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The impact of diabetic neuropathy on the distal versus proximal comparison of weakness in lower and upper limb muscles of patients with type 2 diabetes mellitus : a cross-sectional study

Birgit Van Eetvelde (UGent) , Bruno Lapauw (UGent) , Pascal Proot, Karsten Vanden Wyngaert (UGent) , Simon Helleputte (UGent) , Jan Stautemas (UGent) , Dirk Cambier (UGent) and Patrick Calders (UGent)
(2021) JOURNAL OF MUSCULOSKELETAL & NEURONAL INTERACTIONS. 21(4). p.464-474
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Abstract
Objectives: This study aimed to determine the impact of diabetic neuropathy (dNP) on the distal versus proximal comparison of weakness in lower and upper limb muscles of patients with type 2 Diabetes Mellitus (T2DM). Methods: 19 healthy male controls without neuropathy (HC) and 35 male T2DM patients, without dNP (n=8), with sensory dNP (n=13) or with sensorimotor dNP (dNPsm; n=14). were enrolled in this study. Maximal isometric (IM) and isokinetic (IK) muscle strength and IK muscle endurance of the dominant knee, ankle and elbow, and maximal IM handgrip strength were measured by means of dynamometry. Results: Ankle muscle endurance was lower compared to the knee, independently of dNP (p<0.001). Maximal IK ankle muscle strength was also lower compared to the knee. albeit only in dNPsm (p=0.003). No differences were found between maximal IM handgrip and elbow strength. Conclusions: Our results suggest an impact of T2DM -with or without dNP- on lower limb muscle strength more distally than proximally, while this was not observed in the upper limb. The gradient of dNP seemed to be a determining factor for the maximal muscle strength. and not for muscle endurance, in the lower limb.
Keywords
Diabetic Neuropathy, Distal Versus Proximal Comparison, Lower And Upper Limb, Muscle Strength, Type 2 Diabetes Mellitus, SKELETAL-MUSCLE, FIBER-TYPE, PERIPHERAL NEUROPATHY, PHYSICAL-ACTIVITY, ADIPOSE-TISSUE, OLDER-ADULTS, STRENGTH, ASSOCIATION, EXTREMITY, MOBILITY

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MLA
Van Eetvelde, Birgit, et al. “The Impact of Diabetic Neuropathy on the Distal versus Proximal Comparison of Weakness in Lower and Upper Limb Muscles of Patients with Type 2 Diabetes Mellitus : A Cross-Sectional Study.” JOURNAL OF MUSCULOSKELETAL & NEURONAL INTERACTIONS, vol. 21, no. 4, 2021, pp. 464–74.
APA
Van Eetvelde, B., Lapauw, B., Proot, P., Vanden Wyngaert, K., Helleputte, S., Stautemas, J., … Calders, P. (2021). The impact of diabetic neuropathy on the distal versus proximal comparison of weakness in lower and upper limb muscles of patients with type 2 diabetes mellitus : a cross-sectional study. JOURNAL OF MUSCULOSKELETAL & NEURONAL INTERACTIONS, 21(4), 464–474.
Chicago author-date
Van Eetvelde, Birgit, Bruno Lapauw, Pascal Proot, Karsten Vanden Wyngaert, Simon Helleputte, Jan Stautemas, Dirk Cambier, and Patrick Calders. 2021. “The Impact of Diabetic Neuropathy on the Distal versus Proximal Comparison of Weakness in Lower and Upper Limb Muscles of Patients with Type 2 Diabetes Mellitus : A Cross-Sectional Study.” JOURNAL OF MUSCULOSKELETAL & NEURONAL INTERACTIONS 21 (4): 464–74.
Chicago author-date (all authors)
Van Eetvelde, Birgit, Bruno Lapauw, Pascal Proot, Karsten Vanden Wyngaert, Simon Helleputte, Jan Stautemas, Dirk Cambier, and Patrick Calders. 2021. “The Impact of Diabetic Neuropathy on the Distal versus Proximal Comparison of Weakness in Lower and Upper Limb Muscles of Patients with Type 2 Diabetes Mellitus : A Cross-Sectional Study.” JOURNAL OF MUSCULOSKELETAL & NEURONAL INTERACTIONS 21 (4): 464–474.
Vancouver
1.
Van Eetvelde B, Lapauw B, Proot P, Vanden Wyngaert K, Helleputte S, Stautemas J, et al. The impact of diabetic neuropathy on the distal versus proximal comparison of weakness in lower and upper limb muscles of patients with type 2 diabetes mellitus : a cross-sectional study. JOURNAL OF MUSCULOSKELETAL & NEURONAL INTERACTIONS. 2021;21(4):464–74.
IEEE
[1]
B. Van Eetvelde et al., “The impact of diabetic neuropathy on the distal versus proximal comparison of weakness in lower and upper limb muscles of patients with type 2 diabetes mellitus : a cross-sectional study,” JOURNAL OF MUSCULOSKELETAL & NEURONAL INTERACTIONS, vol. 21, no. 4, pp. 464–474, 2021.
@article{8744841,
  abstract     = {{Objectives: This study aimed to determine the impact of diabetic neuropathy (dNP) on the distal versus proximal comparison of weakness in lower and upper limb muscles of patients with type 2 Diabetes Mellitus (T2DM). Methods: 19 healthy male controls without neuropathy (HC) and 35 male T2DM patients, without dNP (n=8), with sensory dNP (n=13) or with sensorimotor dNP (dNPsm; n=14). were enrolled in this study. Maximal isometric (IM) and isokinetic (IK) muscle strength and IK muscle endurance of the dominant knee, ankle and elbow, and maximal IM handgrip strength were measured by means of dynamometry. Results: Ankle muscle endurance was lower compared to the knee, independently of dNP (p<0.001). Maximal IK ankle muscle strength was also lower compared to the knee. albeit only in dNPsm (p=0.003). No differences were found between maximal IM handgrip and elbow strength. Conclusions: Our results suggest an impact of T2DM -with or without dNP- on lower limb muscle strength more distally than proximally, while this was not observed in the upper limb. The gradient of dNP seemed to be a determining factor for the maximal muscle strength. and not for muscle endurance, in the lower limb.}},
  author       = {{Van Eetvelde, Birgit and Lapauw, Bruno and Proot, Pascal and Vanden Wyngaert, Karsten and Helleputte, Simon and Stautemas, Jan and Cambier, Dirk and Calders, Patrick}},
  issn         = {{1108-7161}},
  journal      = {{JOURNAL OF MUSCULOSKELETAL & NEURONAL INTERACTIONS}},
  keywords     = {{Diabetic Neuropathy,Distal Versus Proximal Comparison,Lower And Upper Limb,Muscle Strength,Type 2 Diabetes Mellitus,SKELETAL-MUSCLE,FIBER-TYPE,PERIPHERAL NEUROPATHY,PHYSICAL-ACTIVITY,ADIPOSE-TISSUE,OLDER-ADULTS,STRENGTH,ASSOCIATION,EXTREMITY,MOBILITY}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{464--474}},
  title        = {{The impact of diabetic neuropathy on the distal versus proximal comparison of weakness in lower and upper limb muscles of patients with type 2 diabetes mellitus : a cross-sectional study}},
  volume       = {{21}},
  year         = {{2021}},
}
Web of Science
Times cited: