Abstract
Develop an anthropomorphic model cushion rigid loading indenter with embedded sensors (AMCRLI-ES) to assess compression and shear forces at key locations such as trochanters and ischial tuberosities. The sensor design was optimized using finite element analysis. The AMCRLI-ES was designed with the same dimensions as specified in ISO 16840–2 tests. The AMCRLI-ES is divided into eight independent sections, and each section consists of one 3-axis load cell sensor to measure compression and shear forces normal to the compression direction. Six commercial cushions were tested using the AMCRLI-ES with standard ISO 16840–2 testing procedures. Statistical differences were found for energy dissipation between cushions. Statistical differences (p < 0.001) were found in all stiffness values. Test results showed that energy dissipation (ED) was correlated with hysteresis at 500 N with moderate to high Pearson product correlation r = -0.537, p = 0.022. The hysteresis at 250 N did not show a statistical correlation with ED. The AMCRLI-ES demonstrated the ability to measure compression and shear forces at key locations on the cushion including the thigh, trochanter, ischial tuberosity, and sacral area. It provides in-depth information about how the weight was distributed on the cushions.
Graphical abstract
Similar content being viewed by others
References
DiGiovine CP, Cooper RA, Fitzgerald SG, Boninger ML, Wolf EJ, Guo S (2003) Whole-body vibration during manual wheelchair propulsion with selected seat cushions and back supports. IEEE Trans Neural Syst Rehabil Eng. https://doi.org/10.1109/TNSRE.2003.816872
DiGiovine CP, Cooper RA, Wolf E, Fitzgerald SG, Boninger ML (2003) Analysis of whole-body vibration during manual wheelchair propulsion: a comparison of seat cushions and back supports for individuals without a disability. Assist Technol. https://doi.org/10.1080/10400435.2003.10131897
DiGiovine MM, Cooper RA, Boninger ML, Lawrence BM, VanSickle DP, Rentschler AJ (2000) User assessment of manual wheelchair ride comfort and ergonomics. Arch Phys Med Rehabil. https://doi.org/10.1053/mr.2000.3845
Garcia-Mendez Y, Pearlman JL, Cooper RA, Boninger ML (2012) GDynamic stiffness and transmissibility of commercially available wheelchair cushions using a laboratory test method. J Rehabil Res Dev 49(1):7. https://doi.org/10.1682/JRRD.2011.02.0023
Groah SL, Schladen M, Pineda CG, Hsieh CHJ (2015) Prevention of pressure ulcers among people with spinal cord injury: a systematic review. PM and R 7(6):613–636. https://doi.org/10.1016/j.pmrj.2014.11.014
VanSickle DP, Cooper RA, Boninger ML (2000) Road loads acting on manual wheelchairs. IEEE Trans Rehabil Eng. https://doi.org/10.1109/86.867879
VanSickle DP, Cooper RA, Boninger ML, DiGiovine CP (2001) Analysis of vibrations induced during wheelchair propulsion. J Rehabil Res Dev 38(4):409–421
Wolf EJ, Cooper MSRA, Digiovine CP, Boninger ML, Guo S (2004) Using the absorbed power method to evaluate effectiveness of vibration absorption of selected seat cushions during manual wheelchair propulsion. Med Eng Phys. https://doi.org/10.1016/j.medengphy.2004.06.005
Mcinnes E, Jammali-Blasi A, Bell-Syer SEM, Dumville JC, Middleton V, Cullum N (2015) Support surfaces for pressure ulcer prevention. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD001735.pub5
Brem H, Maggi J, Nierman D, Rolnitzky L, Bell D, Rennert R, Golinko M, Yan A, Lyder C, Vladeck B (2010) High cost of stage IV pressure ulcers. Am J Surg 200(4):473–477. https://doi.org/10.1016/j.amjsurg.2009.12.021
International Organization for Standardization (2018) Wheelchair seating - part 2: determination of physical and mechanical characteristics of seat cushions intended to manage tissue integrity (SO Standard No. 16840-2:2018). https://www.iso.org/standard/66972.html
Arias-Guzmán S, Karg PE, Brienza DM (2018) Applying ISO 16840-2: literature review. In: RESNA Annual Conference, Arlington, VA. https://www.researchgate.net/profile/Sandra_Arias2/publication/326489803_Applying_ISO_16840-2_Literature_Review/links/5b50a458aca27217ffa63610/Applying-ISO-16840-2-Literature-Review.pdf. Accessed 19 Nov 2022
Pipkin L, Sprigle S (2008) Effect of model design, cushion construction, and interface pressure mats on interface pressure and immersion. J Rehabil Res Dev. https://doi.org/10.1682/JRRD.2007.06.0089
Ferguson-Pell M, Hirose H, Nicholson G, Call E (2009) Thermodynamic rigid cushion loading indenter: a buttock-shaped temperature and humidity measurement system for cushioning surfaces under anatomical compression conditions. J Rehabil Res Dev 46(7):945. https://doi.org/10.1682/JRRD.2008.10.0142
Bennett L, Kavner D, Lee BK, Trainor FA (1979) Shear vs pressure as causative factors in skin blood flow occlusion. Arch Phys Med Rehabil. https://doi.org/10.1097/00006534-198007000-00126
Goossens RHM, Zegers R, van Dijke GAH, Snijders CJ (1994) Influence of shear on skin oxygen tension. Clin Physiol. https://doi.org/10.1111/j.1475-097X.1994.tb00495.x
Akins JS, Karg PE, Brienza DM (2011) Interface shear and pressure characteristics of wheelchair seat cushions. J Rehabil Res Dev 48(3):225. https://doi.org/10.1682/JRRD.2009.09.0145
Sonenblum SE, Sprigle S, Maurer CL (2009) Use of power tilt systems in everyday life. Disabil Rehabil Assist Technol 4(1):24–30. https://doi.org/10.1080/17483100802542744
Sonenblum SE, Sprigle SH, Martin JS (2016) Everyday sitting behavior of full-time wheelchair users. J Rehabil Res Dev. https://doi.org/10.1682/JRRD.2015.07.0130
Bafana RP (2005) Development, evaluation, and implementation of wheelchair seat cushion testing standards. Master’s Thesis, University of Pittsburgh. http://d-scholarship.pitt.edu/6762/. Accessed 19 Nov 2022
Ferguson-Pell M, Ferguson-Pell G, Mohammadi F, Call E (2015) Applying ISO 16840–2 standard to differentiate impact force dissipation characteristics of selection of commercial wheelchair cushions. J Rehabil Res Dev. https://doi.org/10.1682/JRRD.2014.04.0115
Hillman SJ, Hollington J, Crossan N, Torres-Sánchez C (2018) Correlation of ISO 16840–2:2007 impact damping and hysteresis measures for a sample of wheelchair seating cushions. Assist Technol. https://doi.org/10.1080/10400435.2016.1261963
Hollington J, Hillman SJ, Torres-Sánchez C, Boeckx J, Crossan N (2014) ISO 16840–2:2007 load deflection and hysteresis measurements for a sample of wheelchair seating cushions. Med Eng Phys. https://doi.org/10.1016/j.medengphy.2013.10.010
Funding
This work was supported in part by the Office of the Assistant Secretary of Defense for Health Affairs through the Spinal Cord Injury Research Program under Award No. W81XWH-15–1-0719.
Author information
Authors and Affiliations
Contributions
Conceptualization: Muthu BJ Wijesundara, Rory A. Cooper. Methodology: Cheng-Shiu Chung, Garrett G. Grindle, Joshua D. Brown, Benjamin Gebrosky, Wei Carrigan, Pavan Nuthi, Muthu BJ Wijesundara, Rory A. Cooper. Formal analysis and investigation: Cheng-Shiu Chung, Garrett G. Grindle, Joshua D. Brown, Benjamin Gebrosky, Wei Carrigan. Writing—original draft preparation: Cheng-Shiu Chung, Rory A. Cooper. Writing—review and editing: Cheng-Shiu Chung, Garrett G. Grindle, Joshua D. Brown, Benjamin Gebrosky, Wei Carrigan, Pavan Nuthi, Muthu BJ Wijesundara, Rory A. Cooper. Funding acquisition: Muthu BJ Wijesundara, Rory A. Cooper. Resources: Muthu BJ Wijesundara, Rory A. Cooper. Supervision: Garrett G. Grindle, Muthu BJ Wijesundara, Rory A. Cooper.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Chung, CS., Grindle, G.G., Brown, J.D. et al. Anthropomorphic model rigid loading indenter with embedded sensor development for wheelchair cushion standard testing. Med Biol Eng Comput 61, 329–340 (2023). https://doi.org/10.1007/s11517-022-02720-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11517-022-02720-y