Wearable healthcare systems require skin‐adhering electrodes that allow maximal comfort for patients as well as an electronics system to enable signal processing and transmittance. Textile‐based electronics, known as “e‐textiles,” is a platform technology that allows comfort for patients. Here, two‐layered e‐textile patches are designed by controlled permeation of Ag‐particle/fluoropolymer composite ink into a porous textile. The permeated ink forms a cladding onto the nanofibers in the textile substrate, which is beneficial for mechanical and electrical properties of the e‐textile. The printed e‐textile features conductivity of ≈3200 S cm−1, whereas 1000 cycles of 30% uniaxial stretching causes the resistance to increase only by a factor of ≈5, which is acceptable in many applications. Controlling over the penetration depth enables a two‐layer design of the e‐textile, where the sensing electrodes and the conducting traces are printed in the opposite sides of the substrate. The formation of vertical interconnected access is remarkably simple as an injection from a syringe. With the custom‐developed electronic circuits, a surface electromyography system with wireless data transmission is demonstrated. Furthermore, the dry e‐textile patch collects electroencephalography with comparable signal quality to commercial gel electrodes. It is anticipated that the two‐layered e‐textiles will be effective in healthcare and sports applications.
Head and neck cancer treatment alters the anatomy and physiology of patients. Resulting swallowing difficulties can lead to serious health concerns. Surface electromyography (sEMG) is used as an adjuvant to swallowing therapy exercises. sEMG signal collected from the area under the chin provides visual biofeedback from muscle contractions and is used to help patients perform exercises correctly. However, conventional sEMG adhesive pads are relatively thick and difficult to effectively adhere to a patient's altered chin anatomy, potentially leading to poor signal acquisition in this population. Here, the emerging technology of epidermal electronics is introduced, where ultra-thin geometry allows for close contouring of the chin. The two objectives of this study were to (1) assess the potential of epidermal electronics technology for use with swallowing therapy and (2) assess the significance of the reference electrode placement. This study showed comparative signals between the new epidermal sEMG patch and the conventional adhesive patches used by clinicians. Furthermore, an integrated reference yielded optimal signal for clinical use; this configuration was more robust to head movements than when an external reference was used. Improvements for future iterations of epidermal sEMG patches specific to day-to-day clinical use are suggested.
Adhesives that involve adhesion to the skin have been of great technological importance in medical or pharmaceutical fields, including recently emerging wearable sensors and electronics. The objective of this work was to evaluate the performances of silicone-based adhesives with skin, using a peel adhesion test. Specifically, we explored the effect of adhesive cleansing, which is an inevitable daily event for patients' comfort in long-term applications. Firstly, three medical grade silicone gels, Silbione® RT 4717, Silbione® RT 4642, and Silpuran® 2130, were used to fabricate adhesive pads. Their peel strength values were subsequently measured and compared, among which Silbione® RT gel 4717 possessed the highest peel strength. Therefore, it was selected as the raw material to fabricate the pads with a thickness range of 640-740 μm. Secondly, the peel adhesion of Silbione® RT 4717 adhesive pad was further compared with a series of commercial products that employ various medical-grade adhesives. The peel strength results indicated that our custom-made adhesive pad had an adequately strong adhesion for clinical use. Thirdly, in order to observe and predict the long-term performance of the adhesives, an aging test was performed in an ambient environment, revealing that Silbione® RT 4717 adhesive remained highly sticky for 5 days. Lastly, adequate cleansing protocols were established by monitoring the changes in peel strength after washing and wiping events. The reusability analysis showed that Silbione® 4717 adhesive pad was reusable in a one-week period for the washing method and 3 days for the wiping method.
Models of bone conduction devices that have intact skin cannot be measured with the skull simulator. This study is the first to present and evaluate a new tool for bone conduction verification. The surface microphone is capable of yielding equivalent audibility measurements as the skull simulator for percutaneous bone conduction users at multiple input levels. This device holds potential for measuring other bone conduction devices (Sentio, BoneBridge, Attract, Soft headband devices) that do not have a percutaneous implant.
Surface electromyography (sEMG) is used as an adjuvant to dysphagia therapy to demonstrate the activity of submental muscles during swallowing exercises. Mechanomyography (MMG) has been suggested as a potential superior alternative to sEMG; however, this advantage is not confirmed for signal acquired from submental muscles. This study compared the signal-to-noise ratio (SNR) obtained from sEMG and MMG sensors during swallowing tasks, in healthy participants and those with a history of head and neck cancer (HNC), a population with altered anatomy and a high incidence of dysphagia. Twenty-two healthy adults and 10 adults with a history of HNC participated in this study. sEMG and MMG signals were acquired during dry, thin liquid, effortful, and Mendelsohn maneuver swallows. SNR was compared between the two sensors using repeated measures ANOVAs and subsequent planned pairwise comparisons. Test-retest measures were collected on 20 % of participants. In healthy participants, MMG SNR was higher than that of sEMG for dry [t(21) = -3.02, p = 0.007] and thin liquid swallows [t(21) = -4.24, p < 0.001]. Although a significant difference for sensor was found in HNC participants F(1,9) = 5.54, p = 0.043, planned pairwise comparisons by task revealed no statistically significant difference between the two sensors. sEMG also showed much better test-retest reliability than MMG. Biofeedback provided as an adjuvant to dysphagia therapy in patients with HNC should employ sEMG technology, as this sensor type yielded better SNR and overall test-retest reliability. Poor MMG test-retest reliability was noted in both healthy and HNC participants and may have been related to differences in sensor application.
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