In modern society, technology associated with smart sensors made from flexible materials is rapidly evolving. As a core component in the field of wearable smart devices (or ‘smart wearables’), flexible sensors have the advantages of excellent flexibility, ductility, free folding properties, and more. When choosing materials for the development of sensors, reduced weight, elasticity, and wearer’s convenience are considered as advantages, and are suitable for electronic skin, monitoring of health-related issues, biomedicine, human–computer interactions, and other fields of biotechnology. The idea behind wearable sensory devices is to enable their easy integration into everyday life. This review discusses the concepts of sensory mechanism, detected object, and contact form of flexible sensors, and expounds the preparation materials and their applicability. This is with the purpose of providing a reference for the further development of flexible sensors suitable for wearable devices.

With the rapid development of wearable technology, multifunctional sensors have demonstrated immense application potential. However, the limitations of traditional rigid materials restrict the flexibility and widespread adoption of such sensors. Hydrogels, as flexible materials, provide an effective solution to this challenge due to their excellent stretchability, biocompatibility, and adaptability. This study developed a multifunctional flexible sensor based on a composite hydrogel of polyvinyl alcohol (PVA) and sodium alginate (SA), using poly(3,4-ethylenedioxythiophene)/polystyrene sulfonate (PEDOT:PSS) as the conductive material to achieve multifunctional detection of strain, temperature, and physiological signals. The sensor features a simple fabrication process, low cost, and low impedance. Experimental results show that the prepared hydrogel exhibits outstanding mechanical properties and conductivity, with a strength of 118.8 kPa, an elongation of 334%, and a conductivity of 256 mS/m. In strain sensing, the sensor demonstrates a rapid response to minor strains (4%), high sensitivity (gauge factors of 0.39 for 0–120% and 0.73 for 120–200% strain ranges), short response time (2.2 s), low hysteresis, and excellent cyclic stability (over 500 cycles). For temperature sensing, the sensor achieves high sensitivities of −27.43 Ω/K (resistance mode) and 0.729 mV/K (voltage mode), along with stable performance across varying temperature ranges. Furthermore, the sensor has been successfully applied to monitor human motion (e.g., finger bending, wrist movement) and physiological signals such as electrocardiogram (ECG), electromyogram (EMG), and electroencephalogram (EEG), highlighting its significant potential in wearable health monitoring. By employing a simple and efficient fabrication method, this study presents a high-performance multifunctional flexible sensor, offering novel insights and technical support for the advancement of wearable devices.

This study intends to explore the influence of a fabric electrode skin interface filling medium on ECG signals under dynamic and static conditions, so as to be able to better monitor both stable and dynamic ECG signals. In this paper, cotton fabric electrodes were prepared using electroless silver-plated conductive cotton fabric, and then the electrodes were integrated into a physiotherapy-grade elastic bandage to assemble the fabric ECG tape. The electrode impedance tester and the BIOPAC physiological recorder were used to measure the fabric electrode-skin impedance and electrocardiogram under dynamic and static conditions, respectively. Later, the influence of the fabric electrode coated medium on the acquisition effect of an electrocardiogram signal under dynamic and static conditions is discussed. The results show that in the absence of a dielectric reagent coating, the cotton fabric electrode is easily disturbed by external noise which leads to large electrode-skin contact impedance. However, the electrode-skin contact impedance is greatly reduced after coating the fabric electrode with the dielectric reagent. At the same time, after applying the conducive paste coating, the corresponding change curve of the fabric electrode became more stable, and the impedance value was less than 0.005 MΩ·cm², which meets the standard requirement for textile dry electrode skin impedance. In a state of rest, a clear and stable ECG can be collected regardless of whether the medium reagent is coated or not. However, only after applying the conductive paste can a stable ECG signal be collected under the three motion modes, or can a P wave, QRS wave group, or T wave be clearly distinguished. In addition, there is a high correlation with the disposable gel electrode, which can satisfy the requirements of the long-term monitoring of ECG signals under dynamic conditions.