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Research Article | Open Access

A Large‐Area, Stretchable Accelerometer Array for Spatial Assessment of Chest Compressions in Cardiopulmonary Resuscitation

Tianrun Xu1,2Jin Ji1Chongyuan Huang1Yiming Chen3Peng Zhao3 Jizhou Song1,2 ( )
Key Laboratory of Soft Machines and Smart Devices of Zhejiang Province, State Key Laboratory of Brain‐Machine Intelligence, Department of Engineering Mechanics, Zhejiang University, Hangzhou, China
Department of Rehabilitation Medicine, The First Affiliated Hospital, Zhejiang University, Hangzhou, China
State Key Laboratory of Fluid Power and Mechatronic Systems, Zhejiang University, Hangzhou, China
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Abstract

High‐quality chest compressions are vital for successful cardiopulmonary resuscitation (CPR). Existing manual and mechanical compression methods suffer from unstable quality, lack of real‐time feedback, and insufficient personalized adjustment. Here, we report a large‐area, stretchable accelerometer array with the capability to monitor multi‐point compression depth across the chest and achieve the cross‐sectional chest contour at the peak compression. The proposed accelerometer array features stretchable discrete stiff island design and exhibits good mechanical adaptability to enable conformal contact with the chest region. A chest compression depth estimation algorithm based on triaxial acceleration data is developed to predict the compression depth. Moreover, a peak‐averaging‐based contour construction method is proposed to construct the deformed chest contour. The predicted compression depth and chest contour agree well with experimental measurements in both simple hollow semi‐cylinder and complex adult manikin systems, demonstrating that the accelerometer array exhibits high spatiotemporal resolution in multi‐point chest compression monitoring and dynamic tracking of thoracic deformation patterns. These results offer high spatiotemporal resolution for multi‐point deformation tracking, providing key technical support for advancing the CPR feedback technologies.

Graphical Abstract

A large‐area stretchable accelerometer array enables multi‐point monitoring of chest compression depth and thoracic contour reconstruction during CPR, offering high spatiotemporal resolution for dynamic deformation tracking and providing a new pathway toward intelligent, feedback‐based resuscitation systems.

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Cite this article:
Xu T, Ji J, Huang C, et al. A Large‐Area, Stretchable Accelerometer Array for Spatial Assessment of Chest Compressions in Cardiopulmonary Resuscitation. FlexTech, 2026, 2(1): 4-13. https://doi.org/10.1002/fle2.70009

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Received: 01 November 2025
Revised: 17 December 2025
Accepted: 21 December 2025
Published: 09 January 2026
© 2026 The Author(s).

This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.