THE EFFECT OF MAGNETIC THERAPY AND MODERATE AEROBIC EXERCISE ON POST-THYROIDECTOMY OSTEOPOROSIS: A RANDOMIZED CLINICAL STUDY

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I. Hewidy1, M. Eid2, A. El-Gendy3, M. Abdel-fattah4
1Faculty of Physical Therapy , Cairo University, Cairo, Egypt, 2Department of Physical Therapy for Surgery, Cairo University, Giza, Egypt., Cairo, Egypt, 3Faculty of Physical Therapy, Cairo University, Cairo, Egypt, 4Department of Physical Therapy for Cardiovascular, Respiratory Disorders and Geriatrics, Cairo University, Giza, Cairo, Egypt

Background: Thyroid disorders significantly aggravate osteoporosis, bone loss, and fracture risk. 
Pulsed electromagnetic fields (PEMF) stimulate osteoblastic activities and, therefore, may be an effective therapeutic modality for patients with osteoporosis.

Purpose: The purpose of this study was to examine the effects of magnetic therapy and aerobic exercise on bone mineral density (BMD) in women osteoporosis post-thyroidectomy.

Methods: Participants were randomly assigned into one of three groups, equal in number. Group A (Magnetic Therapy Group); patients that received pulsed magnetic therapy on the hip region for 12 weeks (3 sessions/ week). Group B (Exercise group); patients who received moderate-intensity aerobic exercise for 12 weeks (3 sessions/week). Group C (Combined Magnetic Therapy and Exercise Therapy group): patients received pulsed magnetic therapy and moderate-intensity aerobic exercise for 12 weeks (3 sessions/week). The three groups' assessment was performed at baseline by dual-energy x-ray absorptiometry (DEXA) and after 12 weeks of treatment.

Results: Current study results showed that within-group analysis revealed a statistically significant increase (p < 0.05) for BMD in the three studied groups. Comparing the results among the three tested groups revealed a significant increase (p < 0.05) in post-testing mean values of BMD in group (C) compared to group (A) and group (B). No significant statistical difference in BMD's mean values between groups (A) and (B) after testing was detected.

Conclusion(s): The use of pulsed magnetic therapy combined with moderate-intensity aerobic exercise resulted in improved BMD at the hip region than using any of the two modalities alone. It is recommended for physiotherapists to make use of the combined application of both modalities for improving BMD on post thyroidectomy osteoporotic patients.

Implications: This is one of the first studies to examine the effects of pulsed magnetic therapy combined with moderate-intensity aerobic exercise on BMD in women post thyroidectomy. Physiotherapist may consider using this approach to improve BMD in women post thyroidectomy. Further studies are needed to examine the most appropriate dosing (intensity, frequency, and duration).

Funding, acknowledgements: This research received no specific grant from any funding agency in the public, commercial, or not for-profit sectors

Keywords: Magnetic therapy, Aerobic exercise, Osteoporosis

Topic: Musculoskeletal

Did this work require ethics approval? Yes
Institution: Faculty of Physical Therapy, Cairo University
Committee: Faculty of Physical Therapy, Cairo University.
Ethics number: (P.T. REC/012/002533)


All authors, affiliations and abstracts have been published as submitted.

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