S. Derler

Tribology of Skin: Review and Analysis of Experimental Results for the Friction Coefficient of Human Skin

In this review, we discuss the current knowledge on the tribology of human skin and present an analysis of the available experimental results for skin friction coefficients. Starting with an overview on the factors influencing the friction behaviour of skin, we discuss the up-to-date existing experimental data and compare the results for different anatomical skin areas and friction measurement techniques. For this purpose, we also estimated and analysed skin contact pressures applied during the various friction measurements. The detailed analyses show that substantial variations are a characteristic feature of friction coefficients measured for skin and that differences in skin hydration are the main cause thereof, followed by the influences of surface and material properties of the contacting materials. When the friction coefficients of skin are plotted as a function of the contact pressure, the majority of the literature data scatter over a wide range that can be explained by the adhesion friction model. The case of dry skin is reflected by relatively low and pressure-independent friction coefficients (greater than 0.2 and typically around 0.5), comparable to the dry friction of solids with rough surfaces. In contrast, the case of moist or wet skin is characterised by significantly higher (typically >1) friction coefficients that increase strongly with decreasing contact pressure and are essentially determined by the mechanical shear properties of wet skin. In several studies, effects of skin deformation mechanisms contributing to the total friction are evident from friction coefficients increasing with contact pressure. However, the corresponding friction coefficients still lie within the range delimited by the adhesion friction model. Further research effort towards the analysis of the microscopic contact area and mechanical properties of the upper skin layers is needed to improve our so far limited understanding of the complex tribological behaviour of human skin.

Influence of epidermal hydration on the friction of human skin against textiles.

Friction and shear forces, as well as moisture between the human skin and textiles are critical factors in the formation of skin injuries such as blisters, abrasions and decubitus. This study investigated how epidermal hydration affects the friction between skin and textiles. The friction between the inner forearm and a hospital fabric was measured in the natural skin condition and in different hydration states using a force plate. Eleven males and eleven females rubbed their forearm against the textile on the force plate using defined normal loads and friction movements. Skin hydration and viscoelasticity were assessed by corneometry and the suction chamber method, respectively. In each individual, a highly positive linear correlation was found between skin moisture and friction coefficient (COF). No correlation was observed between moisture and elasticity, as well as between elasticity and friction. Skin viscoelasticity was comparable for women and men. The friction of female skin showed significantly higher moisture sensitivity. COFs increased typically by 43% (women) and 26% (men) when skin hydration varied between very dry and normally moist skin. The COFs between skin and completely wet fabric were more than twofold higher than the values for natural skin rubbed on a dry textile surface. Increasing skin hydration seems to cause gender-specific changes in the mechanical properties and/or surface topography of human skin, leading to skin softening and increased real contact area and adhesion.

Textile, Physiological, and Sensorial Parameters in Sock Comfort

This paper explores the influence of textile, physiological, and sensorial parameters on sock comfort. Comfort parameters of sport socks were evaluated in two different sport exercises by a non-trained panel. The criteria of the sensory evaluation were perceived foot temperature, fabric dampness, and pain. No rating scale or common lexicon was needed for the sensory evaluation. Foot temperature and humidity were measured during the sport exercises by sensors integrated in the footwear, while coefficients of friction between sock fabric samples and a mechanical skin model were measured using a previously developed Textile Friction Analyzer. The influence of textile, physiological, and sensorial parameters on the sock comfort was statistically investigated. Significant correlations were found between physiological and sensorial parameters as well as between the fabric friction and perceived comfort. Perceived comfort depended on the fibre content of sock fabrics and on the perceived dampness and temperature of the feet. Surface roughness and water content of the textiles had no influence on sock comfort. The new approach of sensory evaluation using a non-trained panel is suitable for the assessment of sock comfort. Using test parameters simulating the contact conditions between foot and sock in sport activities, the Textile Friction Analyzer is an appropriate device to determine the fabric friction which is related to the sock comfort. The results of this research represent a first step towards a better understanding of the influence of different parameters on sock comfort.

Materials used to simulate physical properties of human skin

For many applications in research, material development and testing, physical skin models are preferable to the use of human skin, because more reliable and reproducible results can be obtained.

Tribological investigation of a functional medical textile with lubricating drug-delivery finishing.

Textile-based drug delivery systems have a high potential for innovative medical and gerontechnological applications. In this study, the tribological behaviour and lubrication properties of a novel textile with drug delivery function/finishing was investigated by means of friction experiments that simulated cyclic dynamic contacts with skin under dry and wet conditions. The textile drug delivery system is based on a loadable biopolymer dressing on a polyester (PES) woven fabric. The fabrics were finished with low (LC) and highly cross-linked (HC) polysaccharide dressings and investigated in the unloaded condition as well as loaded with phytotherapeutic substances. The mechanical resistance and possible abrasion of the functional coatings on the textile substrate were assessed by friction measurements and scanning electron microscopical analyses. Under dry contact conditions, all investigated fabrics (PES substrate alone and textiles with loaded and unloaded dressings) showed generally low friction coefficients (0.20-0.26). Under wet conditions, the measured friction coefficients were typically higher (0.34-0.51) by a factor of 1.5-2. In the wet condition, both loaded drug delivery textiles exhibited 7-29% lower friction (0.34-0.41) than the PES fabric with unloaded dressings (0.42-0.51), indicating pronounced lubrication effects. The lubrication effects as well as the abrasion resistance of the studied textiles with drug delivery function depended on the degree of dilution of the phytotherapeutic substances. Lubricating formulations of textile-based drug delivery systems which reduce friction against the skin might be promising candidates for advanced medical textile finishes in connection with skin care and wound (decubitus ulcer) prevention.

In vivo confirmation of hydration-induced changes in human-skin thickness, roughness and interaction with the environment

The skin properties, structure, and performance can be influenced by many internal and external factors, such as age, gender, lifestyle, skin diseases, and a hydration level that can vary in relation to the environment. The aim of this work was to demonstrate the multifaceted influence of water on human skin through a combination of in vivo confocal Raman spectroscopy and images of volar-forearm skin captured with the laser scanning confocal microscopy. By means of this pilot study, the authors have both qualitatively and quantitatively studied the influence of changing the depth-dependent hydration level of the stratum corneum (SC) on the real contact area, surface roughness, and the dimensions of the primary lines and presented a new method for characterizing the contact area for different states of the skin. The hydration level of the skin and the thickness of the SC increased significantly due to uptake of moisture derived from liquid water or, to a much lesser extent, from humidity present in the environment. Hydrated skin was smoother and exhibited higher real contact area values. The highest rates of water uptake were observed for the upper few micrometers of skin and for short exposure times.

Relationship Between the Friction and Microscopic Contact Behavior of a Medical Compression Stocking at Different Strains

The contact and friction behavior of a medical compression stocking (MCS) under different strains was investigated in friction and compression experiments against a mechanical skin model. In addition, the 3D topography of the MCS surfaces was analyzed in order to study the relationship between macroscopic friction and microscopic surface properties. The load dependence of friction coefficients was found to be in accordance with the adhesion friction model. The surface structure of MCS samples was considerably changed when varying the strain state, while friction coefficients remained comparable, indicating real contact areas independent of strain on the microscopic level. The experimental findings could be confirmed and explained on the basis of the microscopic surface analyses, when interpreting the fabric surfaces to be composed of numerous individual round asperities obeying the Hertz contact model.

The relationship between skin function, barrier properties, and body-dependent factors

Skin is a multilayer interface between the body and the environment, responsible for many important functions, such as temperature regulation, water transport, sensation, and protection from external triggers.