The mechanisms of pressure and flow generation in the initial lymphati
c network remain undefined in many details. Active pump mechanisms by
lymph smooth muscle contraction have been demonstrated in collecting l
ymph ducts while passive mechanisms by periodic lymph compression in n
oncontractile initial lymphatics have received relative little attenti
on. The aim of this study was to examine lymph flow before and during
periodic passive tissue deformation under different lymph outflow pres
sures. Lymph flow rate and lymph outflow pressure were measured in rab
bit popliteal prenodal lymphatics during whole leg rotations. The hind
legs were rotated in a sagittal plane at selected frequencies. During
constant leg rotation, lymph flow rates reached steady levels which d
epend on lymph outflow pressure. When lymph outflow was occluded, intr
alymphatic pressures increased progressively to levels which depend on
leg rotation frequency. Both lymph flow rate and pressure showed high
er values with foot edema than in the absence of foot edema. These res
ults suggest that periodic tissue deformation, lymph outflow pressure,
and interstitial free fluid volume are important determinants of the
lymph flow rate.