{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:48:33Z","timestamp":1787507313989,"version":"build-2736575974"},"reference-count":79,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T00:00:00Z","timestamp":1779580800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sensors"],"abstract":"<jats:p>Driver drowsiness detection has become an important application of sensor-based monitoring systems aimed at improving road safety. This review focuses on sensing technologies and physiological parameters used for real-time drowsiness detection in drivers. The surveyed approaches are categorized into physiological sensing methods, including electroencephalography (EEG), electrocardiography (ECG), galvanic skin response (GSR), and photoplethysmography (PPG), and mechanical sensing methods, including respiration rate, eye blinking, head movement, yawning, and steering wheel gripping force. Each method is analyzed from a sensor system perspective, considering signal acquisition principles, measurement location, and practical deployment constraints. In addition, the reviewed techniques are evaluated based on real-time capability, level of sensor attachment, cost, restriction of user movement, and suitability for standalone operation. The comparison highlights that mechanical sensing approaches provide non-invasive and cost-effective solutions; however, they are sensitive to environmental noise and behavioral variability. In contrast, physiological sensing methods offer more direct and earlier indicators of fatigue-related changes in biosignals, although they typically require wearable or contact-based sensors and more complex acquisition systems. The review further indicates that multimodal sensor fusion is increasingly being adopted to improve robustness and reliability in real-world driving conditions. Overall, this work provides a structured overview of sensing modalities and highlights key considerations for designing efficient, real-time driver monitoring systems.<\/jats:p>","DOI":"10.3390\/s26113333","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T01:45:08Z","timestamp":1779673508000},"page":"3333","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Sensing Technologies and Physiological Parameters for Real-Time Driver Drowsiness Detection: A Comprehensive Review"],"prefix":"10.3390","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0567-3880","authenticated-orcid":false,"given":"Lola","family":"El Sahmarany","sequence":"first","affiliation":[{"name":"Biomedical Engineering Department, College of Engineering, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31451, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2155-620X","authenticated-orcid":false,"given":"Maryam","family":"Alkhaldi","sequence":"additional","affiliation":[{"name":"Biomedical Engineering Department, College of Engineering, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31451, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8911-2161","authenticated-orcid":false,"given":"Saleh I.","family":"Alzahrani","sequence":"additional","affiliation":[{"name":"Biomedical Engineering Department, College of Engineering, Imam Abdulrahman Bin Faisal University, P.O. Box 1982, Dammam 31451, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"111","DOI":"10.31893\/multirev.2025111","article-title":"Different types of injury associated with road traffic accidents","volume":"8","author":"Jaulkar","year":"2025","journal-title":"Multidiscip. Rev."},{"key":"ref_2","unstructured":"World Health Organization (2021, December 04). Decade of Action for Road Safety 2021\u20132030. 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