In the last three decades, the development of new kinds of textiles, so-called smart and interactive textiles, has continued unabated. Smart textile materials and their applications are set to drastically boom as the demand for these textiles has been increasing by the emergence of new fibers, new fabrics, and innovative processing technologies. Moreover, people are eagerly demanding washable, flexible, lightweight, and robust e-textiles. These features depend on the properties of the starting material, the post-treatment, and the integration techniques. In this work, a comprehensive review has been conducted on the integration techniques of conductive materials in and onto a textile structure. The review showed that an e-textile can be developed by applying a conductive component on the surface of a textile substrate via plating, printing, coating, and other surface techniques, or by producing a textile substrate from metals and inherently conductive polymers via the creation of fibers and construction of yarns and fabrics with these. In addition, conductive filament fibers or yarns can be also integrated into conventional textile substrates during the fabrication like braiding, weaving, and knitting or as a post-fabrication of the textile fabric via embroidering. Additionally, layer-by-layer 3D printing of the entire smart textile components is possible, and the concept of 4D could play a significant role in advancing the status of smart textiles to a new level.

The continuous and long-term measurement and monitoring of physiological signals such as electrocardiography (ECG) are very important for the early detection and treatment of heart disorders at an early stage prior to a serious condition occurring. The increasing demand for the continuous monitoring of the ECG signal needs the rapid development of wearable electronic technology. During wearable ECG monitoring, the electrodes are the main components that affect the signal quality and comfort of the user. This review assesses the application of textile electrodes for ECG monitoring from the fundamentals to the latest developments and prospects for their future fate. The fabrication techniques of textile electrodes and their performance in terms of skin–electrode contact impedance, motion artifacts and signal quality are also reviewed and discussed. Textile electrodes can be fabricated by integrating thin metal fiber during the manufacturing stage of textile products or by coating textiles with conductive materials like metal inks, carbon materials, or conductive polymers. The review also discusses how textile electrodes for ECG function via direct skin contact or via a non-contact capacitive coupling. Finally, the current intensive and promising research towards finding textile-based ECG electrodes with better comfort and signal quality in the fields of textile, material, medical and electrical engineering are presented as a perspective.

In this work, we have successfully produced a conductive and stretchable knitted cotton fabric by screen printing of poly(3,4-ethylenedioxythiophene) polystyrene sulfonate (PEDOT:PSS) and poly(dimethylsiloxane-b-ethylene oxide)(PDMS-b-PEO) conductive polymer composite. It was observed that the mechanical and electrical properties highly depend on the proportion of the polymers, which opens a new window to produce PEDOT:PSS-based conductive fabric with distinctive properties for different application areas. The bending length analysis proved that the flexural rigidity was lower with higher PDMS-b-PEO to PEDOT:PSS ratio while tensile strength was increased. The SEM test showed that the smoothness of the fabric was better when PDMS-b-PEO is added compared to PEDOT:PSS alone. Fabrics with electrical resistance from 24.8 to 90.8 kΩ/sq have been obtained by varying the PDMS-b-PEO to PEDOT:PSS ratio. Moreover, the resistance increased with extension and washing. However, the change in surface resistance drops linearly at higher PDMS-b-PEO to PEDOT:PSS ratio. The conductive fabrics were used to construct textile-based strain, moisture and biopotential sensors depending upon their respective surface resistance.

Long-term electrocardiography (ECG) monitoring is very essential for the early detection and treatment of cardiovascular disorders. However, commercially used silver/silver chloride (Ag/AgCl) electrodes have drawbacks, and these become more obvious during long-term signal monitoring, making them inconvenient for this use. In this study, we developed silver printed textile electrodes from knitted cotton and polyester fabric for ECG monitoring. The surface resistance of printed electrodes was 1.64 Ω/sq for cotton and 1.78 Ω/sq for polyester electrodes. The ECG detection performance of the electrodes was studied by placing three electrodes around the wrist where the electrodes were embedded on an elastic strap with Velcro. The ECG signals collected using textile electrodes had a comparable waveform to those acquired using standard Ag/AgCl electrodes with a signal to noise ratio (SNR) of 33.10, 30.17, and 33.52 dB for signals collected from cotton, polyester, and Ag/AgCl electrodes, respectively. The signal quality increased as the tightness of the elastic strap increased. Signals acquired at 15 mmHg pressure level with the textile electrodes provided a similar quality to those acquired using standard electrodes. Interestingly, the textile electrodes gave acceptable signal quality even after ten washing cycles.

There is an increasing interest in long-term electrocardiography (ECG) monitoring in veterinary clinical practice. ECG is the most essential physiological signal in diagnosing and managing heart diseases both in humans and animals. Electrodes are the main components that affect the quality of the acquired signal. This study focuses on the development of silver-coated textile electrodes for veterinary ECG testing (particularly for dogs). Silver printed polyester, embroidered, and silver-plated conductive hook textile electrodes were used for ECG measurement in dogs. This is an important validation for the use of textile ECG sensors in combination with hairy skin. ECG signals were collected while the animal was in a static position and walking on a smooth surface. The ECG signals collected from the dog using the silver printed polyester and embroidered textile electrodes with slight skin preparation have identifiable P, QRS, and T waveforms and were comparable with signals from standard silver/silver chloride (Ag/AgCl) electrodes. Results revealed that these textile electrodes can be used for ECG monitoring in a dog to avoid associated problems with commercially used crocodile clamps and standard Ag/AgCl electrodes. The hook electrodes show promising results when placed on the hairy regions of a dog without any skin preparation.

A wearable ECG monitoring system was developed by integrating embroidered electrodes, and the collected ECG waveforms were comparable to those obtained using gelled Ag/AgCl electrodes. The R-peak amplitude was 2.09 mV with a 42.9 dB SNR for signals acquired using embroidered electrodes. The ECG signal quality was observed to improve with an increase in electrode size and holding pressure. ECG signals were recorded while the subject was in a walking condition, resulting in detectable waveforms with no missing R-peak and a 30.13 dB SNR which were comparable to signals acquired using standard gelled electrodes under the same conditions. Overall, these results are promising for developing an applicable wearable ECG monitoring system.