Khalida Azudin · Sensors 2023 · Integrative literature review · n=9 studies

The Principles of Hearable Photoplethysmography Analysis and Applications in Physiological Monitoring–A Review

Cited 19 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Integrative literature review of technical configurations and engineering studies without meta-analysis or clinical trial synthesis

OpenAlex W4384826601 · doi:10.3390/s23146484 · record verified 2026-08-26

What was done

Authors conducted an integrative literature search across IEEE, ScienceDirect, Scopus, Web of Science, and PubMed up to December 2022 to evaluate in-ear photoplethysmography (PPG) technology. The review evaluated PPG measurement principles, sensor configurations, waveform characteristics, and signal processing/feature extraction methods for physiological monitoring.

What was found

The search initially identified 14 studies, of which 9 were finalized for review. Eight studies focused on principles and sensor configurations, and eight addressed signal processing technology and feature extraction. The abstract reports no quantitative performance metrics, accuracy statistics, or effect estimates.

Why it matters

This review synthesizes the technical feasibility of using earbud-based PPG sensors to capture vital signs beyond oxygen saturation, such as pulse rate, respiration rate, and blood pressure, while outlining engineering hurdles.

Limits

The review synthesizes a very small body of evidence (only 9 included studies). The abstract provides no quantitative data, quality assessment, or evaluation of specific human clinical populations.

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