In this contribution, a first prototype for mobile respiratory motion detection using optical fibers embedded into textiles is presented. The developed system consists of a T-shirt with an integrated fiber sensor and a portable monitoring unit with a wireless communication link enabling the data analysis and visualization on a PC. A great effort is done worldwide to develop mobile solutions for health monitoring of vital signs for patients needing continuous medical care. Wearable, comfortable and smart textiles incorporating sensors are good approaches to solve this problem. In most of the cases, electrical sensors are integrated, showing significant limits such as for the monitoring of anaesthetized patients during Magnetic Resonance Imaging (MRI). OFSETH (Optical Fibre Embedded into technical Textile for Healthcare) uses optical sensor technologies to extend the current capabilities of medical technical textiles.