Department of Rehabilitation and Physical Therapy, Hitsujigaoka Hospital, Sapporo, Japan.
Department of Neurology, Wonkwang University School of Medicine and Hospital, Institute of Wonkwang Medical Science, 895, Muwang-ro, Iksan, Jeollabuk-do, 54538, Republic of Korea.
Surg Radiol Anat. 2021 Jul;43(7):1031-1039. doi: 10.1007/s00276-021-02685-x. Epub 2021 Jan 20.
Fast-adapting afferent input from the sole Pacinian corpuscles (PCs) is essential for walking. However, the distribution of PCs in the plantar subcutaneous tissue remains unknown.
Using histological sections tangential to the plantar skin of eight near-term fetuses, we counted 528-900 PCs per sole.
Almost half of the sole PCs existed at the level of the proximal phalanx, especially on the superficial side of the long flexor tendons and flexor digitorum brevis. Conversely, the distribution was less evident on the posterior side of the foot. The medial margin of the sole contained fewer PCs than the lateral margin, possibly due to the transverse arch. In contrast to a cluster formation in the anterior foot, posterior PCs were almost always solitary, with a distance greater than 0.5 mm to the nearest PC.
Because a receptive field of PCs is larger than that of the other receptors, fewer solitary PCs might cover the posterior sole. In infants, the amount of anterior sole PCs seemed to determine the initial walking pattern using the anterior foot without heel contact. Anterior PCs concentrated along flexor tendons might play a transient role as tendon organs during the initial learning of walking. During a lesson in infants, mechanical stress from the tendon and muscle was likely to degrade the PCs. In the near term, the sole PCs seemed not to be a mini-version of the adult morphology but suggested an infant-specific function.
来自足底 Pacinian 小体(PCs)的快速适应传入输入对于行走至关重要。然而,足底皮下组织中的 PCs 分布尚不清楚。
我们使用与 8 个近足胎儿足底皮肤相切的组织切片,对每个足底进行了 528-900 个 PCs 的计数。
几乎一半的足底 PCs 存在于近节趾骨水平,特别是在长屈肌腱和趾短屈肌的浅层。相反,在足部的后侧分布不明显。足底的内侧缘比外侧缘包含更少的 PCs,这可能是由于横弓的原因。与前足的簇状形成相比,后足的 PCs 几乎总是单个存在,与最近的 PC 的距离大于 0.5 毫米。
由于 PCs 的感受野大于其他感受器,因此较少的单个 PCs 可能覆盖足底后部。在婴儿中,前足底 PCs 的数量似乎决定了初始的足尖触地行走模式。前足底 PCs 集中在屈肌腱周围,在初始学习行走过程中可能暂时充当腱器官。在婴儿的课程中,来自肌腱和肌肉的机械应力可能会使 PCs 退化。在近足阶段,足底 PCs 似乎不是成人形态的迷你版本,而是表明了一种婴儿特有的功能。