Wearable sensors are beneficial for continuous health monitoring, movement analysis, rehabilitation, evaluation of human performance, and for fall detection. Wearable stretch sensors are increasingly being used for human movement monitoring. Additionally, falls are one of the leading causes of both fatal and nonfatal injuries in the workplace. The use of wearable technology in the workplace could be a successful solution for human movement monitoring and fall detection, especially for high fall-risk occupations. This paper provides an in-depth review of different wearable stretch sensors and summarizes the need for wearable technology in the field of ergonomics and the current wearable devices used for fall detection. Additionally, the paper proposes the use of soft-robotic-stretch (SRS) sensors for human movement monitoring and fall detection. This paper also recapitulates the findings of a series of five published manuscripts from ongoing research that are published as Parts I to V of “Closing the Wearable Gap” journal articles that discuss the design and development of a foot and ankle wearable device using SRS sensors that can be used for fall detection. The use of SRS sensors in fall detection, its current limitations, and challenges for adoption in human factors and ergonomics are also discussed.

Interviews from strength and conditioning coaches across all levels of athletic competition identified their two biggest concerns with the current state of wearable technology: (a) the lack of solutions that accurately capture data “from the ground up” and (b) the lack of trust due to inconsistent measurements. The purpose of this research is to investigate the use of liquid metal sensors, specifically Liquid Wire sensors, as a potential solution for accurately capturing ankle complex movements such as plantar flexion, dorsiflexion, inversion, and eversion. Sensor stretch linearity was validated using a Micro-Ohm Meter and a Wheatstone bridge circuit. Sensors made from different substrates were also tested and discovered to be linear at multiple temperatures. An ankle complex model and computing unit for measuring resistance values were developed to determine sensor output based on simulated plantar flexion movement. The sensors were found to have a significant relationship between the positional change and the resistance values for plantar flexion movement. The results of the study ultimately confirm the researchers’ hypothesis that liquid metal sensors, and Liquid Wire sensors specifically, can serve as a mitigating substitute for inertial measurement unit (IMU) based solutions that attempt to capture specific joint angles and movements.

A novel wearable solution using soft robotic sensors (SRS) has been investigated to model foot-ankle kinematics during gait cycles. The capacitance of SRS related to foot-ankle basic movements was quantified during the gait movements of 20 participants on a flat surface as well as a cross-sloped surface. In order to evaluate the power of SRS in modeling foot-ankle kinematics, three-dimensional (3D) motion capture data was also collected for analyzing gait movement. Three different approaches were employed to quantify the relationship between the SRS and the 3D motion capture system, including multivariable linear regression, an artificial neural network (ANN), and a time-series long short-term memory (LSTM) network. Models were compared based on the root mean squared error (RMSE) of the prediction of the joint angle of the foot in the sagittal and frontal plane, collected from the motion capture system. There was not a significant difference between the error rates of the three different models. The ANN resulted in an average RMSE of 3.63, being slightly more successful in comparison to the average RMSE values of 3.94 and 3.98 resulting from multivariable linear regression and LSTM, respectively. The low error rate of the models revealed the high performance of SRS in capturing foot-ankle kinematics during the human gait cycle.

The linearity of soft robotic sensors (SRS) was recently validated for movement angle assessment using a rigid body structure that accurately depicted critical movements of the foot–ankle complex. The purpose of this study was to continue the validation of SRS for joint angle movement capture on 10 participants (five male and five female) performing ankle movements in a non-weight bearing, high-seated, sitting position. The four basic ankle movements—plantar flexion (PF), dorsiflexion (DF), inversion (INV), and eversion (EVR)—were assessed individually in order to select good placement and orientation configurations (POCs) for four SRS positioned to capture each movement type. PF, INV, and EVR each had three POCs identified based on bony landmarks of the foot and ankle while the DF location was only tested for one POC. Each participant wore a specialized compression sock where the SRS could be consistently tested from all POCs for each participant. The movement data collected from each sensor was then compared against 3D motion capture data. R-squared and root-mean-squared error averages were used to assess relative and absolute measures of fit to motion capture output. Participant robustness, opposing movements, and gender were also used to identify good SRS POC placement for foot–ankle movement capture.

Background: An induced loss of balance resulting from a postural perturbation has been reported as the primary source for postural instability leading to falls. Hence; early detection of postural instability with novel wearable sensor-based measures may aid in reducing falls and fall-related injuries. The purpose of the study was to validate the use of a stretchable soft robotic sensor (SRS) to detect ankle joint kinematics during both unexpected and expected slip and trip perturbations. Methods: Ten participants (age: 23.7 ± 3.13 years; height: 170.47 ± 8.21 cm; mass: 82.86 ± 23.4 kg) experienced a counterbalanced exposure of an unexpected slip, an unexpected trip, an expected slip, and an expected trip using treadmill perturbations. Ankle joint kinematics for dorsiflexion and plantarflexion were quantified using three-dimensional (3D) motion capture through changes in ankle joint range of motion and using the SRS through changes in capacitance when stretched due to ankle movements during the perturbations. Results: A greater R-squared and lower root mean square error in the linear regression model was observed in comparing ankle joint kinematics data from motion capture with stretch sensors. Conclusions: Results from the study demonstrated that 71.25% of the trials exhibited a minimal error of less than 4.0 degrees difference from the motion capture system and a greater than 0.60 R-squared value in the linear model; suggesting a moderate to high accuracy and minimal errors in comparing SRS to a motion capture system. Findings indicate that the stretch sensors could be a feasible option in detecting ankle joint kinematics during slips and trips.

The purpose of this study was to use 3D motion capture and stretchable soft robotic sensors (SRS) to collect foot-ankle movement on participants performing walking gait cycles on flat and sloped surfaces. The primary aim was to assess differences between 3D motion capture and a new SRS-based wearable solution. Given the complex nature of using a linear solution to accurately quantify the movement of triaxial joints during a dynamic gait movement, 20 participants performing multiple walking trials were measured. The participant gait data was then upscaled (for the SRS), time-aligned (based on right heel strikes), and smoothed using filtering methods. A multivariate linear model was developed to assess goodness-of-fit based on mean absolute error (MAE; 1.54), root mean square error (RMSE; 1.96), and absolute R² (R²; 0.854). Two and three SRS combinations were evaluated to determine if similar fit scores could be achieved using fewer sensors. Inversion (based on MAE and RMSE) and plantar flexion (based on R²) sensor removal provided second-best fit scores. Given that the scores indicate a high level of fit, with further development, an SRS-based wearable solution has the potential to measure motion during gait- based tasks with the accuracy of a 3D motion capture system.