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Abstract Activities and physical effort have been commonly estimated using a metabolic rate through indirect calorimetry to capture breath information. The physical effort represents the work hardness used to optimize wearable robotic systems. Thus, personalization and rapid optimization of the effort are critical. Although respirometry is the gold standard for estimating metabolic costs, this method requires a heavy, bulky, and rigid system, limiting the system’s field deployability. Here, this paper reports a soft, flexible bioelectronic system that integrates a wearable ankle-foot exoskeleton, used to estimate metabolic costs and physical effort, demonstrating the potential for real-time wearable robot adjustments based on biofeedback. Data from a set of activities, including walking, running, and squatting with the biopatch and exoskeleton, determines the relationship between metabolic costs and heart rate variability root mean square of successive differences (HRV-RMSSD) (R = −0.758). Collectively, the exoskeleton-integrated wearable system shows potential to develop a field-deployable exoskeleton platform that can measure wireless real-time physiological signals. 

Abstract Recent developments of micro‐sensors and flexible electronics allow for the manufacturing of health monitoring devices, including electrocardiogram (ECG) detection systems for inpatient monitoring and ambulatory health diagnosis, by mounting the device on the chest. Although some commercial devices in reported articles show examples of a portable recording of ECG, they lose valuable data due to significant motion artifacts. Here, a new class of strain‐isolating materials, hybrid interfacial physics, and soft material packaging for a strain‐isolated, wearable soft bioelectronic system (SIS) is reported. The fundamental mechanism of sensor‐embedded strain isolation is defined through a combination of analytical and computational studies and validated by dynamic experiments. Comprehensive research of hard‐soft material integration and isolation mechanics provides critical design features to minimize motion artifacts that can occur during both mild and excessive daily activities. A wireless, fully integrated SIS that incorporates a breathable, perforated membrane can measure real‐time, continuous physiological data, including high‐quality ECG, heart rate, respiratory rate, and activities. In vivo demonstration with multiple subjects and simultaneous comparison with commercial devices captures the SIS's outstanding performance, offering real‐world, continuous monitoring of the critical physiological signals with no data loss over eight consecutive hours in daily life, even with exaggerated body movements. 

Seismocardiography (SCG) is the measure of local vibrations in the chest due to heartbeats. Typically, SCG signals are measured using rigid integrated circuit (IC) accelerometers and bulky electronics. However, as alternatives, recent studies of emerging flexible sensors show promise. Here, we introduce the development of wireless soft capacitive sensors that require no battery or rigid IC components for measuring SCG signals for cardiovascular health monitoring. Both the capacitive and inductive components of the circuit are patterned with laser micromachining of a polyimide-coated copper and are encapsulated with an elastomer. The wearable soft sensor can detect small strain changes on the skin, which is wirelessly measured by examining the power reflected from the antenna at a stimulating frequency. The performance of the device is verified by comparing the fiducial points to SCG measured by a commercial accelerometer and electromyograms from a commercial electrode. Overall, the human subject study demonstrates that the fiducial points are consistent with data from commercial devices, showing the potential of the ultrathin soft sensors for ambulatory cardiovascular monitoring without bulky electronics and rigid components.