Human Evolution: Gain Came With Painby Ann Gibbons on 16 February 2013.

  <http://news.sciencemag.org/sciencenow/2013/02/16/sn-bad-evolution.jpg>
[sn-bad-evolution.jpg] 
<http://news.sciencemag.org/sciencenow/assets_c/2013/02/sn-bad-evolution\
-thumb-autox600-16223.jpg> Ouch. Shin splints are just part of the joy
of being human.

BOSTON—Humans are the most successful primates on the planet, but
our bodies wouldn't win many awards for good design. That was the
consensus of a panel of anthropologists who described in often-painful
(and sometimes personal) detail just how poor a job evolution has done
sculpting the human form
<http://aaas.confex.com/aaas/2013/webprogram/Session5714.html>  here
Friday at the annual meeting of AAAS (which publishes ScienceNOW). Using
props and examples from the fossil record, the scientists showed how the
very adaptations that have made humans so successful—such as upright
walking and our big, complex brains—have been the result of constant
remodeling of an ancient ape body plan that was originally used for life
in the trees. "This anatomy isn't what you'd design from
scratch," said anthropologist Jeremy DeSilva of Boston University.
"Evolution works with duct tape and paper clips."

Starting with the foot, DeSilva held up a cast with 26 bones and said:
"You wouldn't design it out of 26 moving parts." Our feet have so
many bones because our ape-like ancestors needed flexible feet to grasp
branches. But as they moved out of the trees and began walking upright
on the ground in the past 5 million years or so, the foot had to become
more stable, and bit by bit, the big toe, which was no longer opposable,
aligned itself with the other toes and our ancestors developed an arch
to work as a shock absorber. "The foot was modified to remain rigid,"
said DeSilva. "A lot of BandAids were stuck on these bones." But the
bottom line was that our foot still has a lot of room to twist inwards
and outwards, and our arches collapse. This results in: ankle sprains,
plantar fasciitis, Achilles tendonitis, shin splints, and broken ankles.
These are not modern problems, due to stiletto heels; Fossils show
broken ankles that have healed as far back as 3 million years ago.

A better design for upright walking and running, DeSilva said, would be
a foot and ankle like an ostrich. An ostrich's ankle and lower leg
bones are fused into a single structure, which puts a kick into their
step—and their foot has only two toes that aid in running. "Why
can't I have a foot like that?" asked DeSilva. One reason is that
ostriches trace their upright locomotion back 230 million years to the
age of dinosaurs, while our ancestors walked upright just 5 million
years ago.

Turning up the pain threshold a notch, anatomist and paleoanthropologist
Bruce Latimer of Case Western Reserve University in Cleveland, Ohio,
limped to the podium, dangling a twisted human backbone as evidence of
real pain. "If you want one place cobbled together with duct tape and
paper clips it's the back," said Latimer, a survivor of back
surgery.

When humans stood upright, they took a spine that had evolved to be
stiff for climbing and moving in trees and rotated it 90 degrees, so it
was vertical—a task Latimer compared to stacking 26 cups and saucers
on top of each other (vertebrae and discs) and then, balancing a head on
top. But so as not to obstruct the birth canal and to get the torso
balanced above our feet, the spine has to curve inwards (lordosis),
creating the hollow of our backs. That's why our spines are shaped like
an "S." All that curving, with the weight of the head and stuff we carry
stacked on top, creates pressure that causes back
problems—especially if you play football, do gymnastics, or swim the
butterfly stroke. In the United States alone, 700,000 people suffer
vertebral fractures per year and back problems are the sixth leading
human malady in the world. "If you take care of it, your spine will get
you through to about 40 or 50," said Latimer. "After that, you're on
your own."

Paleoanthropologist Karen Rosenberg of the University of Delaware,
Newark, moved beyond pain. As our bodies had to adapt to upright walking
and bigger brains, they had to balance both of those changes with the
limitations of the birth canal—and allowing enough mothers and
babies to survive that the big-brained, upright walking species
didn't go extinct. "Death in childbirth used to be leading cause of
death for women in reproductive years." That's because compared with
other primates, humans give birth to babies with larger bodies and
brains—on average, human babies are 6.1% of their mother's body
size compared with chimp babies (3.3%) and gorilla babies (2.7%).

Despite the high risks for death and injury in childbirth, our
ancestors' solution to the problem was to give birth with social
support. Today, humans rely on culture, often in the form of modern
medicine, to change that outcome, using assisted birth with doctors or
midwives, for example. One sign of that is that is that caesarean
sections account for about 30% of all births in the United States,
Rosenberg said.

The point of citing all these problems? Evolution doesn't "design"
anything, says anthropologist Matt Cartmill of Boston University, a
discussant on the panel. It works slowly on the genes and traits it has
at hand, to jerry-rig animals' and humans body plans to changing
habitats and demands. "Evolution doesn't act to yield
perfection," he says. "It acts to yield function."

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