Many applications are developed with the quick emergence of the Internet of things (IoT) and wireless sensor networks (WSNs) in the health sector. Healthcare applications that use wireless medical sensor networks (WMSNs) provide competent communication solutions for enhancing people life. WMSNs rely on highly sensitive and resource-constrained devices, so-called sensors, that sense patients’ vital signs then send them through open channels via gateways to specialists. However, these transmitted data from WMSNs can be manipulated by adversaries without data security, resulting in crucial consequences. In light of this, efficient security solutions and authentication schemes are needed. Lately, researchers have focussed highly on authentication for WMSNs, and many schemes have been proposed to preserve privacy and security requirements. These schemes face a lot of security and performance issues due to the constrained devices used. This paper presents a new classification of authentication schemes in WMSNs based on its architecture; as far as we know, it is the first of its kind. It also provides a comprehensive study of the existing authentication schemes in terms of security and performance. The performance evaluation is based on experimental results. Moreover, it identifies some future research directions and recommendations for designing authentication schemes in WMSNs.

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