Effect of High-Intensity Focused Electromagnetic Therapy on Balance and Quality of Life in Elderly Type 2 Diabetic Men: A Randomized Controlled Trial.

IF 3.6 2区 医学 Q1 REHABILITATION
Saher Lotfy Elgayar, Ahmed M N Tolba, Mohammed Youssef Elhamrawy
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Abstract

Objective: To assess the effect of high-intensity focused electromagnetic therapy (HIFEMT) on balance, core strength, fall risk, and quality of life (QoL) in elderly men with type 2 diabetes.

Design: A prospective randomized controlled trial with a single-center focus.

Setting: This study was conducted at a private geriatric rehabilitation unit from April to December 2024.

Participants: Eighty elderly men (N=80) with type 2 diabetes were randomly allocated into 2 equal groups.

Interventions: For 12 weeks, the HIFEMT group received HIFEMT in addition to balance training, whereas the control group received balance training only.

Main outcome measures: Balance was assessed using the Berg Balance Scale (BBS), core strength was assessed using the double-leg lowering test (DLLT), fall risk was evaluated using the Fall Risk Questionnaire (FRQ), and QoL was measured using the Scale of Older People's Quality of Life-brief (OPQoL-brief).

Results: At post-study, the HIFEMT group demonstrated significantly greater BBS scores (mean difference between groups=4.84; 95% CI, 2.6-7.05; P=.001), DLLT scores (mean difference between groups=0.59; 95% CI, 0.17-1.02; P=.007), and OPQoL-brief scores (mean difference between groups=4.18; 95% CI, 0.99-7.35; P=.01), along with significantly lower FRQ scores (mean difference between groups=-1.07; 95% CI, -1.83 to -0.31; P=.006), compared to the control group.

Conclusions: In elderly type 2 diabetic men, HIFEMT could enhance balance control, core strength, and QoL, while also reducing the risk of falls.

高强度聚焦电磁治疗对老年2型糖尿病男性患者平衡和生活质量的影响:一项随机对照试验。
目的:探讨高强度聚焦电磁治疗(HIFEMT)对老年男性2型糖尿病患者平衡性、核心力量、跌倒风险和生活质量的影响。设计:单中心前瞻性随机对照试验。环境:本研究于2024年4月至12月在一家私营老年康复单位进行。参与者:80名老年2型糖尿病患者被随机分为两组。干预措施:为期12周,HIFEMT组在进行平衡训练的同时进行HIFEMT,而对照组只进行平衡训练。主要结果测量:使用Berg平衡量表(BBS)评估平衡,使用双腿下放试验(DLLT)评估核心力量,使用跌倒风险问卷(FRQ)评估跌倒风险,使用老年人生活质量量表(OPQoL-brief)测量生活质量。结果:在研究结束后,HIFEMT组表现出显著更高的BBS评分(组间平均差异 = 4.84;95% ci = 2.6,7.05;p = 0.001),DLLT评分(组间平均差异 = 0.59;95% ci = 0.17,1.02;p = 0.007),OPQoL-brief评分(组间平均差异 = 4.18;95% ci = 0.99,7.35;p = 0.01),FRQ评分显著降低(组间平均差异 = -1.07;95% ci = -1.83,-0.31;P = 0.006),与对照组比较。结论:HIFEMT可提高老年2型糖尿病男性的平衡控制、核心力量和生活质量,同时降低跌倒风险。
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来源期刊
CiteScore
6.20
自引率
4.70%
发文量
495
审稿时长
38 days
期刊介绍: The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
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