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Ultrasonographic Achilles Tendon Measurements and Static and Dynamic Balance in Prediabetes
Fulya Bakılan1, Sultan Şan Kuşcu1, Burcu Ortanca1
1Department of Physical Medicine and Rehabilitation, Eskişehir Osmangazi University, 26040 Eskişehir, Turkey.
Medicina (Kaunas, Lithuania)
|August 29, 2024
Summary
Prediabetes patients show no significant changes in Achilles tendon size or balance. However, increased tendon thickness is linked to a higher fall risk and poorer balance in this group.
Area of Science:
- Endocrinology
- Orthopedics
- Neurology
Background:
- Limited research exists on balance issues and Achilles tendon thickness in prediabetes.
- Prediabetes is a precursor to diabetes mellitus, a condition known to affect these parameters.
- Understanding these factors in prediabetes is crucial for early intervention.
Purpose of the Study:
- To investigate Achilles tendon dimensions in prediabetic individuals.
- To assess static and dynamic balance in prediabetes.
- To explore the relationship between Achilles tendon characteristics and balance in prediabetes.
Main Methods:
- 96 participants were categorized into control, prediabetes, and diabetes mellitus groups.
- Ultrasonography measured Achilles tendon size (thickness, width, area).
- Balance was evaluated using the Berg Balance Scale (dynamic) and Tetrax device (static).
Main Results:
- Achilles tendon size did not significantly differ across the three groups.
- Dynamic balance scores in prediabetes were not statistically different from controls.
- Increased Achilles tendon thickness correlated with higher Fall Index and lower Berg Balance Scale scores in prediabetes.
Conclusions:
- Prediabetes does not appear to significantly alter Achilles tendon size or overall balance.
- A thicker Achilles tendon in prediabetes may indicate an elevated risk of falls.
- Further research is needed to clarify the role of Achilles tendon changes in prediabetes-related balance impairments.
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