Study of the relationships between articular moments, comfort and human posture on a chair.

BACKGROUND: One of the aspects that influences the sitting comfort is the distribution of the pressure applied to the skin by the seat surface. In the scientific literature, many studies show experimental activities in order to evaluate the influence of pressure distribution at the seat-human interface on the comfort evaluation. The main limitation in seat design is based on the difficulties to predict the contact pressures distribution without prototypes because of the complex interaction among body muscles, wearing, human's anthropometric characteristics, shape and materials of the seat. Moreover, the same human can assume different postures on the same seat, and different people, seated on the same chair, can assume different postures even if they have the same anthropometric percentile. OBJECTIVE: The aim of this study is to propose a mathematical model evaluating interaction loads between human segments and seat segments. METHOD: In this model, a human body represented by 8 segments is placed on a 6 segments seat with posture dependent on seat segments and on position of the coccyx on seat and feet on floor. Human segments can be configured in length and weight and friction between body and seat is considered. A model validation study based on an experimental comparison with contact pressures is also presented. RESULTS: The experiment showed that there is a remarkable recursion of some stress values of the articular joints of the pelvis, hip and knee. By imposing these values in the calculation model, it is possible to determine, for each chair configuration, which postures will be assumed by a person, and to make a preliminary assessment of the level of comfort possible.

Comfort driven design of innovative products: A personalized mattress case study.

BACKGROUND: Human-centred design asks for wellbeing and comfort of the customer/worker when interacting with a product. Having a good perception-model and an objective method to evaluate the experienced (dis)comfort by the product user is needed for performing a preventive comfort evaluation as early as possible in the product development plan. The mattress of a bed is a typical product whose relevance in everyday life of people is under-evaluated. Fortunately, this behaviour is quickly changing, and the customer wants to understand the product he/she buys and asks for more comfortable and for scientifically assessed products. No guidelines for designing a personalized mattress are available in the literature. OBJECTIVES: This study deals with the experience of designing an innovative product whose product-development-plan is focused on the customer perceived comfort: a personalized mattress. The research question is: which method can be used to innovate or create a comfort-driven human-centred product? METHODS: Virtual prototyping was used to develop a correlated numerical model of the mattress. A comfort model for preventively assessing the perceived comfort was proposed and experimentally tested. Mattress testing sessions with subjects were organized, and collected data were compared with already tested mattresses. Brainstorming and multi-expert methods were used to propose, realize, and test an archetype of a new mattress for final comfort assessment. RESULTS: A new reconfigurable mattress was developed, resulting in two patents. The mattress design shows that personalized products can be tuned according to the anthropometric data of the customer in order to improve the comfort experience during sleep. CONCLUSIONS: A "comfort-driven design guideline" was proposed; this method has been based on the use of virtual prototyping, virtual optimization and physical prototyping and testing. It allowed to improve an existing product in a better way and to bring innovation in it.

Novel design for a customized, 3D-printed surgical template for thoracic spinal arthrodesis.

BACKGROUND: The integration of computer-aided design/computer-aided manufacturing (CAD/CAM) tools and medicine is rapidly developing for designing medical devices. A novel design for a 3D-printed patient-specific surgical template for thoracic pedicle screw insertion, using a procedure based on reverse engineering, is presented. METHODS: The surgeon chooses the entry point on the vertebra. The optimal insertion direction and the size of the screws are defined via an algorithm on the basis of a patient-specific vertebra CAD model. The template features an innovative shape for a comfortable and univocal placement and a novel disengaging device. RESULTS: Three spinal fusions were performed to test the template. Excellent results were achieved in terms of the accuracy of the screw positioning, reduction in surgery duration, and number of X-rays. CONCLUSIONS: A novel design for a customized, 3D-printed surgical template for thoracic spinal arthrodesis was presented, and improvements in terms of precision, duration, and safety were achieved without changing the standard procedure.

A study of classroom seat (dis)comfort: Relationships between body movements, center of pressure on the seat, and lower limbs' sensations.

The aim of this work is to define a new method that helps researchers to analyze perceptions of (dis)comfort in dynamic conditions. Recent studies pay considerable attention to body movements, mobility, and stability to measure comfort or discomfort when seated. Most of these discuss the relations between subjective comfort/discomfort and objective measurements (e.g. body pressure distribution, body movement and EMG) for short- and medium-term sitting. The present analysis took place in a classroom of the Industrial Engineering Department at the University of Salerno. The participants included 25 students (12 females and 13 males), who were observed during classroom hours. The students were invited to sit at a combo-desk and were free to perform different combinations of movements while writing and listening. These activities required that they adapt their body movements, as the combo-desk was fixed to the floor. A pressure pad was used to detect pressure at interface and center of pressure's changes, allowing for the bodies' motion data to be recorded. The aim was to identify the correct threshold to be used for movement detection and to investigate correlations between the number of movements and the perceived (dis)comfort. The study also identifies those body parts that have the greatest effect on (dis)comfort perception.

Irregular Load Adapted Scaffold Optimization: A Computational Framework Based on Mechanobiological Criteria.

By combining load adaptive algorithms with mechanobiological algorithms, a computational framework was developed to design and optimize the microarchitecture of irregular load adapted scaffolds for bone tissue engineering. Skeletonized cancellous bone-inspired lattice structures were built including linear fibers oriented along the internal flux of forces induced by the hypothesized boundary conditions. These structures were then converted into solid finite element models, which were optimized with mechanobiology-based optimization algorithms. The design variable was the diameter of the beams included in the scaffold, while the design objective was the maximization of the fraction of the scaffold volume predicted to be occupied by neo-formed bony tissue. The performance of the designed irregular scaffolds, intended as the capability to favor the formation of bone, was compared with that of the regular ones based on different unit cell geometries. Three different boundary and loading conditions were hypothesized, and for all of them, it was found that the irregular load adapted scaffolds perform better than the regular ones. Interestingly, the numerical predictions of the proposed framework are consistent with the results of experimental studies reported in the literature. The proposed framework appears to be a powerful tool that can be utilized to design high-performance irregular load adapted scaffolds capable of bearing complex load distributions.

3D Printing of PLA/clay Nanocomposites: Influence of Printing Temperature on Printed Samples Properties.

In this study, the possibility of using a layered silicate-reinforced polylactic acid (PLA) in additive manufacturing applications was investigated. In particular, the aim of this work was to study the influence of printing temperature in the 3D printing process of PLA/clay nanocomposites. For this reason, two PLA grades (4032D and 2003D, D-isomer content 1.5 and 4, respectively) were melt-compounded by a twin screw extruder with a layered silicate (Cloisite 30B) at 4 wt %. Then, PLA and PLA/clay feedstock filaments (diameter 1.75 mm) were produced using a single screw extruder. Dog-bone and prismatic specimens were 3D printed using the FDM technique at three different temperatures, which were progressively increased from melting temperature (185⁻200⁻215 °C for PLA 4032D and 165⁻180⁻195 °C for PLA 2003D). PLA and PLA/clay specimens were characterized using thermogravimetric analysis (TGA), dynamic mechanical analysis (DMA), differential scanning calorimetry (DSC), and tensile tests. Moreover, the morphology of the 3D printed specimens was investigated using optical microscopy and contact angle measurements. The different polymer matrix and the resulting nanocomposite morphology strongly influenced 3D printed specimen properties. DMA on PLA/clay filaments reported an increase in storage modulus both at ambient temperature and above the glass transition temperature in comparison to neat PLA filaments. Furthermore, the presence of nanoclay increased thermal stability, as demonstrated by TGA, and acted as a nucleating agent, as observed from the DSC measurements. Finally, for 3D printed samples, when increasing printing temperature, a different behavior was observed for the two PLA grades and their nanocomposites. In particular, 3D printed nanocomposite samples exhibited higher elastic modulus than neat PLA specimens, but for PLA 4032D+C30B, elastic modulus increased at increasing printing temperature while for PLA 2003D+C30B slightly decreased. Such different behavior can be explained considering the different polymer macromolecular structure and the different nanocomposite morphology (exfoliated in PLA 4032D matrix and intercalated in PLA 2003D matrix).

An automatic and patient-specific algorithm to design the optimal insertion direction of pedicle screws for spine surgery templates.

Many diseases of the spine require surgical treatments that are currently performed based on the experience of the surgeon. For pedicle arthrodesis surgery, two critical factors must be addressed: Screws must be applied correctly and exposure to harmful radiation must be avoided. The incorrect positioning of the screws may cause operating failures that lead to subsequent reoperations, an increase in the overall duration of surgery and, therefore, more harmful, real-time X-ray checks. In this paper, the authors solve these problems by developing a method to realize a customized surgical template that acts as a drilling template. The template has two cylindrical guides that follow a correct trajectory previously calculated by means of an automatic algorithm generated on the basis of a vertebra CAD model for a specific patient. The surgeon sets the template (drilling guides) on the patient's vertebra and safely applies the screws. Three surgical interventions for spinal stabilization have been performed using the template. These have had excellent results with regard to the accuracy of the screw positioning, reduction of the overall duration of the intervention, and reduction of the number of times the patient was exposed to X-rays.