Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Physical Therapy for Cardiopulmonary Geriatrics and Disorder

Previous studies have revealed that diabetes mellitus appears to influence thyroid function in at least two sites, one at the level of hypothalamic control of TSH release and the other at the conversion of T4 to T3 in the peripheral tissue. To investigate the response of thyroid stimulating hormone and tri- odothyronine and tetra- iodothynine hormones in type 1 DM to the aerobic exercise versus whole body vibration exercise through measuring fT4 and fT3, as well as TSH. Forty patients (22 boys, 18 girls) with type 1 DM and hypothyroidism were selected from Nasr city hospital health insurance. Their ages ranged from 15 to 18 years old. Patients participated in a physical therapy program for eight weeks, from February to April 2015 patients were assigned into two groups (A, B) equally in number. Group (A): (10 boys and 10 girls) received a stationary bicycle for 8 weeks three sessions per week, group (B): (12 boys and 8 girls) received whole body vibration (WBV) for 8 weeks three sessions per week, T3, T4 and TSH were measured pre and post. The results of this study found that, there was a statistically highly significant difference (P < 0.01) in TSH, free (T3 and T4) measurements after the performance of the aerobic stationary bicycle training and whole body vibration exercise sessions on participated patients. In addition, WBV showed significant change in all measures (decrease in TSH, change free T4 and free T3) with P- values (0.4%, 0.01% and 0.4%), respectively. So the W.BV act as adjuvant method for treating patient with type 1 Diabetes mellitus with hypothyrodism

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