Evaluation of viscoelastic properties in polymer nanocomposites for prosthetic applications via microstructural profiling, model-based analysis, and dynamic mechanical thermal analysis
- Open Access
- 01.04.2026
- Original Paper
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Abstract
Introduction
Prosthetic technologies evolved with the primary aim of restoring function and improving quality of life for amputees [1]. A key aspect of prosthetic design is selecting materials that mimic the mechanical behavior of biological tissues, particularly in damping—the ability to dissipate energy under cyclic loading—which is crucial for shock absorption and vibration control [2]. Ideal prosthetic materials must combine biocompatibility, mechanical strength, and effective damping. Insufficient damping can lead to discomfort, pain, and long-term joint damage [3‐5]. Ideal prosthetic materials must combine biocompatibility, mechanical strength, and effective damping. Insufficient damping can lead to discomfort, pain, and long-term joint damage [6]. Effective damping enhances shock absorption, reduces vibrations and stress on the residual limb, improves gait stability, and increases user control and comfort [7].
Ultra-high molecular weight polyethylene (UHMWPE) is widely used in prosthetic applications, especially joint replacements, due to its biocompatibility, high impact strength, abrasion resistance, and self-lubricating properties [8]. However, its relatively low stiffness and vulnerability to creep and wear can compromise long-term implant performance [9]. To overcome these drawbacks, extensive research has focused on UHMWPE-based composites reinforced with various fillers to enhance mechanical strength, wear resistance, and damping properties. Composite materials consist of a polymer matrix reinforced with micro- or nano-scale fillers to achieve enhanced mechanical, thermal, and functional properties compared to neat polymers [10‐12]. The incorporation of particulate reinforcements improves stiffness, wear resistance, and energy dissipation by promoting effective stress transfer and restricting polymer chain mobility. Recent studies have reported that polymer-based composites exhibit improved durability and viscoelastic performance, making them suitable for load-bearing and energy-absorbing applications [13, 14]. Furthermore, nanocomposites offer additional advantages due to their high surface-area-to-volume ratio, which enhances interfacial interactions and damping behavior even at low filler loadings. Such improvements are particularly beneficial in applications requiring vibration control and shock absorption [15]. Nanoparticles such as carbon nanotubes [16‐18], nano-graphene [19, 20], SiO2 [21], and montmorillonite [22, 23], showed promising results in improving structural integrity and load-bearing performance. These reinforcements also help tailor mechanical properties to better match those of bone, aiding in osseointegration and reducing stress shielding.
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Due to their exceptional surface area, nanoparticles significantly enhance nanocomposites even at low inclusion levels [24‐26]. The primary factor underlying the property improvement is the strong interfacial interaction between the nanoparticles and the polymer matrix, providing an extensive contact area [27‐30]. Zeolite nanoparticles, known for their ease of processing, biocompatibility, and reusability, are especially suitable for biomedical applications, including prosthetic limbs, due to their non-toxic nature [31, 32]. While various nanofillers were studied, the integration of NZ into polymers remains limited. However, notable improvements were reported: 5 wt% NZ increased tensile strength in polyurethane systems [33], 0.3 wt% NZ enhanced tensile and flexural strength in polypropylene [34], and NZ improved impact resistance in HDPE nanocomposites [35]. In PA6, 5 wt% NZ reduced wear rates by 54% and improved surface smoothness [36].
Despite growing interest, studies on NZ-reinforced polyethylene nanocomposites remain limited, primarily targeting tribological and mechanical enhancements. Mohsenzadeh et al. [37] reported that adding 4 wt% NZ to UHMWPE reduced wear rate by 56%, surface temperature by 32%, and friction coefficient by 26%, with SEM revealing smoother wear surfaces. In follow-up work, they [38] showed that NZ addition improved tensile modulus (45%), tensile strength (14%), and impact toughness (24%), attributing these gains to multiple NZ-induced toughening mechanisms identified through fractographic analysis.
Image processing is crucial for evaluating the microstructure of UHMWPE/NZ nanocomposites, particularly NZ particle dispersion within the matrix. It improves image quality for detailed morphology assessment through noise reduction, contrast enhancement, and feature extraction [39, 40]. These techniques enable accurate quantification of dispersion and its influence on material properties. Machine learning, especially deep learning, is increasingly used for image analysis across scientific domains and is effective in object detection, feature extraction, and segmentation [41]. In nanocomposite research, such methods support correlating dispersion metrics with damping properties measured by DMTA, helping to establish structure–property relationships. Well-dispersed NZ enhances damping via increased interfacial area, while agglomeration may reduce performance. Future work may advance automated algorithms to classify dispersion patterns and link them to specific damping mechanisms.
This study aims to bridge the existing knowledge gap in understanding the viscoelastic and damping behavior of UHMWPE-based nanocomposites by integrating comprehensive microstructural characterization, advanced DMTA, and data-driven modeling. Unlike previous studies that primarily focus on conventional mechanical performance, the present work emphasizes the quantitative linkage between nanoparticle dispersion characteristics and thermomechanical responses under varying temperature and frequency conditions. The novelty of this research resides in the synergistic application of: (i) an automated image-processing framework combined with machine learning algorithms for objective quantification of nanoparticle size and dispersion uniformity; (ii) a systematic DMTA-based investigation of energy dissipation, storage, and damping behavior across a wide thermomechanical spectrum; and (iii) a Bayesian-optimized ensemble learning model to establish robust and predictive structure–process–property relationships for UHMWPE nanocomposites.
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The selection of UHMWPE is motivated by its proven biocompatibility, high impact strength, excellent wear resistance, and long-standing use in load-bearing prosthetic components. Nano-zeolite is chosen as the reinforcing phase due to its rigid crystalline framework, high specific surface area, inherent biocompatibility, and strong potential to enhance interfacial interactions and damping efficiency at low filler concentrations. Based on this rationale, the objectives of the present study are to: (1) fabricate UHMWPE/nano-zeolite nanocomposites with different filler loadings via a scalable melt-processing route; (2) quantitatively evaluate nanoparticle dispersion and effective size distribution using an automated image-analysis approach; (3) investigate the temperature- and frequency-dependent viscoelastic properties through DMTA, focusing on storage modulus, loss modulus, and damping behavior; and (4) develop a predictive, Bayesian-optimized machine learning model to correlate microstructural features, processing variables, and testing conditions with the resulting thermomechanical performance. This integrated framework provides a systematic pathway for designing UHMWPE nanocomposites with enhanced energy dissipation and mechanical reliability for advanced prosthetic applications.
Materials and methods
Materials and sample preparation
The UHMWPE powder (GUR 1020, Celanese, USA) was used as the base material, while zeolite nanoparticles (Z4A-005-R, Japan) with an average particle size of 50 nm were chosen as the reinforcing agent to enhance the dynamic thermomechanical properties of the composite. The crystalline structure of the zeolite nanoparticles was confirmed by X-ray diffraction (XRD) analysis, as shown in Fig. 1. The diffraction pattern exhibits sharp and well-defined peaks characteristic of crystalline zeolite, indicating high phase purity of the nanofiller. The UHMWPE powder and the respective weight percentages of zeolite were mixed using a twin-screw extruder (Leistritz ZSE 18, Germany) operating at a temperature profile of 180–200 °C and a screw speed of 100 rpm. The extruded strands were pelletized and subsequently compression molded. The final samples were prepared using a Carver hydraulic hot press (Carver Inc., USA) at 200 °C under a pressure of 15 MPa for 10 min. The molded sheets were cooled under controlled conditions to minimize residual stresses. The specimens were then cut into standard dimensions using a high-precision CNC milling machine (Haas Automation, USA) to ensure consistency for DMT testing. The final specimens were polished using SiC abrasive papers (Struers, Denmark) to remove any surface imperfections.
Fig. 1
XRD pattern of zeolite nanoparticles confirming their crystalline structure and phase purity
DMTA
To investigate the viscoelastic response of UHMWPE–zeolite nanocomposites under dynamic loading conditions, DMTA was carried out. Measurements were obtained using a TA Instruments Q800 analyzer (USA) operating in a dual cantilever configuration. E′, E″, and tan δ were recorded as temperature-dependent parameters. The thermal ramp was set at 5 °C/min, spanning from − 150 °C to 100 °C. The selected temperature range (− 150 °C to 100 °C) enables the identification of secondary and primary molecular relaxations of UHMWPE-based nanocomposites and covers both extreme conditions and the physiological temperature range relevant to prosthetic applications. Two excitation frequencies, 1 Hz and 10 Hz, were selected to assess the frequency-sensitivity of nano-composite samples. All test specimens were fabricated with dimensions of 40 × 10 × 3 mm for experimental consistency. DMTA measurements were performed in triplicate for each composition to ensure reproducibility, with average values reported.
Microstructure
Morphological evaluation of the UHMWPE-zeolite nanocomposites was carried out to assess nanoparticle distribution within the polymer matrix and the nature of filler-matrix interfacial bonding. A field-emission SEM (FEI Quanta 250 FEG, Thermo Fisher Scientific, USA) was employed at an accelerating voltage of 15 kV. Specimens were cryo-fractured in liquid nitrogen to expose the fracture surface and then coated with a thin gold layer using a Leica EM ACE600 sputter coater (Leica Microsystems, Germany) to ensure adequate conductivity for imaging.
FTIR
FTIR was performed using a Bruker Tensor 27 FTIR spectrometer (Bruker Corporation, Germany) to analyze the chemical interactions between the UHMWPE matrix and the zeolite nanoparticles. The spectra were recorded in the range of 4000–400 cm⁻¹ with a resolution of 4 cm⁻¹ using attenuated total reflectance (ATR) method.
Image processing
Preprocessing and noise reduction
In this study, a multi-step image processing approach was employed to analyze and extract information about nanoparticles from microscopic images. The first step involved applying a mean filter to enhance image quality and reduce noise. This process resulted in smoother images with increased contrast, effectively minimizing artifacts that could interfere with subsequent analysis. Noise reduction was essential for preserving the integrity of the nanoparticle structures, preventing misclassification during segmentation.
Following noise reduction, the image was binarized to separate nanoparticles from the background. Binarization converted the grayscale image into a binary format, creating a clear distinction between nanoparticles and the surrounding area. This step established a foundation for accurate segmentation, helping isolate meaningful regions within the image.
Segmentation and feature extraction
To achieve precise nanoparticle segmentation, K-Means clustering algorithm was employed, categorizing image pixels into two groups: nanoparticles and background. This clustering method efficiently separated nanoparticles based on their intensity differences. However, due to potential noise and irregularities, additional morphological operations were performed to refine segmentation. These operations included opening and closing, which helped remove small unwanted regions while preserving the structure and continuity of nanoparticles. After segmentation, connected component analysis was conducted to detect and label individual nanoparticles. This technique allowed for a systematic identification of separate particles, facilitating a structured analysis.
Filtering and masking
To ensure that only nanoparticles of interest were considered, a size-based filtration process was implemented. This step involved discarding particles smaller than a predefined threshold, eliminating irrelevant structures that could distort analytical results. The filtration process improved the reliability of the analysis by focusing only on nanoparticles that met the necessary size criteria.
Finally, a mask was applied to the original image, displaying only the extracted nanoparticles while suppressing the background and unwanted artifacts. This final step ensured a clear and precise visualization of nanoparticles, improving the overall accuracy of microscopic image analysis. By implementing this structured approach, high-fidelity segmentation and feature extraction were achieved, enabling robust nanoparticle characterization and analysis.
Automated nanoparticle diameter measurement
In this study, a Random Forest (RF) machine learning model was utilized to measure the average, minimum and maximum diameter of nanoparticles. Initially, the SEM image was processed and converted into a binary image, where nanoparticles appeared as white regions. Subsequently, key geometric features were extracted from each nanoparticle, including perimeter, circularity and aspect ratio. These features were used as inputs for a RF model, which, after training, was able to predict the diameter of nanoparticles. This approach not only improves measurement accuracy but also allows for estimating the diameter of nanoparticles that are not directly measurable. Moreover, compared to traditional methods, this model exhibits greater immunity to noise and minor variations in image quality, facilitating precise size estimation. This method measures diameter by modeling the relationship between geometric features and nanoparticle size, surpassing simple geometric calculations to offer a more comprehensive analysis of nanoparticle structures.
Predictive modeling based on DMTA data
In this study, a predictive modeling framework was established to map microstructural and DMTA input variables to the corresponding experimentally measured DMTA outputs, specifically storage modulus (E′), loss modulus (E″), and damping factor (tan δ). A Least-Squares Boosting (LSBoost) regression ensemble, with hyperparameters optimized via Bayesian optimization, was employed to capture the complex, nonlinear relationships between input features and material responses. The trained models enabled extrapolation of property predictions beyond the experimentally tested domain, thereby supporting a more comprehensive understanding of structure–process–property relationships. To further interpret model behavior and assess the influence of individual features, Individual Conditional Expectation (ICE) plots and permutation-based feature importance (PFI) analyses were performed on the optimized models.
Results and discussions
Nanoparticles dispersion analysis
Figure 2 shows the impact-fractured surfaces of UHMWPE/NZ nanocomposites containing 1.5, 3, and 4.5 wt% NZ. The yellow arrows in these images indicate nanoparticle agglomerates, which become more noticeable at higher concentrations. One of the main factors influencing nanoparticle dispersion is the processing technique used. Melt mixing with a twin-screw extruder provides high shear forces that help distribute nanoparticles within the polymer matrix. The high shear environment breaks down nanoparticle clusters, allowing for better integration into the matrix. However, at higher nanoparticle concentrations, such as 4.5 wt% NZ (Fig. 2c), the viscosity of the mixture increases significantly. This increased viscosity restricts the free movement of nanoparticles, leading to greater particle-particle interactions, which in turn result in the formation of larger agglomerates. Thermodynamic factors also play a crucial role. At lower nanoparticle loadings (1.5 and 3 wt%), surface energy dynamics favor a more dispersed state due to the optimization of the system’s free energy. However, as the concentration increases to 4.5 wt%, the likelihood of particle-particle interactions rises, causing aggregation. The mechanical implications of nanoparticle dispersion are also significant. Uniform distribution ensures that the applied load is evenly dispersed across the polymer matrix, as mentioned in reference [42]. This even load distribution improves the material’s energy absorption capacity, increasing the energy required for deformation. In contrast, when agglomeration occurs, stress concentrations develop at the aggregation sites, potentially leading to failure under mechanical stress. This even load distribution improves the material’s energy absorption capacity, increasing the energy required for deformation. In contrast, when agglomeration occurs, stress concentrations develop at the aggregation sites, potentially leading to failure under mechanical stress.
Fig. 2
SEM micrographs showing the surface morphology of nanocomposite samples containing (a) 1.5 wt% NZ (UHMWPE/1.5NZ), (b) 3 wt% NZ (UHMWPE/3NZ), and (c) 4.5 wt% NZ (UHMWPE/4.5NZ)
Polymer–filler interaction analysis
FTIR analysis was conducted to investigate the chemical composition and evaluate the interactions between zeolite nanoparticles and the UHMWPE matrix. Figure 3 displays the FTIR spectra of pure UHMWPE and UHMWPE–zeolite nanocomposites, highlighting the relevant absorption bands. The spectrum of pure UHMWPE shows characteristic peaks at 1463 cm⁻¹ and 1361 cm⁻¹, corresponding to the bending vibrations of C-H bonds in methylene (-CH₂-) and methyl (-CH₃) groups, respectively. A prominent peak at 719 cm⁻¹, attributed to the rocking vibration of C–H bonds within the crystalline structure, further confirms the presence of UHMWPE in its crystalline phase.
According to Fig. 3, the incorporation of NZ particles led to noticeable changes in the FTIR spectrum, suggesting the formation of interactions between the nanoparticles and the UHMWPE matrix. One prominent change is the appearance of a new band around 1096 cm⁻¹, attributed to the stretching vibrations of Si–O–Si and Al–O–Si bonds in the zeolite framework, confirming the presence of the inorganic phase within the composite. Another notable change is the emergence of a weak band near 555 cm⁻¹, corresponding to the bending vibrations of Si–O bonds, further supporting the successful integration of zeolite nanoparticles into the polymer matrix.
Fig. 3
FTIR spectra of pure UHMWPE and UHMWPE-zeolite nanocomposites
Furthermore, the increased intensity of common absorption peaks in the zeolite-containing samples indicates the presence of strong interactions between UHMWPE and the zeolite nanoparticles. This enhancement can be attributed to changes in the electron density of functional groups, influenced by the presence of nanoparticles and the higher concentration of active sites within the polymer matrix. The physical interactions between UHMWPE and zeolite led to notable variations in the intensity of characteristic FTIR bands, implying that the nanoparticles were well-dispersed and actively engaged with the polymer chains. These structural alterations are expected to directly influence the mechanical and thermal performance of the resulting nanocomposites.
Analysis of nanoparticle size distribution
Nanoparticle size distribution characteristics were obtained using the proposed sequential object detection technique, as detailed in Fig. 4. This technique encompasses noise reduction, clustering-based segmentation, morphological operations, and the final isolation of nanoparticles. Nanoparticle diameters were measured using processed SEM images, and their sizes were further predicted using the RF regression model. The results of the nanoparticle size distribution analysis, summarized in Table 1, reveal that the NZ content significantly influences the distribution characteristics. With increasing NZ concentration, noticeable shifts are observed in the minimum, mean, and maximum particle diameters. These changes are primarily attributed to variations in dispersion behavior at different loading levels. Higher NZ content tends to reduce dispersion uniformity, promoting the formation of larger agglomerates. Consequently, this clustering effect skews the size distribution, leading to increased values for key statistical parameters such as mean and maximum particle diameters. Higher NZ content tends to reduce dispersion uniformity, promoting the formation of larger agglomerates. Consequently, this clustering effect skews the size distribution, leading to increased values for key statistical parameters such as mean and maximum particle diameters.
Fig. 4
Step-by-step image processing workflow for nanoparticle segmentation. The process includes noise reduction (Processed, Denoised), segmentation using K-Means clustering (Clustered), and particle identification (Bounding Box). Further refinement is achieved through size-based filtering (Filtered, Binary Mask), resulting in the final masked image with isolated nanoparticles
Table 1
Calculated findings of nanoparticle size distribution analysis and dispersion index results
Specimen | \(\:{\varvec{D}}_{\varvec{m}\varvec{i}\varvec{n}}\:\) (nm) | \(\:{\varvec{D}}_{\varvec{a}\varvec{v}\varvec{e}}\) (nm) | \(\:{\varvec{D}}_{\varvec{m}\varvec{a}\varvec{x}}\) (nm) | NSI |
|---|---|---|---|---|
UHMWPE/1.5 NZ | 45 | 73 | 236 | 5.04 |
UHMWPE/3 NZ | 43 | 98 | 285 | 4.13 |
UHMWPE/4.5 NZ | 46 | 140 | 503 | 6.40 |
Figure 4 presents the Weibull distribution analysis of nanoparticle diameter and area at NZ concentrations of 1.5, 3, and 4.5 wt%, illustrating the impact of increasing NZ content on particle size and distribution. As the NZ concentration increases from 1.5% to 4.5%, a noticeable shift toward larger particle sizes is observed. At 1.5 wt%, the highest particle density falls within the 50–70 nm range, with a right-skewed distribution indicating a gradual decline in frequency as particle diameter increases. The corresponding area distribution exhibits an exponential decay, with most particles having areas below 0.01 μm², suggesting a predominance of small, well-dispersed particles. At 3 wt%, the peak of the diameter distribution shifts to 80–100 nm, indicating the formation of larger particles. The extended right tail of the distribution suggests increased variability and the presence of larger aggregates. A similar trend is observed in the area distribution, where the tail broadens, reflecting the emergence of particles with larger surface areas. At the highest concentration (4.5 wt%), the diameter distribution further shifts to 100–120 nm, accompanied by a more pronounced right tail, indicating greater heterogeneity likely due to nanoparticle aggregation or coalescence. The area distribution also extends significantly, with some particles reaching up to 0.2 μm², confirming the formation of substantially larger structures at elevated NZ loadings.
Figure 5 illustrates the Weibull distribution analysis across different NZ concentrations, revealing a clear trend of increasing particle size and area with higher weight percentages. This behavior is primarily attributed to enhanced nanoparticle aggregation and coalescence, driven by the greater availability and proximity of NZ particles at elevated loadings. These observations are particularly significant for material optimization, as particle size distribution critically influences the microstructural uniformity and, consequently, the mechanical and functional performance of the resulting nanocomposites.
Fig. 5
Weibull distribution of nanoparticle size and area at different NZ concentrations
Normalized span index (NSI)
The nanoparticle dispersion characteristics were quantitatively evaluated using the NSI, a robust metric that simultaneously characterizes both the polydispersity and distribution asymmetry of nanoparticle sizes. The NSI analysis was performed on the pre-determined size parameters (\(\:{D}_{min}\), \(\:{D}_{ave}\), \(\:{D}_{max}\)), formulated as:
(1)
The first term in Eq. (1) represents a normalized measure of the particle size distribution width, quantifying the relative span of diameters present in the system. The second term serves as an asymmetry correction factor that amplifies the index when the \(\:{D}_{ave}\) deviates from the distribution’s midpoint. This dual-component formulation provides enhanced discrimination between dispersion states compared to conventional metrics, as it simultaneously captures both the breadth and skewness of the size distribution. In the current study, the NSI proved particularly effective at differentiating the dispersion characteristics of UHMWPE composites containing varying nanoparticle loadings (1.5–4.5 NZ), where traditional measures failed to adequately reflect the observed differences in aggregation behavior.
Table 1 presents the NSI quantification of nanoparticle dispersion in UHMWPE composites. The analysis reveals three distinct dispersion regimes: (1) moderate polydispersity in the 1.5 NZ composite (NSI = 5.04), (2) optimized dispersion in the 3 NZ formulation (NSI = 4.13), and (3) significant aggregation in the 4.5 NZ system (NSI = 6.40). The non-linear progression of NSI values suggests a critical nanoparticle loading threshold near 3 NZ, evidenced by the 18% improvement in dispersion quality from 1.5 NZ to 3 NZ compared to the subsequent 55% deterioration at higher loading. This trend indicates that while the 3 NZ loading approaches the optimal stabilization capacity of the polymer matrix, exceeding this concentration leads to predominant nanoparticle aggregation. The NSI quantification thus identifies 3 NZ as the optimal loading for balanced dispersion, whereas the 4.5 NZ composite demonstrates compromised dispersion characteristics due to excessive particle clustering. A lower NSI value indicates a narrower particle size distribution and improved dispersion homogeneity, which is expected to enhance interfacial interactions and contribute positively to the viscoelastic response of the nanocomposites.
Dynamic mechanical thermal analysis
Figures 6, 7 and 8 illustrate the dynamic mechanical and thermal behavior of pure UHMWPE and its NZ-reinforced nanocomposites, as characterized by the storage modulus (\(E^{\prime}\)), loss modulus (\(E^{\prime\prime}\)), and damping factor (\(tan\:\delta\)). Figure 6 presents the variation of \(E^{\prime}\) as a function of temperature (− 100 °C to 150 °C) under frequencies of 1 and 10 Hz. Evidently, the inclusion of NZ results in a notable enhancement of \(E^{\prime}\) across the studied temperature range, particularly at sub-ambient temperatures. This improvement is primarily attributed to the stiffening effect imparted by the rigid zeolite nanoparticles, which act as reinforcing agents within the polymer matrix. The nanoparticles restrict the mobility of polymer chains by creating a more constrained molecular environment, thereby reducing segmental motion and enhancing the elastic response of the material. Moreover, the strong interfacial adhesion between the UHMWPE matrix and the NZ particles contributes to effective stress transfer and further limits chain relaxation. The presence of nanoparticles also reduces the free volume within the polymer, hindering molecular rearrangement under mechanical loading. Collectively, these factors result in an overall increase in stiffness, as evidenced by the elevated storage modulus values.
Fig. 6
Variation of storage modulus as a function of temperature for pure UHMWPE and its nanocomposite at two different frequencies (1 Hz and 10 Hz)
Fig. 7
Temperature-dependent changes in the loss modulus of nanocomposites at 1 Hz and 10 Hz
Fig. 8
Variation of the dissipation factor (tan δ) for pure UHMWPE and its nanocomposites as a function of temperature at frequencies of 1 Hz and 10 Hz
Furthermore, the temperature-dependent trends reveal distinct transition regions within the material. The sharp decline in \(E^{\prime}\) at lower temperatures corresponds to the α-relaxation, typically associated with the glass transition, where molecular mobility increases significantly. At elevated temperatures, a secondary reduction in modulus is observed, likely attributed to segmental motions within the crystalline domains of UHMWPE. Notably, the incorporation of zeolite nanoparticles causes a slight shift in both transitions, indicating their contribution to improved thermal and mechanical stability of the nanocomposite system. The slight shift of these relaxation regions toward higher temperatures in the NZ-filled systems suggests restricted molecular mobility due to polymer–filler interactions, indicating that nano-zeolite acts as an effective thermal stabilizer by delaying chain relaxation processes.
The effect of frequency on \(E^{\prime}\) is evident when comparing Fig. 6a (1 Hz) and Fig. 6b (10 Hz). Across the entire temperature range, the storage modulus at 10 Hz is consistently higher than at 1 Hz. This trend reflects the time-dependent viscoelastic nature of polymers: at higher frequencies, polymer chains have less time to reorient or relax, leading to a stiffer, more elastic response and consequently a higher modulus. The increased stiffness observed at 10 Hz indicates the enhanced rigidity of the UHMWPE matrix under rapid oscillatory loading, further confirming the frequency-dependent mechanical behavior of the nanocomposite system. This frequency-dependent stiffening behavior highlights the ability of the UHMWPE/NZ nanocomposites to sustain higher dynamic loads without significant viscoelastic softening, which is critical for applications involving repetitive or impact-type loading conditions.
The loss modulus reflects the energy dissipated as heat during cyclic deformation and serves as a measure of the material’s viscous behavior or the irreversible energy loss per oscillatory cycle. This parameter is particularly critical for applications requiring energy absorption, damping, and vibration mitigation, such as load-bearing prosthetic components. Figure 7 illustrates the loss modulus of various samples as a function of temperature at frequencies of 1 Hz and 10 Hz. Two distinct peaks are observed across the temperature range: the first, more prominent peak occurs at low temperatures (approximately − 120 °C to − 100 °C), and the second appears at elevated temperatures (around 50 °C to 100 °C). These peaks correspond to molecular relaxation phenomena within the UHMWPE matrix.
According to Fig. 7, the incorporation of NZ significantly influences the loss modulus. At both frequencies, increasing NZ content results in higher peak values, indicating enhanced energy dissipation. This enhancement is attributed to strong interfacial interactions between the UHMWPE matrix and the NZ particles, which increase internal friction at the polymer–nanoparticle boundaries, thereby promoting greater heat generation during deformation. These findings suggest successful integration of NZ into the polymer matrix, as evidenced by increased frictional energy dissipation. The increase in loss modulus reflects not only enhanced internal friction at the polymer–filler interface but also the effective hindrance of segmental chain motions, which collectively improve the material’s capacity for damping and vibration energy dissipation under cyclic loading. As the NZ content increases, the number of local polymer chain restriction sites also rises, leading to higher internal friction and, consequently, greater heat generation within the nanocomposite samples. Overall, NZ alters the viscoelastic response by simultaneously restricting polymer chain mobility—leading to an increase in E′—and elevating internal friction—reflected in the increased E″.
A notable observation in Fig. 7 is the presence of an initial shoulder-like feature in the loss modulus curves within the temperature range of approximately − 150 °C to − 120 °C, particularly evident in the UHMWPE/3NZ and UHMWPE/4.5NZ samples. This feature is more prominent at 1 Hz but becomes less distinct at 10 Hz, suggesting it is associated with a low-temperature molecular relaxation process that is frequency-sensitive. The diminished response at 10 Hz indicates that these localized chain motions cannot effectively respond to the shorter oscillation periods at higher frequencies, resulting in reduced energy dissipation. When comparing the data at 1 Hz and 10 Hz, it is evident that the overall peak intensity of the loss modulus increases with frequency. This behavior is characteristic of viscoelastic materials, where higher frequencies lead to greater energy dissipation due to faster molecular rearrangements. Furthermore, a slight shift of the peak positions toward higher temperatures at 10 Hz is observed, consistent with the time–temperature superposition principle. This indicates that higher thermal energy is required to activate molecular relaxation processes at elevated frequencies.
The dissipation factor (tan δ) represents the ratio of energy lost to energy stored in a material under dynamic loading, reflecting the balance between the segment of the polymer network that undergoes reversible deformation and the part that remains elastic and unchanged. In the context of cyclic or intermittent loading, this energy loss is commonly referred to as damping. Therefore, the damping performance, when considered relative to the material’s stiffness, provides a comprehensive measure of its viscoelastic behavior. The increase in loss modulus reflects not only enhanced internal friction at the polymer–filler interface but also the effective hindrance of segmental chain motions, which collectively improve the material’s capacity for damping and vibration energy dissipation under cyclic loading. Figure 8 illustrates the temperature-dependent variation of tan δ at frequencies of 1 Hz and 10 Hz, highlighting how energy dissipation characteristics evolve with temperature and frequency. According to Fig. 8, the incorporation of nano-zeolite leads to an overall increase in tan δ across the whole temperature range. This enhancement can be attributed to strong interfacial interactions between the polymer matrix and the nanoparticles, which facilitate greater energy dissipation. Additionally, the rigid nature of the nanoparticles restricts polymer chain mobility, resulting in broader and more pronounced relaxation peaks.
A comparison of the damping behavior at 1 Hz and 10 Hz further emphasizes the frequency-dependent viscoelastic response of the nanocomposites. As the frequency increases, the relaxation peaks in the tan δ curves shift toward higher temperatures, in accordance with the time–temperature superposition principle. This shift reflects the need for greater thermal activation to facilitate molecular motion at higher frequencies. Furthermore, the magnitude of tan δ decreases at 10 Hz compared to 1 Hz, due to the limited time available for polymer chain segments to rearrange, resulting in reduced energy dissipation. The shorter deformation time at higher frequencies also contributes to the suppression of tan δ peaks, as evident by the notably diminished relaxation peak around 50 °C at 10 Hz compared to the more pronounced peak observed at 1 Hz. Importantly, the reinforcing effect of nano-zeolite is evident at both frequencies, indicating that the presence of nanoparticles consistently modifies the thermomechanical behavior of the UHMWPE matrix under varying dynamic conditions.
The glass transition temperature (\(\:{T}_{g}\)) can be determined from the tan δ curves, where it is marked by the primary peak, indicating the transition from a glassy to a rubbery state. In pure UHMWPE, \(\:{T}_{g}\) appears at a relatively lower temperature; however, the incorporation of nano-zeolite leads to a noticeable shift of \(\:{T}_{g}\) toward higher temperatures. This upward shift is attributed to enhanced physical interactions between the zeolite nanoparticles and the polymer chains, which restrict the mobility of the amorphous regions. As a result, a higher thermal energy input is needed to activate segmental motion within the matrix. Furthermore, the upward shift in \(\:{T}_{g}\) due to NZ incorporation indicates enhanced thermal and mechanical stability of the nanocomposite, implying that the reinforced matrix can better resist softening and maintain functional integrity under elevated temperature and high-frequency loading conditions. In addition, increasing the frequency from 1 Hz to 10 Hz causes a further elevation in \(\:{T}_{g}\), consistent with the known frequency dependence of the glass transition. At higher frequencies, less time is available for molecular rearrangement, thus requiring greater thermal energy to initiate relaxation processes.
Predictive modeling
To effectively model the complex relationships between input features and the viscoelastic properties, an ensemble learning model was constructed based on the Least-Squares Boosting (LSBoost) algorithm. This approach iteratively builds a strong regression model by combining a sequence of weak regression learners, where each subsequent learner focuses on minimizing the residual errors of the preceding ensemble. Mathematically, the final model will be a weighted sum of these individual learners [43].
Data preparation
The data for this study was prepared to ensure consistency and reliability in the modeling process. The dataset includes inputs for temperature, weight fraction, NSI, frequency, and corresponding output responses such as the elastic modulus (\(E^{\prime}\)), loss modulus (\(E^{\prime\prime}\)), and dissipation factor (\(\:{tan}\delta\:\)). In this study, the data preparation process included the normalization of input variables to ensure they were on a comparable scale, which is particularly important for improving the performance and convergence of machine learning models. Normalization was applied to each feature independently using the following formulation:
$${X}_{norm}=\frac{X-{\mu}_{X}}{{\sigma}_{X}}$$
(2)
where \(X\) represents the raw value of the input feature, \({\mu}_{X}\) is the mean of the input feature values, \({\sigma}_{X}\) is the standard deviation of the input feature values, and \({X}_{norm}\) is the normalized value of the feature. Input normalization standardizes the range of input variables, effectively eliminating scale differences between features. This ensures that no single feature dominates the learning process due to differences in scale, thereby improving model training efficiency. The normalization was applied to all input variables to ensure consistency across the dataset. However, it is important to note that not all temperature data were included in the study. Specifically, only a subset of temperature values, ranging from − 150 °C to 100 °C in 25 °C intervals, was selected for the temperature input variable.
Bayesian-based hyperparameter optimization
The performance of the LSBoost model is significantly influenced by its hyperparameters, which control the complexity and learning dynamics of the ensemble [44]. The optimization includes the following critical hyperparameters:
-
Number of Boosting Iterations (M): This parameter determines the size of the ensemble, with a larger number potentially increasing model complexity but also the risk of overfitting. In this study, a discrete range of values was explored to identify the optimal ensemble size that balances bias and variance.
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Learning Rate (ν): This parameter scales the contribution of each weak learner, controlling the rate at which the ensemble learns. A smaller learning rate can lead to more robust generalization. A continuous or discrete range of small positive values was investigated in this study to determine the optimal shrinkage.
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Minimum Leaf Size: For tree-based weak learners (to be specified in the model template), this parameter governs the complexity of individual trees by setting the minimum number of data points in a leaf node. In this work, a discrete range of values was investigated to control the individual learner complexity and prevent overfitting.
To efficiently identify the optimal combination of these hyperparameters, a Bayesian optimization technique was employed. This probabilistic approach builds a surrogate model of the objective function (e.g., cross-validation error) and uses an acquisition function, specifically expected-improvement-plus (EIP), to intelligently select hyperparameter configurations for evaluation [45]. This method balances the exploration of new hyperparameter regions with the exploitation of promising ones, leading to a more efficient search compared to grid or random search [46]. The performance of each evaluated hyperparameter configuration was assessed using 5-fold cross-validation to ensure robust and generalizable model performance.
Figure 9 illustrates the progression of Bayesian-based hyperparameter optimization across iterations for predicting \(E^{\prime}\), \(E^{\prime\prime}\), and \({tan}{\updelta}\). In each subplot, the blue curve represents the minimum observed objective function value up to a given iteration, reflecting the best hyperparameter configuration identified at that point. The green curve shows the algorithm’s predicted minimum, indicating its expectation of the best achievable performance based on the surrogate model. Periods where the blue line plateaus suggest that the optimization is refining within a promising region without identifying substantially better configurations. The convergence of the blue and green lines toward the end of the iterations indicates that the algorithm likely approached a near-optimal solution and its uncertainty regarding further improvements decreased. The consistent convergence pattern across all three outputs confirms that the Bayesian optimization process effectively identified hyperparameter configurations that minimize the objective function, thereby enhancing the model’s predictive performance.
Fig. 9
The progression of Bayesian-based hyperparameter optimization over iterations for (a) \(E^{\prime}\), (b) \(E^{\prime\prime}\), and (c) \({tan}\delta\)
Learning curve analysis
The diagrams in Fig. 10 illustrate the evolution of RMSE and R2 values for both training and test sets as a function of the number of learning cycles (epochs) in the prediction of \(E^{\prime}\), \(E^{\prime\prime}\), and \(tan\delta\). In all three cases, RMSE sharply decreases within the first 30–40 learning cycles and then plateaus, indicating rapid error minimization and early convergence of the ensemble learning model. Simultaneously, R² values rise steeply and stabilize near unity, reflecting improved prediction accuracy and excellent model fit as training progresses. The consistent alignment between training and test curves across both metrics demonstrates strong generalization and an absence of overfitting. The learning curves confirm that approximately 50 learning cycles are sufficient to achieve optimal predictive performance for all outputs.
Fig. 10
The evolution of training and validation sets over the number of learning cycles for (a) \(E^{\prime}\), (b) \(E^{\prime\prime}\), and (c) \({tan}\delta\)
Prediction performance
Figure 11 presents scatter plots comparing the actual versus predicted values for the LSBoost model’s performance in predicting the relevant DMTA responses alongside key performance metrics (\(\:RMSE\) and \(\:{R}^{2}\)) for both the training and testing datasets. In each subplot, the blue dots represent individual data points, where the x-coordinate corresponds to the actual measured value and the y-coordinate represents the value predicted by the LSBoost model. The red solid line indicates a perfect prediction scenario where predicted values exactly match the actual values. The clustering of the blue dots closely around the red line in all three subplots visually demonstrates a strong agreement between the actual and predicted values, suggesting that the LSBoost model exhibits good predictive capabilities for all three viscoelastic properties. The accompanying performance metrics further quantify this agreement, with high \(\:{R}^{2}\) values (close to 1) for both training and testing sets suggesting a good fit and a substantial proportion of the variance explained by the model, while the relatively low RMSE values indicate small prediction errors.
Fig. 11
LSBoost model performance analysis through actual vs. predicted results comparison for (a) \(E^{\prime}\), (b) \(E^{\prime\prime}\), and (c) \({tan}\delta\) as well as the measured performance metrics
Input effect analysis on DMTA properties
To investigate how each individual input variable influences the predicted DMTA properties and to understand how variations in each input contribute to changes in the predicted outputs across different samples, individual conditional expectation (ICE) plots were employed. ICE plots serve as effective tools for visualizing an ML model response to changes in a single input feature while all other features are held constant [47]. In contrast to partial dependence plots (PDP), which depict the average marginal effect of a feature, ICE plots capture the prediction trajectories for individual data instances, providing a more detailed interpretation—particularly in the presence of nonlinear relationships or feature interactions [48]. This facilitates the identification of localized trends and heterogeneous effects that may be obscured by global averaging methods.
In the present study, ICE plots were generated based on an LSBoost model trained on normalized input variables, with predictions subsequently denormalized to align with actual physical values. These plots proved valuable for visualizing the nonlinear and potentially interaction-dependent impact of individual parameters on each viscoelastic response, supporting both sensitivity assessment and robustness evaluation. By isolating the effect of each input while keeping other variables fixed, distinct trends such as monotonic behavior, inflection points, and complex nonlinearities were effectively detected.
Figure 12 illustrates ICE plots showing how each individual input variable—temperature, weight fraction, NSI dispersion parameter, and frequency—affects the predicted DMTA outputs, including storage modulus (E′), loss modulus (E″), and damping factor (tan δ), while keeping other inputs constant. According to Fig. 12a, a strong inverse relationship between \(E^{\prime}\) with temperature is observed where the storage modulus consistently decreases across all samples as the temperature rises. This trend aligns with the expected thermal softening behavior of polymer-based composites. In contrast, E′ appears relatively insensitive to variations in weight fraction, NSI, and frequency, as indicated by the nearly flat response curves. While some discrete jumps are observed at higher weight fractions and frequencies for a few instances, the overall impact of these inputs on E′ remains limited compared to temperature.
Fig. 12
ICE plots of the trained LSBoost model illustrating the effect of each input variable—temperature, weight fraction, NSI, and frequency—on the predicted dynamic mechanical properties: (a) E′, (b) E″, and (c) tan δ. Each colored line represents the prediction trajectory for a single data instance as one input varies while others remain fixed
The ICE plots for E″ in Fig. 12b similarly show a decreasing trend with increasing temperature, reflecting reduced energy dissipation capability at elevated temperatures. In terms of weight fraction and frequency, step-like increases are observed, particularly at higher levels, indicating that these inputs may enhance the viscous response of the material. The plots for NSI show minimal variation, suggesting a relatively minor influence of the nanostructure index on E″ within the examined range. The response of tan δ to temperature in Fig. 12c displays a non-monotonic and sample-dependent pattern, with notable peaks and valleys across the range, suggesting complex interactions and phase transitions affecting damping behavior. The ICE curves for weight fraction and frequency reveal distinct step-like increases or decreases, emphasizing that these parameters significantly modulate the damping capability. The effect of NSI is again minimal, with most samples showing nearly flat trajectories.
Permutation feature importance analysis (PFI)
To evaluate the influence of each input feature on the ensemble model’s predictions, a permutation feature importance (PFI) analysis was performed. In this method, the values of each input variable—temperature (Temp), weight fraction (WF), NSI, and frequency (Fr)— were individually shuffled across the test dataset to break their original association with the target outputs. The model was then used to generate predictions on this modified dataset, and the resulting prediction error was compared to that obtained from the unshuffled data. The increase in prediction error caused by shuffling a particular feature reflects its relative importance in the model. This approach provides an unbiased estimate of feature relevance and is particularly effective for complex models such as ensemble learning algorithms, where traditional split-based importance metrics may be misleading [49].
The PFI results illustrated in Fig. 13 indicate the temperature has a substantial impact on all three outputs compared to all other variables, with a large increase in RMSE observed when temperature is permuted. This indicates that the model’s ability to predict DMTA outcomes is highly dependent on accurate temperature data. In contrast, weight fraction, NSI, and frequency display relatively minor impacts, suggesting that these parameters exert secondary influence on the measured outcomes. This trend reflects the thermally sensitive nature of the material stiffness, where temperature-induced softening dominates over the effects introduced by compositional or processing variables.
Fig. 13
PFI analysis of the impact of input variables on (a) \(E^{\prime}\), (b) \(E^{\prime\prime}\), and (c) \({tan}\delta\)
While temperature remains the dominant factor across all viscoelastic responses, a more refined comparison among the secondary variables—frequency, weight fraction, and NSI—reveals that frequency plays the most consistently influential role overall. This is particularly evident in the prediction of tan δ (Fig. 9c), where frequency shows the highest permutation importance among the non-temperature variables, indicating its strong impact on the damping behavior of the nanocomposite. Similarly, frequency exhibits a comparable or greater influence than weight fraction and NSI in predicting both the storage and loss moduli (Fig. 13a and b), suggesting that dynamic excitation frequency affects both the stiffness and energy dissipation mechanisms, likely through modulation of molecular mobility and interfacial friction. This is particularly evident in the prediction of tan δ (Fig. 9c), where frequency shows the highest permutation importance among the non-temperature variables, indicating its strong impact on the damping behavior of the nanocomposite. Similarly, frequency exhibits a comparable or greater influence than weight fraction and NSI in predicting both the storage and loss moduli (Fig. 13a and b), suggesting that dynamic excitation frequency affects both the stiffness and energy dissipation mechanisms, likely through modulation of molecular mobility and interfacial friction.
According to Fig. 13, weight fraction demonstrates a uniquely dominant effect on \(E^{\prime\prime}\), as shown in Fig. 13b, where its importance score slightly exceeds that of frequency. This indicates that filler concentration remains a critical factor for the material’s ability to dissipate mechanical energy. The increased loss modulus with higher weight fraction may be attributed to greater interfacial interactions and localized deformation zones induced by the rigid fillers. In contrast, NSI consistently shows the lowest importance values across all outputs, implying that, despite its relevance in controlling microstructural homogeneity, the degree of dispersion within the studied range has a relatively limited impact on the macroscale viscoelastic performance. Altogether, while frequency emerges as the most influential secondary factor overall, weight fraction plays a particularly strong role in energy dissipation, highlighting the nuanced response-dependent importance of each variable.
Evaluation of UHMWPE/NZ nanocomposites for prosthetic limb applications
The mechanical and viscoelastic properties of materials used in prosthetic limbs play a crucial role in their performance and user comfort. These parameters are directly related to stiffness, energy absorption capability, and vibration damping in prosthetic limbs, which are critical for improving their functionality. The storage modulus represents the stiffness of the material under dynamic loading. The observed increase in E′ in UHMWPE/NZ nanocomposites indicates enhanced mechanical strength and structural stability. This is essential for prosthetic limbs, as higher stiffness allows for better load-bearing capacity, preventing unwanted deformations and improving durability. Furthermore, the increased storage modulus with higher nanoparticle content provides an opportunity to optimize prosthetic stiffness, ensuring better structural integrity and mechanical reliability.
The loss modulus reflects the amount of energy dissipated during dynamic loading, and its increase in UHMWPE reinforced with NZ suggests improved energy absorption capabilities. This property is particularly important for prosthetic limbs, as it contributes to impact attenuation, reducing shock transmission to the user and enhancing comfort. Specifically, in the body temperature range (25–37 °C), the increased loss modulus in the 3% and 4.5% NZ samples indicates enhanced energy dissipation, which helps minimize the forces transmitted to the user during movement. The damping ratio, which represents the ratio of dissipated to stored energy, plays a significant role in vibration reduction within prosthetics. The higher damping ratio in NZ-reinforced nanocomposites compared to pure UHMWPE demonstrates their superior vibration-damping performance. At body temperature, this characteristic leads to reduced vibration transmission through the prosthetic limb, increasing user comfort. This effect is particularly valuable for daily activities such as walking and running, as it helps decrease user fatigue and long-term mechanical wear.
Increasing the frequency resulted in a decrease in the damping ratio, indicating a reduction in vibration absorption capability under more dynamic conditions such as running. At lower frequencies (1 Hz), which simulate regular walking movements, the damping ratio is higher, showing the ability of these nanocomposites to effectively absorb impact energy when the foot strikes the ground. Conversely, at 10 Hz, the reduced damping ratio suggests a diminished ability to dissipate vibrations during faster movements, likely due to structural changes in the material’s response to higher excitation rates. The results indicate that the addition of NZ to UHMWPE enhances stiffness, energy absorption, and vibration damping simultaneously. These improvements contribute to the increased stability and longevity of prosthetic limbs while enhancing comfort and performance. Therefore, UHMWPE/NZ nanocomposites can be considered a promising material for optimizing prosthetic limb functionality, offering a novel approach to improving their overall mechanical behavior and user experience.
Conclusion
This study systematically investigated the structural, morphological, and viscoelastic properties of UHMWPE/NZ nanocomposites and evaluated the effects of NZ content on mechanical performance, energy dissipation, and predictive modeling. The key findings are summarized as follows:
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UHMWPE nanocomposites containing 1.5, 3, and 4.5 wt% NZ were successfully fabricated via a scalable melt blending process, demonstrating the feasibility of incorporating rigid nanoparticles into thermoplastic matrices.
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SEM analysis revealed uniform nanoparticle dispersion at lower NZ loadings (1.5 wt%), while higher loadings (4.5 wt%) showed increasing agglomeration.
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FTIR spectroscopy confirmed the successful integration of NZ and strong polymer–filler interactions, as indicated by characteristic structural and chemical features.
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An automated image-processing pipeline with noise reduction, binarization, K-means clustering, morphological operations, size filtering, and RF regression enabled robust nanoparticle segmentation and accurate size prediction.
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Particle size distribution and normalized span index (NSI) analysis identified 3 wt% NZ as the optimal loading (NSI = 4.13), offering 18% better dispersion than 1.5 wt% (NSI = 5.04) and lower aggregation compared to 4.5 wt% NZ (NSI = 6.40).
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Weibull distribution analysis confirmed that higher NZ content resulted in broader and more heterogeneous particle size distributions due to agglomeration.
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DMTA showed that NZ reinforcement significantly enhanced storage modulus, loss modulus, and damping factor across all tested temperatures and frequencies, indicating improved stiffness, energy dissipation, and thermal stability.
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Frequency- and temperature-dependent shifts in viscoelastic behavior and glass transition temperature demonstrated strong interfacial bonding and restricted polymer chain mobility.
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The observed enhancements are particularly relevant for prosthetic applications, such as dynamic footbeds and shock-absorbing joints, where energy dissipation, vibration damping, and user comfort are critical.
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A Bayesian-optimized LSBoost ensemble model was developed to predict viscoelastic responses (E′, E″, and tan δ) from processing and material parameters, achieving excellent predictive performance with high R² values (≥ 0.95) and low RMSE for both training and test datasets.
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ICE and PFI analyses identified temperature as the most influential factor, while frequency and NZ weight fraction exerted response-specific effects on viscoelastic properties, providing insight into the relative importance of processing and operational conditions.
The results of this study should be interpreted considering several limitations. The SEM-based image segmentation and the resulting NSI are sensitive to image quality and segmentation accuracy, which may introduce uncertainty in microstructural quantification, as reported in related microscopy studies [50, 51]. Additionally, although the machine learning models show good agreement with experimental data within the studied range, their applicability beyond the investigated conditions is constrained by dataset size and scope, a limitation common to data-driven materials modeling [52, 53]. Future studies should focus on expanding experimental datasets and improving imaging and segmentation strategies, with potential extension of the proposed framework to UHMWPE-based and other biocompatible polymer systems for prosthetic, biomedical, and energy-related applications requiring controlled viscoelastic performance [54, 55].
Acknowledgements
The authors extend their appreciation to the Deanship of Scientific Research at Northern Border University, Arar, KSA for funding this research work through the project number " NBU-FFR-2025-3728-01 ". We would like to thank Princess Nourah bint Abdulrahman University Researchers Supporting Project number (PNURSP2025R748), Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia for funding this research. The authors extend the appreciation to the Deanship of Postgraduate Studies and Scientific Research at Majmaah University for funding this research work through the project number (ER-2025-2252).
Declarations
Competing interests
The authors declare no competing interests.
Ethical approval
Not Applicable.
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