Abstract: Shear-reduction cushioning devices are provided for the prevention of shear related wounds. Cushioning devices include upper and lower cushioning layers that contact each other through at least one internal shear reduction layer provided between the cushioning layers and extending over a shear reduction region, such that dynamic relative translation of the two cushioning layers is permitted within the shear reduction region while absorbing friction and shear internally. The interface between the cushioning layers (where the shear reduction layer is provided) may be angled relative to an external surface of the cushioning device. The cushioning layers may be attached or attachable to one another beyond the shear reduction region, to limit an amount of relative translation of the cushioning layers and to re-center or reset the cushioning layers after use.