Despite their significant contribution to wearable electronic applications, conductive textiles face practical performance limitations due to the intrinsically insulating nature of textile fibers and the poor durability, adhesion, and low conductivity of traditional conductive polymer coatings. Materials like PEDOT: PSS, polypyrrole, graphene, and metal nanoparticles, all of which coat fibrous substrates non-uniformly, resulting in poor charge transport and high contact resistance. Unfortunately, these failures lead to rapid degradation in terms of either shortening the service life of electrical performance under mechanical deformation, washing, or long-term use. It limits their integration in reliable sensors, energy-harvesting devices, and health monitoring systems. This review demonstrates how cold plasma techniques are used to address such persistent drawbacks. Plasma-induced functional groups enhance the surface energy and introduce nanoscale roughness to provide strong adhesion interface with coatings while producing improved interfacial bonding. Thus, conductive polymers, MXenes, and metal-polymer nanocomposite coatings through plasma-assisted deposition exhibit comparatively less electrical resistance with superior mechanical properties, retaining the flexibility and breathability of the fabric. Additionally, the plasma-enabled coatings confer multifunctional properties such as antibacterial, photothermal, and stable bio signals in sensing. The review finally identifies future challenges-enhanced scalability, long-term electrical stability under extreme conditions, and a sustainable process-while highlighting emerging opportunities associated with plasma-engineered textiles for next-generation smart wearables.
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