SUMMARY
Background. This study sought to compare the ultrasound tissue characteristics of the muscles (including muscle thickness, echo intensity, and stiffness) and tendons (including thickness, stiffness, and peak spatial frequency radius (PSFR)) of participants with or without diabetes mellitus. Moreover, the study sought to determine any relationships between the muscle stiffness and strength or tendon PSFR and the results of blood tests, including the glycation or lipid profiles, of the diabetics.
Methods. Twenty-three participants with type 2 diabetes mellitus and nineteen controls without a history of diabetes were recruited.
Results. The diabetic muscles exhibited less thickness (P=0.024), greater echo intensity (P=0.033 and 0.002), and lower muscle stiffness (P=0.015 and 0.009) than the control muscles. Furthermore, the diabetic tendons exhibited a lower PSFR (P ranged between 0.037 and <0.001). There were correlations between the resting stiffness of the gastrocnemius muscle and the height of heel lifting (r=0.450, P=0.031), between the PSFR in the patellar tendon and the hemoglobin A1c level (r= -0.539, P=0.017), and between the PSFR in the Achilles tendon and the high-density lipoprotein cholesterol level (r=0.545, P=0.019).
Conclusions. The diabetic muscles and tendons exhibited morphomechanical changes associated with force capacity or markers of insulin resistance. Clinical applications of musculoskeletal ultrasound techniques to diabetics include using them to design exercise strategies and for microstructural screening.
Ultrasound Tissue Characteristics of Diabetic Muscles and Tendons: Associations with Strength and Laboratory Blood Tests
C.Y. Kuo, W. N. Lee, S. S. M. Fong, P. Chaiyawat, G. Bashford, T. Ting-Fang Shih, L. M. Chuang, H. K. Wang
Original Article, 399-407
Keywords: Diabetes; musculoskeletal ultrasound; tissue characteristics; muscle; tendon,
Table of Content: Vol. 10 (No.3) 2020 July/September
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I.S.Mu.L.T. Recommendations for Intra and Periarticular Injections during COVID-19 Pandemic
F. Oliva, F. Vittadini, A. Frizziero, C. Costantino, A. Fusco, A. Giai Via, C. Foti, G. Nanni, A. Forte, C. Biz, M.C. Vulpiani, A. De Carli, A. Berardi, M. Fini, J. Padulo, N. MaffulliEditorial, 343-346 -
Three-Dimensional Architecture of the Acetabular Transverse Ligament and its Connection with the Acetabular Labrum
N. Kaku, T. Shimada, R. Nogami, H. Tagomori, H. TsumuraOriginal Article, 347-354 -
Biomechanical Analysis of Krackow Suture Fixation Strength of Cadaver Achilles Tendon with Loop Distance Variance of 5 mm, 7.5 mm, and 10 mm
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Kinesio Tape In Shoulder Rotator Cuff Tendinopathy: A Randomized, Blind Clinical Trial
L. Martins da Silva, G. Maciel Bello, B. Chuaste Flores, L. Silva Dias, P. Camargo, L. F. Mengue, V. Roque, M. dos Santos Júnior, I. Rodrigues, G. Zanelatto, M. B. Dohnert, R. B. DaitxOriginal Article, 364-375 -
Influence of Supplements and Drugs used for the Treatment of Musculoskeletal Disorders on Adult Human Tendon-Derived Stem Cells
F. Di Meglio, A. M. Sacco, I. Belviso, V. Romano, F. Sirico, C. Loiacono, S. Palermi, C. Pempinello, S. Montagnani, D. Nurzynska, C. CastaldoOriginal Article, 376-384 -
The Effect of Elaeagnus Angustifolia Extract on the Joint Friction and Antioxidant Activity in Knee Non-Traumatic Osteoarthritis Model in Rat
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Outcomes after Micronized Fat Adipose Transfer for Glenohumeral Joint Arthritis and Rotator Cuff Pathology: a Case Series of 18 Shoulders
D. M. Robinson, C. Eng, M. Mitchkash, A. S. Tenforde, J. Borg-SteinCase Report, 393-398 -
Ultrasound Tissue Characteristics of Diabetic Muscles and Tendons: Associations with Strength and Laboratory Blood Tests
C.Y. Kuo, W. N. Lee, S. S. M. Fong, P. Chaiyawat, G. Bashford, T. Ting-Fang Shih, L. M. Chuang, H. K. WangOriginal Article, 399-407 -
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In Vivo Assessment of the Tensor Vastus Intermedius Cross-sectional Area Using Ultrasonography
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Study of the Activation and Oxygenation of Multifidus and Gluteus Medius Muscles During Stretching of the Lower Limb Posterior Chain: Comparison Between Two Different Executions Techniques
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Gastrocnemius Kinesiotaping to Improve Dynamic Balance Performance in Middle-Age Healthy Men: Protocol of Randomized Controlled Trial
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Estimates of Stress Between the Hamstring Muscles
C. Perrin, D. Smith, J. SteeleReview, 436-441 -
Combined Treadmill Running and Insulin Therapy Favors the Stabilization of Glycemic Metabolic Parameters and Avoids Increased Achilles Tendon Rigidity in Diabetic Rats
A. C. Nobre de Lacerda Brito, W. Alves Martins, P. C. da Silva Queiroz, S. E. Veríssimo Santos, T. Meireles Santos, R. F. de Souza, D. Dutra Pereira, M. T. Gonzaga Santos, A. C. Falcão Esteves, S. R. Arruda de MoraesOriginal Article, 451-459 -
Long-Term Clinical and Radiographic Results of ACL Reconstruction: Retrospective Comparison Between Three Techniques (Hamstrings Autograft, Hamstrings Autograft with xEtra-Articular Reconstruction, Bone Patellar Tendon Autograft)
P. Rota, E. Monaco, A. Carrozzo, G. Bruni, A. Rota, A. FerrettiOriginal Article, 460-469 -
Effectiveness of an Ayurvedic Treatment Protocol in Knee Ligament Injuries – An Observatory Report
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Histology and Type I Collagen, Tenascin and Elastin Expression in Autologous and Allogeneic Anterior Cruciate Ligamentoplasties
I. Guillén-Vicente, J. M. López-Alcorocho, J. Salvador-Marín, E. Rodriguez-Iñigo, G. Díaz-Motola, T. F. Fernández-Jaén, E. Ibáñez, P. Guillén-GarcíaOriginal Article, 482-489 -
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Therapeutic Electrical Stimulation Currents in Chronic Non-specific Low Back Pain: Designing a Systematic Review
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Asymptomatic Professional Footballers: Prevalence of Ankle Retinacula Injury with Associated Lateral Ligament and Tendon Abnormalities
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An Anatomical Perspective of Ulnar Collateral Nerve with Reference to Nerve and Muscle Transfer Surgery
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Study of the Biceps Fatigue after Surgery on the Long Head of Biceps Tendon in Male Heavy Workers. A Prospective Randomized Clinical Trial Comparing Biomechanics and Clinical Outcomes after Tenotomy Versus Tenodesis
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Assessment of Post-Stroke Biceps Brachialis Muscle Stiffness by Shear-Wave Elastography: a Pilot Study
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Ancient Textual Sources on Ligamentum Teres: Context and Transmission
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