TY - JOUR
T1 - Rehabilitation of Tendon Problems in Patients with Diabetes Mellitus
AU - Rees, Jonathan
AU - Gaida, Jamie E
AU - Silbernagel, Karin Grävare
AU - Zwerver, Johannes
AU - Anthony, Joseph S
AU - Scott, Alex
N1 - Publisher Copyright:
© Springer International Publishing Switzerland 2016.
PY - 2016/8/19
Y1 - 2016/8/19
N2 - 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.
AB - 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.
KW - Journal Article
KW - Rupture
KW - Calcification
KW - Tendinopathy
KW - Diabetes
KW - Rehabilitation
KW - Tendon
UR - http://www.scopus.com/inward/record.url?scp=84983386120&partnerID=8YFLogxK
U2 - 10.1007/978-3-319-33943-6_19
DO - 10.1007/978-3-319-33943-6_19
M3 - Article
C2 - 27535262
SN - 0065-2598
SP - 199
EP - 208
JO - Advances in Experimental Medicine and Biology
JF - Advances in Experimental Medicine and Biology
ER -
