A Wearable FES Compression Garment

Journal of Rehabilitation and Assistive Technologies Engineering

Introduction Repeated use of functional electrical stimulation can promote functional recovery in individuals with neurological paralysis. We designed garments able to deliver functional electrical stimulation. Methods Shirts and pants containing electrodes knitted with a conductive yarn were produced. Electrodes were moistened with water before use. Stimulation intensity at four thresholds levels (sensory, movement, full range of motion, and maximal), stimulation comfort, and electrical properties of the interface were tested in one able-bodied subject with garment electrodes and size-matched conventional gel electrodes. The pants and shirt were then used to explore usability and design limitations. Results Compared to gel electrodes, fabric electrodes had a lower sensory threshold (on forearm muscles) but they had a higher maximal stimulation threshold (for all tested muscles). The stimulation delivery was comfortable when the garment electrodes were recently moistened; however, a...

Sensors, 2018

This paper presents research into a user-friendly electronic sleeve (e-sleeve) with integrated electrodes in an array for wearable healthcare. The electrode array was directly printed onto an everyday clothing fabric using screen printing. The fabric properties and designed structures of the e-sleeve were assessed and refined through interaction with end users. Different electrode array layouts were fabricated to optimize the user experience in terms of comfort, effectivity and ease of use. The e-sleeve uses dry electrodes to facilitate ease of use and the electrode array can survive bending a sufficient number of times to ensure an acceptable usage lifetime. Different cleaning methods (washing and wiping) have been identified to enable reuse of the e-sleeve after contamination during use. The application of the e-sleeve has been demonstrated via muscle stimulation on the upper limb to achieve functional tasks (e.g., hand opening, pointing) for eight stroke survivors.

Textile Research Journal, 2021

Electrical stimulation can be used for the treatment of various nerve and muscle injuries as well as acute and chronic pain conditions. An electrical pulse is applied to a muscle or nerve to activate excitable tissue using internal or external electrodes with the aim of building muscle strength, artificially creating or supporting limb movement or reducing pain. Textile electrodes offer several advantages over conventionally used disposable surface electrodes: they are flexible and re-usable and they do not require hydrogels, thereby avoiding skin irritation and allergic reactions and enhancing user comfort. This article presents a literature review that assesses the state of research on textile electrode constructions. Based on the review, production approaches and designs are compared, methods for evaluating stimulation discomfort and pain are proposed and issues related to user compliance are discussed. The article concludes with suggestions for future work focused on investigati...

2016

Electronic textiles have potential for many practical uses in clinical rehabilitation. This scoping review appraises recent and emerging developments of textile-based sensors with applications to rehabilitation. Contributions published from 2009 to 2013 are appraised with a specific focus on the measured physiological or biomechanical phenomenon, current measurement practices, textile innovations, and their merits and limitations. While fabric-based signal quality and sensor integration have advanced considerably, overall system integration (including circuitry and power) has not been fully realized. Validation against clinical gold standards is inconsistent at best, and feasibility with clinical populations remains to be demonstrated. The overwhelming focus of research and development has been on remote sensing but the opportunity for textile-mediated feedback to the wearer remains unexplored. Recommendations for future research are provided.

Proceedings, 2019

Functional electrical stimulation (FES) has been used to revitalise the muscles of people suffering from various kinds of injury. However, when human skin is incorporated into electrical circuits, it must not be treated as a passive component. Skin’s electrical properties must be known when electrodes deliver electrical stimulation to the body, whether by hydrogel electrodes or by electrodes embedded in apparel. Failure to address this issue increases the risk of skin burns due to too high current through the skin/electrode interface. We have demonstrated that there is a relationship between electrode size and measured voltage. The rise of voltage with a reduction of electrode size can be explained by the diminution of the skin contact area with resulting higher skin/electrode impedances. Thus, finding an electrical skin model that represents the behaviour of human skin is important for circuit design and the product development process.

Journal of neuroengineering and rehabilitation, 2016

Textiles able to perform electronic functions are known as e-textiles, and are poised to revolutionise the manner in which rehabilitation and assistive technology is provided. With numerous reports in mainstream media of the possibilities and promise of e-textiles it is timely to review research work in this area related to neurological rehabilitation.This paper provides a review based on a systematic search conducted using EBSCO- Health, Scopus, AMED, PEDro and ProQuest databases, complemented by articles sourced from reference lists. Articles were included if the e-textile technology described had the potential for use in neurological rehabilitation and had been trialled on human participants. A total of 108 records were identified and screened, with 20 meeting the broad review inclusion criteria. Nineteen user trials of healthy people and one pilot study with stroke participants have been reported.The review identifies two areas of research focus; motion sensing, and the measurem...

Electronics, 2015

Electronic textiles have potential for many practical uses in clinical rehabilitation. This scoping review appraises recent and emerging developments of textile-based sensors with applications to rehabilitation. Contributions published from 2009 to 2013 are appraised with a specific focus on the measured physiological or biomechanical phenomenon, current measurement practices, textile innovations, and their merits and limitations. While fabric-based signal quality and sensor integration have advanced considerably, overall system integration (including circuitry and power) has not been fully realized. Validation against clinical gold standards is inconsistent at best, and feasibility with clinical populations remains to be demonstrated. The overwhelming focus of research and development has been on remote sensing but the opportunity for textile-mediated feedback to the wearer remains unexplored. Recommendations for future research are provided.

Sensors (Basel, Switzerland), 2015

Textile electrodes are becoming an attractive means in the facilitation of surface electrical stimulation. However, the stimulation comfort of textile electrodes and the mechanism behind stimulation discomfort is still unknown. In this study, a textile stimulation electrode was developed using conductive fabrics and then its impedance spectroscopy, stimulation thresholds, and stimulation comfort were quantitatively assessed and compared with those of a wet textile electrode and a hydrogel electrode on healthy subjects. The equivalent circuit models and the finite element models of different types of electrode were built based on the measured impedance data of the electrodes to reveal the possible mechanism of electrical stimulation pain. Our results showed that the wet textile electrode could achieve similar stimulation performance as the hydrogel electrode in motor threshold and stimulation comfort. However, the dry textile electrode was found to have very low pain threshold and in...

Autex Research Journal, 2016

One of the main causes of disabling deficits is neurological affections. Many times, the evolution of the condition leads to a diminution of the patient’s life quality. Functional electrical stimulation (FES) is part of the neurological rehabilitation process that comprises all the actions one can take in order to increase a patient’s integration and autonomy degree from a social and financial point of view. FES is a method based on substituting the commands that are usually transmitted by the nervous system with an electric impulse. The use of such a method on different body areas required the development of some adequate devices, starting with the stimulator itself and finishing with the way in which the stimulus is conveyed to the effectors. Textile materials that incorporate sensors and, mainly, the clothing products that have such components in their structure, have a high applicability potential; they can be used for preventing illnesses and for the rehabilitation of seniors, ...

Advanced Materials Technologies, 2017