The past decades have witnessed the rapid development in soft, stretchable, and biocompatible devices for applications in biomedical monitoring, personal healthcare, and human–machine interfaces. In particular, the design of soft devices in optics has attracted tremendous interests attributed to their distinct advantages such as inherent electrical safety, high stability in long-term operation, potential to be miniaturized, and free of electromagnetic interferences. As the alternatives to conventional rigid optical waveguides, considerable efforts have been made to develop light-guiding devices by using various transparent and elastic polymers, which offer desired physiomechanical properties and enable wearable/implantable applications in optical sensing, diagnostics, and therapy. Here, we review recent progress in soft and stretchable optical waveguides and sensors, including advanced structural design, fabrication strategies, and functionalities. Furthermore, the potential applications of those optical devices for various wearable and biomedical applications are discussed. It is expected that the newly emerged soft and stretchable optical technologies will provide a safe and reliable alternative to next-generation, smart wearables and healthcare devices.

Stretchable sensors with multiple sensory functions are in high demand for healthcare monitoring and artificial intelligence. Despite recent advances in wearable electronic sensors, it remains a significant challenge to achieve simultaneous sensing of both thermal and mechanical stimuli with a single sensor while integrating high stretchability. Herein, a stretchable and multifunctional optical sensor (SMOS) with simultaneous readout of temperature and strain is developed for wearable physiological monitoring of the human body. The SMOS primarily consists of a stretchable optical sensing fiber made from polymer nanocomposites containing lanthanide-based upconversion nanoparticles (UCNPs). Temperature measurements are achieved by ratiometric intensity measurements of the dual-emission UCNPs upon near-infrared excitation. By virtue of the ratiometric detection, the temperature readout of the SMOS is independent of strain deformations, enabling stable and continuous measurements of skin temperature during body motions. Furthermore, deformation of the SMOS by stretching leads to detectable and reversible changes in its light transmission, allowing tensile strains to be simultaneously measured. As a proof of concept, we demonstrate the capabilities of the SMOS in real time and simultaneous detection of both skin temperature and motion activities of the human body.