Flexible
and stretchable strain sensors are essential to developing smart wearable
devices for monitoring human activities. Such sensors have been extensively
exploited with various conductive materials and structures, which,
however, are normally in need of complex manufacturing processes and
confronted with the challenge to achieve both large stretchability
and high sensitivity. Here, we report a simple and low-cost optical
strategy for the design of stretchable strain sensors which are capable
of measuring large strains of 100% with a low detection limit (±0.09%),
a fast responsivity (<12 ms), and high reproducibility (over 6000
cycles). The optical strain sensor (OS2) is fabricated
by assembling plasmonic gold nanoparticles (GNPs) in stretchable elastomer-based
optical fibers, where a core/cladding structure with step-index configuration
is adopted for light confinement. The stretchable, GNP-incorporated
optical fiber shows strong localized surface plasmon resonance effects
that enable sensitive and reversible detection of strain deformations
with high linearity and negligible hysteresis. The unique mechanical
and sensing properties of the OS2 enable its assembling
into clothing or mounting on skin surfaces for monitoring various
human activities from physiological signals as subtle as wrist pulses
to large motions of joint bending and hand gestures. We further apply
the OS2 for quantitative analysis of motor disorders such
as Parkinson’s disease and demonstrate its compatibility in
strong electromagnetic interference environments during functional
magnetic resonance imaging, showing great promises for diagnostics
and assessments of motor neuron diseases in clinics.