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Shi Y, Liu R, Ye C. Personalized compression therapeutic textiles: digital design, development, and biomechanical evaluation. Front Bioeng Biotechnol 2024; 12:1405576. [PMID: 38988869 PMCID: PMC11233689 DOI: 10.3389/fbioe.2024.1405576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2024] [Accepted: 05/23/2024] [Indexed: 07/12/2024] Open
Abstract
Physical-based external compression medical modalities could provide sustainable interfacial pressure dosages for daily healthcare prophylaxis and clinic treatment of chronic venous disease (CVD). However, conventional ready-made compression therapeutic textiles (CTs) with improper morphologies and ill-fitting of pressure exertions frequently limit patient compliance in practical application. Therefore, the present study fabricated the personalized CTs for various subjects through the proposed comprehensive manufacturing system. The individual geometric dimensions and morphologic profiles of lower extremities were characterized according to three-dimensional (3D) body scanning and reverse engineering technologies. Through body anthropometric analysis and pressure optimization, the knitting yarn and machinery variables were determined as the digital design strategies for 3D seamless fabrication of CTs. Next, to visually simulate the generated pressure mappings of developed CTs, the subject-specific 3D finite element (FE) CT-leg modelings with high accuracy and acceptability (pressure prediction error ratio: 11.00% ± 7.78%) were established based on the constructed lower limb models and determined tissue stiffness. Moreover, through the actual in vivo trials, the prepared customized CTs efficiently (Sig. <0.05; ρ = 0.97) distributed the expected pressure requirements referring to the prescribed compression magnitudes (pressure error ratio: 10.08% ± 7.75%). Furthermore, the movement abilities and comfortable perceptions were evaluated subjectively for the ergonomic wearing comfort (EWC) assessments. Thus, this study promotes the precise pressure management and clinical efficacy for targeted users and leads an operable development approach for related medical biomaterials in compression therapy.
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Affiliation(s)
- Yu Shi
- School of Fashion and Textiles, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
- Laboratory for Artificial Intelligence in Design, Hong Kong, Hong Kong SAR, China
| | - Rong Liu
- School of Fashion and Textiles, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
- Laboratory for Artificial Intelligence in Design, Hong Kong, Hong Kong SAR, China
| | - Chongyang Ye
- School of Fashion and Textiles, The Hong Kong Polytechnic University, Hong Kong, Hong Kong SAR, China
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Shi Y, Liu R, Lv J, Ye C. Biomedical therapeutic compression textiles: Physical-mechanical property analysis to precise pressure management. J Mech Behav Biomed Mater 2024; 151:106392. [PMID: 38228035 DOI: 10.1016/j.jmbbm.2024.106392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Revised: 01/07/2024] [Accepted: 01/07/2024] [Indexed: 01/18/2024]
Abstract
Biomedical therapeutic compression textiles (TCTs) have been extensively applied in the prevention and treatment of chronic venous insufficiency of lower extremities. An efficiency and operable development strategy to achieve the morphologic control and pressure fitness of TCTs needs to be proposed to improve the medical precision and patient adherence. Therefore, the present study qualitatively explored the influencing mechanisms of each knitting variable on physical-mechanical properties and pressure behaviors of TCTs. Then constructed the quantitative models to digitalize the knitting variables for determination of yarn-machinery setting design values. The results revealed that the feeding velocity of elastic inlay yarn materials and loop size settings impacted the pressure values owing to the diversities of fabric dimensions and mechanical tensile properties, respectively. Simultaneously, the derivation ratios of proposed circumferential and pressure models evaluated by experimental validated trials were approximately 1.1% and 10.8%, respectively. This study provided the fundamental references for the design, manufacturing, and property controlling of compression textiles to improve the biomedical therapeutic effectiveness for targeted users.
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Affiliation(s)
- Yu Shi
- School of Fashion and Textiles, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong Special Administrative Region (SAR), China; Laboratory for Artificial Intelligence in Design, Hong Kong Science Park, New Territories, Hong Kong SAR, China
| | - Rong Liu
- School of Fashion and Textiles, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong Special Administrative Region (SAR), China; Laboratory for Artificial Intelligence in Design, Hong Kong Science Park, New Territories, Hong Kong SAR, China.
| | - Jingyun Lv
- School of Fundamental Education, Beijing Polytechnic College, Beijing, China
| | - Chongyang Ye
- School of Fashion and Textiles, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong Special Administrative Region (SAR), China
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Shi Y, Ye C, Liu R. A novel optimization approach for bio-design of therapeutic compression stockings with pressure fit. Comput Biol Med 2024; 168:107768. [PMID: 38056207 DOI: 10.1016/j.compbiomed.2023.107768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 10/24/2023] [Accepted: 11/26/2023] [Indexed: 12/08/2023]
Abstract
For physical-based compression therapeutic modalities, especially compression stockings (CSs), their pressure performances are necessarily evaluated by the standardized cylinder leg mannequins before biological applications. However, the insufficient pressure supply caused by morphological shape diversities between circular leg mannequins and irregular bio-bodies limits the clinical effectiveness and user compliance of CSs. Therefore, an operable and efficiency approach for optimization bio-design and digital development of CSs with enhanced compression performances needs to be proposed. The present study has adopted three-dimensional (3D) body scanning and reverse engineering technologies for lower limb cross-sectional geometric characterization and morphological classification. The irregularity of biological leg circumferential slices was determined and clustered as four levels relating to individual curvature variations. Sequentially, a new pressure prediction model was constructed through characterized geometric variations for bio-based bodies, then its acceptability was validated with good agreement by wearing trials (mean prediction accuracy was 2.53 ± 0.52 mmHg). Thus, the digital pressure reshaped development guidance was obtained based on the classified irregular levels and established pressure prediction models. Consequently, this study provides a novel reliable optimization bio-design solution for manufacturing of therapeutic compression textiles and facilitates the medical efficacy and precision of compression therapy in practical use.
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Affiliation(s)
- Yu Shi
- School of Fashion and Textiles, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong Special Administrative Region (SAR); Laboratory for Artificial Intelligence in Design, Hong Kong Science Park, New Territories, Hong Kong Special Administrative Region (SAR)
| | - Chongyang Ye
- School of Fashion and Textiles, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong Special Administrative Region (SAR)
| | - Rong Liu
- School of Fashion and Textiles, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong Special Administrative Region (SAR); Laboratory for Artificial Intelligence in Design, Hong Kong Science Park, New Territories, Hong Kong Special Administrative Region (SAR).
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Buset CS, Gujan M, Richter C, Mosti G, Tanadini M, Hafner J. Stiffness of a Novel Two Layer Compression Stocking with 100% Donning and Doffing Success. Eur J Vasc Endovasc Surg 2023; 66:140-141. [PMID: 36967015 DOI: 10.1016/j.ejvs.2023.03.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 03/07/2023] [Accepted: 03/22/2023] [Indexed: 06/17/2023]
Affiliation(s)
- Caroline S Buset
- Department of Dermatology, University Hospital of Zurich, Zurich, Switzerland
| | - Mena Gujan
- Department of Dermatology, University Hospital of Zurich, Zurich, Switzerland
| | - Clara Richter
- Department of Dermatology, University Hospital of Zurich, Zurich, Switzerland
| | | | - Matteo Tanadini
- Zurich Data Scientists, c/o Impact Hub Zürich AG, Zurich, Switzerland
| | - Jürg Hafner
- Department of Dermatology, University Hospital of Zurich, Zurich, Switzerland.
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Compression for Lower Extremity Venous Disease and Lymphedema (CLEVDAL): Update of the VLU Algorithm. J Wound Ostomy Continence Nurs 2022; 49:331-346. [PMID: 35809009 DOI: 10.1097/won.0000000000000889] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Abstract
The Wound, Ostomy and Continence Nurses (WOCN) Society charged a task force with updating the venous leg ulcer (VLU) algorithm to include the addition of lymphedema with the new title of "Compression for Lower Extremity Venous Disease and Lymphedema (CLEVDAL)." As part of the process, the task force was charged to develop consensus-based statements to serve as clinical guidance related to CLEVDAL. The 3-member task force assisted by a moderator completed a scoping literature review to identify recommendations supported by research to qualify as evidence-based and to identify areas where guidance is needed to provide CLEVDAL. Based on the findings of the scoping review, the WOCN Society convened a panel of experts to develop consensus statements to direct care for those with lower extremity venous disease and lymphedema. These consensus statements underwent a second round of content validation with a different panel of clinicians with expertise in venous disease and lymphedema management. This article reports on the scoping review and subsequent evidence-based statements, along with the generation and validation of consensus-based statements to assist clinical decision-making in the CLEVDAL algorithm.
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Abstract
Chronic venous insufficiency is an extensive progressive disease in need of public health attention. This insidious disease is a growing burden on patient quality of life and the health economy. Chronic venous insufficiency has become more pronounced in global populations, especially in regions exhibiting a higher rate of risk factors. It is critical for healthcare providers to recognise and intervene early to prevent ongoing and debilitating complications. This article provides a comprehensive review of chronic venous insufficiency outlining the anatomy, pathophysiology, clinical presentation, assessment and management options.
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Affiliation(s)
- Julian Azar
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, US
| | - Amit Rao
- Comprehensive Wound Healing & Hyperbarics Center, Northwell Health, Lake Success, NY US
| | - Alisha Oropallo
- Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, US.,Comprehensive Wound Healing & Hyperbarics Center, Northwell Health, Lake Success, NY US
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De Maeseneer MG, Kakkos SK, Aherne T, Baekgaard N, Black S, Blomgren L, Giannoukas A, Gohel M, de Graaf R, Hamel-Desnos C, Jawien A, Jaworucka-Kaczorowska A, Lattimer CR, Mosti G, Noppeney T, van Rijn MJ, Stansby G, Esvs Guidelines Committee, Kolh P, Bastos Goncalves F, Chakfé N, Coscas R, de Borst GJ, Dias NV, Hinchliffe RJ, Koncar IB, Lindholt JS, Trimarchi S, Tulamo R, Twine CP, Vermassen F, Wanhainen A, Document Reviewers, Björck M, Labropoulos N, Lurie F, Mansilha A, Nyamekye IK, Ramirez Ortega M, Ulloa JH, Urbanek T, van Rij AM, Vuylsteke ME. Editor's Choice - European Society for Vascular Surgery (ESVS) 2022 Clinical Practice Guidelines on the Management of Chronic Venous Disease of the Lower Limbs. Eur J Vasc Endovasc Surg 2022; 63:184-267. [PMID: 35027279 DOI: 10.1016/j.ejvs.2021.12.024] [Citation(s) in RCA: 221] [Impact Index Per Article: 110.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2021] [Accepted: 11/12/2021] [Indexed: 01/12/2023]
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Kakkos SK, Moulakakis KG. Doctor, the Stockings You Prescribed Are Too Tight and I Cannot Put Them On! Eur J Vasc Endovasc Surg 2020; 61:145. [PMID: 33223284 DOI: 10.1016/j.ejvs.2020.10.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2020] [Accepted: 10/22/2020] [Indexed: 11/24/2022]
Affiliation(s)
- Stavros K Kakkos
- Department of Vascular Surgery, University of Patras Medical School, Patras, Greece.
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