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 with type 2 diabetes were randomly allocated into two equal groups. INTERVENTIONS: For 12 weeks, the HIFEMT group received HIFEMT in addition to balance training, while 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 group 4.84; 95% CI 2.6 to 7.05; p = 0.001), DLLT scores (mean difference between groups 0.59; 95% CI 0.17 to 1.02; p = 0.007), and OPQoL-brief scores (mean difference between groups 4.18; 95% CI 0.99 to 7.35; p = 0.01), along with significantly lower FRQ scores (mean difference between groups -1.07; 95% CI -1.83 to -0.31; p = 0.006), compared to the control group. CONCLUSION: In elderly type 2 diabetic men, HIFEMT could enhance balance control, core strength, and QoL, while also reducing the risk of falls.

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