The effect of peripheral neuropathy on lower limb muscle strength in diabetic individuals
| Autor: | Ivana Leao Ribeiro, Tatiana O. Sato, Cristina D. Sartor, Alice S. Soares, Isabel C. N. Sacco, Jonathan Emanuel Cunha, Jean P. Ferreira, Ângela Merice de Oliveira Leal, Tania F. Salvini |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Biophysics 030209 endocrinology & metabolism Isometric exercise MEMBROS INFERIORES 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Diabetic Neuropathies Isometric Contraction Diabetes mellitus medicine Humans Eccentric Knee Orthopedics and Sports Medicine Muscle Strength Range of Motion Articular Muscle Skeletal Aged business.industry Skeletal muscle Type 2 Diabetes Mellitus Middle Aged medicine.disease Surgery medicine.anatomical_structure Peripheral neuropathy Diabetes Mellitus Type 2 Lower Extremity Torque Ankle business Polyneuropathy 030217 neurology & neurosurgery |
| Zdroj: | Repositório Institucional da USP (Biblioteca Digital da Produção Intelectual) Universidade de São Paulo (USP) instacron:USP |
| ISSN: | 0268-0033 |
| DOI: | 10.1016/j.clinbiomech.2017.02.003 |
| Popis: | Background Skeletal muscle strength is poorly described and understood in diabetic participants with diabetic peripheral neuropathy. This study aimed to investigate the extensor and flexor torque of the knee and ankle during concentric, eccentric, and isometric contractions in men with diabetes mellitus type 2 with and without diabetic peripheral neuropathy. Methods Three groups of adult men (n = 92), similar in age, body mass index, and testosterone levels, were analyzed: 33 non-diabetic controls, 31 with type 2 diabetes mellitus, and 28 with diabetic peripheral neuropathy. The peak torques in the concentric, eccentric, and isometric contractions were evaluated using an isokinetic dynamometer during knee and ankle flexion and extension. Findings Individuals with diabetes and diabetic peripheral neuropathy presented similar low concentric and isometric knee and ankle torques that were also lower than the controls. However, the eccentric torque was similar among the groups, the contractions, and the joints. Interpretation Regardless of the presence of peripheral neuropathy, differences in skeletal muscle function were found. The muscle involvement does not follow the same pattern of sensorial losses, since there are no distal-to-proximal impairments. Both knee and ankle were affected, but the effect sizes of the concentric and isometric torques were found to be greater in the participants' knees than in their ankles. The eccentric function did not reveal differences between the healthy control group and the two diabetic groups, raising questions about the involvement of the passive muscle components. |
| Databáze: | OpenAIRE |
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