{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T00:28:10Z","timestamp":1787704090217,"version":"build-2784847793"},"reference-count":44,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100015361","name":"ConvaTec","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015361","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Pressure ulcers\/injuries at the posterior heel commonly develop in patients with limited mobility or sensation, where movements such as sliding in bed generate shear forces that elevate the deep soft tissue stresses. Prophylactic multilayer dressings are recommended to reduce this injury risk, yet many current products incorporate high\u2010friction silicone adhesives for attaching the dressing to the skin, which may increase shear transfer to the skin and subdermally while a patient is moving or being moved. This study evaluated a multilayer dressing featuring an Aquacel Hydrofiber Technology skin\u2010contact layer that exhibits moisture\u2010responsive friction reduction. Finite element models of a posterior heel resting on a support surface were developed to simulate compressive and shear loading during patient sliding\u2010in\u2010bed, comparing no dressing, dry (new) and moist (used) dressing conditions. Moisture exposure reduced the skin\u2010dressing coefficient of friction from 1.55 to 0.22, leading to substantial reduction in soft tissue strain and stress exposures, such that high\u2010magnitude strain and stress concentrations (&gt;\u200975th\u2010percentile) were effectively absent within the modelled loading domain under the simulated conditions. Moisture\u2010induced friction reduction facilitated controlled micro\u2010sliding at the skin interface, attenuating shear transfer into skin and subcutaneous tissues. These findings demonstrate that moisture\u2010responsive interfacial friction adaptation is an important mechanism of action contributing to the biomechanical protective efficacy of prophylactic dressings.<\/jats:p>","DOI":"10.1111\/iwj.71011","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T00:56:58Z","timestamp":1787533018000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Modelling and Simulation of Soft Tissue Loading Reduction at the Posterior Heel by a Moisture\u2010Responsive Prophylactic Dressing"],"prefix":"10.1111","volume":"23","author":[{"given":"Daria","family":"Orlova","sequence":"first","affiliation":[{"name":"School of Biomedical Engineering, Faculty of Engineering Tel Aviv University  Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0223-7218","authenticated-orcid":false,"given":"Amit","family":"Gefen","sequence":"additional","affiliation":[{"name":"School of Biomedical Engineering, Faculty of Engineering Tel Aviv University  Tel Aviv Israel"},{"name":"Skin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care Ghent University  Ghent Belgium"},{"name":"Department of Mathematics and Statistics and the Data Science Institute, Faculty of Sciences Hasselt University  Hasselt Belgium"},{"name":"Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, University of Sydney  Sydney 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