ABSTRACT
Achilles tendinopathy is the most prevalent lower limb tendinopathy, yet it remains poorly understood, with mismatches between observed structure and reported function. Recent studies have hypothesised that Achilles tendon (AT) healthy function is associated with variable deformation across the tendon width during use, focusing on quantifying sub-tendon deformation. Here, the aim of this work was to synthesise recent advances exploring human free AT tissue-level deformation during use. Following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, PubMed, Embase, Scopus and Web of Science were systematically searched. Study quality and risk of bias were assessed. Thirteen articles were retained, yielding data on free AT deformation patterns. Seven were categorised as high-quality and six as medium-quality studies. Evidence consistently reports that healthy and young tendons deform non-uniformly, with the deeper layer displacing 18%-80% more than the superficial layer. Non-uniformity decreased by 12%-85% with increasing age and by 42%-91% in the presence of injury. There is limited evidence of large effect that AT deformation patterns during dynamic loading are non-uniform and may act as a biomarker of tendon health, risk of injury and rehabilitation impact. Better considered participant recruitment and improved measurement procedures would particularly improve study quality, to explore links between tendon structure, function, aging and disease in distinct populations.
Subject(s)
Achilles Tendon , Musculoskeletal Diseases , Tendinopathy , Humans , Achilles Tendon/injuries , Tendinopathy/diagnostic imaging , Ultrasonography , MusclesABSTRACT
Reducing the impacts of invasive predators is a key objective for conservation managers, livestock producers and human health agencies globally. The efficacy of invasive predator control programs, however, is highly variable. To improve control efficacy, managers require a fundamental understanding of the factors that contribute to the success or failure of a control program. Using a predator baiting program as a case study, we measured the efficacy of baiting as a control tool to significantly reduce feral cat (Felis catus) populations. We used camera traps and cat-borne GPS collars to monitor changes in feral cat populations at a baited site and an unbaited site, using a Before-After, Control-Impact (BACI) design. We also identified five key elements required for a successful baiting program (bait encounter rate, availability, attractiveness, palatability and lethality) and simultaneously measured these to identify areas for potential improvement. Baiting was ineffective at reducing feral cat populations; collared cat mortality was only 11% (1/9), with camera traps revealing negligible reductions in the number of cat detection events (9%), naïve occupancy (15%), and no significant change in the relative abundance of feral cats (F1,54 = 0.8641, P = 0.357). Several factors contributed to the poor control efficacy. Bait encounter rates were low, with cats active along tracks (where baits were laid) < 4% of the time. Cats encountered only 14% (7/50) of monitored baits, but none were eaten. Initially, baits appeared attractive to cats; however meat ants and desiccation rapidly decreased bait palatability. Bait availability to cats declined rapidly, with 36% of monitored baits (18/50) removed by non-target species within the first 48 h. The mortality of one collared cat and chemical assays confirmed that, on average, each bait contained sufficient 1080 to kill a large (>5 kg) feral cat. Our findings suggest that altering bait deployment patterns, increasing bait densities and improving bait palatability could potentially improve the efficacy of baiting programs to reduce feral cat populations. Our study provides a framework to measure and evaluate the key elements that contribute to efficacy of pest control programs, and to identify opportunities for improving outcomes of future control programs.
