A system and method for functioning organ assessment include a sensing enabled flexible device (102) having an optical fiber configured to sense induced strain continuously over a length of the flexible device. The flexible device includes a manipulation mechanism (105) configured to permit engagement with an interior wall of an organ over the length. An interpretation module (115) is configured to receive optical signals from the optical fiber between two phases of movement of the organ while the organ is functioning and to interpret the optical signals to quantify parameters associated with the functioning of the organ.