Wearable Actuators: An Overview

: The booming wearable market and recent advances in material science has led to the rapid development of the various wearable sensors, actuators, and devices that can be worn, embedded in fabric or accessories, or tattoos directly onto the skin. Wearable actuators, a subcategory of wearable technology, have attracted enormous interest from researchers in various disciplines and many wearable actuators and devices have been developed in the past few decades to assist and improve people's everyday lives. In this paper, we review the actuation mechanisms, structures, applications, and limitations of recently developed wearable actuators including pneumatic and hydraulic actuators, shape memory alloys and polymers, thermal and hygroscopic materials, dielectric elastomers, ionic and conducting polymers, piezoelectric actuators, electromagnetic actuators, liquid crystal elastomers, etc. Examples of the recent applications such as wearable soft robots, haptic devices, and personal thermal regulation textiles are highlighted. Finally, we point out the current bottleneck and suggest the prospective future research directions for wearable actuators.


Introduction
The global wearable market showed a dramatic swell in the past decade with a market size valued at USD 28 billion in 2020 and is expected to expand continually in the next decade. Wearable technology, an emerging trend, integrates sensors, actuators, and electronics that can be worn, embedded in fabric or accessories, or tattooed directly onto the skin to assist daily activities and address changing lifestyles. Wearable actuators, a subcategory of wearable technology, require a compatible modulus to the human body, a huge scope of motion with high precision and velocity, great strain energy density to generate a high force level, a low fatigue rate for a long lifetime, and good reliability.
Conventional actuators including rotary or linear electrical motors, pneumatic and hydraulic actuators [1] provide high power, fast response time, and have been applied in industries for centuries; they are, however, stiff, heavy, noisy, and nonbiological, which limit their applications in wearables. People expect the wearable actuators to be lightweight, inconspicuous, lifelike, and versatile when on the human body, while still achieving their purpose outstandingly. These requirements impelled the development of soft actuation technologies and have attracted enormous interest from researchers in various disciplines [2]. Unlike those traditional actuators, these actuators are small and light, and are not limited to the electrical-mechanical force conversion method. These soft actuators can respond to multiple stimuli such as heat, light, electricity and moisture, exerting force or producing shape changes [2].
Applications of wearable actuators mainly include wearable robotics, haptic devices, and smart textiles. Wearable robotics have been proven valuable in rehabilitation, body assistance, and/or virtual reality [3]. These applications cover systems of various sizes, from millimeter-scale biorobots to large deployable structures. Haptic devices allow the intent generally consist of an expandable chamber, normally a balloon, with other structures. By the pressurization of fluid in the chamber, these actuators can transform the expansion to a contraction force. Pneumatic and hydraulic actuators can generate linear, torsional, and bending actuation through the control of internal structures, which are normally inspired by bio-architectures. For example, inspired by muscular hydrostat, Schaffner et al. demonstrated complex motion modes on soft actuators by printing stiff silicone stripes on top of a soft silicone cylinder [15] (Figure 1a). With the arrangement of stiff fiber, this actuator can achieve bending, elongation, and other movements. Similarly, Kim et al. reported a lamina composed of not stretchable fiber, super-elastic matrix, and an adhesive backing [16]. This lamina is also named Stretchable Adhesive Uni-Directional prepreg (STAUD-prepreg) (Figure 1b). By adhering multiple prepreg on a stack, this soft actuator demonstrates complex motion. It is worth noting that with the rearrangement of prepregs, this actuator is reprogrammable, which makes it different than other predefined fluid-driven actuators. Based on vacuum-actuated muscle-inspired pneumatic structures (VAMPs), Li et al. proposed fluid-driven origami-inspired artificial muscles (FOAMs) composed of a folding skeleton, flexible fluid-tight skin, and fluid medium (Figure 1c) [17].
Through programing the geometry of the skeleton, various motions and contractions can be achieved. Experiments reveal that these muscles can contract over 90% of their initial lengths, generate stresses of~600 kPa, and produce peak power densities over 2 kW/kg. composed of a folding skeleton, flexible fluid-tight skin, and fluid medium (Figure 1c) [17]. Through programing the geometry of the skeleton, various motions and contractions can be achieved. Experiments reveal that these muscles can contract over 90% of their initial lengths, generate stresses of ~600 kPa, and produce peak power densities over 2 kW/kg.  [15] copyright 2018, the authors, published by Springer Nature. (b) Stretchable Adhesive Uni-Directional prepreg (STAUD-prepreg) [16] copyright 2019, the authors, published by Springer Nature. (c) Fluid-driven origamiinspired artificial muscles (FOAMs) [17] copyright 2017, the author(s), published by PNAS.

Applications
A typical application of pneumatic and hydraulic actuators is Robotic orthoses, also called exoskeletons. These devices are usually used to assist human movement, or for rehabilitation of upper or lower limbs [18]. The electric, hydraulic, and pneumatic actuators are the most popular in current orthoses. Here, we briefly introduce some recent research of pneumatic/hydraulic actuators on exoskeleton devices. These devices use simple but well-designed materials with novel actuation mechanisms to achieve lightness and high efficiency.
An inflatable wrinkle pneumatic actuator with fast inflation and deflation responses was proposed [19]. A theoretical model was built to improve the design of the torque required to fit the joints that need to be assisted. A pneumatic circuit was designed to instantly generate negative pressure at the exit of the actuator, thereby shortening the exhaust time. This wrinkle actuator was applied on a wearable knee suit to exhibit rapid inflation and deflation times (0.40 s and 0.16 s) (Figure 2a). A textile based pneumatic actuator was designed to assist the movement of the upper arm through shoulder abduction and horizontal flexion/extension [20]. By coordinated movement of Abduction Actuators (ABA) with the Horizontal Extension/Flexion Actuator (HEFA), the device can provide comprehensive support for movement in different directions of the shoulder. With only 0.48 kg for the whole actuator systems, this device can generate 8 Nm under 70 kpa.
A soft robotic glove based on a fluid-driven actuator demonstrated assistance in the grasping movement of the hand [21]. Different actuation modes for the thumb and the rest of the fingers were applied to achieve a typical grasping movement (Figure 2b). Inspired by sheet-like biological muscles, the Zhu group presented a new family of soft actuators, named Fluidic Fabric Muscle Sheets (FFMS) [22]. The elastic tubes were stitched  [15] copyright 2018, the authors, published by Springer Nature. (b) Stretchable Adhesive Uni-Directional prepreg (STAUD-prepreg) [16] copyright 2019, the authors, published by Springer Nature. (c) Fluid-driven origami-inspired artificial muscles (FOAMs) [17] copyright 2017, the author(s), published by PNAS.

Applications
A typical application of pneumatic and hydraulic actuators is Robotic orthoses, also called exoskeletons. These devices are usually used to assist human movement, or for rehabilitation of upper or lower limbs [18]. The electric, hydraulic, and pneumatic actuators are the most popular in current orthoses. Here, we briefly introduce some recent research of pneumatic/hydraulic actuators on exoskeleton devices. These devices use simple but well-designed materials with novel actuation mechanisms to achieve lightness and high efficiency.
An inflatable wrinkle pneumatic actuator with fast inflation and deflation responses was proposed [19]. A theoretical model was built to improve the design of the torque required to fit the joints that need to be assisted. A pneumatic circuit was designed to instantly generate negative pressure at the exit of the actuator, thereby shortening the exhaust time. This wrinkle actuator was applied on a wearable knee suit to exhibit rapid inflation and deflation times (0.40 s and 0.16 s) (Figure 2a). A textile based pneumatic actuator was designed to assist the movement of the upper arm through shoulder abduction and horizontal flexion/extension [20]. By coordinated movement of Abduction Actuators (ABA) with the Horizontal Extension/Flexion Actuator (HEFA), the device can provide comprehensive support for movement in different directions of the shoulder. With only 0.48 kg for the whole actuator systems, this device can generate 8 Nm under 70 kpa. into fabric to achieve actuation by the movement of fluid in and out. By the design of the fluid route, these actuators exhibit multiple deformation. Through the application of textile technology, this type of actuator can be made into a micro execution unit, or can be developed as a large, meter-level actuator. Data shows that this type of actuator can withstand a force of more than 150 n, which is more than 115 times its weight, and up to 100% engineering strain (Figure 2c).

Merit and Limitations
A major problem with pneumatic/hydraulic actuators is poor portability [23]. These actuators usually require a large fluid tank and assorted control units. In addition, the seal of the actuator is also a challenge [24]. Although they are made of soft materials, these actuators still contain some hard parts, which limit their applications. At the same time, their advantages are obvious. The actuation mechanism determines that these actuators are not limited by material. Through the integration of the control system and structure, pneumatic/hydraulic actuators can achieve very complex movements [25]. Fluid pressure can generate a greater driving force than other soft materials, which promise their applications for exoskeletons. Due to the maturity of the process technique, these actuators have been made into commercial products for daily use [26].

Shape Memory Effect
Shape memory effect (SME) is a phenomenon in which a material recovers to its original size and shape when heated above a certain characteristic transformation temperature [27]. The two most prevalent shape-memory materials are shape memory alloys (SMAs) and shape memory polymers (SMPs).

SMAs
SMAs are characterized by solid state displacive transformations between austenite and martensite phases in response to a stimulus such as heat. This provides the materials with the capability for sustaining and recovering from strains up to 10% which imbues them with unique actuator and potential sensor capabilities in smart material systems [28]. As shown in Figure 3, upon heating, phase transformation from martensite to austenite starts at temperature As and stops at temperature Af, whilst the reverse phase transformation starts at temperature Ms and stops at temperature Mf during cooling ( Figure 3a). There are three major shape memory characteristics for SMAs, namely oneway memory effect, two-way memory effect, and pseudoelasticity [29]. In one-way SMAs, the material is deformed at a low temperature, and the shape can be restored after heating, in which the SME only exists in the heating process. In two-way SMAs, the material has SME during both heating and cooling by training. In pseudoelasticity, the phase transition of the material comes from an external mechanical stress instead of thermal excitation. The SME was first observed in gold-cadmium alloy by Arne Ölander in 1932 [30]. So far, more than 50 alloy metals with shape memory effect have been found. Among them, Nickel-titanium (NiTi) has become the most popular and studied SMA due to its  [19]. (b) A hydraulic soft glove for combined assistance and at-home rehabilitation [21]. Copyright 2015, Elsevier. (c) Fluidic Fabric Muscle Sheets (FFMS) [22].
A soft robotic glove based on a fluid-driven actuator demonstrated assistance in the grasping movement of the hand [21]. Different actuation modes for the thumb and the rest of the fingers were applied to achieve a typical grasping movement (Figure 2b). Inspired by sheet-like biological muscles, the Zhu group presented a new family of soft actuators, named Fluidic Fabric Muscle Sheets (FFMS) [22]. The elastic tubes were stitched into fabric to achieve actuation by the movement of fluid in and out. By the design of the fluid route, these actuators exhibit multiple deformation. Through the application of textile technology, this type of actuator can be made into a micro execution unit, or can be developed as a large, meter-level actuator. Data shows that this type of actuator can withstand a force of more than 150 n, which is more than 115 times its weight, and up to 100% engineering strain ( Figure 2c).

Merit and Limitations
A major problem with pneumatic/hydraulic actuators is poor portability [23]. These actuators usually require a large fluid tank and assorted control units. In addition, the seal of the actuator is also a challenge [24]. Although they are made of soft materials, these actuators still contain some hard parts, which limit their applications. At the same time, their advantages are obvious. The actuation mechanism determines that these actuators are not limited by material. Through the integration of the control system and structure, pneumatic/hydraulic actuators can achieve very complex movements [25]. Fluid pressure can generate a greater driving force than other soft materials, which promise their applications for exoskeletons. Due to the maturity of the process technique, these actuators have been made into commercial products for daily use [26].

Shape Memory Effect
Shape memory effect (SME) is a phenomenon in which a material recovers to its original size and shape when heated above a certain characteristic transformation temperature [27]. The two most prevalent shape-memory materials are shape memory alloys (SMAs) and shape memory polymers (SMPs).

SMAs
SMAs are characterized by solid state displacive transformations between austenite and martensite phases in response to a stimulus such as heat. This provides the materials with the capability for sustaining and recovering from strains up to 10% which imbues them with unique actuator and potential sensor capabilities in smart material systems [28]. As shown in Figure 3, upon heating, phase transformation from martensite to austenite starts at temperature A s and stops at temperature A f , whilst the reverse phase transformation starts at temperature M s and stops at temperature M f during cooling (Figure 3a). There are three major shape memory characteristics for SMAs, namely one-way memory effect, two-way memory effect, and pseudoelasticity [29]. In one-way SMAs, the material is deformed at a low temperature, and the shape can be restored after heating, in which the SME only exists in the heating process. In two-way SMAs, the material has SME during both heating and cooling by training. In pseudoelasticity, the phase transition of the material comes from an external mechanical stress instead of thermal excitation. The SME was first observed in gold-cadmium alloy by Arne Ölander in 1932 [30]. So far, more than 50 alloy metals with shape memory effect have been found. Among them, Nickel-titanium (NiTi) has become the most popular and studied SMA due to its outstanding mechanical and thermomechanical properties, such as biocompatibility, high corrosion, and high work capacity [31,32]. SMA wires can achieve a high stress of about 700 Mpa and strain of 10% in length. Higher strains can be obtained with special geometries such as helix or zigzag but with lower stresses. Due to their excellent properties, SMAs are widely used in aerospace, mechatronics, biomedicine, bridge construction, automobiles, and daily life [33].

SMPs
SMPs are polymeric smart materials that have the ability to return from a deformed state (temporary shape) to their original (permanent) shape in response to an external trigger, such as temperature, an electric or magnetic field, light, or solution [34][35][36]. As demonstrated for a heat triggered SMP in Figure 1b, the original shape of an SMP is determined after manufacturing by conventional methods such as extrusion, spinning, pressing, etc. The SMP is changed into a temporary shape by processing through heating, deformation, and cooling. The material maintains this temporary shape until it is activated by a predetermined external stimulus. This cycle of programming and recovering can be repeated multiple times. The mechanism behind this phenomenon depends on their molecular network structure, which contains at least two separate phases, namely a fixing phase and a reversible phase [37]. The fixing phase, showing the highest thermal transition, is the temperature that must be exceeded to establish the physical crosslinks responsible for the permanent shape. The fixing phase can be the cross-linked structure, the partial crystalline structure or the glassy state of the polymer, while the reversible phase can be a partial crystalline phase with reversible change of crystallization and melting, or a phase structure with reversible transition between a glass state and rubber state. SMPs can be a single component polymer or a copolymer, a mixture of two components with different softening temperatures but good compatibility. SMPs also cover a wide property-range from stable to biodegradable, from soft to hard, and from elastic to rigid, depending on the structural units that constitute the SMP [38].

Applications
SMAs, especially SMA wires, have been widely employed in various soft exoskeletons to replace conventional rigid motors or pneumatic/hydraulic actuators for rehabilitation and assisting patients' daily life including hand [39], elbow [40], wrist [41], ankle [42], etc. For instance, a lower limb-worn, soft wearable robot using an SMA wire has been designed to assist ankle plantar flexion, which can generate a stroke of 3 cm and an ankle moment of 100 N cm in each ankle during walking (Figure 4a) [42]. A soft muscle glove containing SMA wires has been developed to replicate the functionalities of a human hand. The glove can achieve a functional range of motion of the human hand and can perform a wide range of grasp types [43]. A suit-type wearable robot (STWR) containing SMA fabric muscle has been developed to assist the muscular strength of wearers [44]. The STWR can lift barbells weighing 4 kg to a certain target position and demonstrated a fast response time of less than 1 s (Figure 4b). A medical rehabilitation exoskeleton using SMA wires as the actuator for the elbow has been proposed for proper patient elbow joint articulation. The proposed exoskeleton is lightweight and has low noise, which improves the medical rehabilitation process and their ability to perform daily activities (Figure 4c) [45].
Textiles 2021, 1,6 containing SMA fabric muscle has been developed to assist the muscular strength of wearers [44]. The STWR can lift barbells weighing 4 kg to a certain target position and demonstrated a fast response time of less than 1 s (Figure 4b). A medical rehabilitation exoskeleton using SMA wires as the actuator for the elbow has been proposed for proper patient elbow joint articulation. The proposed exoskeleton is lightweight and has low noise, which improves the medical rehabilitation process and their ability to perform daily activities (Figure 4c) [45]. . Soft wearable robots using SMA wires. (a) A soft wearable robot using a SMA wire to assist ankle plantar flexion [42]. Copyright 2020, IOP Publishing Ltd. (b) An STWR to assist the muscular strength of wearers [44]. Copyright, 2019, Springer Nature. (c) A medical rehabilitation exoskeleton for proper patient elbow joint articulation [45] Copyright 2017, Dorin Copaci et al.
SMPs have plentiful applications in textiles, such as wrinkle-free fabrics, self-cleaning fabrics, breathable garments, and self-adaptable textiles [6]. Lamination, coating, knitting, and weaving are methods that integrate SMPs into textiles [5]. Thermal responsive SMPs can be applied onto textile fabrics via finishing process. Wrinkle-free, crease retention, or anti-shrinkage textiles can be fabricated by treating SMPs on fabrics. The cotton fabric treated with SMPU showed a good wrinkle-free effect and can return to its original flat shape quickly upon blowing steam over it [46]. Taking the advantages of the change of water vapor permeability of SMPs with temperature makes them capable of regulating the human body temperature [47]. As the body temperature is above the glass transition temperature of SMPs, the molecular free volume of the SMPs significantly increases, which aids the transfer of vapor and heat through perspiration, and vice versa.

Merits and Demerits
SMAs have outstanding mechanical and thermomechanical properties, such as biocompatibility, high corrosion, and high work capacity. These allow them to have several commercialized applications in medical tools. However, SMAs exhibit large thermal hysteresis, which makes it hard to control the actuation process. Moreover, the low durability and high material cost ($200-300/kg) hinder their applications in wearable robots. In contrast to SMAs, SMPs possess many advantages such as light weight, flexibility, high elastic deformation (up to 800%), high shape recovery (>90%), and low recovery temperature, etc. SMPs can be integrated into textiles by various textile processes. Although many textile prototypes and commercial trials have been demonstrated, many issues remain to be resolved. Several difficulties lie in meeting the stringent textile requirements, such as color, dimensional stability, comfort and tactile properties, washability, strength, flexibility, stretchability, as well as compatibility with many other chemical, mechanical, and thermal processing standards, and low-cost production [37]. SMPs have plentiful applications in textiles, such as wrinkle-free fabrics, self-cleaning fabrics, breathable garments, and self-adaptable textiles [6]. Lamination, coating, knitting, and weaving are methods that integrate SMPs into textiles [5]. Thermal responsive SMPs can be applied onto textile fabrics via finishing process. Wrinkle-free, crease retention, or anti-shrinkage textiles can be fabricated by treating SMPs on fabrics. The cotton fabric treated with SMPU showed a good wrinkle-free effect and can return to its original flat shape quickly upon blowing steam over it [46]. Taking the advantages of the change of water vapor permeability of SMPs with temperature makes them capable of regulating the human body temperature [47]. As the body temperature is above the glass transition temperature of SMPs, the molecular free volume of the SMPs significantly increases, which aids the transfer of vapor and heat through perspiration, and vice versa.

Merits and Demerits
SMAs have outstanding mechanical and thermomechanical properties, such as biocompatibility, high corrosion, and high work capacity. These allow them to have several commercialized applications in medical tools. However, SMAs exhibit large thermal hysteresis, which makes it hard to control the actuation process. Moreover, the low durability and high material cost ($200-300/kg) hinder their applications in wearable robots. In contrast to SMAs, SMPs possess many advantages such as light weight, flexibility, high elastic deformation (up to 800%), high shape recovery (>90%), and low recovery temperature, etc. SMPs can be integrated into textiles by various textile processes. Although many textile prototypes and commercial trials have been demonstrated, many issues remain to be resolved. Several difficulties lie in meeting the stringent textile requirements, such as color, dimensional stability, comfort and tactile properties, washability, strength, flexibility, stretchability, as well as compatibility with many other chemical, mechanical, and thermal processing standards, and low-cost production [37].

Mechanism
Thermal or hygroscopic expansion is the tendency of matter to change its volume in response to a change in temperature or moisture content. The macroscopic effect of hygroscopic expansion is similar to that of thermal expansion, but the microscopic causes are very different. Thermal expansion is a result of molecules' vibration and movement when heated, while hygroscopic expansion is caused by hygroscopy, the phenomenon of attracting and holding water molecules via either absorption or adsorption from the ambient environment. The coefficient of thermal expansion (αT) is defined to quantify the magnitude of the volume change in relation to temperature change, which is given by where V is the volumetric expansion, T is the temperature, and p is the pressure held constant during the expansion. In the case of hygroscopic expansion, the temperature (T) in Equation (1) is replaced by the relative humidity (ϕ). High thermal expansion materials include low-density polyethylene (500 ppm/K) [48], polydimethylsiloxane (~300 ppm/K) [49], biaxial oriented polypropylene (~120 ppm/K) [50], etc., while textile cellulose and protein fibers have a high expansion in diameter when wet, such as cotton (7-20%), jute (20-21%), wool (14-17%), and silk (16-19%) [51]. These materials' expansion behavior has been utilized to fabricate various tensile, bending, and torsional actuators for wearable applications, as shown in Figure 5.

Mechanism
Thermal or hygroscopic expansion is the tendency of matter to change its volume in response to a change in temperature or moisture content. The macroscopic effect of hygroscopic expansion is similar to that of thermal expansion, but the microscopic causes are very different. Thermal expansion is a result of molecules' vibration and movement when heated, while hygroscopic expansion is caused by hygroscopy, the phenomenon of attracting and holding water molecules via either absorption or adsorption from the ambient environment. The coefficient of thermal expansion (αT) is defined to quantify the magnitude of the volume change in relation to temperature change, which is given by where V is the volumetric expansion, T is the temperature, and p is the pressure held constant during the expansion. In the case of hygroscopic expansion, the temperature (T) in Equation (1) is replaced by the relative humidity (φ). High thermal expansion materials include low-density polyethylene (500 ppm/K) [48], polydimethylsiloxane (~300 ppm/K) [49], biaxial oriented polypropylene (~120 ppm/K) [50], etc., while textile cellulose and protein fibers have a high expansion in diameter when wet, such as cotton (7-20%), jute (20-21%), wool (14-17%), and silk (16-19%) [51]. These materials' expansion behavior has been utilized to fabricate various tensile, bending, and torsional actuators for wearable applications, as shown in Figure 5.

Structure
Bimorph structure is a widely adopted strategy to generate bending motion via asymmetric deformation of the two layers, an active layer that contracts or expands by an external stimulation and a passive layer that remains intact. The interfacial stress generated between the two layers due to the volume mismatch leads to bending deformations. There are many examples of bending actuators in the film form, such as LDPE/PVC film [48], poly(vinyl alcohol-co-ethylene) (EVOH)/cellulose film [52]. Alternatively, asymmetric exposure of water vapors or heat to the thin film of moisture or heat responsive materials can also achieve the bending motions, but the bending performance is thickness sensitive.

Structure
Bimorph structure is a widely adopted strategy to generate bending motion via asymmetric deformation of the two layers, an active layer that contracts or expands by an external stimulation and a passive layer that remains intact. The interfacial stress generated between the two layers due to the volume mismatch leads to bending deformations. There are many examples of bending actuators in the film form, such as LDPE/PVC film [48], poly(vinyl alcohol-co-ethylene) (EVOH)/cellulose film [52]. Alternatively, asymmetric exposure of water vapors or heat to the thin film of moisture or heat responsive materials can also achieve the bending motions, but the bending performance is thickness sensitive. Examples includes microfibrillated cellulose film [53] and nylon beam coated with thermally conductive graphene flakes [54]. Some bimorph fibers have also been developed. Cyclic olefin copolymer elastomer/HDPE fiber was developed by using a fiber-drawing technique, and can lift more than 650 times its own weight at a low temperature [55]. A moisture trigged acetate-based conjugate fiber (Ventcool TM ) was created by the Kaiteki company to automatically adjust ventilation of clothing [56].
Torsional fiber actuators are realized by twisting moisture and heat responsive fibers to form a yarn like structure with free-standing torque balanced status. The yarn torque or torsional movement is generated by anisotropic swelling of fibers in the radial direction when exposed to a stimulus. When the stimulus is off, the deswelling of fibers causes the actuator to rotate in the opposite direction and finally returns to the balanced status. Accompanying the torsional movement, the twisted yarn or fiber actuators also show a tensile expansion and contraction behavior due to the twist contraction effect. For example, degummed silk fibers were twisted and folded into torsional silk muscles that provided a reversible torsional stroke of 547 • mm −1 , a maximum rotary speed of 975 rpm, and a peak torque of 0.063 Nm/kg [57]. Twisted graphene oxide (GO) fiber demonstrated remarkable performance as a reversible rotary motor with a torsional stroke 588 • mm −1 , a rotary speed of up to 5190 rpm, a tensile expansion of 4.7%, and a peak power output of 71.9 W/kg. The moisture-triggered electric generator based on GO fibers produced an open-circuit voltage of up to 1 mV, and a short-circuit current of up to 40 µA [58]. Hydrophobic carbon nanotube (CNT) twisted yarns offered a maximal torsional moment of 0.4 Nm/kg, close to the commercial electric motor (the Aerotech model 1410-01motor) in response to water and moisture after oxygen plasma treatment [59]. Other fiber materials include bamboo [60], cotton [61], lotus [62], chitosan [63], etc. The performance of several fiber-based torsional actuators is summarized in Table 1. Fiber-based tensile actuators are achieved by twisting and coiling the fibers to form a spring-like structure. The actuating principle lies in anisotropic swelling of the fibers in the radial direction, causing the yarn to untwist and in turn the coil to change its writhe, which pulls the adjacent coils close to each other, shortening the coil. When used as a tensile actuator, the cylindrical yarn coil should be torsionally tethered such that the two ends can slide but not be allowed to rotate, which prevents the yarn from untwisting. This concept was first proposed by Harins et al. [65] in 2014, in which low-cost high-strength nylon fibers, used as fishing line or sewing thread, have demonstrated a high stroke of 34% for a temperature variation of~220 • C. Likely, composite yarns made of polyimide and PDMS have achieved a tensile actuation of 20.7% and a competitive specific work of 158.9 J/kg, four times that of natural muscle [64]. Surfactant-treated wool yarn coils generated a contraction stroke up to 38% and a maximum work capacity of 194 J/kg [66]. Viscose fiber artificial muscles demonstrated a 35% contraction and a maximum work capacity of 90.4 J/kg [67]. Degummed silk fibers were twisted and wrapped around a mandrel to form tensile actuators that provided a maximum 70% contraction and peak work capacity up to 73 J/kg [57]. Other fiber materials include carbon fiber (CF)/PDMS [68], lotus [62], bamboo [60], etc. The performance of several fiber-based tensile actuators is summarized in Table 2.

Applications
There are many applications of moisture or heat responsive materials for smart textiles, which dynamically change the structure or pore size of clothing for enhanced personal thermal management [69]. For instance, two kinds of moisture responsive bendable smart clothing were designed based on the successful application of the Nafion film from DuPont that can reversibly adapt their thermal insulation functionality [70]. The first design is pre-cut flaps, which open to produce pores in Nafion sheets when humidity increases, allowing air flow and reducing both the humidity level and the apparent temperature ( Figure 6a). The second design is thickness adjustable clothes by inserting the bent Nafion films between two fabrics. When the humidity increases, the films become thinner, thus reducing the gap between the two fabrics to reduce the thermal insulation ( Figure 6b). Knitted fabrics made of CNTs coated triacetate-cellulose bimorph fibers effectively shifted the infrared radiation (IR) by more than 35% as the relative humidity of the underlying skin changed [71]. When hot and wet, the multiple metafibers move close to each other, leading to resonant electromagnetic coupling that modulates the IR emissivity to spectrally overlap with that of the human body and enhance radiative cooling effect. A woven textile from silk fiber muscles demonstrated excellent comfort and drapability. The sleeves, made by weaving coiled silk muscle fibers in the warp direction and untwisted fibers in the weft direction, shrink in the warp direction when humidity increases, and then expand when humidity decreases [57]. This moisture-responsive textile, which can change macroshape or microstructure, is promising to be very effective for moisture and thermal management to increase comfort between skin and fabric ( Figure 6c). In addition to hygroscopic polymer materials, living cells have been engineered to design biohybrid wearables [72]. A bilayerstructured biohybrid film was proposed by depositing genetically tractable microbes on a humidity-inert material to form a heterogeneous multilayered structure, which can reversibly change shape within a few seconds in response to environmental humidity gradients ( Figure 6d).

Merits and Limitations
There are some advantages and limitations for the thermal or hygroscopic driven actuators. Commercially available fibers such as nylon, PE, and bamboo are inexpensive and they can be easily converted into torsional and tensile actuators. In terms of the structure, although several film-based actuators have been demonstrated, they are difficult to be developed into a textile structure for wearables. Fiber-based actuators are more promising and have demonstrated their capabilities to be used for personal thermal regulation. Moreover, thermal responsive actuators usually need a high temperature for desired stress and strain, causing possible discomfort and injuries for humans, and thus hinders their applications in smart textiles. In addition, the energy efficiency of heat driven actuators is very low (<1%), and the cycling rate is low due to the poor heat diffusion and dissipation, especially during the cooling process, so they take a longer time for heating and cooling [2]. For moisture responsive actuators, their durability and performance need to be further explored. (d) Running suit prototype with ventilation flaps based on the moisture sensitive biohybrid twolayer film [72]. Copyright 2017, the authors, published by AAAS.

Merits and Limitations
There are some advantages and limitations for the thermal or hygroscopic driven actuators. Commercially available fibers such as nylon, PE, and bamboo are inexpensive and they can be easily converted into torsional and tensile actuators. In terms of the structure, although several film-based actuators have been demonstrated, they are difficult to be developed into a textile structure for wearables. Fiber-based actuators are more promising and have demonstrated their capabilities to be used for personal thermal regulation. Moreover, thermal responsive actuators usually need a high temperature for desired stress and strain, causing possible discomfort and injuries for humans, and thus hinders their applications in smart textiles. In addition, the energy efficiency of heat driven actuators is very low (<1%), and the cycling rate is low due to the poor heat diffusion and dissipation, especially during the cooling process, so they take a longer time for heating and cooling [2]. For moisture responsive actuators, their durability and performance need to be further explored.

Mechanism
Dielectric elastomer actuators (DEAs) are electronic electroactive polymers that enable electromechanical transduction at effective electrical fields, transferring electrical energy into mechanical work [7,73]. The working principle of a DEA is based on the basic configuration that two compliant electrodes are coated on each side of a thin polymer film to form a deformable capacitor ( Figure 7). According to the elastic electrostatic model first established by Pelrine et al. [74,75], due to the inherent volume incompressibility, when an electrical field is applied perpendicularly to the plane of the two electrodes, two mechanisms are generally induced: the attractive electrostatic forces among opposite charges on each electrode cause the polymer film to compress in thickness and the repulsive electrostatic forces among like charges over the same electrode render further expansion in area, reducing the electrical energy [74,7]. For an ideal elastic model,

Mechanism
Dielectric elastomer actuators (DEAs) are electronic electroactive polymers that enable electromechanical transduction at effective electrical fields, transferring electrical energy into mechanical work [7,73]. The working principle of a DEA is based on the basic configuration that two compliant electrodes are coated on each side of a thin polymer film to form a deformable capacitor ( Figure 7). According to the elastic electrostatic model first established by Pelrine et al. [74,75], due to the inherent volume incompressibility, when an electrical field is applied perpendicularly to the plane of the two electrodes, two mechanisms are generally induced: the attractive electrostatic forces among opposite charges on each electrode cause the polymer film to compress in thickness and the repulsive electrostatic forces among like charges over the same electrode render further expansion in area, reducing the electrical energy [7,74]. For an ideal elastic model, electrostatic energy is equally converted to mechanical energy through lateral and transverse displacement [74]. The capacitance (C) of the dielectric film is and thus the stored electrostatic energy (U) is given by: where Q is the fixed charge on the electrodes, A is the area of the electrode, z is the thickness of the DE film, ε 0 is the free-space permittivity, and ε is the relative permittivity (dielectric constant) of the DE material. As described in Equations (5) and (6), the dielectric constant ( ), elastic modulus ( ), electric field ( )/applied voltage ( ) and film thickness ( ) proportional to the Maxwell stress and thickness strain are key parameters to consider in assessing the actuation performance of DEAs. Normally high voltage (>1 kV) or electric fields (~100 MV/m) are needed for better actuation output and allow for higher energy efficiency as they lead to smaller current, yet they are often considered disadvantageous for practical applications [73,76]. Hence, key pathways of countering the common limitation of high driving voltage and improving the electrical stimulated actuation performance of a DEA membrane consist in: (1) decreasing film thickness, (2) increasing DE dielectric constant, and (3) reducing DE intrinsic stiffness and viscoelastic loss. Common approaches of enhancing electromechanical responses include physically pre-straining (pre-stretching), chemically modifying the elastomer to tune its modulus/stiffness and electromechanical properties through composites, polymer blends and copolymers, and employ highly compliant electrodes that have high conductivity, little/no stiffening effect upon large strains and the ability of self-clearing such as carbon particle-based electrodes [77].
Since the early investigation of DEAs, acrylic and silicone elastomers have stood out and been widely studied due to their superior overall actuation performance compared to other commonly reported materials such as polyurethane, polyisoprene and fluoroelastomers [75,76]. General comparison between the properties of the two main elastomeric matrices: acrylics (mixtures of aliphatic acrylate) and silicones (polysiloxanes, e.g., most commonly used polydimethylsiloxane (PDMS)), is summarized in Table 3. Table 3. Comparison between acrylic and silicone elastomers [77][78][79]. Configurational designs of DEAs differ with applications and generally manipulate the basic operational mechanism to transduce electrical power into mechanical work to achieve amplified performance of in-/out-of-plane deformation such as contraction, expansion and bending. Common structures derived from the fundamental membrane The electrostriction effect of a DEA upon the application of a proper electric field is believed to be caused by the formation of the effective compressive pressure P, also known as the Maxwell stress, which is defined as the electrostatic energy change per unit thickness displacement per unit area [74]:

Material
Given that Az = constant, the effective stress (p) can be obtained: where E is the applied electric field, and V is the applied voltage. For low strains (<10%), the actuated strain in the thickness direction (s z ) can be defined as below according to the Hooke's Law in compression [3,5]: where Y is the elastic modulus of the dielectric elastomer. The above equations are built on the assumption of linearly elastic behavior of the DEA under relatively small strains. However, polymers are generally nonlinear materials and more complex constitutive relationship need to be taken into account. For example, the elastic modulus essentially depends on the strain (i.e., Y = Y(s)) for nonlinear materials. In addition, as large in-plane extension is exhibited, the actual thickness under actuation can be described in relation to the original value (z 0 ) as: and the constancy of volume can be expressed as If the in-plane deformation is symmetric, i.e., s x = s y = s xy , more accurate thickness strain can be expressed by [76]: As described in Equations (5) and (6), the dielectric constant (ε), elastic modulus (Y), electric field (E)/applied voltage (V) and film thickness (z) proportional to the Maxwell stress and thickness strain are key parameters to consider in assessing the actuation perfor-Textiles 2021, 1 294 mance of DEAs. Normally high voltage (>1 kV) or electric fields (~100 MV/m) are needed for better actuation output and allow for higher energy efficiency as they lead to smaller current, yet they are often considered disadvantageous for practical applications [73,76]. Hence, key pathways of countering the common limitation of high driving voltage and improving the electrical stimulated actuation performance of a DEA membrane consist in: (1) decreasing film thickness, (2) increasing DE dielectric constant, and (3) reducing DE intrinsic stiffness and viscoelastic loss. Common approaches of enhancing electromechanical responses include physically pre-straining (pre-stretching), chemically modifying the elastomer to tune its modulus/stiffness and electromechanical properties through composites, polymer blends and copolymers, and employ highly compliant electrodes that have high conductivity, little/no stiffening effect upon large strains and the ability of self-clearing such as carbon particle-based electrodes [77].
Since the early investigation of DEAs, acrylic and silicone elastomers have stood out and been widely studied due to their superior overall actuation performance compared to other commonly reported materials such as polyurethane, polyisoprene and fluoroelastomers [75,76]. General comparison between the properties of the two main elastomeric matrices: acrylics (mixtures of aliphatic acrylate) and silicones (polysiloxanes, e.g., most commonly used polydimethylsiloxane (PDMS)), is summarized in Table 3. Table 3. Comparison between acrylic and silicone elastomers [77][78][79]. Configurational designs of DEAs differ with applications and generally manipulate the basic operational mechanism to transduce electrical power into mechanical work to achieve amplified performance of in-/out-of-plane deformation such as contraction, expansion and bending. Common structures derived from the fundamental membrane prototype include multi-stack [80], interdigitated [81], and twisted [82] contractile devices; rolled [83], cone-shaped [84], and diaphragm [4]. DEAs exhibit linear or areal expansion. Multi-stack architecture is an effective approach to augmenting the effect of the Maxwell stress and generating amplified contractile actuation and load-bearing capacity (Figure 8a). Twisted actuators are developed from spiral cylindrical stacked DEAs to enhance their operational stability and ensure inherent flexibility, the actuated strain of which depends on the helix angle ( Figure 8b) [82]. In contrast, cone-shaped ( Figure 9a) and rolled (Figure 9b) DEAs utilize areal expansion to produce axial extension and amplified forces. Tunable two-cone actuators with proper voltage excitation modes enable the control of multi-directional and rotational actuation [85]. Zhao et al. [83] developed rolled multilayer DEAs that are able to produce a force of 1 N and strain of 10% at small driving voltages lower than 1 kV. The out of plane protrusion of diaphragm DEAs is triggered by two working modes: one is based on a physical support or boundary constraint and the other requires an external pressure for amplified actuation [86], which has found its applications in optical lenses [87], haptic interfaces [4] and braille displays [88], etc. Additionally, bendable DEAs with functional elements such as laminated passive layers in the form of unimorphs or bimorphs are also commonly investigated (Figure 10a) [89,90]. Bending motion has also been realized by multi-degree-of-freedom spring roll configuration with patterned electrodes that are circumferentially aligned (Figure 10b) [91]. The actuation performance of several DEAs with common structures is shown in Table 4. in optical lenses [87], haptic interfaces [4] and braille displays [88], etc. Additional bendable DEAs with functional elements such as laminated passive layers in the form unimorphs or bimorphs are also commonly investigated (Figure 10a) [89,90]. Bendi motion has also been realized by multi-degree-of-freedom spring roll configuration w patterned electrodes that are circumferentially aligned (Figure 10b) [91]. The actuati performance of several DEAs with common structures is shown in Table 4.   working modes: one is based on a physical support or boundary constraint and the other requires an external pressure for amplified actuation [86], which has found its applications in optical lenses [87], haptic interfaces [4] and braille displays [88], etc. Additionally, bendable DEAs with functional elements such as laminated passive layers in the form of unimorphs or bimorphs are also commonly investigated (Figure 10a) [89,90]. Bending motion has also been realized by multi-degree-of-freedom spring roll configuration with patterned electrodes that are circumferentially aligned (Figure 10b) [91]. The actuation performance of several DEAs with common structures is shown in Table 4.      PDMS-based DEAs with a pyramidal microstructure allowed for the tunability of modulus and dielectric properties and achieved enhanced actuation performance (pressure up to 25 kPa and vibrotactile cycles up to 250,000) [93]. A novel design of a dielectric liquid actuator utilized hydraulic-coupled electrostatic effect to amplify electrical simulated actuation and enable peak performance surpassing that of natural muscle (specific power of 614 W/kg and load capacity of 700 g for a 2-unit planar hydraulically amplified selfhealing electrostatic (HASEL) actuator) [94]. Inspired by the HASEL actuators, a recent effort incorporated the mechanism into origami and created programmable shape-altering interfaces with three dimensional folding features [94].
DEAs with bistable structures have also been developed for the purpose of shape transformation between two equilibrium states. Shao et al. [90] developed disk and tapespring bistable actuators with a support layer sandwiched by two DE layers based on the bioinspired snap-through mechanism. A pair of electrodes on each DE layer and the control of a dual power supply enable the disk DEAs to shift the curvature bidirectionally, while with two electrodes on one DE layer, the tape-spring DEAs, snap upon electrical stimulation mimicking a chameleon's tongue [90]. Another established bistable mechanism lies within the bistable electroactive polymers (BSEPs). The actuated shape can be maintained by decreasing the temperature below the glass transition temperature of the DE after electrical excitation, saving the need for a constant power supply and thus energy consumption and increasing stiffness for adaptive applications, the rubbery-to-rigid transition of which is recoverable and repeatable [95].

Applications
The properties of DEAs fit into a wide realm of applications owing to their versatility and outstanding actuation performance. For wearable assistance in particular, research has mainly explored communication and rehabilitation. As haptic feedback is an important part of electronic textiles and wearable technologies, integrating DE tactile actuators into wearable systems through haptic sensation has been a rising field of interest attributed to material softness, small size, ease of fabrication, and adaptability compared to traditional rigid motors with fixed frequencies [96]. A crucial factor for effective sensing of haptic cues is skin perceptibility, which means the output force and resonance frequency should reach perceivable levels and depends on both human and device factors, such as placement on bodies and material stiffness [96,97]. For example, typically fingertips are ideal positions on tactile devices due to their higher sensitivity than other parts such as arms, and are usually susceptible to a force threshold around 30 mN depending on the fingers [98]. Hence, one of the main goals in the current development of DEA haptic wearable interfaces is to generate large force and displacement outputs at such a small (millimeter) scale [96,99]. Meanwhile, as human contact is involved, the design of wearable haptic interfaces using DEAs needs to account for various aspects such as compactness, weight, comfort, safety, etc.
Most current designs of wearable haptics have leveraged the out-of-plane deformation of diaphragm/membrane [96,100] and linear displacement of rolled multilayer [101] configurations, as well as the hydraulic amplification with liquid coupling effect [99]. Multilayered PDMS membranes coated by AgNWs electrodes with a perforated polymeric frame support were able to generate an output force up to 255 mN and a protrusive displacement of 650 µm [14]. More recently, hydraulically amplified taxel (HAXEL) actuators designed with four quadrants consisting of P(VDF-TrFE-CTFE) liquid dielectric and segmented aluminum electrodes were able to simulate directional motions and produce forces over 300 mN and a vertical displacement of 500 µm (Figure 11) [99]. Prototype demonstrations have integrated the haptic functions into wearables such as armbands [4,99,101], rubber gloves [4] and fingertip devices ( Figure 12) [96,100] for potential applications of human-machine interaction and virtual/augmented reality. Untethered wearable tactile actuators were realized by on-board battery integration into compact feel-through lowvoltage (<500 V) DEAs (FT-DEAs) with a thickness of only 18 µm and a wide vibrotactile frequency range of 1-500 Hz, and the fingertip prototype with incorporated photodetector was demonstrated to be applicable in assisting text-reading for people with vision impairment (Figure 12) [96].     Apart from the aforementioned properties, the muscle-like and variable-stiffness behavior of DEAs without bulkiness and noise makes it favorable for wearable rehabilitation devices. Examples include active hand splints for hand/finger rehabilitation (Figure 13a) [102], ankle-foot orthosis (AFO) remedying foot drop (ankle dorsiflexion inability) (Figure 13b) [103] and compression bandages targeting the disorder of venous systems (Figure 13c) [104]. Compared to conventional passive ones with elastic bands, dynamic hand splints with folded contractile silicone DEAs enable flexible modulation of mechanical compliance and finger exercise by varying the driving voltage [102]. AFO designed with DEAs allows for lighter weight and less energy consumption with a charge recovery power system, and at the same time does not hinder plantarflexion function [104].

Merits and Limitations
As an outstanding smart material, DEAs hold promising potentials in wearable actuator technologies attributed to their intrinsic softness, light-weight and compactness, straightforward mechanism and fabrication, and high electromechanical performances. Compared to other existing actuator technologies such as shape memory alloys and electromagnetic and piezoelectric polymers, the distinctive actuation mechanism of DEAs has been reported to be capable of producing prominent resulting strain (>100%) and stress (~7 MPa), fast response speed (µs), high energy density (~3.4 MJ/m 3 ) and high efficiency [75,78]. In addition, the self-sensing characteristic of DEAs, i.e., the phenomenon that electrical properties such as capacitance alter under deformation, makes it possible to monitor the actuation response and develop closed-loop systems for smart human assist. Meanwhile, various challenges to some extent prevent their widespread applications in real-life scenarios. First and foremost, high driving voltage often requires an external power supply, constraining the integration of DEAs into electronic textile systems and bringing about safety concerns. Furthermore, biocompatibility, the need for additional rigid frames supporting pre-stretched films, and unstable electrical and mechanical properties are also crucial obstacles to overcome towards improving wearability, efficiency and sustainability of DEAs.
behavior of DEAs without bulkiness and noise makes it favorable for wearable rehabilitation devices. Examples include active hand splints for hand/finger rehabilitation (Figure 13a) [102], ankle-foot orthosis (AFO) remedying foot drop (ankle dorsiflexion inability) (Figure 13b) [103] and compression bandages targeting the disorder of venous systems (Figure 13c) [104]. Compared to conventional passive ones with elastic bands, dynamic hand splints with folded contractile silicone DEAs enable flexible modulation of mechanical compliance and finger exercise by varying the driving voltage [102]. AFO designed with DEAs allows for lighter weight and less energy consumption with a charge recovery power system, and at the same time does not hinder plantarflexion function [104].

Merits and Limitations
As an outstanding smart material, DEAs hold promising potentials in wearable actuator technologies attributed to their intrinsic softness, light-weight and compactness, straightforward mechanism and fabrication, and high electromechanical performances. Compared to other existing actuator technologies such as shape memory alloys and electromagnetic and piezoelectric polymers, the distinctive actuation mechanism of DEAs has been reported to be capable of producing prominent resulting strain (>100%) and stress (~7 MPa), fast response speed (μs), high energy density (~3.4 MJ/m 3 ) and high efficiency [75,78]. In addition, the self-sensing characteristic of DEAs, i.e., the phenomenon that electrical properties such as capacitance alter under deformation, makes it possible to monitor the actuation response and develop closed-loop systems for smart human assist. Meanwhile, various challenges to some extent prevent their widespread applications in real-life scenarios. First and foremost, high driving voltage often requires an external power supply, constraining the integration of DEAs into electronic textile systems and bringing about safety concerns. Furthermore, biocompatibility, the need for additional rigid frames supporting pre-stretched films, and unstable electrical and mechanical properties are also crucial obstacles to overcome towards improving wearability, efficiency and sustainability of DEAs.

Ionic-Polymer/Metal Composites and Conducing Polymers
Ionic-Polymer/Metal Composites (IPMCs), as a category of Electroactive polymers (EAPs), have been proposed as the active material in a wide-range of applications, including biomimetic sensors and mechanical actuators [105]. Kuhn [106] and Katchalsky [107] are

Ionic-Polymer/Metal Composites and Conducing Polymers
Ionic-Polymer/Metal Composites (IPMCs), as a category of Electroactive polymers (EAPs), have been proposed as the active material in a wide-range of applications, including biomimetic sensors and mechanical actuators [105]. Kuhn [106] and Katchalsky [107] are generally considered to be the first reporters of deformable polyelectrolytes ion solution such as polyacrylic acid (PAA) and polyvinyl chloride (PVA) systems. After that, numerous researchers have demonstrated that IPMCs can show a large deformation when placed in a time-varying electric field due to their inherent properties [108]. IPMCs can be seen as an electrolyte sandwiched by two layers of ionically conducting membranes with two electrodes. Typically, the ionically conducting membranes are made of Nafion and Flemion due to their fast response time and good durability [92]. Gold and platinum were generally used as electrodes for IPMCs. Recently, CNTs appeared as an attractive alternative material for metal electrodes due to their extraordinary electrical and mechanical properties (Figure 14a). However, compared to metal electrodes, CNTs have some limitations such as poor dispersibility and special requirements for electrolytes [109].

Mechanism
The mechanism for IPMCs varies slightly depending on the different electrodes, electrolyte and conductive membranes. Briefly, under the applied electric field, cations (or anions) in IPMCs electrolyte move to the cathode (anode) [8]. This transportation of ions generates the volumetric difference, which leads to a pressure gradient in the ionic polymer followed by a swelling of one side and shrinkage of another side of the membrane [110]. In traditional IPMCs, water was commonly used as solvent. However, water has several major problems: poor electrochemical stability in high-voltage and gradual leakage and a high vapor pressure inside a membrane due to evaporation [111]. Therefore, some researchers use other solvents such as organic solvents instead of water. Ionic liquids are considered to be a good alternative for water due to their negligible vapor pressure and high conductivity. In water driven IPMCs, the cations gather under the applied electric field squeezing out the water molecules, which create strain pressure on the ionic polymer (Figure 14b) [108]. In ionic liquid driven IPMCs, the deformation is caused by the different transfer rates of Textiles 2021, 1 300 cations and anions. The anions moves slower to the anode due to electrostatic repulsion from the polymer matrix (Figure 14c) [110]. membrane [110]. In traditional IPMCs, water was commonly used as solvent. However, water has several major problems: poor electrochemical stability in high-voltage and gradual leakage and a high vapor pressure inside a membrane due to evaporation [111]. Therefore, some researchers use other solvents such as organic solvents instead of water. Ionic liquids are considered to be a good alternative for water due to their negligible vapor pressure and high conductivity. In water driven IPMCs, the cations gather under the applied electric field squeezing out the water molecules, which create strain pressure on the ionic polymer (Figure 14b) [108]. In ionic liquid driven IPMCs, the deformation is caused by the different transfer rates of cations and anions. The anions moves slower to the anode due to electrostatic repulsion from the polymer matrix (Figure 14c) [110].  Conducting polymers (CPs) are another category of EAPs which have similar mechanisms to IPMCs. CPs are typically composed of the constituent monomers of pyrrole, aniline, and thiophene and its derivatives ( Figure 15) [8]. These polymers can be electrochemically oxidized and reduced repeatedly. During the redox reaction, ions can move in or out from the CPs depending on the ion (called a dopant) and the reaction [112]. Typically, there are two different reactions. When CPs contain mobile anions (e − ), the anions will leave the polymer during reaction and the anions (A − ) in electrolyte will enter CP [8].
(M) is the monomer, m is the number of electrons transferred, and A − is the anion responsible for maintaining the electroneutrality.
On the contrary, if CPs contain immobile anions (A − ), they will require cations for the charge neutrality inside the polymer matrix. The cations M + will move in and out of the CP during redox reaction [8].
On the contrary, if CPs contain immobile anions (A − ), they will require catio charge neutrality inside the polymer matrix. The cations M + will move in and CP during redox reaction [8]. Figure 15. Chemical structure of some common CPs [8]. Copyright 2013, Wiley-VCH.

Applications
IPMCs and CPs, have been widely applied in textiles, sensors, and soft exo (Figure 16a). The electrochemical conductive polymer is combined with textile technology to provide an electrochemical artificial muscle. Jager et al. reported a soft, and strain adjustable rayon fabric, which was achieved by continuousl cellulose fibers with a PEDOT layer as a conductive electrode and a PPY actuation [11]. By weaving and knitting, this actuator has an increasing output f the increase of the number of actuator yarns. Similarly, a PEDOT:PSS coated wired ZIF-8 structure has been reported (Figure 16b) [113]. Hydrophilization tr enable the formation of electrode ink on the surface of the fabric and highly inc ionic conductivity. The textile-structure actuator demonstrated large strain (0.28 high blocking force (0.62 mN at 0.1 Hz). Li group demonstrated a plasticized chloride (PVC) gel-based exoskeleton for hip joint support. Electroresponsive h have demonstrated that they can be deformed under an electric field, simil mechanism of IPMCs [114]. This device can provide up to 94 N and 10% biologic Figure 15. Chemical structure of some common CPs [8]. Copyright 2013, Wiley-VCH.

Applications
IPMCs and CPs, have been widely applied in textiles, sensors, and soft exoskeletons (Figure 16a). The electrochemical conductive polymer is combined with textile weaving technology to provide an electrochemical artificial muscle. Jager et al. reported a wearable, soft, and strain adjustable rayon fabric, which was achieved by continuously coating cellulose fibers with a PEDOT layer as a conductive electrode and a PPY layer for actuation [11]. By weaving and knitting, this actuator has an increasing output force with the increase of the number of actuator yarns. Similarly, a PEDOT:PSS coated SWCNT wired ZIF-8 structure has been reported ( Figure 16b) [113]. Hydrophilization treatments enable the formation of electrode ink on the surface of the fabric and highly increase the ionic conductivity. The textile-structure actuator demonstrated large strain (0.28%) and a high blocking force (0.62 mN at 0.1 Hz). Li group demonstrated a plasticized polyvinyl chloride (PVC) gelbased exoskeleton for hip joint support. Electroresponsive hydrogels have demonstrated that they can be deformed under an electric field, similar to the mechanism of IPMCs [114]. This device can provide up to 94 N and 10% biological torque at hip joints during walking (Figure 16c). In addition to being able to undergo shape changing under an electric field, some IPMCs can generate voltage under deformation, which makes them a potential sensor (Figure 16d). An IPMCs based heart rate monitoring sensor was first explored by Chattaraj et al. [115]. The mechanical impact induced by pulsating blood flow generates a potential difference on the metal plate electrode. Data retrieved from this device exhibited error percentages of 4-15% when evaluated against standard plethysmographic measures.
changing under an electric field, some IPMCs can generate voltage under deformation, which makes them a potential sensor (Figure 16d). An IPMCs based heart rate monitoring sensor was first explored by Chattaraj et al. [115]. The mechanical impact induced by pulsating blood flow generates a potential difference on the metal plate electrode. Data retrieved from this device exhibited error percentages of 4-15% when evaluated against standard plethysmographic measures. Figure 16. (a) Processing and integration of electroactive textiles [11]. Copyright 2017, the authors, published by AAAS, (b) textile actuator based on PEDOT:PSS/MOF-derivative electrode ink [113]. Copyright 2020, Wu, Yang, Li, Li and Chen. (c) PVC gel soft actuator-based assist wear [114]. Copyright 2017, IOP Publishing. (d) IPMCs based heart rate monitoring sensor [115]. Copyright 2018, Elsevier.

Merits and Limitations
IPMCs are considered to be promising actuators for practical application and have been investigated since 1965 [116]. They can deform by themselves through charge transfer. IPMCs based actuators have fast response times and good repeatability. At the same time, this type of material can be designed at a millimeter-sized scale and can work in synergy with other structures such as textile structures. Large deformation under low voltage, extremely short reaction time and high stability allow them to have unique advantages. However, the main problem of IPMCs is the poor durability due to the loss of traditional electrodes in air or liquid. There are many methods for preparing IPMCs using non-metal electrodes. The effect of these new type of electrodes needs further research. In addition, when water is used as the electrolyte solvent, problems such as ionization and leakage may occur. Although IPMCs with ionic liquid as electrolyte have good stability, their response time and actuation force are decreased. As the research progresses, the performance of IPMCS is still improving. Complicated preparation processes and expensive costs are the main limitations of IPMCs. The electrolyte and polymer matrix may have certain limitations as well.
In wearable applications, CPs are more advantageous than traditional IPMCs because they eliminate the limitations of electrodes. CPs can be considered a storage element of a capacitor that can change shape during charging and discharging [8]. Therefore, reducing their thickness can improve the response time, but it will reduce the driving force [117]. Due to the existence of the degradation potential, the ion concentration Figure 16. (a) Processing and integration of electroactive textiles [11]. Copyright 2017, the authors, published by AAAS, (b) textile actuator based on PEDOT:PSS/MOF-derivative electrode ink [113]. Copyright 2020, Wu, Yang, Li, Li and Chen. (c) PVC gel soft actuator-based assist wear [114]. Copyright 2017, IOP Publishing. (d) IPMCs based heart rate monitoring sensor [115]. Copyright 2018, Elsevier.

Merits and Limitations
IPMCs are considered to be promising actuators for practical application and have been investigated since 1965 [116]. They can deform by themselves through charge transfer. IPMCs based actuators have fast response times and good repeatability. At the same time, this type of material can be designed at a millimeter-sized scale and can work in synergy with other structures such as textile structures. Large deformation under low voltage, extremely short reaction time and high stability allow them to have unique advantages. However, the main problem of IPMCs is the poor durability due to the loss of traditional electrodes in air or liquid. There are many methods for preparing IPMCs using non-metal electrodes. The effect of these new type of electrodes needs further research. In addition, when water is used as the electrolyte solvent, problems such as ionization and leakage may occur. Although IPMCs with ionic liquid as electrolyte have good stability, their response time and actuation force are decreased. As the research progresses, the performance of IPMCS is still improving. Complicated preparation processes and expensive costs are the main limitations of IPMCs. The electrolyte and polymer matrix may have certain limitations as well.
In wearable applications, CPs are more advantageous than traditional IPMCs because they eliminate the limitations of electrodes. CPs can be considered a storage element of a capacitor that can change shape during charging and discharging [8]. Therefore, reducing their thickness can improve the response time, but it will reduce the driving force [117]. Due to the existence of the degradation potential, the ion concentration of CPs is limited [118]. The single actuation mode and low accuracy are also limiting factors in the application of such materials in wearable drives.

Mechanism
Piezoelectric effect is a phenomenon in which mechanical energy and electric energy are exchanged in dielectric materials. There are two kinds of piezoelectric effect, namely positive piezoelectric effect and inverse piezoelectric effect. Positive piezoelectricity is the electric charge that accumulates in certain solid materials in response to applied mechanical stress (Figure 17a). Inverse piezoelectric effect refers to when an electric field is applied in the polarization direction of piezoelectric sensing elements; this will produce mechanical deformation or mechanical stress in a certain direction. When the applied electric field is removed, this deformation or stress will disappear (Figure 17b). The stress deformation can be divided into five basic forms: thickness deformation, length deformation, volume deformation, thickness shear deformation, and plane shear deformation.
Textiles 2021, 1,21 of CPs is limited [118]. The single actuation mode and low accuracy are also limiting factors in the application of such materials in wearable drives.

Mechanism
Piezoelectric effect is a phenomenon in which mechanical energy and electric energy are exchanged in dielectric materials. There are two kinds of piezoelectric effect, namely positive piezoelectric effect and inverse piezoelectric effect. Positive piezoelectricity is the electric charge that accumulates in certain solid materials in response to applied mechanical stress (Figure 17a). Inverse piezoelectric effect refers to when an electric field is applied in the polarization direction of piezoelectric sensing elements; this will produce mechanical deformation or mechanical stress in a certain direction. When the applied electric field is removed, this deformation or stress will disappear (Figure 17b). The stress deformation can be divided into five basic forms: thickness deformation, length deformation, volume deformation, thickness shear deformation, and plane shear deformation. For piezoelectric actuators, the inverse piezoelectric effect is the basic working principle, and the governing equation can be expressed as follows: (12) where S is the strain, E is the electric field intensity, i and j are the electric field and strain direction respectively, is its piezoelectric strain constant. The basic deformation mode and its main parameters are shown in Table 5 [119].  For piezoelectric actuators, the inverse piezoelectric effect is the basic working principle, and the governing equation can be expressed as follows: where S is the strain, E is the electric field intensity, i and j are the electric field and strain direction respectively, d ij is its piezoelectric strain constant. The basic deformation mode and its main parameters are shown in Table 5 [119].
Transverse  Piezoelectric materials include inorganic piezoelectric materials and organic piezoelectric materials [120]. Inorganic piezoelectric materials are divided into piezoelectric crystals and piezoelectric ceramics. Organic piezoelectric materials, also known as piezoelectric polymers, are being increasingly pursued for wearable applications because of their soft nature. Current piezoelectric actuators are based on organic piezoelectric materials, such as polyvinylidene fluoride (PVDF); it is necessary to mention that the PVDF piezoelectric film is softer compared to piezoelectric ceramics, light weight, has a large piezoelectric constant, high application sensitivity, good matching state, a compliance coefficient that is 30 times of PZT, and can be used in tactile measurement, mechanical measurement, energy collection, medical monitoring and so on. It is worth noting that the PVDF piezoelectric film requires polarization and stretching to improve the piezoelectric properties. Different tensile rate and other factors will affect its piezoelectric properties, but change in the preparation process can improve piezoelectric properties without additional polarization, such as electrostatic electricity. In the electrospinning process, the viscous solution is stretched and solidified into nanofibers in a strong electric field so that the molecular dipole of the polymer is oriented in the nanofiber length direction, and the transformation of α is converted into β phase completion. However, PVDF-TRFE does not require additional polarization and stretching. The parameters of some piezoelectric materials are shown in Table 6. The unimorph, single crystal structure is the basic structure for piezoelectric actuators. The deformation of the piezoelectric actuator depends on the basic principle of the piezoelectric inverse effect. The piezoelectric film layer is bent or elongated in alternating current; meanwhile, the passive layer is not shortened, and the stress between the two layers causes bending deformation of the piezoelectric actuator due to subsequent bending or volume mismatch. For example, Akther et al. [122] used piezoelectric single crystal actuators to amplify the haptic feedback of the vibration signal, so that humans can clearly perceive the vibration (Figure 18a,b). Wu et al. [123] combined PVDF with PET and adopted a piezoelectric single crystal structure to create a soft robot. The soft robot was bent and a leg structure was added to increase the walking speed. The soft robot has reached the rapid movement of 20 body length/s at the resonant frequency, and it can still move even if crushed one million times, demonstrating strong robustness. Maccabi et al. [124] designed three piezoelectric spiral arms using a curved piezoelectric single crystal structure which generated torsional deformation through alternating current to achieve parallel plane piston movement (Figure 18c).   The piezoelectric bimorph three-layer structure, has piezoelectric materials on the top and bottom layers. This structure has different mechanisms compared to the unimorph structure. The two piezoelectric film layers are bent in alternating current. One of the piezoelectric sheets is elongated, and the other is shortened, and their bending strain is enlarged. The advantage of this structure is that it doubles the displacement of the soft robot and achieves more excellent moving characteristics. Piezoelectric ceramics are widely used in this structure. For example, Xu et al. [125] developed a piezoelectric actuator that can rotate rapidly. When using a piezoelectric bimorph structure, driven by piezoelectric vibration, the maximum rotation speed is as high as 118.3 r/min. Kwon et al. [126] developed a mobile phone vibration driver by using bimorph piezoelectric ceramics. This structure can also be applied in other materials; for example, Park et al. [127] used the upper and lower layers of PVDF piezoelectric film and magnetic tape as the main body and the PVDF piezoelectric film and magnetic tape as the legs to make the soft robot. Under the 160 Hz resonance frequency, the robot applied ±65 V AC voltage and achieved a good mobility performance of 35.3 mm/s. In addition, according to the direction of vibration, the piezoelectric actuator can be divided into a longitudinal structure [128], a longitudinal bending structure [129], a longitudinal torsion [130], and a curved bending structure [128]. The length affects the modal frequency of the longitudinal structure, and length and cross-sectional dimensions structure affect the modal frequency of the bending and torsional structure [131].

Applications
Piezoelectric sensors have many applications in the medical field to detect human health, and much wearable research has also demonstrated great potential for them in biomechanical energy collection. Moreover, piezoelectric actuators can be applied in various fields, such as miniature pumps and piezoelectric motors, etc. This section mainly introduces the application of piezoelectric drivers in wearable applications. Wearable devices based on piezoelectric actuators are light in weight, especially organic piezoelectric materials, which can be made very thin and move unconstrained. Theoretically, there are many applications for piezoelectric actuators in wearable applications. First, piezoelectric actuators can be directly applied to the skin to recognize fonts or objects and their colors through vibrational tactile feedback. For example, Sauvet et al. [132] study a wearable actuator that can make the skin feel. Through experiments they verified that people can correctly perceive the location and strong level of vibration when piezoelectric actuators achieve vibration response with the index finger and palm soft contact. This further improves the user interaction with the product, while providing inspiration for identifying fonts, color and so on (Figure 19a). Additionally, Zhu et al. [133] developed a tactile feedback smart glove. Its accuracy of the target recognition can reach 96%, in which the piezoelectric unit is applied to PZT, the main function is to use the reverse piezoelectric effect to vibrate and stimulate the touch. They can achieve a different interaction result by adjusting power at a resonant frequency (Figure 19b). Piezoelectric actuators also have applications in medicine. For example, in the study of Dagdeviren et al. [134], PZT piezoelectric plates, where the actuator is the larger part and the sensor is the smaller part, were installed on the human skin surface. The combination of the driver and the sensor was used to accurately measure the elastic modulus of the skin and predict the pathophysiological conditions.  (b) Wearable gloves vibrate to irritate finger skin [135]. Copyright 2020, the authors, published by AAAS. Figure 19. (a) The experimenter touched the piezoelectric actuator and felt the vibration [132]. Copyright 2017, Elsevier. (b) Wearable gloves vibrate to irritate finger skin [133]. Copyright 2020, the authors, published by AAAS.

Merits and Limitations
Advantages of the piezoelectric actuator include a simple manufacturing method, and for organic piezoelectric polymer with the flexible combination of organic ground substance, advantages include good flexibility, light quality, good sensitivity, small size, and low power consumption. Additionally, compared with the traditional rigid or general shape memory alloy's heat, humidity, pH value, and chemical stimulation, the piezoelectric actuator has the advantage for quick response. Theoretically, this kind of soft robot has infinite degrees of freedom. It can be in smooth contact with the skin, integrate sensors and actuators, and can make small self-driven devices by using piezoelectric power generation. Its limitations are mainly manifested in the small amplitude of motion in the wearable, the required voltage is large, and the combination of textile problems.

Mechanism
Recently, electromagnetic actuators have been widely used in robots and wearable tactile feedback devices. Electromagnetic actuators are mainly composed of energized coils and magnetic materials, and the interaction force generated between them is used as the power source. The basic mechanism of action is mainly divided into two situations.
The first situation is that it is affected by magnetic force or magnetic moment, causing deformation/displacement of the magnetic object, which is expressed as follows [135]: where f m is the magnetic force experienced by a magnetic field, τ m is the magnetic moment experienced by an external magnetic field, M is the magnetization of the external magnetic field, ∆ is the gradient of the gradient magnetic field, V is the volume of the magnetic shield, and B is the magnetic flux density of the external magnetic field. The second is that the electrified conductor is deformed by Lorentz force in the external magnetic field, which is expressed as follows [136]: where F is the Lorentz force, I is the current through the wire, l is the length of wire, and B is the magnetic flux density of the external magnetic field. At present, the driving magnetic field of many electromagnetic actuators is generated by the energized coil, and the magnetic flux density generated by them conforms to the Biot-Saffar law, which is expressed as follows [137]: where I is the current through the wire and does not change with time, dl is an infinitesimal segment of the wire, e r is the unit vector of the current element pointing to the field point to be solved, µ 0 is the permeability of vacuum.

Structure
Electromagnetic actuators used in wearable tactile devices are usually composed of coils, magnets, vibration generating parts, and flexible materials. The changing magnetic field generated by the coils drives the magnets to move. The movement of the magnets and the vibration generating parts will cause the surface of the human skin to be generated. The tactile and vibration generating part is usually a rigid shell, and the flexible material is usually wrapped around the outside of the device to fit the skin. For instance, the wearable electromagnetic actuator researched by Pece et al. uses [138] this type of structure. The common magnetic materials that have been reported in the literatures and include nickel-plated neodymium and NdFeB magnet and the Flexible materials include PMMA, parylene, polyimide and PDMS elastomer [139].
The electromagnetic actuator can not only move in a straight line, but also complete the bending effect. It can be used as a soft gripper. For instance, Do et al. [140] demonstrated a flexible electromagnetic actuator. The magnet is mounted on the flexible beam and driven by the magnetic field generated by soft 3D coil to achieve bending deformation (Figure 20a). actuators as fins, agitators, etc. to demonstrate their greater deformability (Figure 20b). Likewise, liquid metal coils made of Ga-In alloys are also used in soft electromagnetic actuators. The actuator that was composed of a liquid metal coil, and PDMS could reach a maximum displacement amplitude of 21.5 mm [141].  (69%gallium, 22%Indium, 9%tin) and silicon elastomer [136]. Copyright 2020, the authors, published by AAAS.

Applications
Among wearable devices, electromagnetic actuators are an area that has not yet been completely developed. Due to their advantages of low driving voltage and large deformation, it is one of the important directions for the future development of wearable tactile devices. Ozioko et al. demonstrated [142] a dual-function wearable tactile device that can collect tactile information and provide tactile vibration feedback. The tactile feedback component was realized by an electromagnetic actuator composed of flexible coils and permanent magnets assembled in PDMS. The tactile collection component was realized by the tablet capacitor; these components were integrated. The information was transmitted between deaf-blind and sighted and hearing individuals via a mobile app through different touch and vibration modes, similar to Morse code (Figure 21a). In their later work, they made gloves for communication between the blind [143]. In each pair of gloves, six tactile devices were placed on the index finger, middle finger and ring finger of each glove, representing six points in Braille. The tactile feedback information generated by tactile device and the collected touch information were processed by the microcontroller integrated on the glove and transmitted wirelessly through the Bluetooth module ( Figure 21b).
Likewise, Rogers et al. integrated 32 electromagnetic actuators with a wireless power supply as wearable devices for tactile feedback. The primary coil obtained power from the outside to supply power to the coil, so as to drive the magnet to vibrate. The force acting on the skin of the actuator with the input power of 1.75 mW was 135 mN, and the NFC antenna received control information from the outside. Each actuator can be controlled individually. This device can be applied in games, helping the disabled, and in other fields [133,144]. Recently, many scholars have studied a new structure of electromagnetic actuator that uses liquid metal instead of traditional copper as the coil for the electromagnetic actuator and is integrated into flexible materials. When the flexible coil is energized, it is driven by Lorentz force. This kind of structure has more degrees of freedom than traditional structures. For instance, Mao et al. [136] embedded liquid metals (69% gallium, 22% indium, 9% tin) into silicon elastomers to replace traditional metal coils as an actuator. The soft actuator is placed on the flat magnet, and the Lorentz force generated by different types of voltage signals makes the actuator move in different ways. They use actuators as fins, agitators, etc. to demonstrate their greater deformability (Figure 20b). Likewise, liquid metal coils made of Ga-In alloys are also used in soft electromagnetic actuators. The actuator that was composed of a liquid metal coil, and PDMS could reach a maximum displacement amplitude of 21.5 mm [141].

Applications
Among wearable devices, electromagnetic actuators are an area that has not yet been completely developed. Due to their advantages of low driving voltage and large deformation, it is one of the important directions for the future development of wearable tactile devices. Ozioko et al. demonstrated [142] a dual-function wearable tactile device that can collect tactile information and provide tactile vibration feedback. The tactile feedback component was realized by an electromagnetic actuator composed of flexible coils and permanent magnets assembled in PDMS. The tactile collection component was realized by the tablet capacitor; these components were integrated. The information was transmitted between deaf-blind and sighted and hearing individuals via a mobile app through different touch and vibration modes, similar to Morse code (Figure 21a). In their later work, they made gloves for communication between the blind [143]. In each pair of gloves, six tactile devices were placed on the index finger, middle finger and ring finger of each glove, representing six points in Braille. The tactile feedback information generated by tactile device and the collected touch information were processed by the microcontroller integrated on the glove and transmitted wirelessly through the Bluetooth module (Figure 21b).

Merits and Limitations
Generally speaking, the electromagnetic actuator has the advantages of low driving voltage (typically from 0 to 30 V) [140], fast response speed (millisecond) [144] and large displacement, but it is difficult to be completely flexible. Furthermore, most electromagnetic actuators must be driven by wires or in an external driving magnetic field, which cannot achieve remote wireless control.

Mechanism
Liquid crystal polymers are materials that exhibit liquid crystallinity and can be divided into liquid crystal elastomers (LCEs) and liquid crystal polymer networks (LCNs) [145]. Compared to LCNs, LCEs consist of loosely crosslinked liquid-crystal side-chain and/or main-chain mesogenic units with a low crosslink density, which cause greater deformability and flexibility [146]. LCEs can undergo reversible transitions between polydomain, monodomain, and isotropic phases ( Figure 22). These different phases depend on the orientation of mesogens, which normally refers to the aromatic groups [147]. Phase transition from polydomain to monodomain can be achieved through mechanical deformation while the phase transition from monodomain or polydomain to isotropic can be achieved through heating up the temperature above isotropic clearing temperature (Ti) [148]. They have large (~40%) and reversible actuation, high processability, and programmability, making LCEs a desired material for soft actuators. Likewise, Rogers et al. integrated 32 electromagnetic actuators with a wireless power supply as wearable devices for tactile feedback. The primary coil obtained power from the outside to supply power to the coil, so as to drive the magnet to vibrate. The force acting on the skin of the actuator with the input power of 1.75 mW was 135 mN, and the NFC antenna received control information from the outside. Each actuator can be controlled individually. This device can be applied in games, helping the disabled, and in other fields [133,144].

Merits and Limitations
Generally speaking, the electromagnetic actuator has the advantages of low driving voltage (typically from 0 to 30 V) [140], fast response speed (millisecond) [144] and large displacement, but it is difficult to be completely flexible. Furthermore, most electromagnetic actuators must be driven by wires or in an external driving magnetic field, which cannot achieve remote wireless control.

Mechanism
Liquid crystal polymers are materials that exhibit liquid crystallinity and can be divided into liquid crystal elastomers (LCEs) and liquid crystal polymer networks (LCNs) [145]. Compared to LCNs, LCEs consist of loosely crosslinked liquid-crystal sidechain and/or main-chain mesogenic units with a low crosslink density, which cause greater deformability and flexibility [146]. LCEs can undergo reversible transitions between polydomain, monodomain, and isotropic phases ( Figure 22). These different phases depend on the orientation of mesogens, which normally refers to the aromatic groups [147]. Phase transition from polydomain to monodomain can be achieved through mechanical deformation while the phase transition from monodomain or polydomain to isotropic can be achieved through heating up the temperature above isotropic clearing temperature (T i ) [148]. They have large (~40%) and reversible actuation, high processability, and programmability, making LCEs a desired material for soft actuators. Textiles 2021, 1, 28 Figure 22. Schematic of different phases of LCE.

Structure
LCEs based on a two-stage thiol-acrylate Michael addition and photopolymerization (TAMAP) reaction were reported by Yakacki et al. [149]. Two step reactions allow for prestretch before full crosslinking of polymer networks, which enable up to 100% strain for actuation. Cai et al. reported an LCE artificial muscle film using the two step reaction. By embedding heating wires, this artificial film can lift a load of 3.92 N (the stress was 0.312 MPa) by 38% of its initial length under electrical control [148]. An electrically actuated soft artificial muscle made by flexible electrothermal film and liquid crystal elastomer was reported by Liu et al. [150]. The LCE was assembled with MWCNT/AgNW composite to achieve fast responsive uniform temperature deformation and constant resistance. At 6.5 V, a saturation temperature of 189 °C can be reached with a heating rate of 21 °C/s, leading to a work density of 9.97 kJ/m3 and an actuating stress of 0.46 MPa.
Beside direct heating and electrical heating, photothermal actuation is another common method to trigger the deformation of LCE. To achieve photothermal control, conventional energy converters such as gold nanoparticles, carbon nanotubes and liquid metals have been reported to apply in the LCE matrix. An AuNR/LCE film reported by Yang et al. obtained a 100° bending angle under laser (800 nm, ≈1.0 W/cm 2 ) (Figure 23a) [151]. Yang et al. demonstrated a heat/UV/near-infrared (NIR) triple-stimuli-responsive LCE material using a two-step cross-linking process coupled with a uniaxial stretching technique [152]. Carbon nanotubes (CNTs) enable the conversion of near-infrared light to thermal energy while the azobenzene group A44 V6 can trigger the deformation under UV light (Figure 23b). Ware et al. exhibited a 4D-printed LM-LCEs which can absorb NIR (730 nm) (Figure 23c) [153]. By the dispersion of Eutectic gallium−indium (EGaIn) in LCE, the composite is 4D-printable to different patterns, achieving up to 150° bending angle under 800 mw/cm 2 NIR light within 40 s.
Photoisomerization is another mechanism for photoexcited actuators. Polymers with azobenzene, diarylethene and spiropyrans functional group can undergo cis-trans photoisomerization transitions triggered by radiation with high energy photons [154]. This microscopic chemical structure change can cause macroscopic deformation to a certain extent. This method normally accompanies other polymer networks to induce photoexcited actuation and improve deformability. Priimagi et al. designed a selfregulating iris based on light-actuated liquid crystal elastomer (Figure 23d) [155]. It can automatically adjust the shape by reacting to the power density of the incident light. When the light intensity increases, the device will close, and when the minimum pupil size is reached, the light transmittance is reduced to one seventh.

Structure
LCEs based on a two-stage thiol-acrylate Michael addition and photopolymerization (TAMAP) reaction were reported by Yakacki et al. [149]. Two step reactions allow for pre-stretch before full crosslinking of polymer networks, which enable up to 100% strain for actuation. Cai et al. reported an LCE artificial muscle film using the two step reaction. By embedding heating wires, this artificial film can lift a load of 3.92 N (the stress was 0.312 MPa) by 38% of its initial length under electrical control [148]. An electrically actuated soft artificial muscle made by flexible electrothermal film and liquid crystal elastomer was reported by Liu et al. [150]. The LCE was assembled with MWCNT/AgNW composite to achieve fast responsive uniform temperature deformation and constant resistance. At 6.5 V, a saturation temperature of 189 • C can be reached with a heating rate of 21 • C/s, leading to a work density of 9.97 kJ/m3 and an actuating stress of 0.46 MPa.
Beside direct heating and electrical heating, photothermal actuation is another common method to trigger the deformation of LCE. To achieve photothermal control, conventional energy converters such as gold nanoparticles, carbon nanotubes and liquid metals have been reported to apply in the LCE matrix. An AuNR/LCE film reported by Yang et al. obtained a 100 • bending angle under laser (800 nm, ≈1.0 W/cm 2 ) (Figure 23a) [151]. Yang et al. demonstrated a heat/UV/near-infrared (NIR) triple-stimuli-responsive LCE material using a two-step cross-linking process coupled with a uniaxial stretching technique [152]. Carbon nanotubes (CNTs) enable the conversion of near-infrared light to thermal energy while the azobenzene group A44 V6 can trigger the deformation under UV light (Figure 23b). Ware et al. exhibited a 4D-printed LM-LCEs which can absorb NIR (730 nm) (Figure 23c) [153]. By the dispersion of Eutectic gallium−indium (EGaIn) in LCE, the composite is 4D-printable to different patterns, achieving up to 150 • bending angle under 800 mw/cm 2 NIR light within 40 s.
Photoisomerization is another mechanism for photoexcited actuators. Polymers with azobenzene, diarylethene and spiropyrans functional group can undergo cis-trans photoisomerization transitions triggered by radiation with high energy photons [154]. This microscopic chemical structure change can cause macroscopic deformation to a certain extent. This method normally accompanies other polymer networks to induce photoexcited actuation and improve deformability. Priimagi et al. designed a self-regulating iris based on light-actuated liquid crystal elastomer (Figure 23d) [155]. It can automatically adjust the shape by reacting to the power density of the incident light. When the light intensity increases, the device will close, and when the minimum pupil size is reached, the light transmittance is reduced to one seventh.

Applications
The main applications of LCE in wearable actuators are artificial muscles, smart textiles and exoskeletons. Qi et al. demonstrate a loom woven smart textile using LCE fibers [156]. LCE undergoes shrinkage during heating process, which creates pores in the textile. This shrinkage starts at 40 °C and reaches the maximum at 80 °C. After cooling, the LCE fiber expands and the textile returns to its original shape (Figure 24a). These results indicate that LCE can use loom weaving to create a stimulus responsive, two-way shape memory textile. Inspired by vascular artificial muscle, Cai et al. designed a vascular LCE-based artificial muscle (VLAM) which showed a potential application for LCE to be used as exoskeletons (Figure 24b) [157]. With the injection of hot and cold water in its internal fluidic channel, VLAM achieved fast thermal actuation and recovery, and can be applied in a wide range of external temperatures. In Figure 24b, VLAM demonstrated different actuation modes of motion of a skeleton model.

Applications
The main applications of LCE in wearable actuators are artificial muscles, smart textiles and exoskeletons. Qi et al. demonstrate a loom woven smart textile using LCE fibers [156]. LCE undergoes shrinkage during heating process, which creates pores in the textile. This shrinkage starts at 40 • C and reaches the maximum at 80 • C. After cooling, the LCE fiber expands and the textile returns to its original shape (Figure 24a). These results indicate that LCE can use loom weaving to create a stimulus responsive, two-way shape memory textile. Inspired by vascular artificial muscle, Cai et al. designed a vascular LCE-based artificial muscle (VLAM) which showed a potential application for LCE to be used as exoskeletons (Figure 24b) [157]. With the injection of hot and cold water in its internal fluidic channel, VLAM achieved fast thermal actuation and recovery, and can be applied in a wide range of external temperatures. In Figure 24b, VLAM demonstrated different actuation modes of motion of a skeleton model.

Merits and Limitations
LCE has outstanding advantages such as large deformation, softness, multi-function, multiple response modes, durability, etc. However, the limitation of LCE as a wearable actuator material lies in its inherent properties. Phase changing from isotropic to smectic can only be induced by heating, which restricts its application. Although a variety of actuation modes have been achieved through the modification of LCE, they are realized through the form of energy conversion. In addition, the excessively high driving temperature of LCE (>100 • C) hinders its application on the human body. Some research has shown that the LCE molecular structure can be modified to reduce its driving temperature [158,159]. However, it will weaken the performance. Aside from these, slow response speed is a major problem. However, its excellent deformability, structure stability and processability endow its significant advantages as actuator. The application of LCE as a wearable actuator still needs further research.

Merits and Limitations
LCE has outstanding advantages such as large deformation, softness, multi-function, multiple response modes, durability, etc. However, the limitation of LCE as a wearable actuator material lies in its inherent properties. Phase changing from isotropic to smectic can only be induced by heating, which restricts its application. Although a variety of actuation modes have been achieved through the modification of LCE, they are realized through the form of energy conversion. In addition, the excessively high driving temperature of LCE (>100 °C) hinders its application on the human body. Some research has shown that the LCE molecular structure can be modified to reduce its driving temperature [158,159]. However, it will weaken the performance. Aside from these, slow response speed is a major problem. However, its excellent deformability, structure stability and processability endow its significant advantages as actuator. The application of LCE as a wearable actuator still needs further research.

Electric Motor
Besides pneumatic and hydraulic actuators, electric-driven actuators are also widely applied in exoskeletons. Compared to pneumatic or hydraulic actuators, electric actuator systems inevitably come with many problems, such as: friction, stiffness, electrical disturbance and complex systems [13]. Nevertheless, electric actuators are still the most common actuators in the industry due to their irreplaceable processability and designability. Gassert et al. present a wearable glove system for grasping assistance [160]. Due to a compliant finger mechanism and versatile thumb mechanism, this system can provide assistance for the most commonly used grabbing exercises. An exoskeleton that  Besides pneumatic and hydraulic actuators, electric-driven actuators are also widely applied in exoskeletons. Compared to pneumatic or hydraulic actuators, electric actuator systems inevitably come with many problems, such as: friction, stiffness, electrical disturbance and complex systems [13]. Nevertheless, electric actuators are still the most common actuators in the industry due to their irreplaceable processability and designability. Gassert et al. present a wearable glove system for grasping assistance [160]. Due to a compliant finger mechanism and versatile thumb mechanism, this system can provide assistance for the most commonly used grabbing exercises. An exoskeleton that can assist walking and running separately was first reported by Kim et al. [161]. Through the electrical motors connected to the cable, this device applies tension between the waist belt and the thigh wrap, creating an external extension moment around the hip joint. Based on the estimation of potential energy fluctuation of the wearer's center of mass, this device can switch the actuation modes between running or walking.

Carbon Nanotubes
Carbon nanotubes (CNTs) have attracted great interest in recent research due to their distinguished mechanical, electrical and chemical properties [162]. With the advancement of process methods, carbon nanotube-based sensors, electrodes, actuators and energy storage materials have been widely used in smart systems. In particular, CNTs-based yarns with twist, or introducing a yarn structure in CNTs, can further enhance its flexibility, allowing it to be used in actuators such as artificial muscles [163]. By far, researchers find that CNTs can be actuated by electrical, chemical, thermal, or photonic power [164]. Among them, electrochemical actuation of CNTs received special attention [165]. Compared to electrothermally driven CNT yarns, electrochemical driven CNT yarns provide higher efficiencies and larger torsional or tensile actuation with lower voltage requirements [166]. Similar to CPs, the mechanism of electrochemical actuation is the strain and volume change on the graphene layers induced by electrochemical double-layer charge injection (Figure 25a) [162]. Foroughi et al. have first demonstrated a torsional and rotational CNT yarn which can provide a reversible 15,000 • rotation and 590 revolutions per minute. [167]. This kind of CNT yarn, which was twist-spun from forests of multiwalled carbon nanotubes (MWCNTs), can undergo partial untwisting in the electrolyte applied with an electric field to achieve actuation. Kim et al. have designed a hierarchically twisted electrochemical driven CNT yarn with a maximum tensile stroke of 15.1% and work capacity of 3.78 kJ/kg. [168]. This twisted and coil structure achieves the transformation of electrochemical driven CNT yarn from rotation actuation to stretching actuation (Figure 25b).
CNTs yarn can be considered as CPs and applied into textile structures. For example, they can be fabricated with other yarns or applied in smart textile systems. However, due to their poor stretchability, high cost and low energy conversion efficiency, CNTs based wearable actuators need further research. For more detail about CNTs actuators, we refer to a review by Jang et al. [163].

Carbon Nanotubes
Carbon nanotubes (CNTs) have attracted great interest in recent research due to their distinguished mechanical, electrical and chemical properties [162]. With the advancement of process methods, carbon nanotube-based sensors, electrodes, actuators and energy storage materials have been widely used in smart systems. In particular, CNTs-based yarns with twist, or introducing a yarn structure in CNTs, can further enhance its flexibility, allowing it to be used in actuators such as artificial muscles [163]. By far, researchers find that CNTs can be actuated by electrical, chemical, thermal, or photonic power [164]. Among them, electrochemical actuation of CNTs received special attention [165]. Compared to electrothermally driven CNT yarns, electrochemical driven CNT yarns provide higher efficiencies and larger torsional or tensile actuation with lower voltage requirements [166]. Similar to CPs, the mechanism of electrochemical actuation is the strain and volume change on the graphene layers induced by electrochemical doublelayer charge injection (Figure 25a) [162]. Foroughi et al. have first demonstrated a torsional and rotational CNT yarn which can provide a reversible 15,000° rotation and 590 revolutions per minute. [167]. This kind of CNT yarn, which was twist-spun from forests of multiwalled carbon nanotubes (MWCNTs), can undergo partial untwisting in the electrolyte applied with an electric field to achieve actuation. Kim et al. have designed a hierarchically twisted electrochemical driven CNT yarn with a maximum tensile stroke of 15.1% and work capacity of 3.78 kJ/kg. [168]. This twisted and coil structure achieves the transformation of electrochemical driven CNT yarn from rotation actuation to stretching actuation (Figure 25b).
CNTs yarn can be considered as CPs and applied into textile structures. For example, they can be fabricated with other yarns or applied in smart textile systems. However, due to their poor stretchability, high cost and low energy conversion efficiency, CNTs based wearable actuators need further research. For more detail about CNTs actuators, we refer to a review by Jang et al. [163].  [162]. Copyright 2015, Elsevier. (b) MWNT yarn structures for torsional and tensile actuation [166]. Copyright 2014, American Chemical Society.

Hydrogels
Stimuli-responsive gels refer to a category of hydrogels that can respond to external stimuli. These stimuli include temperature, electric field, light and PH change. The mechanism of actuation of hydrogels is similar to the material mentioned in Section 2. These materials are widely used in biomedical applications and wearable actuators. The Figure 25. (a) Schematic of the mechanism for electrochemical actuation of CNT [162]. Copyright 2015, Elsevier. (b) MWNT yarn structures for torsional and tensile actuation [166]. Copyright 2014, American Chemical Society.

Hydrogels
Stimuli-responsive gels refer to a category of hydrogels that can respond to external stimuli. These stimuli include temperature, electric field, light and PH change. The mechanism of actuation of hydrogels is similar to the material mentioned in Section 2. These materials are widely used in biomedical applications and wearable actuators. The exoskeleton made by PVC gel in Section 2 is one example of hydrogels as wearable devices. The chemical stability and durability are the limitation for them to be applied in wearable actuators. For more information we refer to a review by Mirvakili et al. [8].

Organic Molecule-Driven Polymeric Actuators
Organic molecule-driven polymeric actuators can be defined as actuators that can have mechanical motions induced by organic solvents. This driving principle is usually the volume change or molecular structure change caused by the absorption and release of the organic solution. For example, LCEs can generate inhomogeneous swelling when absorbing polar organic solvents. Such materials can also be twisted into artificial muscles. However, the actuation mechanism and complex synthesis process are the major problems. For detailed information, we refer to a review of Lin et al. [169].

Outlook
Recent applications of wearable actuators are mainly concentrated in three categories: wearable robots, haptic devices, and personal thermal regulation textiles. Current orthosis robots are dominated by electric motors [18], which are high-output, stable, multifunctional, but also bulky, stiff, and inconvenient. In the future, these rigid electric motors will be gradually replaced by high-performance soft and smart materials, although they have a long way to go. For pneumatic and hydraulic actuators, research on the structure and functional design enables this type of actuator to achieve complex motions with simple strategies. Further, the efficiency of these actuators has been improved through the integration of motors, pumps and valves [170]. Recently, the combination of pneumatic and hydraulic actuators and textiles allows us to see new possibilities [22] which make the pneumatic/hydraulic wearable robots not limited to medical treatment and rehabilitation. With the emerging material science and technology, new smart materials enable the possibility of wearable robots, getting rid of bulky, rigid, and heavy equipment. Thermally driven materials such as shape memory alloys have problems such as high thermal hysteresis, high temperature, and high cost [29]. The actuation force of IPMCs, CNTs and CPs is too small, and it is difficult to make large-scale devices [18]. Among these new materials, DEAs are the most promising, due to fast response speed, high electromechanical performances, and high efficiency [18]. The research direction of reducing the operating voltage, improving the stability, and structure design of DEAs will be the mainstream. Wearable orthosis robots require high output force and precise control, especially for lower limb rehabilitation, which needs to be addressed in the future. Moreover, ideal combination of textile structure and smart materials for wearable robots is still a major challenge and we look forward to seeing more wearable assistive robots based on textile structures in the future.
Virtual and augmented reality (VR/AR) technology is a system that generates perceptual information through a computer and interacts with the real or virtual world. As the VR/AR technology evolves, the market demands matching or even better performance equipment. Haptic technology is an indispensable part of the VR/AR system. Wearable haptic devices mainly include three different methods: skin-attachable haptic interfaces, wearable haptic interfaces, and touch-based haptic interfaces [171]. Traditional haptic feedback is usually achieved by using the vibration motor such as the eccentric rotating mass (ERM) and linear resonant actuator (LRA) [171]. These actuators have the problems of poor portability and low resolution. Fine tactile feedback can be achieved through fine texture and tiny shapes, which makes soft actuators a potential alternative [171]. Soft actuators such as dielectric, electromagnetic, and piezoelectric actuators have been widely applied in this field. Future research is likely to take the advantage of soft materials to achieve multi-point stimulations and multi-shape generation [171]. Moreover, reducing the driving voltage and increasing the reliability of materials are also main research directions. Integration of haptic actuators and textiles into smart textiles to replace traditional tactile feedback devices is another potential for breakthrough of haptic technologies.
Thermal regulation textiles, as the first generation of smart textile, have been used in commerce and the market for decades [1]. These textiles are typically made of materials (nylon, wool, silk etc.) that can undergo expansion by moisture or heat. Through structural design such as twisting or chemical modification, these materials can passively respond to environmental stimuli. Future research may lie on the improvement of material performance and the design of the active regulation system.
Due to the advantages of programmability and comfort, textiles are very likely to be the main implementation method for wearable actuators. The new soft material has good compatibility with the textile structure. CNTs, shape memory alloys, and LCEs can be directly used as yarns for textile design. As an indispensable element of human life, textiles can also serve as a carrier of actuators. How to achieve actuation without affecting the original function of the textile is a problem that needs to be overcome.

Conclusions
In this review, we summarized the materials and structures that can be applied to wearable actuators including pneumatic and hydraulic actuators, shape memory alloys and polymers, thermal and hygroscopic materials, dielectric elastomers, ionic and conducting polymers, piezoelectric actuators, electromagnetic actuators, liquid crystal elastomers, etc. We have cited examples of wearable applications recently reported. These actuator applications are mainly concentrated in orthosis robots, haptic actuators, and smart textiles. There is no doubt that the application prospects of smart wearable actuators are wide, and the research of new soft actuator materials and structures is still in progress. The prospective future research directions for wearable actuators include: (1) smart materials with high performance, precise control, durable, and low cost; (2) integration of smart materials into textile structures to achieve required functions; (3) exploration of more applications for wearable actuators. We expect to see the application of wearable actuators that are comparable to biological structures in all aspects in the future.