Skin Bioimpedance Research Articles

Skin Bioimpedance Analysis to Determine Cellular Integrity by Phase Angle in Women with Fibromyalgia: A Cross-Sectional Study.

Oxidative stress has been proposed as a significant part of the pathogenesis of fibromyalgia, and the phase angle in bioelectrical impedance analysis has been explored as a potential technique to screen oxidative abnormalities. This study recruited 35 women with fibromyalgia and 35 healthy women, who underwent bioelectrical impedance analysis and maximum isometric handgrip strength tests. Women with fibromyalgia showed lower bilateral handgrip strength (right hand: 16.39 ± 5.87 vs. 27.53 ± 4.09, p < 0.001; left hand: 16.31 ± 5.51 vs. 27.61 ± 4.14, p < 0.001), as well as higher body fat mass (27.14 ± 10.21 vs. 19.94 ± 7.25, p = 0.002), body fat percentage (37.80 ± 8.32 vs. 30.63 ± 7.77, p < 0.001), and visceral fat area (136.76 ± 55.31 vs. 91.65 ± 42.04, p < 0.01) compared with healthy women. There was no statistically significant difference in muscle mass between groups, but women with fibromyalgia showed lower phase angles in all body regions when compared with healthy control women (right arm: 4.42 ± 0.51 vs. 4.97 ± 0.48, p < 0.01; left arm: 4.23 ± 0.48 vs. 4.78 ± 0.50, p < 0.001; trunk: 5.62 ± 0.77 vs. 6.78 ± 0.84, p < 0.001; right leg: 5.28 ± 0.56 vs. 5.81 ± 0.60, p < 0.001; left leg: 5.07 ± 0.51 vs. 5.69 ± 0.58, p < 0.001; whole body: 4.81 ± 0.47 vs. 5.39 ± 0.49, p < 0.001). Moreover, whole-body phase-angle reduction was only predicted by the presence of fibromyalgia (R2 = 0.264; β = 0.639; F(1,68) = 24.411; p < 0.001). Our study revealed significantly lower phase angle values, lower handgrip strength, and higher fat levels in women with fibromyalgia compared to healthy controls, which are data of clinical relevance when dealing with such patients.

A Comparative Study of Polypyrrole and Ag/Polypyrrole Hybrid Nanocomposites as Sensitive Material Used for New Dry Polarizable Bioimpedance Sensors

Three types of dry polarizable electric bioimpedance sensor for skin bioimpedance monitoring without skin preparation have been developed. The sensitive materials as a component of these sensors are the conductive polypyrrole and hybrid nanocomposite polypyrrole-Ag, with 10% and 20% Ag incorporated in the polypyrrole matrix. The hybrid nanocomposites Ag nanoparticles (NPs)/polypyrrole were obtained by introducing the colloid solution of Ag NPs in pyrrole solution, followed by polymerisation, and calculated for 10% and 20% of monomer’s mass. The structural characterisation and morphological analysis of these sensitive materials were carried-out by Raman spectrometry, Fourier transform infrared (FTIR) spectroscopy, scanning electron microscopy, and energy-dispersive X-ray spectroscopy. In making the electrodes, the technique of pressing powders of polypyrrole and hybrid composites Ag NPs/polypyrrole in a hydraulic press was used in the form of a disk. The electric bioimpedance performance of sensors was investigated using a two-point method in the frequency range of 1–300 kHz, at a voltage of 2 Vpeak-peak, on six human subjects, three men and three women. For these three bioimpedance sensors, it was found that the electric bioimpedance of the skin decreases across the frequency range and shows good linearity of the impedance-frequency curve on the range frequency of interest in bioimpedance measurements.

Double-Framed Thin Elastomer Devices.

Elastomers and, in particular, polydimethylsiloxane (PDMS) are widely adopted as biocompatible mechanically compliant substrates for soft and flexible micro-nanosystems in medicine, biology, and engineering. However, several applications require such low thicknesses (e.g., <100 μm) that make peeling-off critical because very thin elastomers become delicate and tend to exhibit strong adhesion with carriers. Moreover, microfabrication techniques such as photolithography use solvents which swell PDMS, introducing complexity and possible contamination, thus limiting industrial scalability and preventing many biomedical applications. Here, we combine low-adhesion and rectangular carrier substrates, adhesive Kapton frames, micromilling-defined shadow masks, and adhesive-neutralizing paper frames for enabling fast, easy, green, contaminant-free, and scalable manufacturing of thin elastomer devices, with both simplified peeling and handling. The accurate alignment between the frame and shadow masks can be further facilitated by micromilled marking lines on the back side of the low-adhesion carrier. As a proof of concept, we show epidermal sensors on a 50 μm-thick PDMS substrate for measuring strain, the skin bioimpedance and the heart rate. The proposed approach paves the way to a straightforward, green, and scalable fabrication of contaminant-free thin devices on elastomers for a wide variety of applications.

A Portable Sensor for Skin Bioimpedance Measurements

The costs of pressure injury treatments continue to rise with a steadily aging population and consistent pressure injury incidence rates. Evidence suggests that the bioimpedance of living tissues changes in response to continuous pressure loading and may be useful as an indicator for the onset of pressure injuries. Therefore, the development of a low-cost, accurate, and portable sensor capable of measuring the bioimpedance of human skin has practical significance in the development of pressure injury prevention devices. This paper reports the design and characterization of a system for measuring skin impedance based on the AD5933 impedance analyzer. The sensor was tested for accuracy via measurements of a simplified electrical equivalent skin model. Long duration measurement stability was assessed over 24 hours and skin measurement repeatability was performed on the volar forearm. The power consumption was measured both during idle and when transmitting data for each major component. The sensor demonstrated accuracies similar to those reported for other AFE’s used in conjunction with the AD5933. Additionally, the sensor shows good stability over long measurement durations as well as good repeatability when measuring the skin bioimpedance on the volar forearm. Power consumption was as expected and future suggestions for lowering the overall circuit power consumption and size are presented.

Frequency and temperature dependence of skin bioimpedance during a contralateral cold test

A study of the α- and β-dispersion of skin bioimpedance dependence on temperature and micro-hemodynamics is presented. The vascular tone changes during the cold test are verified by the wavelet-analysis of skin temperature signals obtained simultaneously with impedance measurements. Thirty three normal healthy subjects of 28 ± 7 years old were entered into the study. The tetra-polar electrode system was used to record the resistance and reactance; measurements were carried out at 67 frequencies, in a frequency range from 2 Hz to 50 kHz. It has been found that the impedance decreases with vasodilation and increases with vasoconstriction. The high values of correlation among thermal oscillation amplitudes and Nyquist diagram parameters prove the impedance dependence on blood flow in three frequency bands corresponding to the myogenic, neurogenic and endothelial vascular tone regulation mechanisms. Using an equivalent RC circuit, we obtained the changes in the Nyquist diagram matching the experimental data. The proposed descriptive α-dispersion model can be used to study mechanisms responsible for intercellular interaction.

Stimulation current control for load-aware electrotactile haptic rendering: Modeling and simulation

This paper presents our work on generalization of the first-order fingertip skin bioimpedance model that is presented to the instantaneous stimulation current. The generalized dynamic model is based on our experimental findings that one of the bioimpedance parameters, stratum corneum resistance Rp, is inversely related to the stimulation current. The model is necessitated by the driver of our constant voltage driver (CVD)-based electrotactile haptic rendering system, which features closed-loop, load-aware (i.e. fingertip skin bioimpedance-aware) capability in contrast to constant-current-driver (CCD) systems. Relying on this model and on-line estimated bioimpedance parameters and by employing a direct model reference adaptive control (MRAC) method, the stimulation current output to the fingertip skin tracking a desired pulsed reference current is realized. The modeling and control results based on the generalized model are shown to be preliminarily valid from simulation when compared to experimental results. This work will be useful in developing a user friendly load-aware electrotactile haptic rendering system that is capable of adapting the stimulation current from changing electro-bioimpedance conditions of the fingertip skin.