“…A single osteocyte can disseminate a mechanical stimulus to its surrounding osteocytes via extracellular soluble signaling factors like nitric oxide (Vatsa et al, 2007). A wide variety of devices have been tested for mechanical stimulation of cells and tissues in vitro, namely of osteocytes and osteoblasts (Appleford et al, 2007;Brown, 2000;Lewandowska-Szumiel et al, 2007;McGarry et al, 2008;Tanaka, 1999), although many of these systems are difficult to adapt to an in vivo device. Cell responses depend upon the strain, load and frequency of the stimulus; dynamic, short loading exerts the strongest bone adaptation response, and bone cells tend to accommodate to a routine, so the stimulus must vary in order to elicit a same level of response; a stochastic bone cells response in vitro and in vivo has been reported (Bacabac et al, 2006;Bakker et al, 2001;Burr et al, 2002;Cullen et al, 2001;Hsieh and Turner, 2001;Robling et al, 2001;Tanaka et al, 2003aTanaka et al, , 2003bTurner et al, 1995).…”