Finite element models of the thigh-buttock complex for assessing static sitting discomfort and pressure sore risk: a literature review

Abstract Being seated for long periods, while part of many leisure or occupational activities, can lead to discomfort, pain and sometimes health issues. The impact of prolonged sitting on the body has been widely studied in the literature, with a large number of human-body finite element models developed to simulate sitting and assess seat-induced discomfort or to investigate the biomechanical factors involved. Here, we review the finite element models developed to investigate sitting discomfort or risk of pressure sores. Our study examines finite element models from twenty-seven papers, seventeen dedicated to assessing seating discomfort and ten dedicated to investigating pressure ulcers caused by prolonged sitting. The models’ mesh composition and material properties are found to differ widely. These models share a lack of validation and generally make little allowance for anthropometric diversity.

[1]  Joan Western,et al.  The Human Body , 1991, Nature.

[2]  Alexander Siefert,et al.  Virtual Simulation of Static and Dynamic Seating Comfort in the Development Process of Automobiles and Automotive Seats: Application of Finite-Element-Occupant-Model CASIMIR , 2007 .

[3]  Peter Vink,et al.  Predicting passenger seat comfort and discomfort on the basis of human, context and seat characteristics: a literature review , 2017, Ergonomics.

[4]  W. Larrabee,et al.  A finite element model of skin deformation. II. An experimental model of skin deformation , 1986, The Laryngoscope.

[5]  Zhifei Zhang,et al.  Modeling of human model for static pressure distribution prediction , 2015 .

[6]  M Arcan,et al.  Modeling the body/chair interaction - an integrative experimental-numerical approach. , 2000, Clinical biomechanics.

[7]  Xiaoming Du,et al.  Simulation of the interaction between driver and seat , 2013 .

[8]  Cheng Qi Xue,et al.  Characteristic Parameters of Cushion in High-Speed Train (CRH) Contribute to Seat Pressure Distribution Analysis , 2013 .

[9]  Tatjana Kandikjan,et al.  Comfort analysis of vehicle driver’s seat through simulation of the sitting process , 2014 .

[10]  P Vink,et al.  Editorial: comfort and discomfort studies demonstrate the need for a new model. , 2012, Applied ergonomics.

[11]  Mike Kolich,et al.  Predicting automobile seat comfort using a neural network , 2004 .

[12]  Heiner Bubb,et al.  Development of a 3D Finite Element Model of Thigh and Pelvis: SAE Technical Paper 2004-01-2132 , 2004 .

[13]  Simon Hodder Aircraft interior comfort and design , 2012 .

[14]  D. Harrison,et al.  Sitting biomechanics part I: review of the literature. , 1999, Journal of manipulative and physiological therapeutics.

[15]  Chak Yin Tang,et al.  Finite Element Analysis of Contact Pressures between Seat Cushion and Human Buttock-Thigh Tissue , 2010 .

[16]  C. W. J. Oomens,et al.  A numerical study to analyse the risk for pressure ulcer development on a spine board. , 2013, Clinical biomechanics.

[17]  John Rasmussen,et al.  Missing links in pressure ulcer research--an interdisciplinary overview. , 2010, Journal of applied physiology.

[18]  J. Hartung Objektivierung des statischen Sitzkomforts auf Fahrzeugsitzen durch die Kontaktkräfte zwischen Mensch und Sitz , 2006 .

[19]  C. Oomens,et al.  The Relative Contributions of Compression and Hypoxia to Development of Muscle Tissue Damage: An In Vitro Study , 2007, Annals of Biomedical Engineering.

[20]  Heiner Bubb,et al.  Measuring Soft Tissue Compliance of the Human Thigh , 2004 .

[21]  Yohan Payan,et al.  Personalized modeling for real-time pressure ulcer prevention in sitting posture. , 2018, Journal of tissue viability.

[22]  J van Hoof,et al.  A Finite Element Model of the Human Buttocks for Prediction of Seat Pressure Distributions , 2004, Computer methods in biomechanics and biomedical engineering.

[23]  J G Thacker,et al.  Three-dimensional computer model of the human buttocks, in vivo. , 1994, Journal of rehabilitation research and development.

[24]  F. Lin,et al.  FEM model for evaluating buttock tissue response under sitting load , 2004, The 26th Annual International Conference of the IEEE Engineering in Medicine and Biology Society.

[25]  Heiner Bubb,et al.  Predicting Long Term Riding Comfort in Cars by Contact Forces Between Human and Seat , 2005 .

[26]  Amit Gefen,et al.  Viscoelastic properties of ovine adipose tissue covering the gluteus muscles. , 2007, Journal of biomechanical engineering.

[27]  A. Gefen,et al.  Strain-time cell-death threshold for skeletal muscle in a tissue-engineered model system for deep tissue injury. , 2008, Journal of biomechanics.

[28]  Su-Hwan Hwang,et al.  Human Body Modeling for Riding Comfort Simulation , 2007, HCI.

[29]  Chen,et al.  BODY PRESSURE DISTRIBUTION OF AUTOMOBILE DRIVING HUMAN MACHINE CONTACT INTERFACE , 2007 .

[30]  K. Berecek,et al.  Etiology of decubitus ulcers. , 1975, The Nursing clinics of North America.

[31]  Dohyung Lim,et al.  Finite Element Analysis for Evaluation of Pressure Ulcer on the Buttock: Development and Validation , 2007, IEEE Transactions on Neural Systems and Rehabilitation Engineering.

[32]  Jean Dansereau,et al.  A New Method to Generate a Patient-Specific Finite Element Model of the Human Buttocks , 2008, IEEE Transactions on Biomedical Engineering.

[33]  Matthew P Reed,et al.  Development and Validation of a High Anatomical Fidelity FE Model for the Buttock and Thigh of a Seated Individual , 2016, Annals of Biomedical Engineering.

[34]  W. Larrabee A finite element model of skin deformation. I. Biomechanics of skin and soft tissue: A review , 1986, The Laryngoscope.

[35]  Amit Gefen,et al.  An air-cell-based cushion for pressure ulcer protection remarkably reduces tissue stresses in the seated buttocks with respect to foams: finite element studies. , 2014, Journal of tissue viability.

[36]  M. de Looze,et al.  Please Scroll down for Article Ergonomics Sitting Comfort and Discomfort and the Relationships with Objective Measures Sitting Comfort and Discomfort and the Relationships with Objective Measures , 2022 .

[37]  M. Mooney A Theory of Large Elastic Deformation , 1940 .

[38]  C Hershler,et al.  Pressure ulcer prophylaxis in elderly patients using polyurethane foam or Jay wheelchair cushions. , 1994, International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation.

[39]  R. Rivlin Large Elastic Deformations of Isotropic Materials , 1997 .

[40]  G V Cochran,et al.  Interstitial fluid flow as a factor in decubitus ulcer formation. , 1981, Journal of biomechanics.

[41]  Masaaki Katsumata,et al.  Evaluation of Seating Comfort , 1982 .

[42]  A F Mak,et al.  Estimating the effective Young's modulus of soft tissues from indentation tests--nonlinear finite element analysis of effects of friction and large deformation. , 1997, Medical engineering & physics.

[43]  Thacker Jg,et al.  Three-dimensional computer model of the human buttocks, in vivo , 1994 .

[44]  Matthew P Reed,et al.  Deformation of the gluteal soft tissues during sitting. , 2015, Clinical biomechanics.

[45]  Flavia Renata Dantas Alves Silva Ciaccia,et al.  An approach to aircraft seat comfort using interface pressure mapping. , 2012, Work.

[47]  Adrian J. Emck,et al.  Pressure measurements and comfort of foam safety cushions for confined seating. , 2009, Aviation, space, and environmental medicine.

[48]  M R Drost,et al.  Passive transverse mechanical properties of skeletal muscle under in vivo compression. , 2001, Journal of biomechanics.

[49]  S. S. Mahapatra,et al.  A finite element approach for analyzing the effect of cushion type and thickness on pressure ulcer , 2014 .

[50]  G. Arakere,et al.  Seat-cushion and soft-tissue material modeling and a finite element investigation of the seating comfort for passenger-vehicle occupants , 2009 .

[51]  N. Vuillerme,et al.  Biomechanical modeling to prevent ischial pressure ulcers. , 2014, Journal of biomechanics.

[52]  C. Oomens,et al.  The effects of deformation, ischemia, and reperfusion on the development of muscle damage during prolonged loading. , 2011, Journal of applied physiology.

[53]  William R Taylor,et al.  Are pressure measurements effective in the assessment of office chair comfort/discomfort? A review. , 2015, Applied ergonomics.

[54]  Y. Itzchak,et al.  Assessment of mechanical conditions in sub-dermal tissues during sitting: a combined experimental-MRI and finite element approach. , 2007, Journal of biomechanics.

[55]  N. Moes FINITE ELEMENTS MODEL OF THE HUMAN BODY: GEOMETRY AND NON-LINEAR MATERIAL PROPERTIES , 2002 .

[56]  Lapo Governi,et al.  A Computational Model for Early Assessment of Padded Furniture Comfort Performance , 2015 .

[57]  Yong-Ping Zheng,et al.  An ultrasound indentation system for biomechanical properties assessment of soft tissues in-vivo , 1995, IEEE Transactions on Biomedical Engineering.

[58]  A.J.K. Oudenhuijzen,et al.  The relationship between seat pressure and comfort , 2003 .

[59]  Cwj Cees Oomens,et al.  Compression Induced Cell Damage in Engineered Muscle Tissue: An In Vitro Model to Study Pressure Ulcer Aetiology , 2003, Annals of Biomedical Engineering.

[60]  Amit Gefen,et al.  Stress relaxation of porcine gluteus muscle subjected to sudden transverse deformation as related to pressure sore modeling. , 2006, Journal of biomechanical engineering.

[61]  Jue Wang,et al.  A NEW CUSTOM-CONTOURED CUSHION SYSTEM BASED ON FINITE ELEMENT MODELING PREDICTION , 2013 .

[62]  Dan L. Bader,et al.  The importance of internal strain as opposed to interface pressure in the prevention of pressure related deep tissue injury. , 2010, Journal of tissue viability.

[63]  François Faure,et al.  Specifications of a software framework to position and personalise human body models , 2015 .

[64]  Li-Xin Guo,et al.  Effect of lumbar support on seating comfort predicted by a whole human body-seat model , 2016 .

[65]  E. I. Odell,et al.  Deformations and Stresses in Soft Body Tissues of a Sitting Person , 1978 .

[66]  C. Oomens,et al.  Can Loaded Interface Characteristics Influence Strain Distributions in Muscle Adjacent to Bony Prominences? , 2003, Computer methods in biomechanics and biomedical engineering.

[67]  R. Daniel,et al.  Etiologic factors in pressure sores: an experimental model. , 1981, Archives of physical medicine and rehabilitation.

[68]  Shuichi Kuroda,et al.  Finite element analysis of undermining of pressure ulcer with a simple cylinder model. , 2005, Journal of Nippon Medical School = Nippon Ika Daigaku zasshi.