Effect of Soft Surface Stepping Exercise on Physical Activity Among Community-Dwelling Elderly: A Prospective Randomized Controlled Trial
Objective To investigate the effects of modified stepping exercises over six weeks on functional mobility and individual lower extremity muscle strength in community-dwelling older individuals. Methods This prospective randomized controlled trial design was conducted in thirty-two older adults who c...
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Korean Academy of Rehabilitation Medicine
2025-04-01
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| Series: | Annals of Rehabilitation Medicine |
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| Online Access: | http://e-arm.org/upload/pdf/arm-240119.pdf |
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| author | Chonticha Kaewjoho Puttipong Poncumhak Pacharee Manoy Suphannika Ladawan Narongsak Khamnon |
| author_facet | Chonticha Kaewjoho Puttipong Poncumhak Pacharee Manoy Suphannika Ladawan Narongsak Khamnon |
| author_sort | Chonticha Kaewjoho |
| collection | DOAJ |
| description | Objective To investigate the effects of modified stepping exercises over six weeks on functional mobility and individual lower extremity muscle strength in community-dwelling older individuals. Methods This prospective randomized controlled trial design was conducted in thirty-two older adults who completed a modified stepping exercises program (n=16 for soft-surface stepping exercise; n=16 for firm-surface stepping exercise). These exercises were practiced for 50 minutes/day, three days/week, over six weeks. They were assessed for their functional mobility relating to levels of independence at baseline, after 4 weeks, after 6 weeks of intervention, and at 1 month after the last intervention sessions. Results Both groups showed significant improvements in functional mobility, lower extremity muscle strength, and walking speed after 4 and 6 weeks of intervention, as well as at the one-month follow-up. However, the soft-surface stepping exercise group exhibited significantly greater improvements in dynamic balance (p=0.035) and lower extremity muscle strength (p=0.015) compared to the firm-surface stepping exercise group after 6 weeks of intervention. Additionally, the soft-surface group demonstrated superior gains in hip flexor (p=0.041), hip extensor (p=0.047), hip adductor (p=0.026), and hip abductor strength (p=0.046), with these enhancements maintained at the one-month follow-up. Conclusion Soft-surface stepping exercise that involves whole-body movements offers a promising alternative to promote independence and safety among community-dwelling older adults. This study underscores the need for future research to evaluate the sustained impact of these benefits post-intervention, particularly during a retention period following the intervention. |
| format | Article |
| id | doaj-art-bc761e70f6974dbcbae81cd8c878b3ef |
| institution | DOAJ |
| issn | 2234-0653 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj-art-bc761e70f6974dbcbae81cd8c878b3ef2025-08-20T02:57:26ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06532025-04-014929110310.5535/arm.2401194402Effect of Soft Surface Stepping Exercise on Physical Activity Among Community-Dwelling Elderly: A Prospective Randomized Controlled TrialChonticha Kaewjoho0Puttipong Poncumhak1Pacharee Manoy2Suphannika Ladawan3Narongsak Khamnon4 Department of Physical Therapy, School of Allied Health Sciences, University of Phayao, Phayao, Thailand Department of Physical Therapy, School of Allied Health Sciences, University of Phayao, Phayao, Thailand Department of Physical Therapy, School of Allied Health Sciences, University of Phayao, Phayao, Thailand Department of Physical Therapy, School of Allied Health Sciences, University of Phayao, Phayao, Thailand Department of Physical Therapy, School of Integrative Medicine, Mae Fah Luang University, Chiang Rai, ThailandObjective To investigate the effects of modified stepping exercises over six weeks on functional mobility and individual lower extremity muscle strength in community-dwelling older individuals. Methods This prospective randomized controlled trial design was conducted in thirty-two older adults who completed a modified stepping exercises program (n=16 for soft-surface stepping exercise; n=16 for firm-surface stepping exercise). These exercises were practiced for 50 minutes/day, three days/week, over six weeks. They were assessed for their functional mobility relating to levels of independence at baseline, after 4 weeks, after 6 weeks of intervention, and at 1 month after the last intervention sessions. Results Both groups showed significant improvements in functional mobility, lower extremity muscle strength, and walking speed after 4 and 6 weeks of intervention, as well as at the one-month follow-up. However, the soft-surface stepping exercise group exhibited significantly greater improvements in dynamic balance (p=0.035) and lower extremity muscle strength (p=0.015) compared to the firm-surface stepping exercise group after 6 weeks of intervention. Additionally, the soft-surface group demonstrated superior gains in hip flexor (p=0.041), hip extensor (p=0.047), hip adductor (p=0.026), and hip abductor strength (p=0.046), with these enhancements maintained at the one-month follow-up. Conclusion Soft-surface stepping exercise that involves whole-body movements offers a promising alternative to promote independence and safety among community-dwelling older adults. This study underscores the need for future research to evaluate the sustained impact of these benefits post-intervention, particularly during a retention period following the intervention.http://e-arm.org/upload/pdf/arm-240119.pdfsensory integrationpostural balancerange of motion, articulargait |
| spellingShingle | Chonticha Kaewjoho Puttipong Poncumhak Pacharee Manoy Suphannika Ladawan Narongsak Khamnon Effect of Soft Surface Stepping Exercise on Physical Activity Among Community-Dwelling Elderly: A Prospective Randomized Controlled Trial Annals of Rehabilitation Medicine sensory integration postural balance range of motion, articular gait |
| title | Effect of Soft Surface Stepping Exercise on Physical Activity Among Community-Dwelling Elderly: A Prospective Randomized Controlled Trial |
| title_full | Effect of Soft Surface Stepping Exercise on Physical Activity Among Community-Dwelling Elderly: A Prospective Randomized Controlled Trial |
| title_fullStr | Effect of Soft Surface Stepping Exercise on Physical Activity Among Community-Dwelling Elderly: A Prospective Randomized Controlled Trial |
| title_full_unstemmed | Effect of Soft Surface Stepping Exercise on Physical Activity Among Community-Dwelling Elderly: A Prospective Randomized Controlled Trial |
| title_short | Effect of Soft Surface Stepping Exercise on Physical Activity Among Community-Dwelling Elderly: A Prospective Randomized Controlled Trial |
| title_sort | effect of soft surface stepping exercise on physical activity among community dwelling elderly a prospective randomized controlled trial |
| topic | sensory integration postural balance range of motion, articular gait |
| url | http://e-arm.org/upload/pdf/arm-240119.pdf |
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