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Smart Clothes for Rehabilitation Context: Technical and Technological Issues

  • Gabriela Postolache
  • Hélder Carvalho
  • André Catarino
  • Octavian Adrian PostolacheEmail author
Chapter
Part of the Smart Sensors, Measurement and Instrumentation book series (SSMI, volume 22)

Abstract

Smart clothes have the potential to improve rehabilitation processes by allowing clinicians to gather measures on patients’ functional capacity, activity level, exercise compliance, the effectiveness of treatment, and the ability of patients to perform efficiently specific motor tasks at rehabilitation centers, at home or in community settings. The chapter provides an overview of smart clothing for health monitoring and healthcare, mainly for rehabilitation context. We present recent advances in the field of researches related smart clothes with capability of human body vital functions (i.e. heart beats, respiration) and activity monitoring, as well as several commercial smart clothes for rehabilitation context. Technical and technological issues related smart clothes design and development, and several directions for future research are also presented. Manufacturability, connectivity, integrations of things for smart clothing, durability, testing, wearability, maintainability and affordability of smart clothes are discussed.

Keywords

E-textiles Smart clothing Health monitoring Rehabilitation context 

Notes

Acknowledgments

The work was supported by Fundação para a Ciência e Tecnologia project: TailorPhy—Smart Sensors and Tailored Environments for Physiotherapy PTDC/DTP-DES/6776/2014, by Instituto de Telecomunicações, and FEDER funds through the Competitivity Factors Operational Programme—COMPETE and by national funds through FCT-Foundation for Science and Technology within the scope of the project POCI-01-0145-FEDER-007136.

References

  1. 1.
  2. 2.
    A. Coulter, What do patients and the public want from primary care? BMJ 331(7526), 1199–1201 (2005)Google Scholar
  3. 3.
    Tractica, Home health technologies, medical monitoring and management, remote consultations, eldercare, and health and wellness applications: Global market analysis and forecast (2015). Retrieved June 2016, from: https://www.tractica.com/research/home-health-technologies/
  4. 4.
    IDC Report. (2015) Worldwide Quarterly Wearable Device Tracker Retrieved June 2016, from: http://www.idc.com/getdoc.jsp?containerId=prUS25872215
  5. 5.
    ITU—International Telecommunication Union, The World Telecommunication/ICT Indicators Database (2015). Retrieved June 2016, from: http://www.itu.int/en/ITU-D/Statistics/Pages/stat/default.aspx
  6. 6.
    M. Stoppa, A. Chiolerio, Wearable electronics and smart textiles: a critical review. Sensors 14, 11957–11992 (2014)CrossRefGoogle Scholar
  7. 7.
  8. 8.
    M.T. Bhömer, E. Jeon, K. Kuusk, Vibe-ing: designing a smart textile care tool for the treatment of osteoporosis, in Proceeding of the 8th International Conference on Design and Semantics of Form and Movement (DeSForM), Wuxi, China, ed. by L.L. Chen, J.P. Djajadiningrat, L.M.G. Feijs, pp. 192–195, Sept 2013Google Scholar
  9. 9.
    Clothing plus. Retrieved June 2016, from: http://www.clothingplus.com/
  10. 10.
    SmartLife. Retrieved June 2016, from: http://www.smartlife.co.uk/
  11. 11.
    Sensatex. Retrieved June 2016, from: http://www.sensatex.com/
  12. 12.
  13. 13.
    The Georgia Tech, Wearable Motherboard: The Intelligent Garment for the 21st Century (1998). Retrieved June 2016, from: http://www.smartshirt.gatech.edu
  14. 14.
    S. Park, C. Gopalsamy, R. Rajamanickam, S. Jayaraman, The Wearable Motherboard: a flexible information infrastructure or sensate liner for medical applications. Stud. Health Technol. Inform. 62, 252–258 (1999)Google Scholar
  15. 15.
    Vivonoetics. Retrieved June 2016, from: http://vivonoetics.com/
  16. 16.
    Sensoria. Retrieved June 2016, from: http://www.sensoriafitness.com/
  17. 17.
    Ralph Lauren. Retrieved June 2016, from: http://www.ralphlauren.com/product/index.jsp?productId=69917696
  18. 18.
    TruPosture. Retrieved June 2016, from: https://www.truposture.com/
  19. 19.
    Athos. Retrieved from June 2016, from: https://www.liveathos.com/
  20. 20.
    Hexoskin. Retrieved from June 2016, from: http://www.hexoskin.com/
  21. 21.
    Adidas miCoach. Retrieved June 2016, from: http://www.global.adidas.com/micoach
  22. 22.
    P. Bonato, Advances in wearable technology for rehabilitation. Stud. Health Technol. Rehabil. 145, 145–159 (2009)Google Scholar
  23. 23.
    WHO. World Health Report, Geneva, Switzerland, (2000)Google Scholar
  24. 24.
    Myontec. Retrieved June 2016, from: http://www.myontec.com/en/
  25. 25.
    P.T. Gibbs, H.H. Asada, Wearable conductive fiber sensors for multi-axis human joint angle measurements. J. Neuroeng. Rehabil. 2(1), 7 (2005)CrossRefGoogle Scholar
  26. 26.
    S. Karlsson, U. Wiklund, L. Berglin, N. Östlund, Wireless monitoring of heart rate and electromyographic signals using a smart T-shirt, in 5th International Workshop on Wearable Micro, and Nano Technologies for Personalised Health, pHealth, pp. 1–5, 2008Google Scholar
  27. 27.
    Jabil. Retrieved June 2016, from: http://www.clothingplus.com/peak-plus.php
  28. 28.
    T. Pereira, H. Carvalho, A. Catarino, M.J. Dias, O. Postolache, P.S. Girão, Wearable biopotential measurement using the TI ADS1198 analog front-end and textile electrodes, in IEEE International Symposium on Medical Measurements and Applications (MeMeA), pp. 325–330, 2013Google Scholar
  29. 29.
    A. Paiva, H. Carvalho, A. Catarino, O. Postolache, G. Postolache, Development of dry electrodes for electromyography: a comparison between knitted structures and conductive yarns, in Proceeding of 9th International Conference on Sensing Technology, ICST, pp. 447–451, 2015Google Scholar
  30. 30.
    J. Meyer, P. Lukowicz, G. Tröster, Textile pressure sensor for muscle activity and motion detection, in Proceeding of the 10th IEEE International Symposium on Wearable Computers, Montreux, Switzerland, pp. 11–14, Oct 2006Google Scholar
  31. 31.
    Xenoma e-skin. Retrieved June 2016, from: https://xenoma.com/
  32. 32.
    D. De Rossi, F. Lorussi, E.P. Scilingo, F. Carpi, A. Tognetti, M. Tesconi, Artificial kinesthetic systems for telerehabilitation. Stud. Health Technol. Inform. 108, 209–213 (2004)Google Scholar
  33. 33.
    5DT. Retrieved from June 2016, from: http://www.5dt.com/products/pdataglove5u.html
  34. 34.
    H. Harms, O. Amft, G. Troster, D. Roggen, SMASH: a distributed sensing and processing garment for the classification of upper body postures, in Proceeding BodyNets ‘08 Proceedings of the ICST 3rd international conference on Body area network. Art. 22, 2008Google Scholar
  35. 35.
    Nuubo. Retrieved June 2016, from: http://www.nuubo.com/
  36. 36.
    Lumo Run. Retrieved June 2016, from: http://www.lumobodytech.com/lumo-run/
  37. 37.
    H. Woodford, C. Price, EMG biofeedback for the recovery of motor function after stroke. Cochrane Database Syst. Rev. (2), CD004585 (2007)Google Scholar
  38. 38.
    M.R. van den Heuvel, G. Kwakkel, P.J. Beek, H.W. Berendse, A. Daffertshofer, E.E. van Wegen, Effects of augmented visual feedback during balance training in Parkinson’s disease: a pilot randomized clinical trial. Parkinsonism Relat. Disord. 20(12), 1352–1358 (2014)CrossRefGoogle Scholar
  39. 39.
    B.C. Lee, T.A. Thrasher, S.P. Fisher, C.S. Layne, The effects of different sensory augmentation on weight-shifting balance exercises in Parkinson’s disease and healthy elderly people: a proof-of-concept study. J. Neuroeng. Rehabil. 2(12:75), 1–10 (2015)Google Scholar
  40. 40.
    T. Paillard, Combined application of neuromuscular electrical stimulation and voluntary muscular contractions. Sports Med. 38(2), 161–177 (2008)CrossRefGoogle Scholar
  41. 41.
  42. 42.
    COOLSHIRT SYSTEMS. Retrieved June 2016, from: http://coolshirt.com/
  43. 43.
  44. 44.
    F.M. Lam, L.R. Liao, T.C. Kwok, M.Y. Pang, The effect of vertical whole-body vibration on lower limb muscle activation in elderly adults: influence of vibration frequency, amplitude and exercise. Maturitas 88, 59–64 (2016)CrossRefGoogle Scholar
  45. 45.
    A. Schwarz, L. van Langenhove, P. Guermonprez, D. Deguillemont, A roadmap on smart textiles. Textile prog. 42(2), 99–180 (2010)CrossRefGoogle Scholar
  46. 46.
    Sprint Metal. Retrieved June 2016, from: http://sprintmetal.schmolz-bickenbach.com/home/
  47. 47.
    UGITECH S.A. Retrieved June 2016, from: http://www.sprintmetal.com
  48. 48.
    Bekaert Fibre Technologies. Retrieved June 2016, from: http://www.bekaert.com
  49. 49.
    D. Marculescu, R. Marculescu, N.H. Zamora, P. Stanley-Marbell, P.K. Khosla, S. Park, S. Jayaraman, S. Jung, C. Lauterbach, W. Weber, T. Kirstein, D. Cottet, J. Grzyb, G. Troster, M. Jones, T. Martin, Z. Nakad, Electronic textiles: a platform for pervasive computing. Proc. IEEE 91(12), 1995–2018 (2003)CrossRefGoogle Scholar
  50. 50.
    Elektrisola Feindraht AG, Textile wire ein Produkt. Retrieved June 2016, from: www.textile-wire.com
  51. 51.
    I. Locher, T. Kirstein, G. Tröster, Routing methods adapted to e-textiles, in Proceeding of the 37th International Symposium on Microelectronics (IMAPS), Long Beach, CA, USA, pp. 16–18, 2004Google Scholar
  52. 52.
    A. Kiourti, J.L. Volakis, High-accuracy conductive textiles for embroidered antennas and circuits, in Proceeding IEEE International Symposium on Antennas and Propagation & USNC/URSI National Radio Science Meeting, pp. 1194–1194, 2015Google Scholar
  53. 53.
    Sphelar Power. Retrieved June 2016, from: http://sphelarpower.com/news/30
  54. 54.
  55. 55.
    Schoeller Textile. Retrieved June 2016, from: http://www.schoeller-textiles.com/
  56. 56.
    Elitex. Retrieved June 2016, from: http://www.titv-greiz.de/
  57. 57.
    Statex. Retrieved June 2016, from: http://statex.de/index.php/en/
  58. 58.
  59. 59.
    M.-H. Cheng, L.-C. Chen, Y.-C. Hung, C.M. Yang, T.L. Yang, A real-time heart-rate estimator from steel textile ECG Sensors in a wireless vital wearing system, in Proceeding 2nd International Conference on Bioinformatics and Biomedical Engineering, pp. 1339–1342, 2008Google Scholar
  60. 60.
    F. Chiarugi, I. Karatzanis, G. Zacharioudakis, P. Meriggi, F. Rizzo, M. Stratakis, S. Louloudakis, C. Biniaris, M. Valentini, M. Di Rienzo, G. Parati, Measurement of heart rate and respiratory rate using a textile-based wearable device in heart failure patients. Comput. Cardiol. 901–904 (2008)Google Scholar
  61. 61.
    D. Curone, E.L. Secco, A. Tognetti, G. Loriga, G. Dudnik, M. Risatti, R. Whyte, A. Bonfiglio, G. Magenes, Smart garments for emergency operators: the ProeTEX Project. IEEE Trans. Inf Technol. Biomed. 14, 694–701 (2010)CrossRefGoogle Scholar
  62. 62.
    X. Yang, Z. Chen, C.S.M. Elvin, L.H.Y. Janice, S.H. Ng, J.T. Teo, R. Wu, Textile fiber optic micro bend sensor used for heart beat and respiration monitoring. IEEE Sens. J. 15(2), 757–761 (2015)CrossRefGoogle Scholar
  63. 63.
    A. Lanata, E.P. Scilingo, D. De Rossi, A multimodal transducer for cardiopulmonary activity monitoring in emergency. IEEE Trans. Inf Technol. Biomed. 14(3), 817–825 (2010)CrossRefGoogle Scholar
  64. 64.
    M. Sibinski, M. Jakubowska, M. Sloma, Flexible temperature sensors on fibers. Sensors 10, 7934–7946 (2010)CrossRefGoogle Scholar
  65. 65.
    Cytizen Sciences. Retrieved June 2016, from: http://www.cityzensciences.fr/en
  66. 66.
    P. Salonen, L. Hurme, A novel fabric WLAN antenna for wearable applications, in Proceeding of IEEE International Symposium on Antennas and Propagation Society, Columbus, OH, USA, vol. 2, pp. 700–703, June 2003Google Scholar
  67. 67.
    H. Giddens, D.L. Paul, G.S. Hilton, J.P. McGeehan, Influence of body proximity on the efficiency of a wearable textile patch antenna, in Proceeding of the 6th European Conference Antennas & Propagation (EuCAP), Prague, Czech, pp. 1353–1357, March 2012Google Scholar
  68. 68.
    L. Zhang, Z. Wang, D. Psychoudakis, J.L. Volakis, Flexible textile antennas for body-worn communication, in Proceedings of IEEE International Workshop on Antenna Technology, Tucson, ZA, USA, pp. 205–208, March 2012Google Scholar
  69. 69.
    B. Grupta, S. Sankaralingam, S. Dhar, Development of wearable and implantable antennas in the last decade: a review, in Proceedings of Mediterranean Microwave Symposium (MMS), Guzelyurt, Turkey, pp. 251–267, August 2010Google Scholar
  70. 70.
    R. Salvado, C. Loss, R. Gonçalves, P. Pinho, Textile materials for the design of wearable antennas: a survey. Sensors 12, 15841–15857 (2012)CrossRefGoogle Scholar
  71. 71.
    C. Hertleer, A.V. Laere, H. Rogier, L.V. Langenhove, Influence of relative humidity on textile antenna performance. Text. Res. J. 80, 177–183 (2009)CrossRefGoogle Scholar
  72. 72.
    A. Moretti, Estudo do Brim Santista visando aplicações em antenas têxteis. MS.c. Thesis, Universidade Estadual de Campinas, Campinas, Brazil, 2011Google Scholar
  73. 73.
    J.-S. Roh, Y.-S. Chi, J.-H. Lee, Y. Tak, S. Nam, T.J. Kang, Embroidered wearable multiresonant folded dipole antenna for FM reception. IEEE Antennas Wirel. Propag. Lett. 9, 803–806 (2010)CrossRefGoogle Scholar
  74. 74.
  75. 75.
    TexTrace. Retrieve June 2016, from: http://www.textrace.com/en/rfid-brand-label/index.php
  76. 76.
    L. Berglin, Smart textile and wearable technology—a study of smart textiles in fashion and clothing (2013). Retrieved June 2006, from: https://www.hb.se/Global/HB%20-%20student/utbildningsomr%C3%A5den/THS/BalticFashion_rapport_Smarttextiles.pdf
  77. 77.
    B.J. Munro, J.R. Steele, T.E. Campbell, G.G. Wallace, Wearable textile biofeedback systems: are they too intelligent for the wearer? in Wearable eHealth Systems for Personalised Health Management: State of the Art and Future Challenges, vol. 108, ed. by A. Lymberis, D. De Rossi (IOS Press—STM Publishing House: Amsterdam, The Netherlands, 2005), pp. 271–277Google Scholar
  78. 78.
    S. Gilliland, N. Komor, T. Starner, C. Zeagler, The textile interface swatchbook: creating graphical user interface-like widgets with conductive embroidery, in Proceeding International Symposium on Wearable Computers (ISWC) 2010, pp. 1–8, 2010Google Scholar
  79. 79.
    M. Pacelli, G. Loriga, N. Taccini, R. Paradiso, Sensing fabrics for monitoring physiological and biomechanical variables: e-textile solutions, in Proceeding of the IEEE/EMBS International Summer School on Medical Devices and Biosensors, St. Catharine‘s College, Cambridge, UK, pp. 1–4, August 2007Google Scholar
  80. 80.
    P.E. Edelman, Condenser loud-speaker with flexible electrodes. Proc. Inst. Radio Eng. 19(2), 256–267 (2006)MathSciNetCrossRefGoogle Scholar
  81. 81.
    T. Dias, Development and analysis of novel electroluminescent yarns and fabrics for localised automotive interior illumination: el yarns and fabrics. Text. Res. J. 82, 1164–1176 (2012)CrossRefGoogle Scholar
  82. 82.
    T. Dias, Development and analysis of novel electroluminescent yarns and fabrics for localised automotive interior illumination: el yarns and fabrics. Text. Res. J. 82, 1164–1176 (2012)CrossRefGoogle Scholar
  83. 83.
    S. Janietz, B. Gruber, S. Schattauer, K. Schulze, Integration of OLEDs in textiles. Adv. Sci. Technol. 80, 14–21 (2012)CrossRefGoogle Scholar
  84. 84.
    Infineon Technologies AG. Retrieved June 2016, from: http://www.infineon.com/cms/en/product/
  85. 85.
    Edmison, J., Jones, M., Nakad, Z., Martin, T. Using piezoelectric materials for wearable electronic textiles, in Proceedings of the 6th International Symposium on Wearable Computers (ISWC), Seattle, WA, USA, pp. 41–48, October 2002Google Scholar
  86. 86.
    L.M. Swallow, J.K. Luo, E. Siores, I. Patel, D. Dodds, A piezoelectric fibre composite based energy harvesting device for potential wearable applications. Smart Mater. Struct. 17(2) (2008)Google Scholar
  87. 87.
    S. Xu, Y. Qin, C. Xu, Y. Wei, R. Yang, R.L. Wang, Self-powered nanowire devices. Nat. Nanotechnol. 5, 366–373 (2010)CrossRefGoogle Scholar
  88. 88.
    S. Bai, L. Zhang, Q. Xu, Y. Zheng, Y. Qin, Z. Wang, Two dimensional woven nanogenerator. Nano Energy 2, 1–5 (2013)CrossRefGoogle Scholar
  89. 89.
    V. Leonov, Thermoelectric energy harvesting of human body heat for wearable sensors. IEEE Sens. J. 13(6), 2284–2291 (2013)CrossRefGoogle Scholar
  90. 90.
    T. Torfs, V. Leonov, C. van Hoof, B. Gyselinckx, Body-heat powered autonomous pulse oximeter, in Proceeding 5th IEEE Conference on Sensors, pp. 427–430, 2006Google Scholar
  91. 91.
    L.A. Samuelson, F.F. Bruno, J. Kumar, R.A. Gaudiana, P.M. Wormser, Conformal solar cells for the soldier, in Proceeding International Interactive Textiles for the Warrior Conference, Cambridge, MA, 2002Google Scholar
  92. 92.
    M.B. Schubert, J.H. Werner, Flexible solar cells for clothing. Mater. Today 9, 42–50 (2006)CrossRefGoogle Scholar
  93. 93.
    Y.-H. Lee, J.-S. Kim, J. Noh, I. Lee, H.J. Kim, S. Choi, J. Seo, S. Jeon, T.-S. Kim, J.-Y. Lee, J.-W. Choi, Wearable textile battery rechargeable by solar energy. NanoLetters 13, 5753–5761 (2013)CrossRefGoogle Scholar
  94. 94.
    R.C. Chiechi, R.W.A. Havenith, J.C. Hummelen, L.J.A. Koster, M.A. Loi, Modern plastic solar cells: materials, mechanisms and modeling. Mater. Today 16, 281–289 (2013)CrossRefGoogle Scholar
  95. 95.
    Consultancy Goose Design, Illum Project Concept, Retrieve June 2016, from: http://www.goose.london/projects/illum/illum-concept/
  96. 96.
    R.G. Kim, W. Choi, Z. Chen, P.P. Pande, D. Marculescu, R. Marculescu, Wireless NoC and dynamic VFI codesign: energy efficiency without performance penalty. IEEE Trans. Very Large Scale Integr. VLSI Syst. 24(7), 2488–2501 (2016)CrossRefGoogle Scholar
  97. 97.
    A. Afzali, S.H. Maghsoodlou, Modern application of nanotechnology in textile, in Nanostructured Polymer Blends and Composites in Textiles, ed. by M. Ciocoiu, S. Maamir (Apple Academic Press and CRC Press, 2016) pp. 41–85Google Scholar
  98. 98.
    X. Tao, Wearable Electronics and Photonics (Woodhead Publishing in Textiles, 2005)Google Scholar
  99. 99.
    K. Worden, W.A. Bullough, J. Haywood, Smart Technologies (World Scientific Publishing, Singapore, 2003)CrossRefGoogle Scholar
  100. 100.
  101. 101.
    O. Berger, W.-J. Fisher, Photo-induced switchable TiO2 thin films for decomposition of air pollutants and microorganisms, self-cleaning surfaces and biological application. IEEE Sens. 719–722 (2010)Google Scholar
  102. 102.
    S. Shahidi, M. Ahmadi, A. Rashidi, M. Ghoranneviss, Effect of plasma treatment on self-cleaning of textile fabric using titanium dioxide. IET Micro Nano Lett. 10(8), 408–413 (2015)CrossRefGoogle Scholar
  103. 103.
    S.R. Anderson, M. Mohammadtaheri, D. Kumar, A.P. O’Mullane, M.R. Field, R. Ramanathan, V. Bansal, Robust nanostructured silver and copper fabrics with localized surface plasmon resonance property for effective visible light induced reductive catalysis. Adv. Mater. Interfaces 3(6) (2016)Google Scholar
  104. 104.
    N.M. van der Velden, K. Kuusk, A.E. Koehler, Life cycle assessment and eco-design of smart textile: the importance of material selection demonstrated through e-textile product redesign. Mater. Des. 84, 313–324 (2015)Google Scholar
  105. 105.
    Basic Information about European Directive 93/42/EEC on medical devices. Retrieved June 2016, from: https://www.mdc-ce.de/fileadmin/user_upload/Downloads/mdc-Dokumente/Broschueren/040100_basic_info_93–42-EEC_06_e.pdf
  106. 106.
    PEDro, The PEDro scale (partitioned): guidelines and explanations. Retrieved June 2016, from: http://www.otseeker.com/Info/pdf/PEDro-scale-partitioned-guidelines-jul2013.pdf
  107. 107.
    G. Postolache, R. Oliveira, I. Moreira, O. Postolache, Why, what and when in-home physiotherapy? in Transformative Healthcare Practice through Patient Engagement, ed. by G. Graffigna (IGI Global, 2016) pp. 215–246Google Scholar
  108. 108.
    M.F. Story, J. Mueller, R.L. Mace, Universal Design File: Designing for People of All Ages and Abilities (NC State University, Center for Universal Design, 1998)Google Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Gabriela Postolache
    • 1
  • Hélder Carvalho
    • 2
  • André Catarino
    • 2
  • Octavian Adrian Postolache
    • 3
    Email author
  1. 1.Instituto de Medicina MolecularUniversidade de LisboaLisbonPortugal
  2. 2.Departamento de Engenharia TêxtilUniversidade de MinhoGuimarãesPortugal
  3. 3.Instituto de Telecomunicações and ISCTE-IULLisbonPortugal

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