Abstract
Advanced biophysical wound healing therapies can apply mechanical, electrical, or light energy to re-stimulate healing processes in chronic wounds. Despite the growing evidence of the clinical efficacy of these therapies, the optimal treatment stimulation parameters remain unknown and there are no standard treatment protocols. We introduce a closed-loop control design as an experimental system to study the dose-response of wound healing therapy treatment within a prescribed multidimensional and multimodal stimulation parameter space. Systems engineering approaches are applied to the control problem for estimation of a transfer function and model equations derived for use in optimal model-based control. The experimental control system design consisted of simultaneous application of biophysical energies inputted into a wound system. A study design set up including the use of negative pressure wound therapy, electrical stimulation therapy, and photobiomodulation device systems was described. Treatment stimulation parameters were selected from experimental ranges used in the scientific literature. Classical control methods and model-based control were suggested for model selection and evaluation and design of the overall control system. An experimental design for multimodal biophysical wound healing therapy control system is introduced to establish the dose-response interactions for development of therapeutic applications and device design.
Highlights
We introduce a closed-loop control design as an experimental system to study the dose-response of wound healing therapy treatment within a prescribed multidimensional and multimodal stimulation parameter space
A study design set up including the use of negative pressure wound therapy, electrical stimulation therapy, and photobiomodulation device systems was described
The wound system will be monitored and measured by sensors to evaluate the progress of wound healing
Summary
In Germany during 2012, around 197 000 new patients were added to the grow-. Möller ing number of 786,000 patients living with chronic wounds, while around half of these 983,000 total patients received treatment [1]. As chronic wounds remain unhealed for three months or more, additional treatment beyond standard care wound may be required. In response to this growing clinical need, advanced wound healing technologies are being developed to heal refractory venous leg, diabetic foot, and pressure ulcers
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