Viscoelastic response of human skin to low magnitude physiologically relevant shear
Open accessAbstract
Percutaneous implants are a family of devices that penetrate the skin and all suffer from the same problems of infection because the skin seal around the device is not optimal. Contributing to this problem is the mechanical discontinuity of the skin/device interface leading to stress concentrations and micro-trauma that chronically breaks any seal that forms. In this paper, we have quantified the mechanical behavior of human skin under low-magnitude shear loads over physiological relevant frequencies. Using a stress-controlled rheometer, we have performed isothermal (37 degrees C) frequency response experiments between 0.628 and 75.39 rad/s at 0.5% and 0.04% strain on whole skin and dermis-only, respectively. Step-stress experiments of 5 and 10 Pa shear loads were also conducted as were strain sweep tests (6.28 rad/s). Measurements were made of whole human skin and skin from which the epidermis was removed (dermis-only). At low frequencies (0.628-10 rad/s), the moduli are only slightly frequency dependent, with approximate power-law scaling of the moduli, G' approximately G'' approximately omega(beta), yielding beta=0.05 for whole skin and beta=0.16 for dermis-only samples. Step-stress experiments revealed three distinct phases. The intermediate phase included elastic "ringing" (damped oscillation) which provided new insights and could be fit to a mathematical model. Both the frequency and step-stress response data suggest that the epidermis provides an elastic rigidity and dermis provides viscoelasticity to the whole skin samples. Hence, whole skin exhibited strain hardening while the dermis-only demonstrated stress softening under step-stress conditions. The data obtained from the low-magnitude shear loads and frequencies that approximate the chronic mechanical environment of a percutaneous implant should aid in the design of a device with an improved skin seal.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Mismatches in elastic modulus between a percutaneous implant and surrounding skin result in shear forces that induce a more severe foreign body response.
“mismatches in the elastic modulus between an implant and the skin that surrounds it will result in sheer forces that induce a more severe FBR.164”
From Biocompatible Materials for Continuous Glucose Monitoring Devices (2013) · cites this paper as [164]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The Structure and Rheology of Complex Fluids
Larson, R. G. (1998) · Cited by 3,198 · see citing works
Mechanical properties and Young's modulus of human skin in vivo
Agache, P. G., Monneur, C., Lévêque, J., & de Rigal, J. (1980) · Archives of Dermatological Research · doi:10.1007/bf00406415 · Cited by 742 · see citing works
Leg stiffness and stride frequency in human running
Farley, C. T., & González, O. (1996) · Journal of Biomechanics · doi:10.1016/0021-9290(95)00029-1 · Cited by 741 · see citing works
Viscoelastic properties of vimentin compared with other filamentous biopolymer networks.
Janmey, P. A., Euteneuer, U., Traub, P., & Schliwa, M. (1991) · The Journal of Cell Biology · doi:10.1083/jcb.113.1.155 · Cited by 708 · see citing works
Age-Related Mechanical Properties of Human Skin: An In Vivo Study.
Escoffier, C., de Rigal, J., Rochefort, A., Vasselet, R., Lévêque, J.-L., & Agache, P. G. (1989) · Journal of Investigative Dermatology · doi:10.1016/0022-202x(89)90058-4 · Cited by 492 · see citing works
Viscoelastic properties of human skin and processed dermis
Silver, F. H., Freeman, J. W., & DeVore, D. P. (2001) · Skin Research and Technology · doi:10.1034/j.1600-0846.2001.007001018.x · Cited by 480 · see citing works
In vivo model of the mechanical properties of the human skin under suction
Diridollou, S., Patat, F., Gens, F., Vaillant, L., Black, D., Lagarde, J., Gall, Y., & Berson, M. (2000) · Skin Research and Technology · doi:10.1034/j.1600-0846.2000.006004214.x · Cited by 350 · see citing works
Tregear, R. T. (1966) · Academic Press eBooks · Cited by 310 · see citing works
Development and evaluation of a novel decellularized vascular xenograft
Conklin, B. S., Richter, E. R., Kreutziger, K. L., Zhong, D., & Chen, C. (2002) · Medical Engineering & Physics · doi:10.1016/s1350-4533(02)00010-3 · Cited by 254 · see citing works
Applications and failure modes of percutaneous devices: A review
von Recum, A. F. (1984) · Journal of Biomedical Materials Research · doi:10.1002/jbm.820180403 · Cited by 202 · see citing works
Stride variability in human gait: the effect of stride frequency and stride length
Danion, F., Varraine, E., Bonnard, M., & Pailhous, J. (2003) · Gait & Posture · doi:10.1016/s0966-6362(03)00030-4 · Cited by 200 · see citing works
Relating microstructure to rheology of a bundled and cross-linked F-actin network in vitro
Shin, J. H., Gardel, M. L., Mahadevan, L., Matsudaira, P. T., & Weitz, D. A. (2004) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0308733101 · Cited by 196 · see citing works
Age-Related Mechanical Properties of Human Skin: An In Vivo Study.
Escoffier, C., de Rigal, J., Rochefort, A., et al. (1989) · Journal of Investigative Dermatology · doi:10.1111/1523-1747.ep12280259 · Cited by 188 · see citing works
Viscoelasticity of Isotropically Cross-Linked Actin Networks
Tharmann, R., Claessens, M. M. A. E., & Bausch, A. R. (2007) · Physical Review Letters · doi:10.1103/physrevlett.98.088103 · Cited by 187 · see citing works
Presland, R. B., & Jurevic, R. J. (2002) · Journal of Dental Education · doi:10.1002/j.0022-0337.2002.66.4.tb03536.x · Cited by 180 · see citing works
Scaling of F-Actin Network Rheology to Probe Single Filament Elasticity and Dynamics
Gardel, M. L., Shin, J. H., MacKintosh, F. C., Mahadevan, L., Matsudaira, P. A., & Weitz, D. A. (2004) · Physical Review Letters · doi:10.1103/physrevlett.93.188102 · Cited by 178 · see citing works
Torsional elasticity of human skin in vivo
Sanders, R. (1973) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/bf00591373 · Cited by 172 · see citing works
An implantable power supply with an optically rechargeable lithium battery
Goto, K., Nakagawa, T., Nakamura, O., & Kawata, S. (2001) · IEEE Transactions on Biomedical Engineering · doi:10.1109/10.930908 · Cited by 159 · see citing works
Hadgraft, J. (2004) · European Journal of Pharmaceutics and Biopharmaceutics · doi:10.1016/j.ejpb.2004.03.002 · Cited by 154 · see citing works
A 'hot-spot' mutation alters the mechanical properties of keratin filament networks
Ma, L., Yamada, S., Wirtz, D., et al. (2001) · Nature Cell Biology · doi:10.1038/35074576 · Cited by 148 · see citing works
An In Vivo Method for Measuring the Mechanical Properties of the Skin Using Ultrasound
Diridollou, S., Berson, M., Vabre, V., Black, D., Karlsson, G., Conte-Auriol, F., Grégoire, J., Yvon, C., Vaillant, L., Gall, Y., et al. (1998) · Ultrasound in Medicine & Biology · doi:10.1016/s0301-5629(97)00237-8 · Cited by 145 · see citing works
The Influence of Ageing on the in vivo Elasticity of Human Skin
Grahame, R., & Holt, P. J. L. (2009) · Gerontologia · doi:10.1159/000211681 · Cited by 137 · see citing works
Keratin Filament Suspensions Show Unique Micromechanical Properties
Ma, L., Xu, J., Coulombe, P. A., et al. (1999) · Journal of Biological Chemistry · doi:10.1074/jbc.274.27.19145 · Cited by 136 · see citing works
Permanent percutaneous devices.
Af, V. R., & Jb, P. (1981) · PubMed · Cited by 79 · see citing works
Chehroudi, B., & Brunette, D. M. (2002) · Biomaterials · doi:10.1016/s0142-9612(01)00100-4 · Cited by 73 · see citing works
Tissue reaction to Dacron® velour and titanium fibre mesh used for anchorage of percutaneous devices
Paquay, Y. C. G. J., de Ruijter, J. E., van der Waerden, J. P. C. M., et al. (1996) · Biomaterials · doi:10.1016/0142-9612(96)84946-5 · Cited by 56 · see citing works
Measurement of the mechanical properties of the skin using the suction test
Khatyr, F., Imberdis, C., Varchon, D., et al. (2006) · Skin Research and Technology · doi:10.1111/j.0909-725x.2006.00126.x · Cited by 46 · see citing works
Constrained optimization in human running
Gutmann, A. K., Jacobi, B., Butcher, M. T., & Bertram, J. E. A. (2006) · Journal of Experimental Biology · doi:10.1242/jeb.02010 · Cited by 43 · see citing works
How does skin adapt to repetitive mechanical stress to become load tolerant?
Wang, Y.-N., & Sanders, J. E. (2003) · Medical Hypotheses · doi:10.1016/s0306-9877(03)00100-2 · Cited by 42 · see citing works
Transepidermal water loss related to volar forearm sites in humans.
Panisset, F., Treffel, P., Faivre, B., et al. (1992) · Acta Dermato Venereologica · doi:10.2340/000155557245 · Cited by 39 · see citing works
Optimal Implant Positioning & Soft Tissue Management for the Branemark System
Palacci, P. (1995) · Medical Entomology and Zoology · Cited by 38 · see citing works
Dynamics of Human Walking at Steady Speeds
Kokshenev, V. B. (2004) · Physical Review Letters · doi:10.1103/physrevlett.93.208101 · Cited by 28 · see citing works
Redistribution of stress due to a circular hole in a nonlinear anisotropic membrane
David, G., & Humphrey, J. D. (2004) · Journal of Biomechanics · doi:10.1016/j.jbiomech.2003.12.013 · Cited by 26 · see citing works
Knabe, C., Große‐Siestrup, C., & Gross, U. (1999) · Biomaterials · doi:10.1016/s0142-9612(98)00195-1 · Cited by 25 · see citing works
Effects of plane mechanical forces in wound healing in humans.
Cacou, C., & Muir, I. F. K. (1995) · PubMed · Cited by 20 · see citing works
Optimal implant positioning and soft tissue management for the branemark system
(1997) · Journal of Oral and Maxillofacial Surgery · doi:10.1016/s0278-2391(97)90260-3 · Cited by 18 · see citing works
Steady flow analysis in the vicinity of an end-to-end anastomosis
Kim, Y. H., & Chandran, K. B. (1993) · Biorheology · doi:10.3233/bir-1993-30203 · Cited by 14 · see citing works
Close To The Edge: Branemark And The Development Of Osseointegration
McClarence, E. (2003) · Cited by 13 · see citing works
Tsubouchi, K., Enosawa, S., Harada, K., et al. (2006) · Surgery Today · doi:10.1007/s00595-006-3232-7 · Cited by 10 · see citing works
The influence of bone formation on anchoring percutaneous devices with titanium fibre mesh flanges
Shalabi, M. M., Walboomers, X. F., & Jansen, J. A. (2004) · Journal of Materials Science Materials in Medicine · doi:10.1023/b:jmsm.0000032822.28456.3a · Cited by 3 · see citing works
Clinical Applications of Percutaneous Implants
Jacobsson, M. G., & Tjellström, A. M. R. (2017) · Routledge eBooks · doi:10.1201/9780203752029-15 · Cited by 2 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Ewoldt Randy H McKinley Gareth H Creep Ringing in Rheometry or How to Deal with Oft-discarded Data in Step Stress Tests Rheology Bulletin 2007 76 1 4 6 22 24
Cited by
Sorted by citations
Effects of extracellular matrix viscoelasticity on cellular behaviour
Chaudhuri, O., Cooper-White, J., Janmey, P. A., Mooney, D. J., & Shenoy, V. B. (2020) · Nature · doi:10.1038/s41586-020-2612-2 · Cited by 2,224 · see citing works
Biocompatible Materials for Continuous Glucose Monitoring Devices
Nichols, S. P., Koh, A., Storm, W. L., Shin, J. H., & Schoenfisch, M. H. (2013) · Chemical Reviews · doi:10.1021/cr300387j · Cited by 347 · see citing works
Helton, K. L., Ratner, B. D., & Wisniewski, N. A. (2011) · Journal of Diabetes Science and Technology · doi:10.1177/193229681100500317 · Cited by 125 · see citing works
On the characterization of sodium alginate/gelatine‐based hydrogels for wound dressing
Saarai, A., Sedlacek, T., Kasparkova, V., Kitano, T., & Saha, P. (2012) · Journal of Applied Polymer Science · doi:10.1002/app.36590 · Cited by 125 · see citing works
Helton, K. L., Ratner, B. D., & Wisniewski, N. A. (2011) · Journal of Diabetes Science and Technology · doi:10.1177/193229681100500318 · Cited by 102 · see citing works
A microneedle device for rapid dermal interstitial fluid sampling
Hung, A. H., Kamat, N. U., Bermudez, A., Boczek, S. M., Garcia-Marqués, F. J., Tan, Y. L., Hwang, J. (., Sinawang, P. D., Ilyin, D., Jacobson, G. B., et al. (2025) · Science Advances · doi:10.1126/sciadv.adx5492 · Cited by 22 · see citing works
- Authors
- Holt, B., Tripathi, A., & Morgan, J.
- Affiliations
- Brown University (US)
- Corresponding author
- Morgan, Jeffrey
- Venue
- Journal of Biomechanics
- Publisher
- Elsevier BV
- Published
- 2008-08
- Volume
- 41
- Issue
- 12
- Pages
- 2689-2695
- ISSN
- 0021-9290 (ISSN-L)
- PMC
- PMC2584606
- OpenAlex
- W2049605176
- Cited by
- 161
- References
- 41
- Citations by year
- 2026: 11 · 2025: 16 · 2024: 18 · 2023: 14 · 2022: 11 · 2021: 10 · 2020: 6 · 2019: 8 · 2018: 14 · 2017: 6 · 2016: 7 · 2015: 4 · 2014: 5 · 2013: 6 · 2012: 10
- FWCI
- 3.31
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Biomechanics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (F31AR054202)
- Topics
- Physical Sciences › Engineering › Biomedical Engineering › Elasticity and Material Modeling
- Physical Sciences › Chemical Engineering › Fluid Flow and Transfer Processes › Rheology and Fluid Dynamics Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Cellular Mechanics and Interactions
- Keywords
- human skin, viscoelasticity, shear loading, percutaneous implants, dermis, epidermis, frequency response, strain hardening, stress softening, power-law scaling, infection
- MeSH terms
- Computer Simulation, Humans, Models, Biological, Physical Stimulation, Skin Physiological Phenomena, Stress, Mechanical, Viscosity, Shear Strength, Elastic Modulus
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review