| Chapter title |
Rehabilitation of Tendon Problems in Patients with Diabetes Mellitus
|
|---|---|
| Chapter number | 19 |
| Book title |
Metabolic Influences on Risk for Tendon Disorders
|
| Published in |
Advances in experimental medicine and biology, August 2016
|
| DOI | 10.1007/978-3-319-33943-6_19 |
| Pubmed ID | |
| Book ISBNs |
978-3-31-933941-2, 978-3-31-933943-6
|
| Authors |
Jonathan Rees, Jamie E. Gaida, Karin Grävare Silbernagel, Johannes Zwerver, Joseph S. Anthony, Alex Scott, Rees, Jonathan, Gaida, Jamie E, Silbernagel, Karin Grävare, Zwerver, Johannes, Anthony, Joseph S, Scott, Alex, Gaida, Jamie E., Anthony, Joseph S. |
| Editors |
Paul W. Ackermann, David A. Hart |
| Abstract |
Exercise is crucial in the management of diabetes mellitus and its associated complications. However, individuals with diabetes have a heightened risk of musculoskeletal problems, including tendon pathologies. Diabetes has a significant impact on the function of tendons due to the accumulation of advanced glycation end-products in the load-bearing collagen. In addition, tendon vascularity and healing may be reduced due to diabetes-induced changes in the peripheral vascular system, and impaired synthesis of collagen and glycosaminoglycan. The current chapter presents an evidence-based discussion of considerations for the rehabilitation of tendon problems in people with diabetes. The following conditions are discussed in detail - calcific tendinopathy, tenosynovitis, tendon rupture, and non-calcifying tendinopathy. Common diabetes-related findings are presented, along with their potential impact on tendinopathy management and suggested modifications to standard tendinopathy treatment protocols. A holistic approach should be used to optimize musculotendinous function, including a comprehensive exercise prescription addressing strength, flexibility, and aerobic fitness. |
X Demographics
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 5 | 26% |
| Spain | 5 | 26% |
| Australia | 2 | 11% |
| Germany | 1 | 5% |
| Italy | 1 | 5% |
| Unknown | 5 | 26% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 16 | 84% |
| Practitioners (doctors, other healthcare professionals) | 3 | 16% |
Mendeley readers
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 84 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 16 | 19% |
| Student > Master | 13 | 15% |
| Student > Ph. D. Student | 9 | 11% |
| Student > Postgraduate | 5 | 6% |
| Researcher | 4 | 5% |
| Other | 12 | 14% |
| Unknown | 25 | 30% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 23 | 27% |
| Nursing and Health Professions | 17 | 20% |
| Sports and Recreations | 6 | 7% |
| Engineering | 3 | 4% |
| Agricultural and Biological Sciences | 2 | 2% |
| Other | 4 | 5% |
| Unknown | 29 | 35% |