Fatigue is a state characterized by both physical and mental exhaustion, resulting from prolonged activity, inadequate rest, or excessive cognitive demands. Physiological signals offer a valuable insight into the body’s internal state. Monitoring and interpreting these signals provide real-time information about an individual’s physical and mental condition, enabling early fatigue detection.
1. Introduction
Fatigue prevalent phenomenon spans various aspects of life, including professional, academic, and daily routines. Mental fatigue can be defined as reduced cognitive performance due to cognitive overload, resulting from task duration or workload, independent of sleepiness
[1]. The consequences of fatigue are significant, including impaired decision-making, an increased risk of accidents, and a general decline in well-being
[2][3][4][2,3,4]. Understanding the mechanisms of mental fatigue and developing effective strategies to manage and mitigate its effects are crucial for promoting health, safety, and peak performance in diverse professional settings.
Physiological signals offer a valuable insight into the body’s internal state. Monitoring and interpreting these signals provide real-time information about an individual’s physical and mental condition, enabling early fatigue detection
[5]. This capability is particularly relevant in mission-critical environments such as transportation
[6][7][6,7], healthcare
[8], and industrial settings
[9]. Consequently, the study of physiological signals for fatigue assessment is a rapidly advancing field, with far-reaching implications for human performance and well-being.
Despite the numerous approaches proposed for fatigue detection and monitoring, there is no universally accepted gold standard. Current non-invasive methods are primarily based on the following measuring principles: subjective measures, performance-related methods, and physiological signal-based methods.
Subjective Measures: Subjective measures involve self-reported fatigue assessment through questionnaires and scales
[10][11][10,11], but they are not suitable for online monitoring. Nevertheless, they offer valuable insights into the mental and emotional processes influencing task performance, serving as valuable benchmarks when comparing results with fatigue models.
Performance-Related Methods: Performance-related methods rely on the fact that an individual’s cognitive and motor performance in specific tasks reflects their fatigue level. These methods consist of conducting tests based on neuro-behavioral tasks to evaluate performance, with a focus on cognitive abilities (e.g., vigilance, reaction time, sustained attention)
[12]. Although performance-related methods are easily standardized, they are incapable of real-time fatigue detection for preventing the occurrence of potential incidents.
Physiological Signal-Based Methods: Physiological signal-based methods detect fatigue onset by monitoring subjects’ physiological responses, including brain activity, measured via electroencephalogram (EEG)
[13]; heart activity, measured via electrocardiogram (ECG)
[14]; and more recently, electrodermal activity (EDA)
[15]. Utilizing physiological signals as fatigue indicators allows objective real-time monitoring at the individual level.
These methods are often complemented by machine learning (ML) algorithms to classify outputs as indicative of different fatigue states
[16]. These algorithms “learn” meaningful information from physiological signals and/or task performance results to predict corresponding fatigue states. A primary limitation of these algorithms comes from the quality and quantity of the data required for training. In terms of data quality, machine learning models struggle to discern relevant information from noise. Instead, they try to identify the optimal statistical relationships between input data and target outputs. In terms of data quantity, depending on the specific ML algorithm, these models can be more or less data greedy, limiting their applicability in real-world scenarios where obtaining large volumes of physiological data may be challenging.
2. An Overview of the Existing Literature on Mental Fatigue Detection Using Physiological Signals
Numerous studies have demonstrated the relevance of EEG features in mental fatigue detection
[17][18][19][20][17,18,19,20]. However, EEGs are often time-consuming and susceptible to environmental electromagnetic interference, making them impractical for real-life environments. Consequently, this led to the exploration of alternative electric extracerebral measurements like ECG and EDA
[21].
ECG signals are widely used in estimating mental fatigue, with heart rate variability (HRV) being a key feature for detection
[22]. HRV reflects autonomic neural system (ANS) regulation, which alters during stress, fatigue, and drowsiness episodes. HRV is defined as the variation in time intervals between consecutive heartbeats and can be analyzed in both time and frequency domains
[23][24][25][23,24,25]. In the time domain, HRV features like the number of beats per minute, mean time interval between heart beats, and standard deviation in beat intervals are widely used. In the frequency domain, the ratio of low-frequency (LF) component (0.04–0.15 Hz) to high-frequency (HF) component (0.15–0.4 Hz) of HRV power spectrum describes the sympathovagal balance, serving as an important marker of cognitive fatigue. Various machine-learning-based fatigue detection approaches can be found in the literature that rely on these ECG features. For instance, ref.
[25] implemented a neural-network-based model to detect fatigue using HRV features. Ref.
[26] implemented a convolutional neural network (CNN), recurrent neural network, and long short-term memory (RNN-LSTM)-based models for fatigue detection using EEG and ECG signals along with physiognomic data.
EDA refers to changes in sweat gland activity that are reflective of the intensity of an individual’s emotional state, due to its close link to the sympathetic nervous system (SNS)
[27][28][29][27,28,29]. EDA manifests as continuous changes in skin electrical characteristics. Among the various aspects of EDA, skin conductance (SC) has been one of the most extensively researched. Commonly, the SC signal is deconstructed into two distinct components, namely the tonic and phasic components. The tonic component or skin conductance level (SCL) represents slower-acting aspects of the signal, including background characteristics. SCL variations indicate changes in autonomic arousal, though they can also be influenced by factors unrelated to the sympathetic nervous system, such as temperature fluctuations and physical exercise-induced perspiration. The phasic component or skin conductance response (SCR) overlays SCL and captures rapidly changing aspects of SC. SCR provides moment-to-moment arousal measurement, reflecting responses specific to stimuli or general orienting processes. EDA holds promise for quantifying human cognitive states and has potential real-world applications.
Recently, Zeng et al.
[30] developed a wearable non-invasive epidermal system for monitoring ECG, EDA, and respiration signals simultaneously. The main advantage of their system is that the device fabrication method is simple and provides a powerful strategy for further development of epidermal multi-functional sensors. In their research, the system’s potential was assessed by conducting a study to detect mental fatigue. This was achieved by utilizing the physiological signal data collected by their system and training machine learning algorithms, like support vector machine (SVM), K-nearest neighbors (KNN), and decision tree (DT), with these data. They used the following physiological signal features: mean heart rate, HRV standard deviation, number of SCR peaks, sum of SCR peak amplitude, sum of SCR peak duration, respiration rate. They achieved a maximum accuracy of 87% using the DT algorithm.