New York Institute of Technology College of Osteopathic Medicine, Department of Anatomy, Old Westbury, NY 11568, USA.
New York Institute of Technology College of Osteopathic Medicine, Department of Anatomy, Old Westbury, NY 11568, USA.
Ann Anat. 2022 Aug;243:151946. doi: 10.1016/j.aanat.2022.151946. Epub 2022 Apr 22.
Manual therapies in medicine rely on a physician's ability to sense and respond to tactile cues from their hands to inform them of symptoms within the patient. Sensory cues through skin may not be equally sensitive among all people, and little is known about the variation in distribution of sensory corpuscles in the human hand. Variation of corpuscle numbers studied in living people are limited to less invasive techniques, limiting their accuracy. Body-donor studies that thoroughly sample the distribution throughout the hand are extremely rare, usually only including a small number of sites around the hand and only a small number of individuals. Does the distribution of Meissner's corpuscles vary greater between individuals, between fingers, along the finger, or at specialized regions of the fingers themselves (pads, over interphalangeal joints, tips)? We tested whether there were significant differences between finger regions (fingertips vs. pads, vs. interphalangeal joints), or from proximal to distal, or between digits, or between individuals by histologically sampling human body-donors to science. There were significant differences in the quantity of Meissner's corpuscles between finger regions, from proximal to distal regions along digits, between individuals, but not between digits. Specifically, fingertips demonstrated higher counts of Meissner's corpuscles than pads and interphalangeal joints, more distally located regions (i.e. tips and distal pads) demonstrated higher Meissner's corpuscles than more proximal regions, and most individuals demonstrated significantly different average amounts of total Meissner's corpuscles from each other. Our results suggest that variability exists in the amounts and distribution of Meissner's corpuscles both between and within fingers of human subjects.
医学中的手动疗法依赖于医生通过手部的触觉线索来感知和响应症状,从而了解患者的症状。通过皮肤传递的感觉线索在所有人中可能并不具有相同的敏感性,而且关于人类手部感觉小体分布的变化知之甚少。在活体中研究的感觉小体数量变化仅限于不太侵入性的技术,限制了其准确性。彻底采样整个手部分布的供体研究极为罕见,通常只包括手部周围的少数几个部位和少数个体。梅斯纳小体的分布在个体之间、手指之间、手指上沿或手指自身的特定区域(垫、指间关节、指尖)之间是否存在更大的差异?我们通过对人体供体进行组织学采样来测试梅斯纳小体的分布是否存在显著差异,包括手指区域(指尖与垫、指尖与指间关节)、从近端到远端、或从一个手指到另一个手指、或从个体之间。手指区域之间、从手指近端到远端、个体之间的梅斯纳小体数量存在显著差异,但手指之间没有差异。具体来说,指尖处的梅斯纳小体数量高于垫和指间关节,更靠近末端的区域(即指尖和远端垫)比更靠近近端的区域具有更高的梅斯纳小体数量,而且大多数个体彼此之间的梅斯纳小体的总数量存在显著差异。我们的结果表明,人类手指之间和内部的梅斯纳小体的数量和分布存在变异性。