Rehabilitation of tendon problems in patients with diabetes mellitus

Jonathan Rees, Jamie E. Gaida, Karin Grävare Silbernagel, Johannes Zwerver, Joseph S. Anthony, Alex Scott*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterAcademic

15 Citations (Scopus)

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.
Original languageEnglish
Title of host publicationMetabolic Influences on Risk for Tendon Disorders
EditorsPW Ackermann, DA Hart
PublisherSpringer New York LLC
Pages199-208
Number of pages10
Volume920
ISBN (Electronic)978-3-319-33943-6
ISBN (Print)978-3-319-33941-2
DOIs
Publication statusPublished - 2-Dec-2016

Publication series

NameAdvances in Experimental Medicine and Biology
PublisherSpringer New York LLC
ISSN (Print)0065-2598
ISSN (Electronic)2214-8019

Keywords

  • Calcification
  • Diabetes
  • Rehabilitation
  • Rupture
  • Tendinopathy
  • Tendon
  • advanced glycation end product
  • collagen
  • glycosaminoglycan
  • autonomic neuropathy
  • body mass
  • calcific tendinopathy
  • cell aging
  • collagen synthesis
  • De Quervain tenosynovitis
  • decubitus
  • diabetes control
  • diabetes mellitus
  • Dupuytren contracture
  • exercise
  • glycemic control
  • glycosaminoglycan metabolism
  • grip strength
  • holistic care
  • human
  • humeroscapular periarthritis
  • hypercholesterolemia
  • hyperglycemia
  • hyperostosis
  • hypoglycemia
  • insulin dependent diabetes mellitus
  • insulin resistance
  • intermittent pneumatic compression device
  • muscle atrophy
  • musculoskeletal disease
  • neuropathic joint disease
  • non calcifying tendinopathy
  • non insulin dependent diabetes mellitus
  • orthopedic shoe
  • peripheral neuropathy
  • peripheral vascular disease
  • prevalence
  • priority journal
  • range of motion
  • rehabilitation
  • resistance training
  • rotator cuff
  • tendinitis
  • tendon disease
  • tendon rupture
  • tenosynovitis
  • weight reduction
  • wound healing impairment

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