The impact of a combined rehabilitation protocol on cardiovascular risk markers and neck disability in hypertensive patients following thyroidectomy: a randomized controlled trial.

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Bibliographic Details
Title:	The impact of a combined rehabilitation protocol on cardiovascular risk markers and neck disability in hypertensive patients following thyroidectomy: a randomized controlled trial.
Alternate Title:	Impacto de un protocolo de rehabilitación combinado sobre los marcadores de riesgo cardiovascular y la discapacidad cervical en pacientes hipertensos tras tiroidectomía: un ensayo controlado aleatorizado.
Authors:	Elkeblawy, Mohamed Maher¹ Katyary@yahoo.com, Borhan, Wafaa Hussein² w.h.borhan344@gmail.com, Mohamed, Marwa Elsayed³ Marwa.elsayed@pt.bsu.edu.eg, Mohammed, Salah S.^4,5 salah.smohammed@mans.edu.eg, Mohamed, Mahmoud Hamada⁶ mahmoud.mohamed@fpt.bu.edu.eg
Source:	Revista Latinoamericana de Hipertensión. 2025, Vol. 20 Issue 11, p810-817. 8p.
Subjects:	CARDIOVASCULAR diseases risk factors, HYPERTENSION, NECK pain, THYROIDECTOMY, MOVEMENT therapy, RANDOMIZED controlled trials, REHABILITATION
Abstract (English):	This study investigated the effectiveness of combining sensorimotor training and the McKenzie technique on cardiovascular risk markers and neck disability in hypertensive patients following thyroidectomy. In a randomized, single-blind controlled trial, 40 hypertensive female patients who underwent total thyroidectomy were equally divided into two groups. The intervention group (A) received a combined protocol of sensorimotor training, McKenzie exercises, and active stretching, while the control group (B) received only active stretching exercises. The interventions were administered three times per week for six weeks. Results demonstrated that the intervention group achieved significantly superior outcomes in both cardiovascular and functional parameters. Group A showed notable reductions in systolic BP (6.21%), diastolic BP (6.64%), and resting heart rate (7.92%), alongside significantly greater improvements in cervical ROM (flexion: 35.08%, lateral flexion: 42.14-42.92%) compared to Group B. Most notably, the reduction in neck disability was substantially greater in the intervention group (56.58%) versus the control group (23.38%), with a very large effect size (d=2.48, p < 0.001). These findings suggest that the combined protocol effectively addresses both biomechanical stress and cardiovascular risk in post-thyroidectomy hypertensive patients. Integrating this multimodal approach into postoperative care could lead to enhanced functional recovery and improved cardiometabolic health outcomes. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Este estudio investigó la eficacia de combinar el entrenamiento sensoriomotor y la técnica McKenzie sobre los marcadores de riesgo cardiovascular y la discapacidad cervical en pacientes hipertensos tras tiroidectomía. En un ensayo controlado aleatorizado simple ciego, 40 pacientes hipertensas de sexo femenino sometidas a tiroidectomía total se dividieron equitativamente en dos grupos. El grupo de intervención (A) recibió un protocolo combinado de entrenamiento sensoriomotor, ejercicios McKenzie y estiramientos activos, mientras que el grupo de control (B) recibió únicamente ejercicios de estiramiento activos. Las intervenciones se administraron tres veces por semana durante seis semanas. Los resultados demostraron que el grupo de intervención obtuvo resultados significativamente superiores tanto en los parámetros cardiovasculares como funcionales. El grupo A mostró reducciones notables en la presión arterial sistólica (6,21 %), la presión arterial diastólica (6,64 %) y la frecuencia cardíaca en reposo (7,92 %), junto con mejoras significativamente mayores en el rango de movimiento cervical (flexión: 35,08 %, flexión lateral: 42,14-42,92 %) en comparación con el grupo B. Cabe destacar que la reducción de la discapacidad cervical fue sustancialmente mayor en el grupo de intervención (56,58 %) que en el grupo de control (23,38 %), con un tamaño del efecto muy grande (d = 2,48, p < 0,001). Estos hallazgos sugieren que el protocolo combinado aborda eficazmente tanto el estrés biomecánico como el riesgo cardiovascular en pacientes hipertensos post-tiroidectomía. La integración de este enfoque multimodal en la atención postoperatoria podría conducir a una mejor recuperación funcional y a mejores resultados de salud cardiometabólica. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	This study investigated the effectiveness of combining sensorimotor training and the McKenzie technique on cardiovascular risk markers and neck disability in hypertensive patients following thyroidectomy. In a randomized, single-blind controlled trial, 40 hypertensive female patients who underwent total thyroidectomy were equally divided into two groups. The intervention group (A) received a combined protocol of sensorimotor training, McKenzie exercises, and active stretching, while the control group (B) received only active stretching exercises. The interventions were administered three times per week for six weeks. Results demonstrated that the intervention group achieved significantly superior outcomes in both cardiovascular and functional parameters. Group A showed notable reductions in systolic BP (6.21%), diastolic BP (6.64%), and resting heart rate (7.92%), alongside significantly greater improvements in cervical ROM (flexion: 35.08%, lateral flexion: 42.14-42.92%) compared to Group B. Most notably, the reduction in neck disability was substantially greater in the intervention group (56.58%) versus the control group (23.38%), with a very large effect size (d=2.48, p < 0.001). These findings suggest that the combined protocol effectively addresses both biomechanical stress and cardiovascular risk in post-thyroidectomy hypertensive patients. Integrating this multimodal approach into postoperative care could lead to enhanced functional recovery and improved cardiometabolic health outcomes. [ABSTRACT FROM AUTHOR]
ISSN:	18564550
DOI:	10.5281/zenodo.17924899