Clinical Evidence

List of relevant published studies

Smith and Ingram (2010) - Clinical and cost effectiveness evaluation of low friction and shear garments; Journal of Wound Care Vol. 19, no 12, December 2010, pp.535-42.

Sylvie Hampton et al - Parafricta fabric: Can it reduce the potential for pressure ulcer damage; Journal of Community Nursing, April 2009, Vol. 23, Issue 4, pp. 28-31.

Stephen-Haynes et al  -  Clinical outcomes using a low friction and shear garment in the care home setting;  Wounds UK, 2011, Vol. 7, No 4, pp. 76-84.

Gleeson, D (2015) “Pressure ulcer reduction using low-friction fabric bootees” British Journal of Nursing (Tissue Viability Supplement) 24 (6)

Gleeson, D (2016) “Heel Pressure Ulcer prevention: a 5-year initiative using low-friction bootees in a hospital setting”” Wounds UK Vol12 No4

Gefen, A (2017) “Why is the heel particularly vulnerable to pressure ulcers” British Journal of Nursing Vol 26 No20 Tissue Viability Supplement

Schofield, A (2018) “Mitigating the damaging effects of tissue distortions by using a low-friction heel protector” British Journal of Nursing | Vol. 27 | No. Sup12 | pp S27–S34

Hollen,L et al (2018)  “The SILKIE (Skin graftIng Low friKtIon Environment) study: a non-randomised proof-of-concept and feasibility study on the impact of low-friction nursing environment on skin grafting success rates in adult and paediatric burns”  BMJ Open 2018;8

NICE Medical Technologies Evaluation (2014)

NICE's Medical Technologies Evaluation Programme (MTEP) considers technologies that could offer substantial benefits to patients and the health and social care system over current practice.  Parafricta Bootees and Undergarments were reviewed in 2014.  As a response to this evaluation a full randomised controlled clinical trial was commissioned by Cedar (, which is expected to publish the results in 2020.

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