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This study presents a life cycle assessment-based approach to guide the scale-up of silver nanowires printed on regenerated cellulose for flexible transparent conductive electrodes. 

Functional electrical stimulation (FES) is a vital method in neurorehabilitation used to reanimate paralyzed muscles, enhance the size and strength of atrophied muscles, and reduce spasticity. FES often leads to increased muscle fatigue, necessitating careful monitoring of the patient’s response. Ultrasound (US) imaging has been utilized to provide valuable insights into FES-induced fatigue by assessing changes in muscle thickness, stiffness, and strain. Current commercial FES electrodes lack sufficient US transparency, hindering the observation of muscle activity beneath the skin where the electrodes are placed. US-compatible electrodes are essential for accurate imaging and optimal FES performance, especially given the spatial constraints of conventional US probes and the need to monitor muscle areas directly beneath the electrodes. This study introduces specially designed body-conforming US-compatible FES (US-FES) electrodes constructed with a silver nanowire/polydimethylsiloxane (AgNW/PDMS) composite. We compared the performance of our body-conforming US-FES electrode with a commercial hydrogel electrode. The findings revealed that our US-FES electrode exhibited comparable conductivity and performance to the commercial one. Furthermore, US compatibility was investigated through phantom and in vivo tests, showing significant compatibility even during FES, unlike the commercial electrode. The results indicated that US-FES electrodes hold significant promise for the real-time monitoring of muscle activity during FES in clinical rehabilitative applications. 

Screen printing is a promising route towards high throughput printed electronics. Currently, the preparation of nanomaterial based conductive inks involves complex formulations with often toxic surfactants in the ink's composition, making them unsuitable as an eco-friendly printing technology. This work reports the development of a silver nanowire (AgNW) ink with a relatively low conductive particle loading of 7 wt%. The AgNW ink involves simple formulation and comprises a biodegradable binder and a green solvent with no toxic surfactants in the ink formulation, making it an eco-friendly printing process. The formulated ink is suitable for printing on a diverse range of substrates such as polydimethylsiloxane (PDMS), polyethylene terephthalate (PET), polyimide (PI) tape, glass, and textiles. By tailoring the rheological behaviour of the ink and developing a one-step post-printing process, a minimum feature size of 50 μm and conductivity as high as 6.70 × 10 6 S m −1 was achieved. Use of a lower annealing temperature of 150 °C makes the process suitable for plastic substrates. A flexible textile heater and a wearable hydration sensor were fabricated using the reported AgNW ink to demonstrate its potential for wearable electronic applications.