Research Appraisals
Evidence-based critical appraisals of the latest medical research, systematically evaluated using Oxford CEBM methodology.
Showing 3 appraisals
Progress in biomedical engineering (Bristol, England)
Soft pneumatic actuators for wearable systems: a structural classification and integration-oriented evaluation
Soft pneumatic actuators promise gentle, body-safe assistance, yet many fail at the moment of integration: inflation alters geometry, increases profile, and stresses seams and ports. This topical review reframes actuator selection through a structure-first lens that links how an actuator is built to how it deforms and how it embeds in garments. Actuators are classified by structural architecture, deformation behavior, and fabrication method, and evaluated against four integration criteria central to wearable systems: geometric compatibility, fabrication scalability, system integration readiness, and actuation simplicity. A staged selection pathway is proposed and presented as a literature-informed mapping table that links reported wearable application contexts to dominant integration priorities and a practical structural-class starting point. Planar sheet designs can preserve a thin, predictable pressurized envelope at modest pressures when seam paths, constraint layers, and attachment features are co-designed. Pouch and bladder actuators are thin at rest, simple to fabricate, and readily integrated with textiles, but commonly bulge under load without external constraint; envelope control and port or manifold routing frequently limit garment integration. Fiber-constrained actuators deliver high specific force but often require rigid end terminations and elevated pressures. Segmented elastomers provide rich kinematics through chamber layout while tending toward bulging and routing burden in multi-segment formats. Mechanical metamaterials realize geometry-programmed motion when hinge fidelity and pattern alignment are maintained; durability of compliant joints and consistent crease formation set current limits. The resulting synthesis identifies practical priorities for wearable use: preserve thin profiles under load, embed stitchable or bondable attachment features, document reproducible process windows, minimize dead volume, routing, and valve count with compact pneumatic architectures, and target low-pressure operation compatible with lightweight hardware. Framing integration in structural terms standardizes comparison across actuator classes, clarifies the narrow feasible design space for compact, body-conforming devices, and supports deliberate actuator choice for biomedical wearables.
29 May 2026
Read appraisal →Science advances
Bioinspired ionic thermoreceptors with anisotropic architecture for thermotactile perception in robots
Emulating human skin's ability to perceive temperature and identify material through thermotactile perception is critical for human-machine interaction, robotics operation, and prosthetic sensory feedback systems. However, conventional artificial thermal sensors are largely limited to temperature measurement and cannot replicate the thermotactile-mediated material recognition capabilities inherent in biological systems. Here, we present a bioinspired ionic thermoreceptor with anisotropic thermal response characteristics, enabling high-fidelity material recognition and accurate temperature monitoring. The device incorporates spatially specialized sensing elements that encode thermal signals into modality-specific temporal response patterns, allowing the extraction of the thermal contact coefficient for material discrimination and the absolute temperature for precise thermal monitoring. It achieves high-accuracy material recognition (98.9%) and substantial temperature resolution (0.81 millikelvins). Furthermore, robust covalent bonding between functional layers ensures mechanical durability, signal stability, and environmental resilience. This work establishes a physically grounded and energy-autonomous thermotactile sensing platform for safe, intuitive, and intelligent human-machine interaction.
25 May 2026
Read appraisal →Bioinspiration & biomimetics
Designing McKibben muscles: a critical review for practical implementation
McKibben artificial muscles (AMs) are known as a prominent class of pneumatic actuators in soft robotics and biomechanical engineering, due to their unique structure and multifunctionality. This paper presents a comprehensive review of recent advancements in McKibben AMs, focusing on their performance, structural variations, and operational principles. A systematic literature search on Scopus identified 146 relevant articles, which were analysed for both performance metrics and design characteristics. Inspired by natural muscle behaviour, McKibben AMs enable complex motions such as bending, linear extension, and twisting. These actuators can be organised as individual or bundled systems: individual units are typically arranged in linear or circular patterns, while bundled systems occur in serial, parallel, braided, convergent, or pennate configurations. Recent innovations in smart actuation methods, braided sleeves and internal bladders have expanded their capabilities, enabling embedded sensing, environmental adaptability and untethered operation. Additionally, alternative manufacturing methods offer promising solutions for developing McKibben muscles with enhanced functionality and tailored properties.
19 May 2026
Read appraisal →