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Keywords = mobile and wearable sensing

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13 pages, 2714 KB  
Article
Millimeter-Wave Radar and Mixed Reality Virtual Reality System for Agility Analysis of Table Tennis Players
by Yung-Hoh Sheu, Li-Wei Tai, Li-Chun Chang, Tz-Yun Chen and Sheng-K Wu
Computers 2026, 15(1), 28; https://doi.org/10.3390/computers15010028 - 6 Jan 2026
Viewed by 218
Abstract
This study proposes an integrated agility assessment system that combines Millimeter-Wave (MMW) radar, Ultra-Wideband (UWB) ranging, and Mixed Reality (MR) technologies to quantitatively evaluate athlete performance with high accuracy. The system utilizes the fine motion-tracking capability of MMW radar and the immersive real-time [...] Read more.
This study proposes an integrated agility assessment system that combines Millimeter-Wave (MMW) radar, Ultra-Wideband (UWB) ranging, and Mixed Reality (MR) technologies to quantitatively evaluate athlete performance with high accuracy. The system utilizes the fine motion-tracking capability of MMW radar and the immersive real-time visualization provided by MR to ensure reliable operation under low-light conditions and multi-object occlusion, thereby enabling precise measurement of mobility, reaction time, and movement distance. To address the challenge of player identification during doubles testing, a one-to-one UWB configuration was adopted, in which each base station was paired with a wearable tag to distinguish individual athletes. UWB identification was not required during single-player tests. The experimental protocol included three specialized agility assessments—Table Tennis Agility Test I (TTAT I), Table Tennis Doubles Agility Test II (TTAT II), and the Agility T-Test (ATT)—conducted with more than 80 table tennis players of different technical levels (80% male and 20% female). Each athlete completed two sets of two trials to ensure measurement consistency and data stability. Experimental results demonstrated that the proposed system effectively captured displacement trajectories, movement speed, and reaction time. The MMW radar achieved an average measurement error of less than 10%, and the overall classification model attained an accuracy of 91%, confirming the reliability and robustness of the integrated sensing pipeline. Beyond local storage and MR-based live visualization, the system also supports cloud-based data uploading for graphical analysis and enables MR content to be mirrored on connected computer displays. This feature allows coaches to monitor performance in real time and provide immediate feedback. By integrating the environmental adaptability of MMW radar, the real-time visualization capability of MR, UWB-assisted athlete identification, and cloud-based data management, the proposed system demonstrates strong potential for professional sports training, technical diagnostics, and tactical optimization. It delivers timely and accurate performance metrics and contributes to the advancement of data-driven sports science applications. Full article
(This article belongs to the Section Human–Computer Interactions)
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14 pages, 638 KB  
Article
A Low-Cost Head-Controlled and Sip-and-Puff Mouse: System Design and Preliminary Findings
by Rodrigo Duarte, Nuno Vieira Lopes and Paulo Jorge Coelho
Electronics 2025, 14(24), 4953; https://doi.org/10.3390/electronics14244953 - 17 Dec 2025
Viewed by 367
Abstract
This work introduces a low-cost, wearable assistive mouse designed to support digital interaction for individuals with motor impairments. The system combines inertial sensing for head-movement tracking and a pressure-based interface for simulating mouse clicks via “sip-and-puff” actions. The device enables full mouse control [...] Read more.
This work introduces a low-cost, wearable assistive mouse designed to support digital interaction for individuals with motor impairments. The system combines inertial sensing for head-movement tracking and a pressure-based interface for simulating mouse clicks via “sip-and-puff” actions. The device enables full mouse control (pointer movement, clicks, and double-clicks) without relying on hand mobility. Preliminary evaluations, conducted with input from occupational therapy professionals, demonstrated promising usability and functionality comparable to commercial devices. The proposed solution offers a cost-effective, open-source alternative to existing adaptive technologies, with future development aimed at broader testing and integration in rehabilitation settings. Future work will include usability testing with individuals presenting real motor impairments to validate clinical applicability. Full article
(This article belongs to the Special Issue Assistive Technology: Advances, Applications and Challenges)
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23 pages, 4938 KB  
Article
Signal Quality Assessment and Reconstruction of PPG-Derived Signals for Heart Rate and Variability Estimation in In-Vehicle Applications: A Comparative Review and Empirical Validation
by Ruimin Gao, Carl S. Miller, Brian T. W. Lin, Chris W. Schwarz and Monica L. H. Jones
Sensors 2025, 25(24), 7556; https://doi.org/10.3390/s25247556 - 12 Dec 2025
Viewed by 1128
Abstract
Electrocardiography (ECG) is widely recognized as the gold standard for measuring heart rate (HR) and heart rate variability (HRV). However, photoplethysmography (PPG) presents notable advantages in terms of wearability, affordability, and ease of integration into consumer devices, despite its susceptibility to motion artifacts [...] Read more.
Electrocardiography (ECG) is widely recognized as the gold standard for measuring heart rate (HR) and heart rate variability (HRV). However, photoplethysmography (PPG) presents notable advantages in terms of wearability, affordability, and ease of integration into consumer devices, despite its susceptibility to motion artifacts and the absence of standardized processing protocols. In this study, we review current ECG and PPG signal processing methods and propose a signal quality assessment and reconstruction pipeline tailored for dynamic, in-vehicle environments. This pipeline was evaluated using data gathered from participants riding in an automated vehicle. Our findings demonstrate that while blood volume pulse (BVP) derived from PPG can provide reliable heart rate estimates and support extraction of certain HRV features, its utility in accurately capturing high-frequency HRV components remains constrained due to motion-induced noise and signal distortion. These results underscore the need for caution in interpreting PPG-derived HRV, particularly in mobile or ecologically valid contexts, and highlight the importance of establishing best practices and robust preprocessing methods to enhance the reliability of PPG sensing for field-based physiological monitoring. Full article
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34 pages, 4925 KB  
Review
Nanomaterial Engineered Biosensors and Stimulus–Responsive Platform for Emergency Monitoring and Intelligent Diagnosis
by Bo Fang, Yuanyuan Chen, Hui Jiang, Xiaohui Liu and Xuemei Wang
Biosensors 2025, 15(12), 789; https://doi.org/10.3390/bios15120789 - 1 Dec 2025
Cited by 1 | Viewed by 1050
Abstract
Biosensing technology serves as a cornerstone in biomedical diagnostics, environmental monitoring, personalized medicine, and wearable devices, playing an indispensable role in precise detection and real–time monitoring. Compared with traditional sensing platforms, functional nanomaterials—by virtue of their ultra–large specific surface area, exceptional optoelectronic properties, [...] Read more.
Biosensing technology serves as a cornerstone in biomedical diagnostics, environmental monitoring, personalized medicine, and wearable devices, playing an indispensable role in precise detection and real–time monitoring. Compared with traditional sensing platforms, functional nanomaterials—by virtue of their ultra–large specific surface area, exceptional optoelectronic properties, and superior catalytic activity—significantly enhance the sensitivity, selectivity, and response speed of biosensors. This has enabled ultrasensitive, rapid, and even in situ detection of disease biomarkers, pollutants, and pathogens. This review summarizes recent advances in five key categories of functional nanomaterials—metallic, semiconductor, carbon–based, two–dimensional, and stimulus–responsive materials—for advanced biosensing applications. It elucidates the structure–property relationships governing sensing performance, such as the surface plasmon resonance of gold nanoparticles and the high carrier mobility of graphene, and analyzes the core mechanisms behind optical sensing, electrochemical sensing, and emerging multimodal sensing strategies. With a focus on medical diagnostics, wearable health monitoring, and environmental and food safety surveillance, the review highlights the application value of functional nanomaterials across diverse scenarios. Current research is progressively moving beyond single–performance optimization toward intelligent design, multifunctional integration, and real–world deployment, though challenges related to industrial application remain. Finally, the review outlines existing issues in the development of functional nanomaterial–based biosensors and offers perspectives on the integration of nanomaterials with cutting–edge technologies and the construction of novel sensing systems. This work aims to provide insights for the rational design of functional nanomaterials and the cross–disciplinary translation of biosensing technologies. Full article
(This article belongs to the Special Issue Nanomaterial-Based Biosensors for Biomedical Detection)
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18 pages, 2527 KB  
Article
Advancing Mobile Neuroscience: A Novel Wearable Backpack for Multi-Sensor Research in Urban Environments
by João Amaro, Rafael Ramusga, Ana Bonifácio, André Almeida, João Frazão, Bruno F. Cruz, Andrew Erskine, Filipe Carvalho, Gonçalo Lopes, Ata Chokhachian, Daniele Santucci, Paulo Morgado and Bruno Miranda
Sensors 2025, 25(23), 7163; https://doi.org/10.3390/s25237163 - 24 Nov 2025
Viewed by 1258
Abstract
Rapid global urbanization has intensified the demand for sensing solutions that can capture the complex interactions between urban environments and their impact on human physical and mental health. Conventional laboratory-based approaches, while offering high experimental control, often lack ecological validity and fail to [...] Read more.
Rapid global urbanization has intensified the demand for sensing solutions that can capture the complex interactions between urban environments and their impact on human physical and mental health. Conventional laboratory-based approaches, while offering high experimental control, often lack ecological validity and fail to represent real-world exposures. To address this gap, we present the eMOTIONAL Cities Walker—a portable multimodal sensing platform designed as a wearable backpack unit developed for the synchronous collecting of multimodal data in either indoor or outdoor settings. The system integrates a suite of environmental sensors (covering microclimate, air pollution and acoustic monitoring) with physiological sensing technologies, including electroencephalography (EEG), mobile eye-tracking and wrist-based physiological monitoring. This configuration enables real-time acquisition of environmental and physiological signals in dynamic, naturalistic settings. Here, we describe the system’s technical architecture, sensor specifications, and field deployment across selected Lisbon locations, demonstrating its feasibility and robustness in urban environments. By bridging controlled laboratory paradigms with ecologically valid real-world sensing, this platform provides a novel tool to advance translational research at the intersection of sensor technology, human experience, and urban health. Full article
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22 pages, 845 KB  
Article
Mechanism of the AC-Light-Shift-Induced Phase Shift and a DC Compensation Strategy in Bell–Bloom Magnetometers
by Rui Zhang
Sensors 2025, 25(22), 6871; https://doi.org/10.3390/s25226871 - 10 Nov 2025
Viewed by 612
Abstract
The Bell–Bloom magnetometer is promising for mobile applications, but its accuracy is limited by heading errors. A recently identified source of such error is a phase shift in the magnetic resonance, which arises from the superposition of two signals, i.e., the primary resonance [...] Read more.
The Bell–Bloom magnetometer is promising for mobile applications, but its accuracy is limited by heading errors. A recently identified source of such error is a phase shift in the magnetic resonance, which arises from the superposition of two signals, i.e., the primary resonance from synchronous pumping and a secondary resonance, 90° out-of-phase, driven by the AC light shift of the pump laser. Through Bloch equation modeling and experiment, we uncover a counter-intuitive mechanism: although initiated by the AC light shift, the phase shift’s magnitude is determined solely by the pump light’s average power (DC component) and is independent of its AC modulation. This occurs because the amplitude ratio of the two resonances depends exclusively on the DC-power-induced atomic polarization. Based on this insight, we propose a novel DC compensation scheme by adding a continuous counter-polarized beam to cancel the net DC pumping. Theoretically, this simultaneously suppresses both the AC-light-shift-induced phase shift and the DC-light-shift-induced frequency shift. The scheme’s advantage is its simplified approach to polarization control, avoiding the need for high-speed polarization modulation or major hardware changes as the beams share the same optical path. This makes it highly suitable for demanding mobile applications like aerial magnetic surveying and wearable bio-magnetic sensing in unshielded environments. Full article
(This article belongs to the Special Issue Advanced Magnetic Field-Sensing Technologies: Design and Application)
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28 pages, 1892 KB  
Review
Wearable Devices in Healthcare Beyond the One-Size-Fits All Paradigm
by Elena Giovanna Bignami, Anna Fornaciari, Sara Fedele, Mattia Madeo, Matteo Panizzi, Francesco Marconi, Erika Cerdelli and Valentina Bellini
Sensors 2025, 25(20), 6472; https://doi.org/10.3390/s25206472 - 20 Oct 2025
Cited by 2 | Viewed by 5379
Abstract
Wearable devices (WDs) are increasingly integrated into clinical workflows to enable continuous, non-invasive vital signs monitoring. Combined with Artificial Intelligence (AI), these systems can shift clinical monitoring from being reactive to predictive, allowing for earlier detection of deterioration and more personalized interventions. The [...] Read more.
Wearable devices (WDs) are increasingly integrated into clinical workflows to enable continuous, non-invasive vital signs monitoring. Combined with Artificial Intelligence (AI), these systems can shift clinical monitoring from being reactive to predictive, allowing for earlier detection of deterioration and more personalized interventions. The value of these technologies lies not in absolute measurements, but in detecting physiological parameters trends relative to each patient’s baseline. Such a trend-based approach enables real-time prediction of deterioration, enhancing patient safety and continuity of care. However, despite their shared multiparametric capabilities, WDs are not interchangeable. This narrative review analyzes nine clinically validated devices, Radius VSM® (Masimo Corporation, Irvine, CA, USA), BioButton® (BioIntelliSense Inc., Redwood City, CA, USA. Distributed by Medtronic), Portrait Mobile® (GE HealthCare, Chicago, IL, USA), VitalPatch® (VitalConnect Inc., San Jose, CA, USA), CardioWatch 287-2® (Corsano Health B.V., The Hague, The Netherlands. Distributed by Medtronic), Cosinuss C-Med Alpha® (Cosinuss Gmb, Munich, Germany), SensiumVitals® (Sensium Healthcare Limited, Abingdon, Oxfordshire, UK), Isansys Lifetouch® (Isansys Lifecare Ltd., Abingdon, Oxfordshire, UK), and CheckPoint Cardio® (CheckPoint R&D LTD., Kazanlak, Bulgaria), highlighting how differences in sensor configurations, battery life, connectivity, and validation contexts influence their suitability across various clinical environments. Rather than establishing a hierarchy of technical superiority, this review emphasizes the importance of context-driven selection, considering care setting, patient profile, infrastructure requirements, and interoperability. Each device demonstrates strengths and limitations depending on patient population and operational demands, ranging from perioperative, post-operative, emergency, or post-Intensive Care Unit (ICU) settings. The findings support a tailored approach to WD implementation, where matching device capabilities to clinical needs is key to maximizing utility, safety, and efficiency. Full article
(This article belongs to the Section Wearables)
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25 pages, 1716 KB  
Article
Comparison of Wearable and Depth-Sensing Technologies with Electronic Walkway for Comprehensive Gait Analysis
by Marjan Nassajpour, Mahmoud Seifallahi, Amie Rosenfeld, Magdalena I. Tolea, James E. Galvin and Behnaz Ghoraani
Sensors 2025, 25(17), 5501; https://doi.org/10.3390/s25175501 - 4 Sep 2025
Cited by 3 | Viewed by 2646
Abstract
Accurate and scalable gait assessment is essential for clinical and research applications, including fall risk evaluation, rehabilitation monitoring, and early detection of neurodegenerative diseases. While electronic walkways remain the clinical gold standard, their high cost and limited portability restrict widespread use. Wearable inertial [...] Read more.
Accurate and scalable gait assessment is essential for clinical and research applications, including fall risk evaluation, rehabilitation monitoring, and early detection of neurodegenerative diseases. While electronic walkways remain the clinical gold standard, their high cost and limited portability restrict widespread use. Wearable inertial measurement units (IMUs) and markerless depth cameras have emerged as promising alternatives; however, prior studies have typically assessed these systems under tightly controlled conditions, with single participants in view, limited marker sets, and without direct cross-technology comparisons. This study addresses these gaps by simultaneously evaluating three sensing technologies—APDM wearable IMUs (tested in two separate configurations: foot-mounted and lumbar-mounted) and the Azure Kinect depth camera—against ProtoKinetics Zeno™ Walkway Gait Analysis System in a realistic clinical environment where multiple individuals were present in the camera’s field of view. Gait data from 20 older adults (mean age 70.06±9.45 years) performing Single-Task and Dual-Task walking trials were synchronously captured using custom hardware for precise temporal alignment. Eleven gait markers spanning macro, micro-temporal, micro-spatial, and spatiotemporal domains were compared using mean absolute error (MAE), Pearson correlation (r), and Bland–Altman analysis. Foot-mounted IMUs demonstrated the highest accuracy (MAE =0.006.12, r=0.921.00), followed closely by the Azure Kinect (MAE =0.016.07, r=0.68–0.98). Lumbar-mounted IMUs showed consistently lower agreement with the reference system. These findings provide the first comprehensive comparison of wearable and depth-sensing technologies with a clinical gold standard under real-world conditions and across an extensive set of gait markers. The results establish a foundation for deploying scalable, low-cost gait assessment systems in diverse healthcare contexts, supporting early detection, mobility monitoring, and rehabilitation outcomes across multiple patient populations. Full article
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45 pages, 10039 KB  
Article
Design of an Interactive System by Combining Affective Computing Technology with Music for Stress Relief
by Chao-Ming Wang and Ching-Hsuan Lin
Electronics 2025, 14(15), 3087; https://doi.org/10.3390/electronics14153087 - 1 Aug 2025
Viewed by 2827
Abstract
In response to the stress commonly experienced by young people in high-pressure daily environments, a music-based stress-relief interactive system was developed by integrating music-assisted care with emotion-sensing technology. The design principles of the system were established through a literature review on stress, music [...] Read more.
In response to the stress commonly experienced by young people in high-pressure daily environments, a music-based stress-relief interactive system was developed by integrating music-assisted care with emotion-sensing technology. The design principles of the system were established through a literature review on stress, music listening, emotion detection, and interactive devices. A prototype was created accordingly and refined through interviews with four experts and eleven users participating in a preliminary experiment. The system is grounded in a four-stage guided imagery and music framework, along with a static activity model focused on relaxation-based stress management. Emotion detection was achieved using a wearable EEG device (NeuroSky’s MindWave Mobile device) and a two-dimensional emotion model, and the emotional states were translated into visual representations using seasonal and weather metaphors. A formal experiment involving 52 users was conducted. The system was evaluated, and its effectiveness confirmed, through user interviews and questionnaire surveys, with statistical analysis conducted using SPSS 26 and AMOS 23. The findings reveal that: (1) integrating emotion sensing with music listening creates a novel and engaging interactive experience; (2) emotional states can be effectively visualized using nature-inspired metaphors, enhancing user immersion and understanding; and (3) the combination of music listening, guided imagery, and real-time emotional feedback successfully promotes emotional relaxation and increases self-awareness. Full article
(This article belongs to the Special Issue New Trends in Human-Computer Interactions for Smart Devices)
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13 pages, 442 KB  
Review
Sensor Technologies and Rehabilitation Strategies in Total Knee Arthroplasty: Current Landscape and Future Directions
by Theodora Plavoukou, Spiridon Sotiropoulos, Eustathios Taraxidis, Dimitrios Stasinopoulos and George Georgoudis
Sensors 2025, 25(15), 4592; https://doi.org/10.3390/s25154592 - 24 Jul 2025
Viewed by 3232
Abstract
Total Knee Arthroplasty (TKA) is a well-established surgical intervention for the management of end-stage knee osteoarthritis. While the procedure is generally successful, postoperative rehabilitation remains a key determinant of long-term functional outcomes. Traditional rehabilitation protocols, particularly those requiring in-person clinical visits, often encounter [...] Read more.
Total Knee Arthroplasty (TKA) is a well-established surgical intervention for the management of end-stage knee osteoarthritis. While the procedure is generally successful, postoperative rehabilitation remains a key determinant of long-term functional outcomes. Traditional rehabilitation protocols, particularly those requiring in-person clinical visits, often encounter limitations in accessibility, patient adherence, and personalization. In response, emerging sensor technologies have introduced innovative solutions to support and enhance recovery following TKA. This review provides a thematically organized synthesis of the current landscape and future directions of sensor-assisted rehabilitation in TKA. It examines four main categories of technologies: wearable sensors (e.g., IMUs, accelerometers, gyroscopes), smart implants, pressure-sensing systems, and mobile health (mHealth) platforms such as ReHub® and BPMpathway. Evidence from recent randomized controlled trials and systematic reviews demonstrates their effectiveness in tracking mobility, monitoring range of motion (ROM), detecting gait anomalies, and delivering real-time feedback to both patients and clinicians. Despite these advances, several challenges persist, including measurement accuracy in unsupervised environments, the complexity of clinical data integration, and digital literacy gaps among older adults. Nevertheless, the integration of artificial intelligence (AI), predictive analytics, and remote rehabilitation tools is driving a shift toward more adaptive and individualized care models. This paper concludes that sensor-enhanced rehabilitation is no longer a future aspiration but an active transition toward a smarter, more accessible, and patient-centered paradigm in recovery after TKA. Full article
(This article belongs to the Section Biosensors)
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21 pages, 2794 KB  
Article
Medical Data over Sound—CardiaWhisper Concept
by Radovan Stojanović, Jovan Đurković, Mihailo Vukmirović, Blagoje Babić, Vesna Miranović and Andrej Škraba
Sensors 2025, 25(15), 4573; https://doi.org/10.3390/s25154573 - 24 Jul 2025
Viewed by 3051
Abstract
Data over sound (DoS) is an established technique that has experienced a resurgence in recent years, finding applications in areas such as contactless payments, device pairing, authentication, presence detection, toys, and offline data transfer. This study introduces CardiaWhisper, a system that extends the [...] Read more.
Data over sound (DoS) is an established technique that has experienced a resurgence in recent years, finding applications in areas such as contactless payments, device pairing, authentication, presence detection, toys, and offline data transfer. This study introduces CardiaWhisper, a system that extends the DoS concept to the medical domain by using a medical data-over-sound (MDoS) framework. CardiaWhisper integrates wearable biomedical sensors with home care systems, edge or IoT gateways, and telemedical networks or cloud platforms. Using a transmitter device, vital signs such as ECG (electrocardiogram) signals, PPG (photoplethysmogram) signals, RR (respiratory rate), and ACC (acceleration/movement) are sensed, conditioned, encoded, and acoustically transmitted to a nearby receiver—typically a smartphone, tablet, or other gadget—and can be further relayed to edge and cloud infrastructures. As a case study, this paper presents the real-time transmission and processing of ECG signals. The transmitter integrates an ECG sensing module, an encoder (either a PLL-based FM modulator chip or a microcontroller), and a sound emitter in the form of a standard piezoelectric speaker. The receiver, in the form of a mobile phone, tablet, or desktop computer, captures the acoustic signal via its built-in microphone and executes software routines to decode the data. It then enables a range of control and visualization functions for both local and remote users. Emphasis is placed on describing the system architecture and its key components, as well as the software methodologies used for signal decoding on the receiver side, where several algorithms are implemented using open-source, platform-independent technologies, such as JavaScript, HTML, and CSS. While the main focus is on the transmission of analog data, digital data transmission is also illustrated. The CardiaWhisper system is evaluated across several performance parameters, including functionality, complexity, speed, noise immunity, power consumption, range, and cost-efficiency. Quantitative measurements of the signal-to-noise ratio (SNR) were performed in various realistic indoor scenarios, including different distances, obstacles, and noise environments. Preliminary results are presented, along with a discussion of design challenges, limitations, and feasible applications. Our experience demonstrates that CardiaWhisper provides a low-power, eco-friendly alternative to traditional RF or Bluetooth-based medical wearables in various applications. Full article
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27 pages, 4077 KB  
Review
Biomimetic Robotics and Sensing for Healthcare Applications and Rehabilitation: A Systematic Review
by H. M. K. K. M. B. Herath, Nuwan Madusanka, S. L. P. Yasakethu, Chaminda Hewage and Byeong-Il Lee
Biomimetics 2025, 10(7), 466; https://doi.org/10.3390/biomimetics10070466 - 16 Jul 2025
Viewed by 2722
Abstract
Biomimetic robotics and sensor technologies are reshaping the landscape of healthcare and rehabilitation. Despite significant progress across various domains, many areas within healthcare still demand further bio-inspired innovations. To advance this field effectively, it is essential to synthesize existing research, identify persistent knowledge [...] Read more.
Biomimetic robotics and sensor technologies are reshaping the landscape of healthcare and rehabilitation. Despite significant progress across various domains, many areas within healthcare still demand further bio-inspired innovations. To advance this field effectively, it is essential to synthesize existing research, identify persistent knowledge gaps, and establish clear frameworks to guide future developments. This systematic review addresses these needs by analyzing 89 peer-reviewed sources retrieved from the Scopus database, focusing on the application of biomimetic robotics and sensing technologies in healthcare and rehabilitation contexts. The findings indicate a predominant focus on enhancing human mobility and support, with rehabilitative and assistive technologies comprising 61.8% of the reviewed literature. Additionally, 12.36% of the studies incorporate intelligent control systems and Artificial Intelligence (AI), reflecting a growing trend toward adaptive and autonomous solutions. Further technological advancements are demonstrated by research in bioengineering applications (13.48%) and innovations in soft robotics with smart actuation mechanisms (11.24%). The development of medical robots (7.87%) and wearable robotics, including exosuits (10.11%), underscores specific progress in clinical and patient-centered care. Moreover, the emergence of transdisciplinary approaches, present in 6.74% of the studies, highlights the increasing convergence of diverse fields in tackling complex healthcare challenges. By consolidating current research efforts, this review aims to provide a comprehensive overview of the state of the art, serving as a foundation for future investigations aimed at improving healthcare outcomes and enhancing quality of life. Full article
(This article belongs to the Special Issue Bio-Inspired and Biomimetic Intelligence in Robotics: 2nd Edition)
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17 pages, 2093 KB  
Article
The Reliability and Validity of an Instrumented Device for Tracking the Shoulder Range of Motion
by Rachel E. Roos, Jennifer Lambiase, Michelle Riffitts, Leslie Scholle, Simran Kulkarni, Connor L. Luck, Dharma Parmanto, Vayu Putraadinatha, Made D. Yoga, Stephany N. Lang, Erica Tatko, Jim Grant, Jennifer I. Oakley, Ashley Disantis, Andi Saptono, Bambang Parmanto, Adam Popchak, Michael P. McClincy and Kevin M. Bell
Sensors 2025, 25(12), 3818; https://doi.org/10.3390/s25123818 - 18 Jun 2025
Cited by 2 | Viewed by 2060
Abstract
Rotator cuff tears are common in individuals over 40, and physical therapy is often prescribed post-surgery. However, access can be limited by cost, convenience, and insurance coverage. CuffLink is a telehealth rehabilitation system that integrates the Strengthening and Stabilization System mechanical exerciser with [...] Read more.
Rotator cuff tears are common in individuals over 40, and physical therapy is often prescribed post-surgery. However, access can be limited by cost, convenience, and insurance coverage. CuffLink is a telehealth rehabilitation system that integrates the Strengthening and Stabilization System mechanical exerciser with the interACTION mobile health platform. The system includes a triple-axis accelerometer (LSM6DSOX + LIS3MDL FeatherWing), a rotary encoder, a VL530X time-of-flight sensor, and two wearable BioMech Health IMUs to capture upper-limb motion. CuffLink is designed to facilitate controlled, home-based exercise while enabling clinicians to remotely monitor joint function. Concurrent validity and test–retest reliability were used to assess device accuracy and repeatability. The results showed moderate to good validity for shoulder rotation (ICC = 0.81), device rotation (ICC = 0.94), and linear tracking (from zero: ICC = 0.75 and RMSE = 2.41; from start: ICC = 0.88 and RMSE = 2.02) and good reliability (e.g., RMSEs as low as 1.66 cm), with greater consistency in linear tracking compared to angular measures. Shoulder rotation and abduction exhibited higher variability in both validity and reliability measures. Future improvements will focus on manufacturability, signal stability, and force sensing. CuffLink supports accessible, data-driven rehabilitation and holds promise for advancing digital health in orthopedic recovery. Full article
(This article belongs to the Special Issue IMU and Innovative Sensors for Healthcare)
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27 pages, 4029 KB  
Article
Modelling Key Health Indicators from Sensor Data Using Knowledge Graphs and Fuzzy Logic
by Aurora Polo-Rodríguez, Isabel Valenzuela López, Raquel Diaz, Almudena Rivadeneyra, David Gil and Javier Medina-Quero
Electronics 2025, 14(12), 2459; https://doi.org/10.3390/electronics14122459 - 17 Jun 2025
Viewed by 1117
Abstract
This paper describes the modelling of Key Health Indicators (KHI) of frail individuals through non-invasive sensors located in their environment and wearable devices. Primary care professionals defined four indicators for daily health monitoring: sleep patterns, excretion control, physical mobility, and caregiver social interaction. [...] Read more.
This paper describes the modelling of Key Health Indicators (KHI) of frail individuals through non-invasive sensors located in their environment and wearable devices. Primary care professionals defined four indicators for daily health monitoring: sleep patterns, excretion control, physical mobility, and caregiver social interaction. A minimally invasive and low-cost sensing architecture was implemented, combining indoor localisation and physical activity tracking through environmental sensors and wrist-worn wearables. The health outcomes are modelled using a knowledge-based framework that integrates knowledge graphs to represent control variables and their relationships with data streams, and fuzzy logic to linguistically define temporal patterns based on expert criteria. The proposed approach was validated in a real-world case study with an older adult living independently in Granada, Spain. Over several days of deployment, the system successfully generated interpretable daily summaries reflecting relevant behavioural patterns, including rest periods, bathroom usage, activity levels, and caregiver proximity. In addition, supervised machine learning models were trained on the indicators derived from the fuzzy logic system, achieving average accuracy and F1 scores of 93% and 92%, respectively. These results confirm the potential of combining expert-informed semantics with data-driven inference to support continuous, explainable health monitoring in ambient assisted living environments. Full article
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16 pages, 4779 KB  
Communication
Binary Solvent Engineering Modulates the Microstructure of Stretchable Organic Field-Effect Transistors for Highly Sensitive NO2 Sensing
by Xiao Jiang, Jiaqi Zeng, Linxuan Zhang, Zhen Zhang and Rongjiao Zhu
Nanomaterials 2025, 15(12), 922; https://doi.org/10.3390/nano15120922 - 13 Jun 2025
Cited by 4 | Viewed by 839
Abstract
Stretchable organic field-effect transistors (OFETs), with inherent flexibility, versatile sensing mechanisms, and signal amplification properties, provide a unique device-level solution for the real-time, in situ detection of trace gaseous pollutants. However, serious challenges remain regarding the synergistic optimization of OFET gas sensor production [...] Read more.
Stretchable organic field-effect transistors (OFETs), with inherent flexibility, versatile sensing mechanisms, and signal amplification properties, provide a unique device-level solution for the real-time, in situ detection of trace gaseous pollutants. However, serious challenges remain regarding the synergistic optimization of OFET gas sensor production preparation, mechano-electrical properties, and gas-sensing performance. Although the introduction of microstructures can theoretically provide OFETs with enhanced sensing performance, the high-precision process required for microstructure fabrication limits scale-up. Herein, a straightforward hybrid solvent strategy is proposed for regulating the intrinsic microstructure of the organic semiconductor layer, with the aim of constructing an ultrasensitive PDVT-10/SEBS fully stretchable OFET NO2 sensor. The binary solvent system induces the formation of nanoneedle-like structures in the PDVT-10/SEBS organic semiconductor, which achieves a maximum mobility of 2.71 cm2 V−1 s−1, a switching current ratio generally exceeding 106, and a decrease in mobility of only 30% at 100% strain. Specifically, the device exhibits a response of up to 77.9 × 106 % within 3 min and a sensitivity of up to 1.4 × 106 %/ppm, and it demonstrates effective interference immunity, with a response of less than 100% to nine interferences. This work paves the way for next-generation wearable smart sensors. Full article
(This article belongs to the Section Nanoelectronics, Nanosensors and Devices)
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