The prosthetic liner plays a significant role in the redistribution of the pressure between the stump and the socket, as it adding a cushioning layer between the stump and the socket which relieves pain and makes the prosthesis more comfortable. This study employed nonlinear finite element analyses to investigate the peak pressure and shear stress at stump–prosthetic interface in the case of multi-layer prosthetic foam liner, this liner having an inner polymeric foam layer Surrounded by another type of polymeric foam layer, we used three different types of foams in different order to define this liner (flexible polyurethane foam, polyurethane-shape memory polymer foam, and natural rubber latex foam). That’s allows comparing 6 deferent configuration of multi-layer prosthetic foam liner.
Body pressure dispersion mattresses are useful tools for preventing pressure ulcers in patients with limited mobility who experience prolonged body weight-related compression loads at their body contact areas over time. The objective of this study is to propose and optimize a multicell finite element (FE) model of foam mattress to prevent patients from developing pressure ulcers (bed sores), by improving the contact pressure distribution on the upper mattress surface and immersion in the mattress. The NSGA-II multi-objective genetic algorithm was used to predict different configurations of cell materials to provide a more comfortable sleep. Our mattress model contains many cells (50 × 50 × 50), each of which can contain one of the nine different foam firmnesses. The NSGA-II algorithm attempts to combine the properties of soft and firm foams into a single mattress. however, the complexity and intersection of the fitness function objectives and the high number of possible chances forced the optimal solutions set to extend into the area under the result of foams that have a compressive strength between soft and firm. Based on the overall optimization results, the standard deviation ranged from 0.00325 to 0.00175 MPa and the maximum mattress immersion ranged from 50 mm to less than 20 mm. Mattresses with optimal configurations disperse body pressure smoothly to fit the patient's body shape.
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