The identification of biophysical parameters which reflect skin status following mechanical and chemical insults. (15th May 2021)

• Record Type: Journal Article
• Authors: Jayabal, Hemalatha; Bates‐Jensen, Barbara M.; Abiakam, Nkemjika S.; Worsley, Peter R.; Bader, Dan L.
• Is Part Of: Clinical physiology and functional imaging. Volume 41:Number 4(2021)
• Page Start: 366
• Page End: 375
• Publication Date: 2021-05-15
• Subjects: biophysical parameters -- chemical irritation -- mechanical loading -- overhydration -- pressure ulcers -- sensitivity analysis -- skin response; Physiology, Pathological -- Periodicals; Diagnostic imaging -- Periodicals; 612
• DOI: 10.1111/cpf.12707
• Languages: English
• ISSNs: 1475-0961

Abstract

Abstract: Background: Skin is constantly exposed to mechanical and chemical insults, in the form of prolonged loading, overhydration or exposure to irritants. An array of non‐invasive biophysical tools has been adopted to monitor the changes in skin response. The present study aims to identify a set of robust parameters sensitive to mechanical and chemical challenges to skin integrity. Materials and methods: Eleven healthy participants were recruited to evaluate the skin response following mechanical loading, tape stripping, overhydration and chemical irritation. Forearm skin responses were recorded at baseline and at three time points following the insult. Measurements included transepidermal water loss, sub‐epidermal moisture, erythema and laser Doppler imaging. Thresholds were informed by basal values, and the sensitivity of parameters to detect skin changes was evaluated. Results: High degree of variability in skin response was observed with selected biophysical parameters, such as sub‐epidermal moisture, laser Doppler imaging and erythema, even in the absence of an applied insult. Temporal skin response revealed distinct response profiles during each evoked insult. Indeed, the sensitivity of the biophysical parameters was influenced by the threshold values and time point of measurement. Some statistically significant correlations were determined between the biophysical parameters. Conclusion: The study revealed that thresholds derived from single biophysical parameters were limited in detecting skin changes following insults. A complementary evaluation using combined parameters has the potential to provide a more sensitive assessment. Further research is required to identify robust biophysical parameters, to aid the early detection of skin damage in clinical settings.