Effects of a Stim up Mat Walking Exercise Program on Balance, Gait Function and Joint Motion Range of the Frail Elderly

Gyeong Ran Kim; Mi Sook Song

doi:10.12799/jkachn.2019.30.1.47

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Kim and Song: Effects of a Stim up Mat Walking Exercise Program on Balance, Gait Function and Joint Motion Range of the Frail Elderly

Original Article

Journal of Korean Academy of Community Health Nursing 2019; 30(1): 47-56.

Published online: 28 March 2019

DOI: https://doi.org/10.12799/jkachn.2019.30.1.47

Effects of a Stim up Mat Walking Exercise Program on Balance, Gait Function and Joint Motion Range of the Frail Elderly

Gyeong Ran Kim¹

, Mi Sook Song²

¹Doctorate Course, College of Nursing, Ajou University, Suwon, Korea.

²Professor, College of Nursing, Ajou University · Institute of Nursing Science, Suwon, Korea.

Corresponding author: Song, Mi Sook. College of Nursing, Ajou University· Institute of Nursing Science, 164 Worldcup-ro, Yeongtong-gu, Suwon 16499, Korea. Tel: +82-31-219-7013, Fax: +82-31-219-7020, msong@ajou.ac.kr

Received 29 April 2018 Revised 1 January 2019 Accepted 3 January 2019

Korean Academy of Community Health Nursing

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was performed to evaluate effects of a stim-up matt walking exercise program on balance and gait of the frail elderly.

Methods

A total of 37 elderly people recruited from S city were randomly assigned to the experimental group (n=22) and control group (n=15). The stim-up matt walking exercise program was offered twice a week for 8 weeks. Data were analyzed by SPSS 21.0.

Results

The dynamic balance ability Timed Up and Go test of the experimental group was significantly faster than that of the control group (t=21.72, p<.001). The static balance ability open-eye standing test (t=44.15, p<.001) and close-eye standing test (t=9.01, p=.005) also showed increase in effects of the experimental group. In the walking ability, gait cycle (t=2.48, p=.018), cadence (t=−2.21, p=.034) and gait speed (t=−2.78, p=.009), positive effects were on. However, no statistically significant differences were found in stride length and double support. At the ankle joint range left ankle plantar flexion (t=3.92, p<.001) and left ankle dorsal flexion (t=4.51, p<.001) were higher in the experimental group than in the control group, and also right ankle plantar flexion (t=2.79, p=.008) and right ankle dorsal flexion (t=2.92, p=.006) increased in the experimental group.

Conclusion

The significance of this study is that the stim-up matt walking exercise program for the frail elderly proves to be useful for improving balance and walking.

Keywords: Frail elderly, Walking, Gait, Ankle

Figures and Tables

Figure 1

Flow diagram.

Table 1

Stim Up Matt Walking Program

Table 2

Homogeneity Test of General Characteristics in Groups

Exp.=experimental group; Cont.=control group; BMI=body mass index; WC=waist circumference; ^†Fisher's exact test.

Table 3

Balance Ability, Gait Function and, ROM in Both Ankles Variables in Pretest

Exp.=experimental group; Cont.=control group; ROM=range of motion; TUG=timed up & go; Lt.=Left; Rt.=right; PF=plantar flexion; DF=dorsal flexion.

Table 4

Comparison of Balance Ability, Gait Function and, ROM in Both Ankles between Two Groups in Posttest

Exp.=experimental group; Cont.=control group; ROM=range of motion; TUG=timed up & go; Lt.=left; Rt.=right; PF=plantar flexion; DF=dorsal flexion; ^†Measured by ANCOVA with pre-test score as co-variate.

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ORCID iDs

Gyeong Ran Kim
https://orcid.org/0000-0002-6847-5155

Mi Sook Song
https://orcid.org/0000-0003-3356-4489

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