ORIGINAL PAPER
Pulsed electromagnetic field (PEMF) promotes muscle hypertrophy, increased maximum strength and strength endurance in untrained adults: a randomised parallel design
 
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1
Graduate Program in Human Movement and Rehabilitation, Evangelical University of Goiás (UniEVANGÉLICA), Anápolis, Goiás, Brazil
 
2
Graduate Program in Bioengineering, Universidade Brasil, Itaquera, São Paulo, Brazil
 
3
Laboratory of Panic and Respiration, Institute of Psychiatry (IPUB), Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
 
4
Center of Neuroscience, Neurodiversity Institute, Queimados, Brazil
 
5
Graduate Program in Pharmaceutical Sciences, Pharmacology and Therapeutics (PPGCFFT), Evangelical University of Goiás (UniEVANGÉLICA), Anápolis, Goiás, Brazil
 
6
Escuela de Ingeniería de Construcción y Transporte, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
 
7
Faculty of Health Sciences, Universidad Autónoma de Chile, Providencia, Chile
 
8
Faculty of Physical Education and Dance, Federal University of Goiás (UFG), Samambaia Campus, Goiânia, Goiás, Brazil
 
9
Graduate Program in Environment and Society, State University of Goiás (UEG), Academic Institute of Health and Biological Sciences, Southwest Campus, Quirinópolis, Goiás, Brazil
 
10
Graduate Program in Physical Education, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
 
These authors had equal contribution to this work
 
 
Submission date: 2025-10-28
 
 
Acceptance date: 2026-02-06
 
 
Online publication date: 2026-06-03
 
 
Corresponding author
Alberto Souza Sá Filho   

Evangelical University of Goiás (UniEVANGÉLICA), Av. Universitária, s/n, Cidade Universitária, Anápolis, Goiás, Brazil
 
 
 
KEYWORDS
TOPICS
ABSTRACT
Purpose:
Investigate the effects of 8 weeks of PEMF on musclethickness (MT) of the proximal (RF30%) and mid (RF50%) rectus femoris, and mid vastus lateralis (VL50%), as well as on maximal strength (1RM) and strength endurance (60%1RM) in untrained, compared to resistance training (RT).

Methods:
This is a chronic, randomised, and parallel experimental trial. Eighteen untrained individuals (13 women) were randomly assigned to PEMF (n = 10; 22.9 ± 2.4 years) or bilateral leg extension (EXT, n = 8; 23.2 ± 3.9 years), 3×/week (8 weeks) training. PEMF involved 30-min sessions with magnetic flux densities ranging from 2.8 to 7.0 teslas, with applicators placed over the RF and VL. The EXT group completed 3 sets of bilateral knee extensions at 8–12RM with one-minute rest. Assessments included 1RM and 60%1RM unilateral knee extensions and MT via ultrasound on the legs.

Results:
RF30% MT increased post-intervention (p = 0.006), with no group differences (p = 0.570). No changes were found in the left RF30% or RF50% of either leg. An increase in VL50% MT was observed in the left leg (p = 0.032). Wilcoxon revealed 1RM gains in both legs for PEMF (right: p = 0.012; left: p = 0.035) and EXT (right: p = 0.034; left: p = 0.018). There were no differences between groups in 1RM. Both groups also showed improvements in 60%1RM (p = 0.011; p = 0.018), with no between-group differences (p = 0.392; p = 0.858).

Conclusions:
The present study offers preliminary evidence that continuous PEMF application, even in the absence of mechanical overload, can elicit improvements in muscle morphology, maximal strength, and muscular endurance in untrained individuals.
REFERENCES (39)
1.
Bassett CA. Beneficial effects of electromagnetic fields. J Cell Biochem. 1993;51(4):387–93; doi: 10.1002/jcb.2400510402.
 
2.
Ghoshchi SG, Petroni ML, Piras A, Mar­cora SM, Raffi M. Pulsed electromagnetic field (PEMF) stimulation as an adjunct to exercise: a brief review. Front Sports Act Living. 2024;6:1471087; doi: 10.3389/fspor.2024.1471087.
 
3.
Mansourian M, Shanei A. Evaluation of pulsed electromagnetic field effects: a systematic review and meta-analysis on highlights of two decades of research in vitro studies. Biomed Res Int. 2021;2021:6647497; doi: 10.1155/2021/6647497.
 
4.
Trofe A, Piras A, Muehsam D, Meoni A, Campa F, Toselli S, Raffi M. Effect of pulsed electromagnetic fields (PEMFs) on muscular activation during cycling: a single-blind controlled pilot study. Healthcare. 2023;11(6):922; doi: 10.3390/healthcare11060922.
 
5.
Trofè A, Raffi M, Muehsam D, Meoni A, Campa F, Toselli S, Piras A. Effect of PEMF on muscle oxygenation during cycling: a single-blind controlled pilot study. Appl Sci. 2021;11(8):3624; doi: 10.3390/app11083624.
 
6.
Wang H-Y, Chen Y-J, Huang I-C, Lin C-R, Lin, K-L, Chen C-H. The effectiveness of pulsed electromagnetic field therapy in patients with shoulder impingement syndrome: a systematic review and meta-analysis of randomized controlled trials. PLOS ONE. 2025;20(5):e0323837; doi: 10.1371/journal.pone.0323837.
 
7.
Kinney BM, Lozanova P. High intensity focused electromagnetic therapy evaluated by magnetic resonance imaging: safety and efficacy study of a dual tissue effect based non-invasive abdominal body shaping. Lasers Surg Med. 2019;51(1):40–6; doi: 10.1002/lsm.23024.
 
8.
Venugobal S, Tai YK, Goh J, Teh S, Wong C, Goh I, Maier AB, Kennedy BK, Franco-Obregon A. Brief, weekly magnetic muscle therapy improves mobility and lean body mass in older adults: a Southeast Asia community case study. Aging. 2023;15(6):1768–90; doi: 10.18632/aging.204597.
 
9.
Inacio PA, Sardinha Leonardo P, Sales M, Aprigliano V, Chiappa GR, Vieira RP, Lopes-Martins RA, Sá Filho AS. Muscular and strength adaptations to the pulsed electromagnetic field in young women: an intraindividual pilot study. Retos. 2025;72:267–80; doi: 10.47197/retos.v72.116169.
 
10.
Li Z, Li W, Bai S, Yang T. Effects of chronic low-frequency pulsed magnetic fields exposure on the contractility and morphology of biceps brachii in healthy adults – a randomized controlled, double-blind trial. Front Med. 2025;12: 1614054; doi: 10.3389/fmed.2025.1614054.
 
11.
Yang J, Sun L, Fan X, Yin B, Kang Y, An S, Tang L. Pulsed electromagnetic fields alleviate streptozotocin‑induced diabetic muscle atrophy. Mol Med Rep. 2018;18(1):1127–33; doi: 10.3892/mmr.2018.9067.
 
12.
Cicek F, Tastekin B, Baldan I, Tokus M, Pelit A, Ocal I, Gunay I, Ogur HU, Cicek H. Effect of 40 Hz magnetic field application in posttraumatic muscular atrophy development on muscle mass and contractions in rats. Bioelectromagnetics. 2022;43(8):453–61; doi: 10.1002/bem.22429.
 
13.
Duncan D, Dinev I. Noninvasive induction of muscle fiber hypertrophy and hyperplasia: effects of high-intensity focused electromagnetic field evaluated in an in-vivo porcine model: a pilot study. Aesthet Surg J. 2020;40(5):568–74; doi: 10.1093/asj/sjz244.
 
14.
Leonardo PS, Sa Filho AS, Inacio PA, Franca PR, Aprigliano V, Teixeira F, Macedo MM, Fonseca DF, Lopes-Martins PSL, Costa GCT, Lopes-Martins RAB. The effects of pulsed electromagnetic field (pemf) on muscular strength, functional performance and depressive symptoms in elderly adults with sarcopenia: a short-term intervention. Life. 2025;15(7):1111; doi: 10.3390/life15071111.
 
15.
Leonardo PS, Cardoso KRdS, Vieira RdP, Ruiz-Silva C, Coelho CdF, Martins PSLL, Lopes-Martins RAB. Applications of pulsed electromagnetic field therapy in skeletal-muscle system: an integrative review. Man Ther Posturol Rehabil J. 2023;21:1–11; doi: 10.17784/mtprehabjournal.2023.21.1252.
 
16.
DiBernardo B, Chilukuri S, McCoy JD, Katz B, Goldberg DJ. High-intensity focused electromagnetic field with synchronized radiofrequency achieves superior gluteal muscle contouring than high-intensity focused electromagnetic field procedure alone. Aesthet Surg J Open Forum. 2023;5:ojac087; doi: 10.1093/asjof/ojac087.
 
17.
Stausholm MB, da Silva KR, Inácio PA, de Sá Filho AS, Lopes-Martins PSL, Bjordal JM, Leonardo PS, Lopes-Martins RAB. Reliability of ultrasound assessment of the rectus femoris muscle thickness: intra-rater, inter-rater, and inter-day analysis accounting for age and sex. BMC Musculoskelet Disord. 2024;25(1):916; doi: 10.1186/s12891-024-08033-5.
 
18.
Leonardo PS, Cardoso KRdS, Oliveira Silva B, Silva RO, Silva HCdA, França PRP, Souza BN, Moreira ILT, Coelho CdF, Oliveira CS, Filho ASdS, Lopes-Martins RAB. Evaluation of pulsed electromagnetic field therapy to improve muscle strength and functional aspects in the elderly: a pilot study. Man Ther Posturol Rehabil J. 2023;21:1–7; doi: 10.17784/mtprehabjournal.2023.21.1293.
 
19.
Zhai M, Jing D, Tong S, Wu Y, Wang P, Zeng Z, Shen G, Wang X, Xu Q, Luo E. Pulsed electromagnetic fields promote in vitro osteoblastogenesis through a Wnt/beta-catenin signaling-associated mechanism. Bioelectromagnetics. 2016;37(3):152–62; doi: 10.1002/bem.21961.
 
20.
Hug K, Roosli M. Therapeutic effects of whole-body devices applying pulsed electromagnetic fields (PEMF): a systematic literature review. Bioelectromagnetics. 2012;33(2):95–105; doi: 10.1002/bem.20703.
 
21.
Flatscher J, Pavez Lorie E, Mittermayr R, Mez­nik P, Slezak P, Redl H, Slezak C. Pulsed electromagnetic fields (PEMF) – physiological response and its potential in trauma treatment. Int J Mol Sci. 2023;24(14): 11239; doi: 10.3390/ijms241411239.
 
22.
Tepper OM, Callaghan MJ, Chang EI, Galiano RD, Bhatt KA, Baharestani S, Gan J, Simon B, Hopper RA, Levine JP, Gurtner GC. Electromagnetic fields increase in vitro and in vivo angiogenesis through endothelial release of FGF-2. FASEB J. 2004;18(11):1231–3; doi: 10.1096/fj.03-0847fje.
 
23.
Peng L, Fu C, Wang L, Zhang Q, Liang Z, He C, Wei Q. The effect of pulsed electromagnetic fields on angiogenesis. Bioelectromagnetics. 2021;42(3):250–8; doi: 10.1002/bem.22330.
 
24.
Kandemir O, Adar S, Dündar Ü, Toktaş H, Yeşil H, Eroğlu S, Eyvaz N. Effectiveness of pulse electromagnetic field therapy in patients with subacromial impingement syndrome: a double-blind randomized sham controlled study. Arch Phys Med Rehabil. 2024;105(2):199–207; doi: 10.1016/j.apmr.2023.09.020.
 
25.
Stephenson MC, Krishna L, Pannir Selvan RM, Tai YK, Kit Wong CJ, Yin JN, Toh S-J, Torta F, Triebl A, Frohlich J, Beyer C, Li JZ, Tan SS, Wong C-K, Chinnasamy D, Pakkiri LS, Lee Drum C, Wenk MR, Totman JJ, Franco-Obregón A. Magnetic field therapy enhances muscle mitochondrial bioenergetics and attenuates systemic ceramide levels following ACL reconstruction: Southeast Asian randomized-controlled pilot trial. J Orthop Translat. 2022;35:99–112; doi: 10.1016/j.jot.2022.09.011.
 
26.
Maiullari S, Cicirelli A, Picerno A, Giannuzzi F, Gesualdo L, Notarnicola A, Sallustio F, Moretti B. Pulsed electromagnetic fields induce skeletal muscle cell repair by sustaining the expression of proteins involved in the response to cellular damage and oxidative stress. Int J Mol Sci. 2023;24(23):16631; doi: 10.3390/ijms242316631.
 
27.
Haun CT, Vann CG, Roberts BM, Vigotsky AD, Schoenfeld BJ, Roberts MD. A Critical evaluation of the biological construct skeletal muscle hypertrophy: size matters but so does the measurement. Front Physiol. 2019;10:247; doi: 10.3389/fphys.2019.00247.
 
28.
Soares ALC, Carvalho RF, Mogami R, Meirelles CM, Gomes PSC. Effect of resistance training on quadriceps femoris muscle thickness obtained by ultrasound: a systematic review with meta-analysis. J Bodyw Mov Ther. 2024;39:270–8; doi: 10.1016/j.jbmt.2024.02.007.
 
29.
Enes A, Correa CL, Bernardo MF, Salles GN, One­da G, Leonel DF, Fleck SJ, Phillips SM, De Souza EO, Souza-Junior TP. Does increasing the resistance-training volume lead to greater gains? The effects of weekly set progressions on muscular adaptations in females. J Sports Sci. 2025;43(4):381–92; doi: 10.1080/02640414.2025.2459003.
 
30.
Pickering C, Kiely J. Do non-responders to exercise exist-and if so, what should we do about them?. Sports Med. 2019; 49(1):1–7; doi: 10.1007/s40279-018-01041-1.
 
31.
Nunes JP, Blazevich AJ, Schoenfeld BJ, Kassiano W, Costa BDV, Ribeiro AS, Nakamura M, Nosaka K, Cyrino ES. Determining changes in muscle size and architecture after exercise training: one site does not fit all. J Strength Cond Res. 2024;38(4):787–90; doi: 10.1519/jsc.0000000000004722.
 
32.
Chaves TS, da Silva DG, Lixandrao ME, Libardi CA. Within-individual design for assessing true individual responses in resistance training-induced muscle hypertrophy. Front Sports Act Living. 2025;7:1517190; doi: 10.3389/fspor.2025.1517190.
 
33.
Nunes JP, Kassiano W, Costa BDV, Mayhew JL, Ribeiro AS, Cyrino ES. equating resistance-training volume between programs focused on muscle hypertrophy. Sports Med. 2021;51(6):1171–8; doi: 10.1007/s40279-021-01449-2.
 
34.
Nunes JP. Can lizards become alligators? Muscle fibre type and other factors that may influence (or not) hypertrophy responsiveness after resistance training. 2023;601(16):3447–8; doi: 10.1113/JP284867.
 
35.
Sá Filho A, Silva WA. Manipulable Variables in Resistance Training for Muscle Hypertrophy. Kelps, Goiânia; 2024.
 
36.
Campos GE, Luecke TJ, Wendeln HK, Toma K, Hagerman FC, Murray TF, Ragg KE, Ratamess NA, Kraemer WJ, Staron RS. Muscular adaptations in response to three different resistance-training regimens: specificity of repetition maximum training zones. Eur J Appl Physiol. 2002;88(1–2):50–60; doi: 10.1007/s00421-002-0681-6.
 
37.
Dankel SJ, Loenneke JP. A Method to stop analyzing random error and start analyzing differential responders to exercise. Sports Med. 2020;50(2):231–8; doi: 10.1007/s40279-019-01147-0.
 
38.
Sparks LM. Exercise training response heterogeneity: physiological and molecular insights. Diabetologia. 2017;60(12):2329–36; doi: 10.1007/s00125-017-4461-6.
 
39.
Lim C, Nunes EA, Currier BS, McLeod JC, Thomas ACQ, Phillips SM. An evidence-based narrative review of mechanisms of resistance exercise-induced human skeletal muscle hypertrophy. Med Sci Sports Exerc. 2022;54(9):1546–59; doi: 10.1249/MSS.0000000000002929.
 
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