BACKGROUND: Nowadays, the ergonomic study of the driving position is a critical aspect of automotive design. Indeed, due to the rising needs on the market, one focus for car industries is to improve the perceived comfort related to the cars’ interior. Driving a car for a prolonged time could cause complaints in some body-regions, especially in the lumbar-sacral area. Thus, special lumbar-sacral supports for driver seat has been proposed for reducing this kind of complaints. OBJECTIVE: Development of two virtual and physical models of lumbar-sacral support for improving both the lumbar/sacral and overall perceived comfort while driving. METHODS: Two prototypes of lumbar/sacral support have been realized: the first one was integrated into the seat, and the second one was shaped as a removable pillow (removable support). Fifty participants were asked to rate the perceived comfort in lab tests performed on a seating-buck by comparing three configurations (5 min each): a standard seat, seat with the removable support, seat with integrated support. Subjective data (by questionnaires) and objective data (interface pressure between backrest and driver) have been acquired and statistically processed. In addition, real driving tests have been performed to test the actual performance of the removable support in term of perceived comfort comparing it with the standard seat. RESULTS: Statistical correlations between subjective and objective data showed interesting results in comfort improvement through the adopted solutions. Real driving tests showed an improvement in comfort perception with the lumbar-sacral support towards the standard seat. CONCLUSIONS: Thanks to the virtual prototyping and the application of previous knowledge, coming from literature and experience, a solution for improving the overall comfort and reduce the lumbar/sacral pain while driving has been developed, tested, and assessed.

Orthognathic surgery allows broad-spectrum deformity correction involving both aesthetic and functional aspects on the TMJ (temporo-mandibular joint) and on the facial skull district. The combination of Reverse Engineering (RE), Virtual Surgery Planning (VSP), Computer Aided Design (CAD), Additive Manufacturing (AM), and 3D visualization allows surgeons to plan, virtually, manipulations and the translation of the human parts in the operating room. This work’s aim was to define a methodology, in the form of a workflow, for surgery planning and for designing and manufacturing templates for orthognathic surgery. Along the workflow, the error chain was checked and the maximum error in virtual planning was evaluated. The three-dimensional reconstruction of the mandibular shape and bone fragment movements after segmentation allow complete planning of the surgery and, following the proposed method, the introduction of both the innovative evaluation of the transversal intercondylar distance variation after mandibular arch advancement/set and the possibility of use of standard plates to plan and realize a customized surgery. The procedure was adopted in one clinical case on a patient affected by a class III malocclusion with an associated open bite and right deviation of the mandible with expected good results. Compared with the methods from most recent literature, the presented method introduces two elements of novelty and improves surgery results by optimizing costs and operating time. A new era of collaboration among surgeons and engineer has begun and is now bringing several benefits in personalized surgery.

This study aimed to analyse the discomfort threshold (that could be linked to sensitivity or sensation) of different regions in hand and elbow to support hand-held devices' design. Indeed, there are no studies regarding the hand and elbow discomfort threshold or sensitivity. To overcome this literature gap, the discomfort threshold of hand and elbow were recorded at 24 spots by pushing a cylinder with a diameter of 10 mm until the participants reported not to be longer comfortable. Experiments were performed with 24 participants, 13 females and 11 males. The results showed the map of discomfort threshold (or sensitivity) for the hand and elbow. The olecranon, situated at the ulna's upper (proximal) end, one of the two bones in the forearm, could withstand more pressure than the elbow area surrounding it. The fingertips and the area close to the metacarpals were most sensitive (lower discomfort threshold).