are relatively thin, so the effect of sensor attachment is studied. The results show that the plotted slope of the calibration curve is the smallest for the Standard condition where no support is provided to the sensor surface, whereas DOS (i.e., aluminum discs are adhered to both sides of the sensor) can improve the sensitivity of the sensor. Therefore, adhering discs on both sides of the sensor surface can ensure that force is evenly distributed on the sensor and prevent sensor deformation.
The effect of the surface temperature and hardness has also been evaluated. It is found that the change in sensor output depends on the underlying surface and the different sensors are affected to different extents. The calibration curves of the surfaces of different temperatures and hardness are compared. The curves for the FlexiForce and Pliance X sensor spread widely, thus suggesting that they are more sensitive to the changes in temperature and hardness of the contacting surface. The sensitivity of the FlexiForce sensor increases with contacting temperature and surface hardness. The sensitivity of Pliance X sensor, on the other hand, decreases with contacting temperature but increases with surface hardness. As for the SingleTact sensor, most of its calibration curves are close to each other and overlapping. The sensitivity of this sensor decreases with the contacting temperature and surface hardness has less impact on its accuracy.
The percentage error is also calculated in which measurements are converted based on the “standard” calibration condition. When measurements are taken on the surfaces with a higher temperature (refer to calibration curve at temperature of 22 °C), the FlexiForce, SingleTact, and Pliance X sensors all obtain a similar percentage error. When the measurement is performed on a soft surface (refer to calibration curve obtained with rigid surface), the percentage error is particularly high for the FlexiForce sensor. This suggests that individual surface calibrations are necessary when the FlexiForce sensor is used on softer material.
In terms of sensor repeatability, the performance of Pliance X is generally better when tested on surfaces with different temperatures and hardness. In contrast, the repeatability of FlexiForce is comparatively lower.
Finally, these three sensors are subjected to pressure for a longer period of time (5 h for FlexiForce and SingleTact, and 3 h for Pliance X). SingleTact and Pliance X provide a lower pressure drift%, thus implying that they are more suitable for measurements that require a prolonged period of time.