Evidence that popliteal fat provides damping during locomotion in the cat

Short-term effect of crural fasciotomy on kinematic variability and propulsion during level locomotion

Treadmill locomotion can be characterized by consistent step-to-step kinematics despite the redundant degrees of freedom. The authors investigated the effect of disrupting the crural fascia in decerebrate cats to determine if the crural fascia contributed to kinematic variability and propulsion in the limb. Crural fasciotomy resulted in statistically significant decreases in velocity and acceleration in the joint angles during level walking, before, during, and after paw-off, particularly at the ankle. A further finding was an increase in variance of the limb segment trajectories in the frontal plane. The crural fascia therefore provides force transmission and reduction in kinematic variability to the limb during locomotion.

Distribution of sensory nerve endings around the human sinus tarsi: a cadaver study

The aim of this study was to analyse the pattern of sensory nerve endings and blood vessels around the sinus tarsi. The superficial and deep parts of the fat pads at the inferior extensor retinaculum (IER) as well as the subtalar joint capsule inside the sinus tarsi from 13 cadaver feet were dissected. The distribution of the sensory nerve endings and blood vessels were analysed in the resected specimens as the number per cm(2) after staining with haematoxylin-eosin, S100 protein, low-affinity neurotrophin receptor p75, and protein gene product 9.5 using the classification of Freeman and Wyke. Free nerve endings were the predominant sensory ending (P < 0.001). Ruffini and Golgi-like endings were rarely found and no Pacini corpuscles were seen. Significantly more free nerve endings (P < 0.001) and blood vessels (P = 0.01) were observed in the subtalar joint capsule than in the superficial part of the fat pad at the IER. The deep part of the fat pad at the IER had significantly more blood vessels than the superficial part of the fat pad at the IER (P = 0.012). Significantly more blood vessels than free nerve endings were seen in all three groups (P < 0.001). No significant differences in distribution were seen in terms of right or left side, except for free nerve endings in the superficial part of the fat pad at the IER (P = 0.003). A greater number of free nerve endings correlated with a greater number of blood vessels. The presence of sensory nerve endings between individual fat cells supports the hypothesis that the fat pad has a proprioceptive role monitoring changes and that it is a source of pain in sinus tarsi syndrome due to the abundance of free nerve endings.

The mechanical actions of muscles predict the direction of muscle activation during postural perturbations in the cat hindlimb

Humans and cats respond to balance challenges, delivered via horizontal support surface perturbations, with directionally selective muscle recruitment and constrained ground reaction forces. It has been suggested that this postural strategy arises from an interaction of limb biomechanics and proprioceptive networks in the spinal cord. A critical experimental validation of this hypothesis is to test the prediction that the principal directions of muscular activation oppose the directions responding muscles exert their forces on the environment. Therefore, our objective was to quantify the endpoint forces of a diverse set of cat hindlimb muscles and compare them with the directionally sensitive muscle activation patterns generated in the intact and decerebrate cat. We hypothesized that muscles are activated based on their mechanical advantage. Our primary expectation was that the principal direction of muscle activation during postural perturbations will be directed oppositely (180°) from the muscle endpoint ground reaction force. We found that muscle activation during postural perturbations was indeed directed oppositely to the endpoint reaction forces of that muscle. These observations indicate that muscle recruitment during balance challenges is driven, at least in part, by limb architecture. This suggests that sensory sources that provide feedback about the mechanical environment of the limb are likely important to appropriate and effective responses during balance challenges. Finally, we extended the analysis to three dimensions and different stance widths, laying the groundwork for a more comprehensive study of postural regulation than was possible with measurements confined to the horizontal plane and a single stance configuration.

The necessity for effective interaction between basic scientists and rehabilitation clinicians

Important basic science research is being conducted that has direct implications for the rehabilitation of patients, but the translation of this research to change clinical practice does not occur automatically. Advisory panels to the National Center for Medical Rehabilitation Research acknowledge a need for basic and applied research related to the factors underlying coordinated movements, such as the interactions of the neuromuscular and musculoskeletal systems. In this paper, we briefly describe recent studies that have examined the preceding interaction and discuss some basic issues related to the translation of these experiments to the clinic. More importantly, the main purpose of this paper is to discuss models/ways to translate basic science to clinical practice in a two-way and informed interaction between basic scientists and clinicians.