The concurrent collection of surface electromyography (sEMG) and strain signals is important for many applications, such as human–machine interaction, sign language recognition, and clinical evaluation of muscle function. Nevertheless, the conventional sensor systems made of rigid, bulky components cannot provide a reliable, conformal interface for accurate, continuous measurements of the epidermal physiological signals. Herein, a skin‐interfaced, multifunctional epidermal sensor patch with characteristics of mechanical softness, large stretchability, and wearable conformability for multimodal measurements of sEMG signals and associated skin deformations from various muscle activities and joint motions is reported. The sensor patch features two pairs of stretchable sEMG electrodes and two thin, miniaturized strain sensors, which are connected by stretchable filamentary serpentine interconnects in an open‐meshed structure. Experimental and computational studies reveal the design and operation of the sensor patch, which exhibit stable and repetitive performance even under a 30% stretching strain level. Demonstrations of the sensor patch on the wrist for simple sign language recognition and on the lower back for the flexion‐relaxation phenomenon illustrate its potential for the comprehensive assessment of the muscle activities and related motions of muscle joints.
Flexible electronics with continuous monitoring ability a extensively preferred in various medical applications. In this work, a flexible pressure sensor based on porous graphene (PG) is proposed for continuous cardiovascular status monitoring. The whole sensor is fabricated in situ by ink printing technology, which grants it the potential for large-scale manufacture. Moreover, to enhance its long-term usage ability, a polyethylene terephthalate/polyethylene vinylacetate (PET/EVA)-laminated film is employed to protect the sensor from unexpected shear forces on the skin surface. The sensor exhibits great sensitivity (53.99/MPa), high resolution (less than 0.3 kPa), wide detecting range (0.3 kPa to 1 MPa), desirable robustness, and excellent repeatability (1000 cycles). With the assistance of the proposed pressure sensor, vital cardiovascular conditions can be accurately monitored, including heart rate, respiration rate, pulse wave velocity, and blood pressure. Compared to other sensors based on self-supporting 2D materials, this sensor can endure more complex environments and has enormous application potential for the medical community.
Introduction: Nonspecific chronic low back pain (NCLBP) is a leading contributor to disease burden worldwide, and the management of NCLBP has always been a problem. This study is designed to explore the feasibility and efficacy of m-health-based core stability exercise (CSE) combined with self-compassion training (SCT) and compare it with m-health-based CSE alone for the management of NCLBP. Methods: This study is a pilot, patient-blinded randomized controlled trial. Participants with NCLBP were randomized into an intervention group and a control group. All the participants received m-health-based CSE, but those in the intervention group also received SCT before CSE.The intervention took place weekly on Saturday or Sunday for 4 weeks in total. Patients selfassessed their outcomes by filling out electronic questionnaires at 4 and 16 weeks after the start of the study. The primary outcome metrics for these questionnaires were back pain disability (based on the Roland-Morris Disability Questionnaire, RMDQ) and Pain intensity (Numeric Rating Scale, NRS; current pain, worst pain, average pain). The secondary outcome metrics were anxiety (GAD-7,7-item Generalized Anxiety Disorder scale), Depression Symptoms (PHQ-9,Patient Health Questionnaire-9), pain catastrophizing (PCS, Pain Catastrophizing Scale) and Self-efficiency (PSEQ, Pain Self-Efficiency Questionnaire). Results: A total of 37 patients comprising 28 (75.7%) females completed the study, with 19 patients in the intervention group and 18 in the control group. The mean (SD) patient age was 35.2 (11.1) years. For all primary outcomes, although there were no significant differences between groups, we found that participants in the intervention group improved function and pain earlier. The RMDQ score changed by -1.771 points (95% CI -3.768 to 0.227) from baseline to 4 weeks in the control group and by -4.822 points (95% CI -6.752 to -2.892) in the intervention group (difference between groups, -3.052 [95% CI -5.836 to -0.267]). Also, the RMDQ score changed by -3.328 points (95% CI -5.252 to -1.403) from baseline to 16 weeks in the control group and by -5.124 points (95% CI -7.014 to -3.233) in Fuming Zheng and Yiyi Zheng are co-first authors.
Considerable disagreement exists on the linearity of the development of standing balance in children. This study aimed to use different traditional and nonlinear methods to investigate age-related changes in standing balance in preschoolers. A sample of 118 preschoolers took part in this study. A force platform was used to record the center of pressure during standing balance over 15 s in three conditions: eyes open, eyes closed, and/or head extended backward. Detrended fluctuation analysis (DFA), recurrence quantification analysis (RQA), and traditional measures were used to evaluate standing balance. The main results are as follows: (1) Higher range and SD in the anterior-posterior (AP) direction were observed for 5-year-old than for 4-year-old children, while higher DFA coefficient (at shorter time scales) and higher determinism and laminarity in the AP direction were found for 5-year-old children compared to 3- and 4-year-old children; and (2) as sensory conditions became more challenging, all traditional measures increased and DFA coefficients (at shorter and longer time scales) decreased in the AP and mediolateral directions, while determinism and laminarity significantly declined in the AP direction. In conclusion, although increased postural sway, 5-year-old preschool children’s balance performance improved, and their control strategy changed significantly compared with the younger preschoolers. Sensory perturbation (eye closure and/or head extension) changed preschoolers’ balance performance and control strategy. Moreover, both traditional and nonlinear methods provided complementary information on the control of standing balance in preschoolers.
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