Research Summary
Analyzed using Evidence Intelligence™

Ultrasound therapy reduces muscle soreness and fatigue in women with T2D

Last updated July 18, 2026

Key finding

Pain decreased by 2.2 (95% CI: -2.8 to -1.6, p < 0.001)

This study evaluated the effects of therapeutic ultrasound on muscle soreness and fatigue in women with type 2 diabetes. Results indicated significant reductions in pain and fatigue levels.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study evaluated the effects of therapeutic ultrasound on muscle soreness and fatigue in women with type 2 diabetes. Results indicated significant reductions in pain and fatigue levels.

Clinical relevance

These findings highlight the potential of therapeutic ultrasound as a non-invasive treatment option for managing exercise-induced muscle soreness and fatigue in women with type 2 diabetes. By improving pain and fatigue levels, this intervention may enhance physical activity adherence and overall quality of life for this population, addressing both physical and psychological aspects of diabetes management.

Keep in mind

Limited to women with type 2 diabetes, affecting generalizability No long-term follow-up data to assess sustainability of effects Sample size not specified, which may impact statistical power

Published in

Journal Reference

Publication details and source links for this paper.

Tahereh B, Mohammadreza R, Javad NK. Ultrasound therapy for exercise-induced muscle soreness and fatigue relief in women with type 2 diabetes: a randomized controlled trial. Therapeutic Advances in Endocrinology and Metabolism. 2025;16:20420188251362091. doi:10.1177/20420188251362091

Main Effects

Pain decreased by 2.2 points on the Von Korff scale (p < 0.001)

Fatigue decreased by 1.8 points on the Borg scale (p = 0.004)

HbA1c decreased by 0.5% (p = 0.03)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Exercise therapy and Creatine kinase (CK) levels, Fasting blood sugar (FBS), Fatigue measured by Borg scale, and 4 more.

Primary intervention

Exercise therapy

Primary outcomes

  • Creatine kinase (CK) levels
  • Fasting blood sugar (FBS)
  • Fatigue measured by Borg scale

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

7
Evidence pairs
7
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 72

3

Related topics

7

Evidence pairs

578

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Inflammatory and Vascular Markers

matched_outcome

Related evidence

Evidence topic

Glycemic Control

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Creatine kinase (CK) levels

Exercise therapy → Creatine kinase (CK) levels

Exercise therapy → Creatine kinase (CK) levels

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fasting blood sugar (FBS)

Exercise therapy → Fasting blood sugar (FBS)

Exercise therapy → Fasting blood sugar (FBS)

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Fatigue measured by Borg scale

Exercise therapy → Fatigue measured by Borg scale

Exercise therapy → Fatigue measured by Borg scale

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Exercise therapy → HbA1c

Exercise therapy → HbA1c

Evidence Intelligence™
EvidenceScore™
81
Strong
ImpactScore™
84
Positive
ConsistencyScore™
83
consistent
Supporting studies: Based on 6 studies
Add to Evidence Tracker

Interleukin-6 (IL-6)

Exercise therapy → Interleukin-6 (IL-6)

Exercise therapy → Interleukin-6 (IL-6)

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 4 studies
ImpactScore™
88
Very Positive
ConsistencyScore™
75
consistent
Supporting studies: Based on 4 studies
Add to Evidence Tracker

Pain measured using the Von Korff scale

Exercise therapy → Pain measured using the Von Korff scale

Exercise therapy → Pain measured using the Von Korff scale

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Tumor Necrosis Factor-alpha (TNF-α)

Exercise therapy → Tumor Necrosis Factor-alpha (TNF-α)

Exercise therapy → Tumor Necrosis Factor-alpha (TNF-α)

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
83
Positive
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Pain reduced by 2.2 points, indicating significant relief (p < 0.001)
  • Fatigue levels decreased by 1.8 points, showing notable improvement (p = 0.004)
  • HbA1c levels improved by 0.5%, suggesting better metabolic control (p = 0.03)
who this applies

Who this applies to

  • Women aged 30-60 with type 2 diabetes
  • Individuals experiencing exercise-induced muscle soreness and fatigue
keep in mind

Keep in Mind

  • Results may not apply to men or other age groups
  • Effects of ultrasound on long-term health outcomes remain unclear
  • Further research needed to confirm findings in larger, diverse populations
between the lines

Between the Lines

  • Limited to women with type 2 diabetes, affecting generalizability
  • No long-term follow-up data to assess sustainability of effects
  • Sample size not specified, which may impact statistical power

Evidence Library

Build your evidence library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Exercise therapy and HbA1c, Exercise therapy and Inflammatory Markers.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Exercise therapy improve HbA1c?

Strong Evidence

Exercise therapy may improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 81.1 | moderate positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Exercise therapy improve interleukin-6 (il-6)?

Strong Evidence

Exercise therapy appears to improve Interleukin-6 (IL-6).

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Interleukin-6 (IL-6)

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Exercise therapy improve tumor necrosis factor-alpha (tnf-α)?

Strong Evidence

Exercise therapy may improve Tumor Necrosis Factor-alpha (TNF-α).

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Tumor Necrosis Factor-alpha (TNF-α)

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Exercise therapy improve fasting blood sugar (fbs)?

Moderate Evidence

Exercise therapy appears to improve Fasting blood sugar (FBS).

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Fasting blood sugar (FBS)

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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