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ORIGINAL RESEARCH article

Front. Bioeng. Biotechnol., 21 August 2025

Sec. Nanobiotechnology

Volume 13 - 2025 | https://doi.org/10.3389/fbioe.2025.1639630

This article is part of the Research TopicAdvanced Biocompatible Piezoelectrics: Synthesis, Characterization, and ApplicationsView all 5 articles

Application of artificial muscle e-rubber for healthcare sensing: verification of measurement properties as a smart insole

Hidemasa Yoneda,
Hidemasa Yoneda1,2*Takashi YamagaTakashi Yamaga3Takeshi FujiwaraTakeshi Fujiwara4Yoko KomoriYoko Komori4Masatoshi ShimadaMasatoshi Shimada4Yuki KatoYuki Kato5Shintaro OyamaShintaro Oyama6Shingo ShimodaShingo Shimoda6Michiro YamamotoMichiro Yamamoto1Hitoshi HirataHitoshi Hirata6
  • 1Human Enhancement and Hand Surgery, Nagoya University, Nagoya, Japan
  • 2Orthopedic Surgery, Aichi Medical University, Nagakute, Japan
  • 3Orthopedic Surgery, Tsushima City Hospital, Tsushima, Japan
  • 4New Value Business, Toyoda Gosei Co., Ltd., Ama, Japan
  • 5Orthopedic Surgery, Chunichi Hospital, Nagoya, Japan
  • 6Graduate School of Medicine, Nagoya University, Nagoya, Japan

Electroactive polymer (EAP) artificial muscles are gaining attention in robotic control technologies. Among them, the development of self-sensing actuators that integrate sensing mechanisms within artificial muscles is highly anticipated. This study aimed to evaluate the accuracy and precision of the sensing capabilities of the e-Rubber (eR), an artificial muscle developed by Toyoda Gosei Co., Ltd., and to investigate its potential for healthcare sensing applications such as smart insoles. The objective was to transform the eR into a thin capacitor and estimate the applied load by sensing minute changes in the capacitance. The changes in the EAP dielectric constant, electrode area, and inter-electrode distance, all of which define the capacitance, are non-linear functions. The relationship with the external force also exhibits nonlinearity. To address this issue, we experimentally plotted the load and capacitance changes and derived a regression equation. We evaluated the sensing characteristics of both a stand-alone sensor and a sensor embedded in a smart insole, followed by a precision verification of the load estimation using the derived regression equation. Load–capacitance changes were measured up to 400 N at three conditions: 23 °C and 50% humidity, 40 °C and 50% humidity, and 40 °C and 80% humidity. For the standalone sensor, the coefficient of variation was less than 1.25% and the confidence interval was 0.25%, indicating high precision. However, for the sensor embedded within the insole housing, the coefficient of variation increased to less than 8%, and the confidence interval was 1.5%, likely owing to the influence of gaps within the insole structure. Regarding the load estimation equation, a 5th-order polynomial approximation (R2 >0.999) demonstrated the best fit, indicating that it is sufficiently accurate for healthcare sensing applications. Although capacitance-based sensors are increasingly being used in biomedical monitoring for pressure and load measurements owing to their durability and high sensitivity, their primary challenge lies in the nonlinearity of the sensing results. Although this challenge also exists for capacitance sensors utilizing artificial muscles, our study shows that developing a regression equation based on the experimental relationship between the load and capacitance changes can yield sufficient precision for practical healthcare applications.

1 Introduction

Artificial muscles that exhibit expansion, contraction, and other movements, just like biological muscles, have attracted significant attention in robotics control (Jing et al., 2023). Typical artificial muscles driven by electrical energy utilize electroactive polymers (EAPs), which are polymeric materials capable of changing their shapes and dimensions, sandwiched between electrodes. EAPs include dielectric elastomers, piezoelectric polymers, and adsorption films. When a voltage is applied to the electrodes, the EAP deforms, resulting in actuation (Maksimkin et al., 2022).

The e-rubber (eR) developed by Toyoda Gosei Co., Ltd. is an EAP-type artificial muscle that employs a dielectric elastomer. The eR is composed of multiple layers, including the EAP and electrodes. When current flows, the dielectric elastomer layer deforms and is converted into an actuator movement (video). To maintain elasticity while ensuring lightness, a dielectric elastomer was initially developed using slide-ring materials (Sapsford and Michieletto, 2025).

In the healthcare field, early intervention is crucial for preventing the progression of many conditions to severe stages. For example, osteoarthritis (OA) of the knee can be definitively diagnosed with radiography, but there are no established biomarkers for its detection in the early stages, except magnetic resonance imaging (MRI) (Li et al., 2023; Piccolo et al., 2023). However, it is known that gait abnormalities are present in the early phases of the disease (Duffell et al., 2014). Consequently, gait analysis may enable the detection of early pathological changes even before they are visible on radiographs (Wipperman et al., 2024).

In this context, smart insoles equipped with soft sensors have been widely reported, and the technology itself is not novel. Our goal, however, is to develop a smart insole specifically capable of early detection of degenerative diseases such as OA. To contribute effectively to preventive medicine in healthcare, we set two primary objectives: achieving a consumer-friendly price point of under $250 for widespread adoption and enabling preventive interventions using the insole. This contrasts sharply with high-end, high-precision systems such as Moticon OpenGo (Munich, Germany), Novel Pedar (Munich, Germany), and Tekscan F-Scan (Norwood, MA, United States), which are priced over $2,000, with some exceeding $10,000, making them prohibitive for widespread preventive use.

In addition to their role as actuators, artificial muscles can be utilized as sensors capable of detecting minute forces. This is achieved by treating the artificial muscle as a capacitor and leveraging the change in its capacitance owing to external forces (Jung et al., 2008). A recent trend in artificial muscle research is the development of “self-sensing actuators,” which combine actuation functionality with the ability to sense their activity. This approach mimics the spindles found in human muscles, enabling self-sensing of shape changes in the artificial muscle to control the actuator. This is expected to be applied to robot control using artificial intelligence (Gonzalez-Vazquez et al., 2023). By integrating a thin sensing actuator into a smart insole, we envision the possibility of not only sensing but also delivering interventions based on the sensor data. For instance, it could alert users to a high risk of falling by sending signals from the sole or enhance plantar sensation for patients with diabetes or peripheral neuropathy (Ahmad et al., 2024). Such plantar actuation could potentially promote active rehabilitation.

Therefore, we chose eR for our smart insole development, and we modified the eR into a thin sensor to monitor dynamic plantar pressure (Figure 1). The sensor was designed with a sandwich-like structure to mitigate capacitive noise from contact with the plantar skin or socks. Furthermore, a combination of two distinct materials was utilized to create a design that reduces hysteresis. To realize eR smart insole, several challenges must be addressed, including ensuring the accuracy and reliability of the sensing component, processing measurement data in real-time, and delivering appropriate actuation based on the results. As a first step, we must verify the accuracy and precision of the eR sensing capabilities. Because a thorough validation of eR for such precise healthcare applications has not been previously undertaken, this study aimed to perform this foundational evaluation. Consequently, this study aimed to evaluate the measurement accuracy of the sensor with the premise of its application as a plantar pressure sensor.

Figure 1
Image A shows a black, elongated device with a rounded top and two flat strips extending from the bottom, possibly a sensor or probe. Image B is a schematic cross-section diagram of layers within the device. It details components including an insulation layer, ground electrodes, base material layers, double-coated adhesive tape, dielectric layers, and a sensing electrode, each with specified thicknesses in micrometers.

Figure 1. (A) An eR sensor created by making artificial muscle thinner, and (B) its cross-sectional view.

2 Materials and methods

2.1 Structure of the eR sensor

The eR sensor is composed of two 0.5 mm thick urethane foam dielectric layers and three silver paste electrodes, resulting in a total thickness of 1.47 mm. The dielectric layers possess distinct densities and mechanical properties, a design that expands the measurable load range. Specifically, Dielectric Layer 1 has a density of 150 kg/m3, a compressive stress of 0.006 MPa at 25% strain, and a compression set of 1.0%, whereas Dielectric Layer 2 has a density of 240 kg/m3, a compressive stress of 0.022 MPa at 25% strain, and a compression set of 4.2%.

This configuration, utilizing dielectrics with different elastic moduli, facilitates stepwise deformation in the thickness direction. Consequently, compared to a single-dielectric sensor, the capacitance change does not saturate, enabling a detectable output over a wider input range (Zhu et al., 2022). Furthermore, the top and bottom electrodes are connected to 0V to serve as ground electrodes. These act as electrostatic shields to mitigate the influence of external noise.

2.2 eR sensing theory

The principle of the eR sensor is to estimate the external force by treating the eR as a parallel-plate capacitor and utilizing the change in capacitance. When the eR deforms owing to an external force, the electrode area A and the distance between the electrodes d change; consequently, the capacitance changes. The capacitance C stored in eR is defined by the following Equation 1:

C=εrε0Ad(1)

Where ϵr: relative permittivity of the elastomer, ϵ0: permittivity of vacuum, A: electrode area, d: distance between electrodes. ϵ0 = 8.854 × 10–12 F/m.

By measuring the change in capacitance (ΔC) before and after the application of an external force, the external force can be inversely calculated as Equation 2. C was defined by considering changes in each parameter.

ΔC=εr0+Δεrε0A0+ΔAd0+Δdεr0ε0A0d0(2)

The relative permittivity of dielectric elastomers is generally unaffected by external forces or changes in shape, with negligible variations observed (Zhao and Suo, 2010). The dielectric layer of e-rubber uses urethane foam, which consists of a bulk material and air bubbles with different relative permittivity (Figure 1). We hypothesize that while the relative permittivity of urethane foam remains largely unchanged at small strains, it changes under load as air bubbles collapse, causing the bulk material’s properties to become dominant (O'Neill et al., 2022).

The change in capacitance is defined by the change in the elastomer permittivity, electrode area, and distance between the electrodes. However, since the changes in Δd and A are not linear but rather non-linear functions, and because the elastomer’s permittivity ϵr changes due to density variations caused by stress and strain, the capacitance becomes a non-linear function.

Next, we examined the relationship between ΔC and the external force F. Assuming that the electrode area of eR and the relative permittivity of the elastomer does not change, the initial capacitance C0 and the capacitance C1 after loading are given by Equation 1 as Equations 3, 4:

C0=εrε0Ad0(3)
C1=εrε0Ad0Δd(4)

Thus, the change in capacitance ΔC is calculated by Equation 5:

ΔC=C1C0=εrε0A1d0Δd1d0(5)

When a normal load F is applied to an elastic dielectric (thickness d0, area A, Young’s modulus E), the change in thickness Δd is calculated with Equation 6:

Δd=Fd0EA(6)

Substituting (6) into (5), ΔC is calculated with Equation 7

ΔC=εrε0A·1d011FEA1=C011FEA1(7)

Therefore, the relationship between ΔC and F can be defined as a non-linear relationship. Furthermore, for small deformations where F≪EA, using the Maclaurin expansion, ΔC is approximated by Equation 8:

ΔCC0·FEA(8)

This indicates that, in the small-deformation region, where the external force is considerably small, the relationship between the load and capacitance can be defined as linear. However, as the external force increases, the electrode area of the eR, the relative permittivity of the elastomer change, and the structural hysteresis of the elastomer also have an effect. Consequently, the relationship between the change in capacitance and external force applied to eR may deviate from the results obtained using this equation. Therefore, we decided to plot the external force and capacitance changes experimentally and perform regression using curve fitting.

2.3 Measurement of load and capacitance change, and evaluation of sensor measurement characteristics from obtained results

The measurements were conducted inside a TX411N constant-temperature chamber (Kusumoto Chemicals, Ltd., Tokyo, Japan) with a force gauge (EMX-1000N, Imada, Toyohashi, Japan) installed to ensure constant humidity and temperature (Figure 2). A load was continuously applied to the sensor using a force gauge, and the change in capacitance was measured. Loads were applied from 0 to 400 N at a rate of 0.5 mm/s (Figure 3). Capacitance was measured using an LCR meter (IM 3536, Hioki EE Corp., Ueda, Japan) and a custom-developed program.

Figure 2
A laboratory instrument with a digital display reading

Figure 2. Load application test of the eR sensor using a force gauge installed within a constant temperature chamber. Capacitance was measured using an LCR meter placed externally.

Figure 3
A metallic setup features a circular metal component marked with an asterisk and a smaller, disc-shaped structure marked with a hashtag attached to a flat rectangular base. The assembly is part of a larger machine setup, with a perforated metal background and yellow tape securing the disc to the base.

Figure 3. Durability test conducted using a pusher attached to an air cylinder, installed within a constant temperature chamber; *: Pusher, #: eR sensor.

We used 30 eR samples and performed three measurements on each sample. Since EAP properties vary with temperature and humidity, measurements were taken under three conditions: Condition A (room temperature assumed: 23 °C, 50% humidity), Condition B (close to biological monitoring conditions: 40 °C, 50% humidity), and Condition C (close to conditions for clothes and shoes in a sweating state: 40 °C, 80% humidity).

Polymeric materials such as EAPs exhibit the Mullins effect, where the elasticity changes after repeated loading. In applications such as measuring pressure with insoles during walking or pinching movements of the fingers, repeated loading operations can potentially alter the measurement values. Therefore, as a durability test, we performed frequent pressure operations and measured the changes before and after the operation. The durability test setup included a constant-temperature chamber (SH-642, Espec Corp., Osaka, Japan) equipped with a pusher attached to an air cylinder (COQ2B40-40DZ, SMC, Tokyo, Japan), which was monitored using a load cell (LUR-2KNSA1, KYOWA Electronic Instruments, Chofu, Japan) (Figure 3). For the durability test, simulating actual walking, we applied 200,000 cycles of reciprocal loading from 0 to 100 N per second within a constant-temperature chamber at 40 °C and 80% humidity.

To evaluate the measurement characteristics of the eR sensor, we assessed its reliability and validity based on the Consensus-based Standards for the selection of health status Measurement Instruments (COSMIN) guideline (Mokkink et al., 2010). Reliability refers to the dispersion of sample values and its magnitude represents precision. Conversely, the closeness of the sample mean indicates that the population mean was calculated with accuracy. Because the sample values increase with external force, and consequently, the standard deviation also increases, we calculated them as coefficients of variation. Accuracy is the difference between the sample and population means, calculated using a 95% confidence interval.

To measure the measurement characteristics, we calculated the coefficient of variation and confidence interval for six conditions (Conditions A, B, and C before and after durability testing) based on the measurement values from all samples at load points of 50, 100, 150, 200, 300, and 400 N. We used t-distribution to calculate the 95% confidence interval, defining the confidence interval width as the ratio of the estimated population mean divided by the 95% confidence interval.

2.4 Hysteresis of dielectric layers

We investigated the hysteresis of the two dielectric layer materials used as Dielectric layers 1 and 2 (Figure 1) in the eR sensor, using a force gauge according to the procedure described in Section 2.3. The samples were 32 mm in diameter before compression. The tests were conducted at 20 °C and 45% relative humidity. Each sample was compressed from 0 N to 400 N over 12.3 s. We analyzed the relationships between nominal stress (load divided by sample area) and capacitance, and between nominal strain (deformation divided by initial thickness) and capacitance change, during both loading and unloading cycles.

To evaluate hysteresis, we calculated two metrics for each relationship: The first was the mean hysteresis error (%FS), defined as the average of the absolute differences in capacitance between the loading and unloading curves at a given input value, normalized by the full-scale output. The second was the normalized hysteresis loop area, obtained by integrating the area enclosed by the loading and unloading curves using the trapezoidal rule and dividing it by the product of the full-scale input and output ranges. These values provided quantitative measures of the reversibility and repeatability of the sensor response.

2.5 Insertion into insoles

We aimed to create a smart insole for measuring plantar pressure using eR and to verify the measurement accuracy of the sensor for this purpose. The planned smart insole consists of four sensors: one at the forefoot, one each on the medial and lateral sides of the midfoot, and one on the hindfoot (Figure 4A). As shown in the figure, the insole cross-sectional feature sensors were sandwiched between the Ethylene Vinyl Acetate (EVA) foam and polyurethane foam (Figure 4B). We created six smart insoles for measurement and performed three measurements for each insole.

Figure 4
Diagram labeled A and B. A: Illustration of an insole with eR sensors and a green component marked as a circuit board and battery. B: Cross-section showing an eR sensor placed between an upper cabinet and lower cabinet with a spacer.

Figure 4. Arrangement of eR sensors within the insole (A) and cross-sectional view (B).

2.6 Evaluation of load-capacitance change from insoles and measurement characteristics of insole-embedded sensors

The measurement characteristics of the sensors inserted into the insoles were evaluated, as described in Section 2.4. The measurement and durability testing equipment were the same as those described in section 2.3. The load application speed was 10 mm/min, with loads ranging from 0 to 400 N. To simulate the plantar pressure measurement, the force gauge indenter was made of POM resin and Si rubber, rather than the metal indenter used in the 2.2’s mold (Figure 5). The indenter was used to apply a load to the insole (Figure 5). For the load test, we similarly changed the indenter and applied 200,000 cycles of reciprocal loading from 0 to 230 N per second in a constant-temperature chamber at 40 °C and 80% humidity.

Figure 5
A close-up of a machine pressing a material with a black and yellow diamond pattern. A white roller with the symbol

Figure 5. Load application test on the insole installed within a constant temperature chamber. Using a pusher (#), the sensor part is pressed to measure the amount of applied pressure and the change in capacitance.

The 30 eRs were tested under load conditions similar to those described for the sensor in Section 2.3. For each sample, tests were conducted three times, both before and after load application, under Conditions A, B, and C.

2.7 Creation of regression equations for load-capacitance in insole-embedded sensors and verification of load estimation accuracy

We plotted the relationship between the obtained ΔC and the applied load, then calculated a polynomial to represent this relationship using curve fitting. The least squares method was used for the calculation, and Python’s NumPy polyfit and poly1d libraries were used for the computation. The candidate equations for curve fitting included a 5th-order polynomial, natural exponential functions, and integer-based exponential functions. Machine learning methods can be used as an alternative to curve fitting. Nevertheless, they were not considered due to the substantial processing burden they would impose on the insole’s circuitry. The accuracy of the curve fitting was evaluated using the coefficient of determination (R2) and the Root Mean Squared Error (RMSE).

2.8 Dynamic characteristics analysis of insole-embedded sensors

Using the system described in section 2.4, a dynamic characteristics analysis was conducted by applying continuous loads to the insole sensors to simulate walking. The loading cycles were set to simulate different walking speeds: a 2-s cycle for a slow walk (S), a 1-s cycle for a normal walk (N), and a 0.6-s cycle for a quick walk (Q). A load of 0–240 N was repeatedly applied 50 times for each condition (Figure 6). The initial 10 cycles of each loading session were excluded from the data, and the subsequent 40 cycles were used for the dynamic analysis. The capacitance of the insole was sampled every 20 ms. This loading procedure was performed under the three environmental conditions A through C, detailed in section 2.4. The same durability test as in section 2.4 was conducted to examine changes before and after the test. The investigated parameters were the difference between the loading interval and the detected waveform peak interval, and the signal drift rate. To assess whether the two groups were statistically equivalent, we conducted an equivalence test using the two one-sided test (TOST) procedure. The equivalence margin was pre-specified as 50% of the standard deviation. Equivalence was concluded if the 90% confidence interval of the mean difference fell entirely within the predefined margin, and both one-sided p-values were below 0.05. Analyses were performed using Python 3.12. The signal drift rate was calculated for all conditions from section 2. By dividing the difference in estimated load (derived from capacitance) before and after the durability test by the pre-test estimated load.

Figure 6
Graph showing three simulated load cycles over time. Registration has a 10-second load and 0.4-second unload. Simulation S: 1-second load and unload, repeated 50 times. Simulation N: 0.5-second load and unload, repeated 50 times. Simulation Q: 0.3-second load and unload, repeated 50 times. Each simulation spans 3 minutes, with a consistent 240N load.

Figure 6. Load application pattern in dynamic characteristics analysis. Initially, a single load is applied for 10 s, followed by a 3-min no-load period. Subsequently, to simulate a slow walk (Simulation S), a 2-s cycle (1-s load, 1-s no-load) is repeated 50 times. Next, to simulate a normal walk (Simulation N), a 1-s cycle (0.5-s load, 0.5-s no-load) is repeated 50 times. Finally, to simulate a quick walk (Simulation Q), a 0.6-s cycle (0.3-s load, 0.3-s no-load) is repeated 50 times. For the analysis of S, N, and Q, the last 40 of the 50 loading cycles are used.

3 Results

3.1 Load-capacitance relationship and measurement characteristics of the sensor unit alone

The relationship between the load value from the continuous pressure applied by the force gauge and the change in capacitance of the sensor unit alone showed a linear increase in the small deformation region up to 20 N under all conditions (A, B, and C). Beyond 20 N, it exhibits a non-linear monotonic increase, closely resembling a logarithmic curve (Figure 7). Although there were differences between individual samples, no variations were observed among the samples. After the durability test, a slight change in the capacitance output was observed; however, the shape of the curve remained consistent (Figure 7).

Figure 7
Three graphs compare capacitance change (ΔC) in picofarads (pF) versus load in newtons (N) under different conditions. The graphs are labeled: 23°C, 50% humidity; 40°C, 50% humidity; and 40°C, 80% humidity. Each graph shows curves for before and after durability tests, with the curves having a similar upward trend and converging at higher loads.

Figure 7. Capacitance-load curves for the standalone sensor.

The coefficients of variation and confidence interval widths for all samples at the specified loads are listed in Tables 13. The coefficient of variation was less than 1.25%, indicating that sample variability was within acceptable precision limits. Furthermore, the confidence interval width showed a slight increasing trend after durability testing, but was generally less than 0.25%, which was deemed acceptable in terms of accuracy.

Table 1
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Table 1. Measurement Characteristics of the Standalone Sensor Unit (23 °C, 50% humidity).

Table 2
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Table 2. Measurement Characteristics of the Standalone Sensor Unit (40 °C, 50% humidity).

Table 3
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Table 3. Measurement Characteristics of the Standalone Sensor Unit (40 °C, 80% humidity).

3.2 Evaluation of load-capacitance change and measurement characteristics of insole-embedded sensors

When comparing measurements from the sensor unit alone to those from sensors inserted into the insole casing, differences in the load-capacitance relationship were observed. Specifically, the sensors within the insole casing showed a gentler increase in the load-capacitance curve compared to the standalone sensor, which was influenced by the gaps within the insole casing (Figure 8).

Figure 8
Three graphs illustrate the change in capacitance (\( \Delta C \) in picofarads) versus load (N) under different conditions. Left graph: 23°C, 50% humidity. Middle graph: 40°C, 50% humidity. Right graph: 40°C, 80% humidity. Each graph shows two lines, in pink for before and blue for after a durability test, both showing similar upward curves.

Figure 8. Capacitance-load curves for the sensor within the insole casing.

The coefficients of variation and confidence interval widths at the specified loads are listed in Tables 46. The coefficient of variation was less than 8%, indicating that while the sample variability was greater than that of the standalone sensor, it was still considered within acceptable precision limits. The confidence interval width also showed a slight increasing trend after durability testing, but was generally less than 1.5%, which was deemed acceptable in terms of accuracy.

Table 4
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Table 4. Measurement Characteristics of Insole-Embedded Sensors (23 °C, 50% humidity).

Table 5
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Table 5. Measurement Characteristics of Insole-Embedded Sensors (40 °C, 50% humidity).

Table 6
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Table 6. Measurement Characteristics of Insole-Embedded Sensors (40 °C, 80% humidity).

3.3 Hysteresis of dielectric layers

For both dielectric layers, hysteresis curves were generated by plotting capacitance against nominal stress and nominal strain. These plots revealed a disparity between the loading and unloading paths, indicating the presence of hysteresis (Figure 9). The average hysteresis error with respect to both nominal stress and nominal strain was below 10% for both dielectric layer 1 and layer 2 (Table 7). Furthermore, the normalized hysteresis loop area for both layers was 0.1 or less. While this performance is not comparable to that of state-of-the-art sensors, it demonstrates a moderate level of precision.

Figure 9
Graph A shows nominal strain versus nominal stress in megapascals, and Graph B shows nominal strain and ΔCs in picofarads. Both graphs display red loading curves and blue unloading curves, illustrating the difference in behavior during loading and unloading phases.

Figure 9. Hysteresis of materials constituting two dielectric layers. (A) Material constituting Dielectric Layer-1, (B) Material constituting Dielectric Layer-2.

Table 7
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Table 7. Differences between pressure intervals and peak capacitance intervals of force gauges before and after durability testing in slow walking simulation.

3.4 Curve fitting of load-capacitance in insole-embedded sensors and verification of load estimation accuracy

The load-capacitance curve for the sensors embedded within the insole casing was regressed to a polynomial. A 5th-order polynomial, as shown Equation 9, was adopted:

LoadN=a·ΔC5+b·ΔC4+c·ΔC3+d·ΔC2+e·ΔC+f(9)

For example, the plot results obtained from a forefoot sensor in one casing are shown in Figure 7. From this result, the curve fitting yielded: a = 2.26 x 10−3, b = −9.67 x 10−2, c = 1.53, d = −10.4, e = 33.1, f = 1.34. The accuracy of the curve fitting was calculated as R2 = 0.998839 and RMSE = 3.687313 (N). We determined that the 5th-order polynomial provided a better fit for regression than a natural exponential approximation (R2 = 0.99856) or an integer-based exponential function (R2 = 0.99856), and thus adopted it.

The relationship between load and capacitance differs for each sensor. Therefore, we perform an individual calibration for each sensor embedded in the insole to determine the coefficients of Equation 9.

3.5 Results of dynamic characteristics analysis of insole-embedded sensors

The results for the detected pressure peak intervals are shown in Tables 810. No significant differences were observed in any of the conditions (p < 0.05). The signal drift rate ranged from 5% to 10%, varying with environmental and walking conditions, which suggests that correction may be necessary for long-term use (Table 11).

Table 8
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Table 8. Differences between pressure intervals and peak capacitance intervals of force gauges before and after durability testing in slow walking simulation.

Table 9
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Table 9. Differences between pressure intervals and peak capacitance intervals of force gauges before and after durability testing in normal walking simulation.

Table 10
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Table 10. Differences between pressure intervals and peak capacitance intervals of force gauges before and after durability testing in quick walking simulation.

Table 11
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Table 11. Signal drift rate calculated by comparing before and after endurance testing under various temperature and humidity conditions.

4 Discussion

Polymer actuators composed of EAP and metal composites have been developed as artificial muscles because they can deform and generate stress in response to external signals (Rus and Tolley, 2015). Compared with ion-driven EAPs, electric-field-driven EAPs, including eRs, require higher driving voltages but offer faster response times and capabilities for large deformations, making them highly suitable as actuators (Bar-Cohen, 2004). Moreover, if the eR is treated as a capacitor, leveraging the instantaneous nature of the capacitance changes within the EAP, it can be applied as a sensor to inversely calculate the applied external forces. Sensing is possible with a significantly smaller voltage application–far less than the power required for actuator actuation–if minute changes in capacitance can be detected (O’Brien et al., 2010).

Integrating both sensing and actuation functionalities into an artificial muscle can not only lighten the overall system and simplify wiring but also enable the construction of real-time feedback control loops based on the state of the actuator. This mimics the reflex loops of biological proprioception, allowing adaptive movements that emulate the human body’s reflex structures (Anderson et al., 2012; Rizzello, 2023; Prechtl et al., 2024). Intrinsic Self-Sensing, which utilizes the changes in the physical properties of EAP material’s physical properties (Prechtl et al., 2024). Although this method eliminates the need for additional components, it requires the separation of the actuation signal from the sensing signal. Currently, this has not yet been achieved with the eR, posing a future challenge.

Realizing artificial muscles with self-sensing actuation capabilities is a highly challenging endeavor. In light of this, we prioritized an initial validation of their accuracy specifically as soft sensors. When using EAP-type artificial muscles solely for sensing, the most significant difference compared to conventional pressure sensors is the non-linear relationship between the external force and capacitance, primarily because of the inherent nonlinearity between stress and strain in elastomers (Wissler and Mazza, 2007). In this study, using eR, we observed an approximately linear change up to 10 N, which corresponds to a strain region of less than 10% across all conditions. However, loads beyond this range exhibit a non-linear distribution. Therefore, we measured changes in ΔC with increasing external load to investigate the eR sensor’s measurement characteristics. The coefficient of variation remained below 2% and the confidence interval width was within 3%, indicating acceptable precision and accuracy. Even when the sensor was integrated into an insole casing, although the precision slightly decreased, both the precision and accuracy were judged to be within acceptable limits. We also confirmed that a 5th-order polynomial provided the most accurate regression for the load estimation. Because the approximation formula changes with variations in the elastomer temperature, humidity, and repeated loading, we conducted measurements under multiple humidity and temperature conditions, as well as before and after 200,000 durability cycles. The results showed that while a specific relationship equation needs to be established for each sensor and temperature/humidity condition, it is entirely feasible to inversely calculate the load values based on these relationships.

Compared with the standalone eR sensor, the eR sensor placed within the insole casing showed a different rising profile in its load-capacitance curve owing to the gaps present within the insole casing (Figures 7, 8). A fifth-order polynomial was found to be the best fit for the load estimation from the eR sensors embedded in the insole casing, a 5th-order polynomial was found to be the best fit. For the load-capacitance curve of the standalone sensor, while the initial increase was linear, the overall non-linear behavior remained unchanged. Similarly, when using a 5th-order polynomial for regression of the standalone sensor, oscillations were observed in the regression curve and actual values below 50 N owing to the Runge phenomenon, making this regression unsuitable for that range (Figure 10). Based on these characteristics of the regression curve, the minimum detectable load was set to 50 N. When applying eR as a capacitance sensor for other purposes, where the capacitance change behavior might differ, it will be necessary to perform curve regression based on the load and capacitance changes and to determine which curve regression equation provides the best fit. Load estimation using 5th-order polynomial regression is advantageous, as it involves only a continuous process of additions and multiplications with just six parameters. This allows for real-time computation within the insole’s circuitry. Compared to machine learning-based load estimation, this method is less prone to delays during the continuous processing required for walking analysis. Furthermore, the 5th-order polynomial regression approach has an extremely small memory footprint, contributing to reduced power consumption of the smart insole.

Figure 10
Panel A consists of two graphs. The first graph displays a standalone sensor's capacitance-load curve, showing a steep increase initially and then leveling off, with a regression curve closely following. The second graph, for an embedded sensor, demonstrates a similar pattern. Panel B depicts a graph comparing estimated loads for a standalone sensor and an insole embedded sensor, showing closely aligned linear trends with slight variations.

Figure 10. Differences in capacitance-load curve fitting between the standalone sensor and the insole-embedded sensor: The standalone sensor showed the Runge phenomenon during 5th-order polynomial regression (A,B), leading to a discrepancy between actual and estimated load (C).

A primary challenge in capacitive pressure sensors is managing the trade-off between high sensitivity and low hysteresis. Our design addresses this by employing a hybrid dielectric structure that pairs a soft elastomer for high sensitivity with a stiffer elastic layer to promote mechanical recovery and mitigate viscoelastic hysteresis. This multi-layer architecture not only reduces hysteresis but also extends the sensor’s dynamic range by suppressing capacitance saturation, an approach whose efficacy in improving sensor metrics is supported by the literature (Zhu et al., 2022; Kumar et al., 2023). The fabricated sensor demonstrated a hysteresis error of approximately 10% FS. While this value is higher than the sub-1% FS achieved in state-of-the-art devices (Huang et al., 2023), it is comparable to levels reported for other flexible sensors, such as the 10.3%FS error observed by Shalabi et al. (2022). Therefore, we contend that this performance represents an acceptable trade-off for applications that prioritize structural flexibility and a wide dynamic range over ultra-high precision, rendering the sensor well-suited for wearable systems aimed at the early detection of osteoarthritis by monitoring joint loading dynamics.

Over the past decade, several smart insoles have entered the market, spanning a wide price range from low to high (Table 12). This diversity is primarily due to differences in their sensor structures and intended applications. Lower-priced insoles are typically limited to specific applications, such as certain golf or running sports. Mid-to high-priced insoles, however, offer a wider range of applications, from gait analysis for research purposes to clinical use as medical devices. Common pressure sensors used in biological monitoring include piezoresistive, piezoelectric, and capacitive sensors (Hammock et al., 2013), and smart insoles utilizing the unique characteristics of each have been reported for plantar pressure measurement (Santos et al., 2024). For instance, F-Scan (Tekscan, US) uses piezoresistive sensors but is more suitable for short-term use owing to hysteresis issues (Zhang et al., 2023). In contrast, there is a growing trend towards smart insoles that adopt capacitive sensing, such as Moticon SCIENCE (Moticon ReGo, Germany) and Pedar (Novel, Germany) (Zhang et al., 2023). While capacitive sensors have drawbacks such as non-linear response and susceptibility to noise, they are suitable for long-term use owing to their low power consumption, high sensitivity, durability, and low susceptibility to hysteresis. Smart insoles using artificial muscles, such as eR, for capacitive sensing have not yet been reported. Because of the technical challenges, insoles using capacitive sensors are primarily found in the higher price range (Table 12). However, the eR Smart Insole is expected to be sold at a low to mid-price point thanks to the mass production of eR sensors and the efficiency improvements in its circuit structure.

Table 12
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Table 12. Summary of commercially available smart insole sensors, applications, validation, accuracy, circuit placement, and battery type.

Accuracy validation is rarely performed for low-priced insoles, leaving their measurement precision and accuracy questionable. While most mid-to high-priced insoles undergo accuracy validation, the methodologies vary among studies. Some compare multiple gait parameters with values obtained from motion capture or force plates using intraclass correlation coefficients, while others assess the reliability of obtained values using the coefficient of variation. This diversity in validation methods makes a straightforward comparison of accuracy between different smart insoles difficult. However, our findings indicate that the measurement characteristics of the eR as an insole sensor are not inferior to those of similar capacitive sensors, demonstrating its potential for application in healthcare devices (Tao et al., 2020; Ho et al., 2022; Luna-Perejón et al., 2023).

A limitation of this study is that the load values were not continuous. Furthermore, even if the stress applied to the elastomer is constant, the capacitance fluctuates over a period, making it impossible to completely exclude hysteresis effects, where slight capacitance changes occur depending on the measurement timing. In addition, because the sensing values changed after the durability test, periodic calibration was necessary. Another limitation of this study is that our investigation was restricted to only three temperature and humidity conditions. However, because the insole inside a shoe generally operates under conditions that approximate these, despite slight variations in temperature and humidity, we believe this does not pose a significant issue for measurement. An additional limitation of this sensing approach is the increased coefficient of variation in sensor readings caused by structural gaps within the insole. As a potential solution, we considered a simplified film-type structure in which foamed urethane is sandwiched between Polyethylene Terephthalate (PET) sheets to suppress such structural variability. However, this design poses concerns regarding long-term durability under external forces. This remains a structural issue that requires further investigation in future studies. Although the eR was developed as a sensing actuator, it currently cannot perform actuation and sensing simultaneously, which requires further improvement.

In conclusion, it has been demonstrated that the eR, originally developed as an actuator, can be effectively utilized as a sensor to inversely calculate the external forces applied to the body, particularly when used as a sensor within an insole casing, based on its characteristic capacitance change. Its accuracy and precision strongly support its potential for applications beyond smart insoles in healthcare fields that require dynamic monitoring, such as gait and finger movement analysis. Furthermore, eR has the potential to be integrated as a sensor in self-sensing artificial muscles.

Data availability statement

The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.

Author contributions

HY: Conceptualization, Data curation, Methodology, Software, Visualization, Writing – original draft, Writing – review and editing, Funding acquisition. TY: Conceptualization, Writing – review and editing, Funding acquisition, Investigation. TF: Writing – review and editing, Data curation, Investigation, Methodology, Supervision. YoK: Data curation, Investigation, Methodology, Visualization, Writing – original draft. MS: Data curation, Formal Analysis, Funding acquisition, Investigation, Methodology, Software, Supervision, Validation, Writing – review and editing. YuK: Writing – review and editing. SO: Writing – review and editing. SS: Supervision, Writing – review and editing. MY: Supervision, Writing – review and editing. HH: Supervision, Writing – review and editing.

Funding

The author(s) declare that financial support was received for the research and/or publication of this article. This work was supported by JSPS (Japan Society for the Promotion of Science) KAKENHI Grant Number 21H03288, 22K21205, and 24K14378.

Acknowledgments

The authors thank Daisuke Matsuda, Nozomu Uesugi, and Tomoyuki Tainaka for their technical assistance with the experiments. We also thank Koji Anada, Haruyasu Mizutani, and Katsuya Sugiyama for their expertise in the application of the e-rubber smart insoles.

Conflict of interest

Authors TF, YK, and MS were employed by New Value Business, Toyoda Gosei Co., Ltd.

The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Generative AI statement

The author(s) declare that no Generative AI was used in the creation of this manuscript.

Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.

Publisher’s note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Supplementary material

The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fbioe.2025.1639630/full#supplementary-material

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Keywords: e-rubber, artificial muscle, capacitance sensor, dielectric elastomer, smart insole, sensing for healthcare

Citation: Yoneda H, Yamaga T, Fujiwara T, Komori Y, Shimada M, Kato Y, Oyama S, Shimoda S, Yamamoto M and Hirata H (2025) Application of artificial muscle e-rubber for healthcare sensing: verification of measurement properties as a smart insole. Front. Bioeng. Biotechnol. 13:1639630. doi: 10.3389/fbioe.2025.1639630

Received: 02 June 2025; Accepted: 07 August 2025;
Published: 21 August 2025.

Edited by:

Pavel Zelenovskii, University of Aveiro, Portugal

Reviewed by:

Jürgen Maas, Technical University of Berlin, Germany
Aman Khurana, Indian Institute of Technology Indore, India

Copyright © 2025 Yoneda, Yamaga, Fujiwara, Komori, Shimada, Kato, Oyama, Shimoda, Yamamoto and Hirata. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Hidemasa Yoneda, eW9uZWRhLmhpZGVtYXNhLnM3QGYubWFpbC5uYWdveWEtdS5hYy5qcA==

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.