The effects of Baduanjin intervention on balance, lower limb strength, gait biomechanics and risks of fall among elderly

八段锦干预对老年人平衡能力、下肢力量、步态生物力学及跌倒风险的影响

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Abstract

OBJECTIVE: Falls have been significantly associated with accidental deaths among individuals over 60 years. Therefore, improving balance function is critical in geriatric rehabilitation. This study explored the impacts of Baduanjin on the risk of falls in terms of balance, isometric knee joint strength, and gait parameters. METHODS: Forty-two Chinese individuals were randomly divided into the Baduanjin group or walking group. Their gait, balance, lower limb strength, and fall risks were assessed at pre-, mid- and post-intervention. Any falls they experienced for the next six months were recorded. The data of this study were collected at Shanxi Normal University from September 2023 to January 2024. RESULTS: The Baduanjin group demonstrated improved performance in the sway path balance test compared to the control group, particularly in the coronal plane (p < 0.05). In addition, the Baduanjin intervention enhanced the participants' gait symmetry during early and mid-stance gait phases and their maximum isometric strength of the knee extensor (p < 0.05). CONCLUSION: Baduanjin intervention is more effective in improving balance and preventing falls among the elderly than walking at the same intensity.

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