Yıl: 2022 Cilt: 29 Sayı: 10 Sayfa Aralığı: 1140 - 1145 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2022.07.202 İndeks Tarihi: 10-05-2023

Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?

Öz:
Aim: Type 1 Diabetes Mellitus (DM) is an important endocrine disease that causes disorders in the musculoskeletal system. Extracorporeal shock wave therapy (ESWT) may be effective in the improvement of these disorders due to its reported anabolic effects. Materials and Methods: The effects of unfocused shock waves on the mandible in healthy and diabetic rats were investigated. 36 wistar albino rats were used and ran- domly divided into 4 groups: non-diabetic control (n-cont), non-diabetic eswt (n-eswt), diabetic control (d-cont), diabetic eswt (d-eswt). Geometric structure, bone mineral den- sity (BMD) and biomechanical properties of the mandibles were analyzed. Datas were statistically analyzed by one-way variance analysis and Tukey post-hoc test. Results: According to the results, BMD was lower in the diabetic groups. There was no significant increase in ESWT groups. The surface area of the mandible was significantly lower in the diabetic groups than in the n-cont group. However, it was significantly higher in the d-eswt group than in the d-cont group. Ultimate load values were found to be significantly lower in the d-eswt group than in the d-cont group. While there was no significant difference between the groups in terms of stiffness, ultimate strain and young modulus, lower ultimate stress values were observed in the d-eswt group compared to the d-cont group. Conclusion: As a result, Type 1 Diabetes Mellitus caused a decrease in bone dimensions and bone mineral density, but did not affect the biomechanical properties. Interestingly, ESWT application caused the bone to be more fragile in diabetics.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Korres N, Tsiridis E, Pavlou G, Mitsoudis A, Perrea DN, Zoum- bos AB. Biomechanical characteristics of bone in streptozotocin- induced diabetic rats: An in-vivo randomized controlled experi- mental study. World J Orthop. 2013;4(3):124-129.
  • 2. Piscitelli P, Neglia C, Vigilanza A, Colao A. Diabetes and bone: biological and environmental factors. Curr Opin Endocrinol Di- abetes Obes. 2015 Dec;22(6):439-45.
  • 3. Erdal N, Gürgül S, Demirel C, Yildiz A. The effect of insulin therapy on biomechanical deterioration of bone in streptozotocin (STZ)-induced type 1 diabetes mellitus in rats. Diabetes Res Clin Pract. 2012 Sep;97(3):461-7.
  • 4. Nyman JS, Even JL, Jo CH, Herbert EG, Murry MR, Cockrell GE, et al. Increasing duration of type 1 diabetes perturbs the strength-structure relationship and increases brittleness of bone. Bone 2011; 48:733–740.
  • 5. Bortolin RH, da Graça Azevedo Abreu BJ, Abbott Galvão Uru- rahy M, Costa de Souza KS, Bezerra JF, Loureiro MB, et al. Protection against T1DM-Induced Bone Loss by Zinc Supple- mentation: Biomechanical, Histomorphometric, and Molecular Analyses in STZ-Induced Diabetic Rats. PLoS One. 2015 May 1;10(5):e0125349.
  • 6. Bortolin RH, Freire Neto FP, Arcaro CA, Bezerra JF, da Silva FS, Ururahy MA, et al. Anabolic Effect of Insulin Therapy on the Bone: Osteoprotegerin and Osteocalcin Up-Regulation in Streptozotocin-Induced Diabetic Rats. Basic Clin Pharmacol Toxicol. 2017 Mar;120(3):227-234.
  • 7. Abbassy MA, Watari I, Soma K. The effect of diabetes mellitus on rat mandibular bone formation and microarchitecture. Eur J Oral Sci. 2010;118(4):364-369.
  • 8. Yamamoto M. Insights into bone fragility in diabetes: the crucial role of bone quality on skeletal strength. Endocr J. 2015;62(4):299-308.
  • 9. Donmez BO, Ozturk N, Sarikanat M, Oguz N, Sari R, Ozdemir S. Sodium tungstate alleviates biomechanical properties of dia- betic rat femur via modulation of oxidative stress. Gen Physiol Biophys. 2014;33(4):443-52.
  • 10. Hofbauer LC, Brueck CC, Singh SK, Dobnig H. Osteoporo- sis in patients with diabetes mellitus. J Bone Miner Res 2007;22(9):1317–28.
  • 11. Verhaeghe J, Van Herck E, van Bree R, Moermans K, Bouillon R. Decreased osteoblast activity in spontaneously diabetic rats. In vivo studies on the pathogenesis. Endocrine. 1997 Oct;7(2):165- 75.
  • 12. Patrocínio-Silva TL, Souza AM, Goulart RL, Pegorari CF, Oliveira JR, Fernandes KR,et al. Low-level laser therapy associ- ated to a resistance training protocol on bone tissue in diabetic rats. Arch Endocrinol Metab. 2016 Oct;60(5):457-464.
  • 13. Kearney CJ, Hsu HP, Spector M. The use of extracorporeal shock wave-stimulated periosteal cells for orthotopic bone gen- eration. Tissue Eng Part A. 2012 Jul;18(13-14):1500-8.
  • 14. Wölfl C, Schuster L, Höner B, Englert S, Klein R, Hirche C,et al. Influence of extracorporeal shock wave therapy (ESWT) on bone turnover markers in organisms with normal and low bone mineral density during fracture healing: a randomized clinical trial. GMS Interdiscip Plast Reconstr Surg DGPW. 2017 Dec 18;6:Doc17.
  • 15. Van der Jagt OP, Piscaer TM, Schaden W, Li J, Kops N, Jahr H, et al. Unfocused extracorporeal shock waves induce anabolic effects in rat bone. J Bone Joint Surg Am. 2011;93(1):38-48.
  • 16. Altuntas EE, Oztemur Z, Ozer H, Muderris S. Effect of extra- corporeal shock waves on subcondylar mandibular fractures. J Craniofac Surg. 2012;23(6):1645-1648.
  • 17. Lai JP, Wang FS, Hung CM, Wang CJ, Huang CJ, Kuo YR. Ex- tracorporeal shock wave accelerates consolidation in distraction osteogenesis of the rat mandible. J Trauma. 2010;69(5):1252- 1258.
  • 18. Simplicio CL, Purita J, Murrell W, Santos GS, Dos Santos RG, Lana JFSD. Extracorporeal shock wave therapy mechanisms in musculoskeletal regenerative medicine. J Clin Orthop Trauma (2020) 11(Suppl 3):S309–18.
  • 19. Bozzini CE, Champin GM, Alippi RM, Bozzini C. Biomechanical properties of the mandible, as assessed by bending test, in rats fed a low-quality protein. Arch Oral Biol. 2013 Apr;58(4):427-34.
  • 20. Reddy GK, Stehno-Bittel L, Hamade S, Enwemeka CS. The biomechanical integrity of bone in experimental diabetes. Di- abetes Res Clin Pract. 2001 Oct;54(1):1-8.
  • 21. Botolin S, Faugere MC, Malluche H, Orth M, Meyer R, Mc- Cabe LR. Increased bone adiposity and peroxisomal proliferator- activated receptor-gamma2 expression in type I diabetic mice. Endocrinology. 2005;146(8):3622-3631.
  • 22. Isidro ML, Ruano B. Bone disease in diabetes. Curr Diabetes Rev 2010; 6:144–155.
  • 23. Gurgul S, Erdal N, Yilmaz SN, Yildiz A, Ankarali H. Deteriora- tion of bone quality by long-term magnetic field with extremely low frequency in rats. Bone 2008;42:74–80.
  • 24. Saha MT, Sievanen H, Salo MK, Tulokas S, Saha HH. Bone mass and structure in adolescents with type 1 diabetes compared to healthy peers. Osteoporos Int 2009;20:1401–6.
  • 25. Wang CJ, Huang CY, Hsu SL, Chen JH, Cheng JH. Extracor- poreal shockwave therapy in osteoporotic osteoarthritis of the knee in rats: an experiment in animals. Arthritis Res Ther. 2014;16(4):R139.
  • 26. Wang CJ, Cheng JH, Kuo YR, Schaden W, Mittermayr R. Ex- tracorporeal shockwave therapy in diabetic foot ulcers. Int J Surg. 2015 S1743-9191(15)00293-9.
  • 27. Lohse-Busch H, Marlinghaus E, Reime U, Mowis U. Focused low-energy extracorporeal shock waves with distally symmetric polyneuropathy (DSPNP): a pilot study. NeuroRehabilitation. 2014;35(2):227-233.
  • 28. Antonic V, Mittermayr R, Schaden W, Stojadinovic A. Evi- dence supporting extracorporeal shock wave therapy for acute and chronic soft tissue wounds. Wounds. 2011;23(7):204-215.
  • 29. Chuckpaiwong B, Berkson EM, Theodore GH. Extracorporeal shock wave for chronic proximal plantar fasciitis: 225 pa- tients with results and outcome predictors. J Foot Ankle Surg. 2009;48(2):148-155.
  • 30. Özkan E, Bereket MC, Önger ME, Polat AV. The Effect of Unfo- cused Extracorporeal Shock Wave Therapy on Bone Defect Heal- ing in Diabetics. J Craniofac Surg. 2018 Jun;29(4):1081-1086.
  • 31. Özkan E, Bereket MC, Şenel E, Önger ME. Effect of Electro- hydraulic Extracorporeal Shockwave Therapy on the Repair of Bone Defects Grafted With Particulate Allografts. J Craniofac Surg. 2019 Jun;30(4):1298-1302.
APA OZKAN E, YILMAZ B, BEREKET C (2022). Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?. , 1140 - 1145. 10.5455/annalsmedres.2022.07.202
Chicago OZKAN ENES,YILMAZ Betul,BEREKET Cihan Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?. (2022): 1140 - 1145. 10.5455/annalsmedres.2022.07.202
MLA OZKAN ENES,YILMAZ Betul,BEREKET Cihan Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?. , 2022, ss.1140 - 1145. 10.5455/annalsmedres.2022.07.202
AMA OZKAN E,YILMAZ B,BEREKET C Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?. . 2022; 1140 - 1145. 10.5455/annalsmedres.2022.07.202
Vancouver OZKAN E,YILMAZ B,BEREKET C Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?. . 2022; 1140 - 1145. 10.5455/annalsmedres.2022.07.202
IEEE OZKAN E,YILMAZ B,BEREKET C "Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?." , ss.1140 - 1145, 2022. 10.5455/annalsmedres.2022.07.202
ISNAD OZKAN, ENES vd. "Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?". (2022), 1140-1145. https://doi.org/10.5455/annalsmedres.2022.07.202
APA OZKAN E, YILMAZ B, BEREKET C (2022). Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?. Annals of Medical Research, 29(10), 1140 - 1145. 10.5455/annalsmedres.2022.07.202
Chicago OZKAN ENES,YILMAZ Betul,BEREKET Cihan Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?. Annals of Medical Research 29, no.10 (2022): 1140 - 1145. 10.5455/annalsmedres.2022.07.202
MLA OZKAN ENES,YILMAZ Betul,BEREKET Cihan Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?. Annals of Medical Research, vol.29, no.10, 2022, ss.1140 - 1145. 10.5455/annalsmedres.2022.07.202
AMA OZKAN E,YILMAZ B,BEREKET C Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?. Annals of Medical Research. 2022; 29(10): 1140 - 1145. 10.5455/annalsmedres.2022.07.202
Vancouver OZKAN E,YILMAZ B,BEREKET C Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?. Annals of Medical Research. 2022; 29(10): 1140 - 1145. 10.5455/annalsmedres.2022.07.202
IEEE OZKAN E,YILMAZ B,BEREKET C "Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?." Annals of Medical Research, 29, ss.1140 - 1145, 2022. 10.5455/annalsmedres.2022.07.202
ISNAD OZKAN, ENES vd. "Is the reiteration of extracorporeal shock wave therapy beneficial to enhance the bone integrity in type 1 diabetic rats?". Annals of Medical Research 29/10 (2022), 1140-1145. https://doi.org/10.5455/annalsmedres.2022.07.202