An adaptive fatigue-resistant knitted arm sleeve with nitinol wires for intelligent compression therapy
Abstract Compression therapy is a widely used strategy for preventing post-burn scars, managing lymphedema, and rehabilitation after liposuction. However, commercially available compression garments often struggle with rapid pressure decay during clinical use. To address this issue, an adaptive fatigue-resistant knitted arm sleeve has been designed and prepared using nitinol wires in the present study, aiming to explore the feasibility of integrating shape memory wires into compression garments. The objective is to combat rapid pressure decay of the compression garments by shape memory effect of nitinol wires. Initially, nitinol wires were subjected to heat treatment at 475 °C for 20 minutes, allowing for precise control over phase transition within a narrow range of less than 5 °C. The treated wires exhibited a shape recovery rate (η) of 93.22% and a martensite finish temperature (Mf) of 30.1 °C, close to surface temperature of human skin. Next, two types of knitted sleeves were fabricated, Sleeve A (dense) and Sleeve B (loose). Moreover, comprehensive characterizations have been carried out. The results showed that both sleeves exhibited favourable temperature response and fatigue-resistant property. They showed a maximum elastic recovery rate of 96.36% and maintained a minimum stress relaxation rate as low as 2.97%. Importantly, both sleeves sustained stable pressure during cyclic loading tests simulating three consecutive days of wear (cumulatively 22.5 hours), demonstrating promising fatigue resistance during wear. Additionally, Sleeve A generated a pressure of 52.53 mmHg at 30% strain due to the shape memory effect, representing a 25.3% increase in pressure after thermal activation. The developed compression sleeves displayed remarkable shape memory properties, achieving maximum shape recovery and shape fixation rates of 97.4% and 95.37%, respectively. Overall, this study offers valuable theoretical insights and practical foundations for developing innovative, fatigue-resistant, adaptive compression garments, while highlighting the need for further clinical validation to establish therapeutic efficacy.
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