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The effect of peripheral neuropathy on lower limb muscle strength in diabetic individuals.
Ferreira, Jean P; Sartor, Cristina D; Leal, Ângela M O; Sacco, Isabel C N; Sato, Tatiana O; Ribeiro, Ivana L; Soares, Alice S; Cunha, Jonathan E; Salvini, Tania F.
Afiliação
  • Ferreira JP; Laboratory of Skeletal Muscle Plasticity, Department of Physical Therapy, Federal University of São Carlos, SP, Brazil.
  • Sartor CD; Physical Therapy, Speech and Occupational Therapy Department, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.
  • Leal ÂM; Department of Medicine, Federal University of São Carlos, São Carlos, SP, Brazil.
  • Sacco IC; Physical Therapy, Speech and Occupational Therapy Department, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.
  • Sato TO; Laboratory of Skeletal Muscle Plasticity, Department of Physical Therapy, Federal University of São Carlos, SP, Brazil.
  • Ribeiro IL; Laboratory of Skeletal Muscle Plasticity, Department of Physical Therapy, Federal University of São Carlos, SP, Brazil.
  • Soares AS; Laboratory of Skeletal Muscle Plasticity, Department of Physical Therapy, Federal University of São Carlos, SP, Brazil.
  • Cunha JE; Laboratory of Skeletal Muscle Plasticity, Department of Physical Therapy, Federal University of São Carlos, SP, Brazil.
  • Salvini TF; Laboratory of Skeletal Muscle Plasticity, Department of Physical Therapy, Federal University of São Carlos, SP, Brazil. Electronic address: tania@ufscar.br.
Clin Biomech (Bristol, Avon) ; 43: 67-73, 2017 Mar.
Article em En | MEDLINE | ID: mdl-28213167
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.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Extremidade Inferior / Diabetes Mellitus Tipo 2 / Neuropatias Diabéticas / Força Muscular Limite: Adult / Aged / Humans / Male / Middle aged Idioma: En Revista: Clin Biomech (Bristol, Avon) Assunto da revista: ENGENHARIA BIOMEDICA / FISIOLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Extremidade Inferior / Diabetes Mellitus Tipo 2 / Neuropatias Diabéticas / Força Muscular Limite: Adult / Aged / Humans / Male / Middle aged Idioma: En Revista: Clin Biomech (Bristol, Avon) Assunto da revista: ENGENHARIA BIOMEDICA / FISIOLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido