跳至主要内容

Multicenter Survey of the Isometric Lower Extremity Strength in Patients with Type 2 Diabetes (MUSCLE-std): Design and Study Protocol

Read full paper at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=50560#.VECnrFfHRK0

Background: The lower extremity muscle strength has been shown to be weaker in patients with diabetes mellitus, primarily due to the effects of diabetic polyneuropathy, a common diabetic complication. With respect to assessments of the lower extremity muscle strength, reference values for the knee extension force in healthy Japanese subjects have been reported. The clinical significance of applying knee extension force in the assessment of efficacy of exercise therapy and patient education has also been demonstrated, and the use of an individualized approach in physical exercise based on the quantitative assessment of the lower extremity muscle strength is becoming one of the most important strategies for promoting effective rehabilitation. Methods: The study is a multicenter, cross-sectional investigation. We will measure the knee extension force and evaluate the diabetic polyneuropathy in patients with type 2 diabetes using uniform equipment and methodology at all centers. We will compare the knee extension force between the subjects with and without diabetic polyneuropathy and will investigate the associations between the knee extension force and both glycemic control and exercise habits. The trial registration is UMIN CTR (UMIN000002810). Discussion: The lower extremity muscle strength has been insufficiently investigated in Japanese patients with diabetes. This study was designed to establish reference values for the knee extension force in Japanese diabetic patients with and without diabetic polyneuropathy.
Cite this paper
Nomura, T. , Ishiguro, T. , Ohira, M. , Ikeda, Y. and Watanabe, M. (2014) Multicenter Survey of the Isometric Lower Extremity Strength in Patients with Type 2 Diabetes (MUSCLE-std): Design and Study Protocol. Journal of Diabetes Mellitus, 4, 251-256. doi: 10.4236/jdm.2014.44036. 
 

[1] Japanese Ministry of Health, Labour and Welfare (2012) National Health and Nutrition Survey Japan, 2012. http://www.mhlw.go.jp/bunya/kenkou/eiyou/h24-houkoku.html
[2] Goto, A., Goto, M., Noda, M. and Tsugane, S. (2013) Incidence of Type 2 Diabetes in Japan: A Systematic Review and Meta-Analysis. PLoS ONE, 8, e74699.
http://dx.doi.org/10.1371/journal.pone.0074699
[3] Kohzuki, M. (2010) Diabetes and Disability, the Disabled and Diabetes. Monthly Book Medical Rehabilitation, 117, 1-8.
[4] Sone, H. (2010) Epidemiology of Diabetic Vascular Complications. The Journal of Japanese College of Angiology, 50, 523-531.
[5] Wikholm, J.B. and Bohannon, R.W. (1991) Hand-Held Dynamometer Measurements: Tester Strength Makes a Diffeence. Journal of Orthopaedic Sports Physical Therapy, 13, 191-198.
http://dx.doi.org/10.2519/jospt.1991.13.4.191
[6] Helen, J.H., Dale, A. and Marybeth, B. (2013) Daniels and Worthingham’s Muscle Testing, Techniques of Manual Examination and Performance Testing. 9th Edition, Saunders, Philadelphia.
[7] Andersen, H., Poulsen, P.L., Mogensen, C.E. and Jakobsen, J. (1996) Isokinetic Muscle Strength in Long-Term IDDM Patients in Relation to Diabetic Complications. Diabetes, 45, 440-445.
http://dx.doi.org/10.2337/diab.45.4.440
[8] Andersen, H., Nielsen, S., Mogensen, C.E. and Jakobsen, J. (2004) Muscle Strength in Type 2 Diabetes. Diabetes, 53, 1543-1548. http://dx.doi.org/10.2337/diabetes.53.6.1543
[9] Hirasawa, Y., Hasegawa, T., Matsusita, K. and Yamasaki, Y. (2004) Isometric Knee Extension Strength among Healhy Subjects. Rigakuryohojanaru, 33, 330-333.
[10] Bassey, E.J., Fiatarone, M.A., O’Neill, E.F., Kelly, M., Evans, W.J. and Lipsitz, L.A. (1992) Leg Extensor Power and Functional Performance in Very Old Men and Women. Clinical Science, 82, 321-327.
[11] Rantanen, T. and Avela, J. (1997) Leg Extension Power and Walking Speed in Very Old People Living Independently. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 52A, M225-M231. http://dx.doi.org/10.1093/gerona/52A.4.M225
[12] Aoki, U., Yamasaki, H., Yokoyama, H., Omori, Y., Kasahara, M. and Hiraki, K. (2001) The Relationship between Stair-Climbing Ability and Knee Extension Strength. Journal of the Japanese Physical Therapy Association, 35, 907-910.
[13] Omori, Y., Yokoyama, H., Aoki, U., Kasahara, M., Hiraki, K., Yamasaki, H. and Sasa, M. (2004) Relationship between Isometric Knee Extension Strength and Ability to Rise from a Chair in Elderly Patients. Journal of the Japanese Physical Therapy Association, 31, 106-112.
[14] Yamasaki, H. (2004) Lower Extremities Muscle Strength and Gait Training. Sogo Rihabiriteshon, 32, 813-818.
[15] Nomura, T., Ikeda, Y., Suehiro, T., Nishigami, T., Nakao, S. and Ishida, K. (2006) Relationship between One-Leg Standing Balance and Knee Extension Force in Patients with Type 2 Diabetes. Journal of the Japan Diabetes Society, 49, 227-231.
[16] Ichihara, K. (1990) Statics for Bioscience, Practical Technique and Theory. Nankodo, Tokyo.
[17] The Expert Committee on the Diagnosis and Classification of Diabetes Mellitus (1997) Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care, 20, 1183-1197.
[18] Hirasawa, Y., Hasegawa, T., Sasa, M. and Yamasak, H. (2005) The Validity of the Isometric Knee Extension Muscle Strength by Hand Held Dynamometer. Sogo Rihabiriteshon, 33, 375-377.
[19] The Japan Diabetes Society (2013) Evidence-Based Practice Guideline for the Treatment of Diabetes in JAPAN 2013. Nankodo, Japan.
[20] Burbank, P.M. and Riebe, D. (2001) Promoting Exercise and Behavior Change in Older Adults. Springer, Berlin.
[21] Nomura, T., Ikeda, Y., Nakao, S., Ito, K., Ishida, K., Suehiro, T. and Hashimoto, K. (2007) Muscle Strength Is a Marker of Insulin Resistance in Patients with Type 2 Diabetes: A Pilot Study. Endocrine Journal, 54, 791-796. http://dx.doi.org/10.1507/endocrj.K07-055
[22] Yamasaki, H. (2007) Muscle Strength Measurements According to Instrument. Sogo Rihabiriteshon, 35, 724-725.                       eww141017lx
标签：

评论

发表评论

此博客中的热门博文

Does Immigration Promote the Investment of the Monopolistic Firm?

In the present paper, we examine the effect of increasing uncertainty of immigrants’ growth on the optimal timing of investment of a firm that has a monopolistic power over the labor market. It is revealed that when the uncertainty of immigrants’ growth is more than a threshold level, increasing uncertainty of immigrants’ growth accelerates the optimal timing of firms’ investment and enhances the economic growth, even if the uncertainty of immigrants’ growth is formulated by the geometric Brownian motion, which is in sharp contrast to the standard result that an increase in the uncertainty postpones the optimal timing. With an increase in the immigrants over the past ten years, workforces in the host countries have been growing significantly to the extent that the immigrants represent 70% of the increase in the workforce in Europe, and 47% in the United States as OECD indicates. In the present paper, we attempted to investigate the effect of increased uncertainty caused by the growi...
发表评论
阅读全文

Education Policy Implementation: A Mechanism for Enhancing Primary Education Development in Zanzibar

Education is one of the fundamental rights of individuals; therefore, the government of a country needs to develop and strengthen educational policy and quality as well as to ensure that everyone has equal access to basic education. The improvement of access and quality of education in the world is becoming as an essential factor in development, whereas the basic education (primary school), is acknowledged as a foundation of the higher educational development for every country. To fulfill this goal, governments introduce several policies and procedures; however, it requires some reforms and participation from the politician, policymakers, and other stakeholders to re-examine educational policy so that it can lead to multiplication and betterment of the reforms. Educational reforms actually focus on accountability. A positive educational development and reform is very challenging and needs more effort and strategy on how to use and utilize the resources effectively as such it can achie...
发表评论
阅读全文