Reducing the Risk of Friction-Induced Pressure Ulcers

All Parafricta undergarments are made of a novel fabric that offers extremely low friction so that the frail skin over the sacrum, hips and buttocks is protected against friction- and shear-induced damage. In turn, this helps to:

  • Prevent and facilitate healing of pressure ulcers and friction-induced skin lesions such as bedsores and abrasions
  • Helps keep wound dressings in place
  • Are of great value in patients who keep sliding down the bed or the chair or are confined to a wheelchair
  • Can be removed with ease to inspect the skin for damage
  • Can be laundered and reused as per the care label instructions.

Types of Undergarments

Three types of Parafricta® undergarment are available:

Instructions for Use

  • Parafricta undergarments are meant to be worn all the time, under day clothes or nightwear, and can be used in combination with pressure-relief devices such as cushions, overlays and mattresses
  • The size and style should be chosen to fit the user
  • Instead of slip-on the Velcro®-closure briefs may be used if the other is difficult to get on or off
  • Soiled undergarments should be changed, or whenever there is a need according to the clinical observations
  • These undergarments can be worn along with an incontinence pad

When to Use Parafricta Undergarments

Medical professionals have laid down criteria for deciding when to use these undergarments by identifying risk factors:

  • Early features of skin damage such as erythema which does not blanch, or reddened skin, skin abrasions, or moisture retention below the epidermis
  • Observation that skin is rubbing against contact surfaces during transfer of a patient or repositioning, including the use of bed-to-chair transfer boards
  • Any medical conditions which causes the patient to make repeated similar movements of the same body part
  • When the skin is very fragile as in terminally ill or diabetic patients, or very old patients

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Some Common Questions

Should we use these undergarments for incontinent patients?

Incontinence pads are used with these undergarments. However, if the skin is sensitive or at risk for pressure ulcer damage, or if there is a dressed wound, it should be in contact with the lining fabric of the low-friction undergarment, rather than with the pad. An adult nappy is likely to reduce the benefit of these garments.

Should the undergarments be worn over a dressing?

Low-friction undergarments can help to prevent the wound dressing from being displaced by accident because they keep them from being rucked up.

Do the undergarments keep the groin skin healthy and prevent bedsores in this area?

The groin skin folds retain moisture and warmth, which predisposes to friction dermatitis. This is potentially preventable by the use of Parafricta undergarments (boxer style).

How should heavily soiled undergarments be washed?

Undergarments with heavy soiling should be presoaked using a solution with a branded stain remover of oxidizing type. All undergarments should be washed by themselves or as a separate load, if possible, using a hot cycle at 60 °C for synthetics, and then air-dried. A sanitizing cycle that runs a wash cycle for 70 °C for 10 minutes is also acceptable, being one often used in hospital laundries.

How to Take Measurements

To ensure that the best fit is obtained, it is essential to measure both the hips and the waist. The hip size that is nearest to that of the user should be first selected in case of doubt as to the correct size.


  1. NICE Pathway for Pressure Ulcers:
  2. Clinical and cost effectiveness evaluation of low friction and shear garments (G. Smith & A. Ingram,Journal of Wound Care Vol 19, N°12 - Dec 2010)


About ParafrictaParafricta

This information has been sourced, reviewed and adapted from materials provided by Parafricta.

APA Parafricta Ltd’s range of Parafricta®-branded medical garments and bedding have been clinically proven to offer protection to fragile skin from the damaging effects of friction, which can lead to painful skin breakdown and ulceration (medically known as “pressure” or decubitus ulcers and commonly known as “bedsores”).

For more information on this source, please visit Parafricta.

Sponsored Content Policy: publishes articles and related content that may be derived from sources where we have existing commercial relationships, provided such content adds value to the core editorial ethos of News-Medical.Net which is to educate and inform site visitors interested in medical research, science, medical devices and treatments.

Last updated: Oct 16, 2018 at 12:45 PM


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