Journal of Surgery
Volume 3, Issue 2-1, March 2015, Pages: 23-26
Received: Feb. 7, 2015;
Accepted: Feb. 13, 2015;
Published: May 9, 2015
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Heba M. Mohamady, Department for Surgery, Faculty of Physical Therapy, Cairo , Cairo University, Egypt
Manar H. Abdel Sattar, Department of Radiology, Faculty of Medicine, Cairo, Cairo University, Egypt
Ashraf H. Mohammed, Department for Surgery, Faculty of Physical Therapy, Cairo , Cairo University, Egypt
Ahmed M. Abdellatif, Sheikh Zayed Central Hospital, Giza, Egypt
Introduction: Thyroidectomy could be associated with bone loss because of an endogenous excess of thyroxin, over enthusiastic thyroid replacement therapy following surgery, deregulation of bone resorption as consequence of calcitonin deficiency or some combination of these factors. The aim was to investigate the effect of weight bearing exercises on Improving bone mineral density in post thyroidectomy patients suffering from osteoporosis. Subjects and methods: Thirty osteoporotic patients were assigned randomly into two equal groups; their ages ranged from 20-45 years. The study group received weight bearing exercises program in addition to routine medical treatment. Control group received medical treatment only. Study group received two sessions per week for two successful months. The data were collected before and after the same period of treatment for both groups. Evaluation procedures were carried out to evaluate the bone mineral density using Dual Energy X-ray Absorptiometry. Results: Post treatment both groups showed a variant improvement in bone mineral density, but a significant improvement difference was recorded between the two groups in favor of the study group. Percentage of improvement of bone mineral density in the study group was 10.69%, while it was 2.8% in the control group. Conclusion: Weight bearing exercises were considered to be an effective modality for improving bone mineral density in subjects suffering from osteoporosis following thyroidectomy.
Heba M. Mohamady,
Manar H. Abdel Sattar,
Ashraf H. Mohammed,
Ahmed M. Abdellatif,
Response of Bone Mineral Density to Physical Exercises after Thyroidectomy, Journal of Surgery. Special Issue: Postoperative Pain Syndrome.
Vol. 3, No. 2-1,
2015, pp. 23-26.
Cummings S.R, Nevitt M.C, Browner W.S, Stone K.m, Fox K.M, Ensrud K.E, Cauley J, Black D, Vogt T.M. Risk factors for hip fracture in white women: The study of osteoprotic fractures research group. N Engl J MED, 1995, 322: 267-773.
Lawrence G, RaisZ.Pathogenesis of osteoporosis: Concepts, Conflicts and Prospects. J Clin Invest, 2005,115 (12): 3318-3325.
Mc Dermott M.T, Kidd C.T.S, Blue P, G Head V, Hofeldt F.D. Reduced bone mineral content in totally thyroidectomized patients : possible effect of calcitonin deficiency. J Clin. Endocrinal Metab, 1983, 56: 936-939.
Dhanwal DK. Thyroid disorders and bone mineral metabolism. Indian J EndocrinolMetab. 2011; 15(Suppl2): S107–S112.
Welten D.C., Kemper H.C. and Post G.B. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group. WHO technical Report Series, 1994, 843: 120-129.
Valimaki M.J, Tiihonen M, Laitinen K. Bone mineral density measured by dual-energy x-ray absorptiometry and novel markers of bone formation and resorption in patients on antiepileptic drugs. J Bone Miner Res, 1994, 9: 631-637.
Eriksen E.F. Normal and pathological remodeling of human trabecular bone. Three-dimensional reconstruction of the remodeling sequence in normal and in metabolic bone disease."Endocr Rev, 1986,7: 379-381.
Andredi A, Monteleone M, Van Loan M, Proncenzio L, Tarantino U, De Lorenzo A. Effects of different sports on bone density and muscle mass in highly trained athletes. Med. Sci. sports Exer, 2001: 33(4): 507-511.
Hara S, Yanagi H, Amagai H. Effect of physical activity during teenage years, based on type of sport and duration of exercise, on bone mineral density of young, premenopausal Japanese women. Calcif Tissue Int, 2001, 68: 23-30.
Pfeifer M, Minne H.W. Vitamin D and hip fracture." Trends in Endocrinology and Metabolism, 1999, 10: 417-420.
11.Schoenau E, Werhahn E, Schiedermaier U, Mokow E, Schiessl H, Scheidhauer K, Michalk D. Influence of muscle strength on bone strength during childhood and adolescence. Hormone Research, 1996,45 (1): 63-66.
Seigrist M. Role of physical activity in the prevention of osteoporosis. Mineral Res, 2008,10: 1303-1311.
Beck B.R, Snow C.M.Bone health across the lifespan exercising our options. Exerc Sport Sci Rev, 2003, 31: 117-122.
Nikander R. Femoral neck structure in adult female athletes subjected to different loading modalities. J. Bone Min. Res, 2005,20: 520-528.
Bass S.L. The prepubertal years, a uniquely opportune stage of growth. When the skeleton is most responsive to exercise?.Sports Med,2000, 30(2): 73-80.
Hakan L, Anna S, Ulrika P, Gustaf B. (2005): ''Wight bearing exercise and osteoporosis." Osteo Int,2005, 16: 1117-1123.
Mishra L, Mahavir B, Shanu N, Ranu S. Dental care in the patients with bisphosphonates therapy.International Journal of Dental Clinics,2011, 3 (1): 60-64.
Blake G.M, Glen M, Fogelman, Ignac .Effect of bone strontium on BMD measurements. Journal of Clinical Densitometry,2007, 10 (1): 34-38.
Kulaçoglu H, Dener C, Ziraman I, Kama N.A. Thyroxine prophylaxis after bilateral subtotal thyroidectomy for multinodular goiter. Endocr. J,2000, Jun.; 47 (3): 349-352.
Wilmar M, Wiersinga .Hypothyroidism and myxedema coma. In: Degroot L.S. Endocrinology. 4th ed. Saunders,2001, 30: 1494.
Bischoff H.A, Dawson H.B, Willett W.C. Effect of vitamin D on falls: a meta-analysis. JAMA, 2004, 291(16): 1999-2006.
De Laet C, Kanis J, Oden A, Johanson H, Johnell O, Delmas P. Body mass index as a predictor of fracture risk: a meta-analysis. Osteoporos Int,2005, 16: 1330-1338.
Kogianni G, Noble B.S. The biology of osteocytes. Curr Osteoporos Rep,2007, 5(2): 81-86.
Meka N, Katragadda S, Cherian B. Endurance exercise and resistance traning in cardiovascular disease. Cardiovas Disorders, 2008, 7: 21-26.