Thermal and moisture behavior of a multi-layered assembly in a pneumatic compression device

The objective of this research was to determine the effect of multiple layers of materials typical of those used in air pneumatic compression devices (which require air impermeable layers to function) on thermal and water vapor resistance. The experimental set-up included: (a) single layers of two next-to-skin knit fabrics in both relaxed and extended conditions, (b) two layers of silicone, and (c) a multi-layered assembly comprised of a next-to-skin fabric and two layers of silicone. Structural properties (thickness, mass) dominated thermal resistance of the multi-layered assembly, and the silicone layers rendered this assembly impermeable to water vapor as expected. Results confirmed the need for some form of 'ventilation' to facilitate water vapor transfer from a potential user’s skin to the environment. By creating 18 circular vents across the silicone layers (each vent 314 mm2), which formed ventilation of ∼2% of total surface area, the water vapor resistance of the multi-layered assembly dropped significantly from very high (but non-measurable) to below ∼300 m2 Pa/W, although ventilation did not improve the thermal resistance of the multi-layer arrangements. Results of this research will enable manufacturers of pneumatic compression devices to develop devices comprised of a multiple layer arrangements i.e. a knit fabric next-to-skin layer and silicone layers with optimized vents across the silicone layers, so that the user can continue the compression treatment with an acceptable microenvironment.