Volume 12, Issue 1 (June 2026)                   Elderly Health Journal 2026, 12(1): 8-16 | Back to browse issues page

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Dehghan Niri E, Haj Lotfalian M, Zare Bidoki F. The Effect of Mind-Body Relaxation Exercises on Gait Smoothness and Gait Profile in Elderly Women. Elderly Health Journal 2026; 12 (1) :8-16
URL: http://ehj.ssu.ac.ir/article-1-370-en.html
Department of Physical Education and Sport Sciences, Faculty of Psychology and Educational Sciences, Yazd University; Yazd: Iran , m.hajlotfalian@yazd.ac.ir
Abstract:   (72 Views)
Introduction: The present study aimed to investigate the effects of mind‑body relaxation exercises on qualitative gait parameters, including movement smoothness and gait profile, in elderly women. This research focuses on how such interventions might enhance gait quality, potentially by strengthening core muscles, improving pelvic stability, and boosting neuromuscular coordination, which could play a vital role in optimizing gait patterns and reducing fall risk among this population.
Methods: In this quasi-experimental study, twenty‑four elderly women aged over 55 years voluntarily participated and were randomly assigned to either an experimental or a control group. The experimental group engaged in a six-week training program consisting of three sessions per week. Gait kinematic data were recorded using a three-dimensional motion capture system at a sampling rate of 120 Hz. The smoothness index was calculated based on the integral of angular jerk, whereas the gait profile score was determined as the mean deviation of joint angles from a normative gait pattern. Data were analyzed using two-way repeated measures ANOVA.
Results: The results demonstrated no significant main effects of group or time, nor a significant group × time interaction, for the movement smoothness index (all p > 0.05). In contrast, for the gait profile score, significant main effects of group (p = 0.041) and time (p = 0.001), as well as a significant group × time interaction effect (p = 0.016), were observed. These findings indicate that the six-week mind–body exercise intervention significantly improved gait movement patterns and reduced gait deviations in elderly women, whereas no significant changes were observed in movement smoothness.
Conclusion: Mind-body relaxation exercises appear to enhance gait patterns and reduce fall risk in elderly women through mechanisms such as core muscle strengthening, pelvic stability improvement, and better neuromuscular coordination. Nevertheless, the lack of significant change in smoothness suggests that assessing the effects of these interventions on fine motor control may require longer training periods and more sensitive measurement tools.
Full-Text [PDF 508 kb]   (17 Downloads)    
Type of Study: Research | Subject: General
Received: 2025/11/15 | Accepted: 2026/06/10 | Published: 2026/06/20

References
1. Lally F, Crome P. Understanding frailty. Postgraduate Medical Journal. 2007; 83(975): 16-20.
2. Marzuca-Nassr GN, Alegría-Molina A, SanMartín-Calísto Y, Artigas-Arias M, Huard N, Sapunar J, et al. Muscle mass and strength gains following resistance exercise training in older adults 65–75 years and older adults above 85 years. International Journal of Sport Nutrition and Exercise Metabolism. 2023; 34(1): 11-9.
3. Guirguis-Blake JM, Perdue LA, Coppola EL, Bean SL. Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. JAMA. 2018: 332(1): 58-69.
4. Fujita K, Umegaki H, Makino T, Uemura K, Hayashi T, Inoue A, et al. Short-and long-term effects of different exercise programs on the gait performance of older adults with subjective cognitive decline: A randomized controlled trial. Experimental Gerontology. 2021. 156: 111590.
5. Wang X, O’Dwyer N, Halaki M. A review on the coordinative structure of human walking and the application of principal component analysis. Neural Regeneration Research. 2013; 8(7): 662-70.
6. Anaya-Campos LE, Sánchez-Fernández LP, Quiñones-Urióstegui I. Motion smoothness analysis of the gait cycle, segmented by stride and associated with the inertial sensors’ locations. Sensors. 2025; 25(2): 1-18.
7. Hostler D, Schwob J, Schlader ZJ, Cavuoto L. Heat stress increases movement jerk during physical exertion. Frontiers in Physiology. 2021; 12: 1-6.
8. Prince F, Corriveau H, Hébert R, Winter DA. Gait in the elderly. Gait & Posture. 1997; 5(2): 128-35.
9. Pau M, Mulas I, Putzu V, Asoni G, Viale D, Mameli I, et al. Smoothness of gait in healthy and cognitively impaired individuals: a study on Italian elderly using wearable inertial sensor. Sensors. 2020; 20(12): 3577.
10. Irez GB, Ozdemir RA, Evin R, Irez SG, Korkusuz F. Integrating Pilates exercise into an exercise program for 65+ year-old women to reduce falls. Journal of Sports Science & Medicine. 2011; 10(1): 105-11.
11. Kloubec JA. Pilates for improvement of muscle endurance, flexibility, balance, and posture. The Journal of Strength & Conditioning Research. 2010; 24(3): 661-7.
12. Aibar-Almazán A, Martínez-Amat A, Cruz-Díaz D, de la Torre-Cruz MJ, Jiménez-García JD, Zagalaz-Anula N, et al. The influence of Pilates exercises on body composition, muscle strength, and gait speed in community-dwelling older women: a randomized controlled trial. The Journal of Strength & Conditioning Research. 2022; 36(8): 2298-305.
13. Meikis L, Wicker P, Donath L. Effects of Pilates training on physiological and psychological health parameters in healthy older adults and in older adults with clinical conditions over 55 years: a meta-analytical review. Frontiers in Neurology. 2021; 12: 1-17.
14. Buisseret F, Catinus L, Grenard R, Jojczyk L, Fievez D, Barvaux V, et al. Timed up and go and six-minute walking tests with wearable inertial sensor: one step further for the prediction of the risk of fall in elderly nursing home people. Sensors. 2020; 20(11): 1-16.
15. Shanahan CJ, Boonstra FM, Cofré Lizama LE, Strik M, Moffat BA, Khan F, et al. Technologies for advanced gait and balance assessments in people with multiple sclerosis. Frontiers in Neurology. 2018; 8: 1-10.
16. Sasagawa S, Arakawa A, Furuyama A, Matsumoto Y. Age-related changes in static balance in older women aged in their early sixties to their late eighties: different aging patterns in the anterior–posterior and mediolateral directions. Frontiers in Aging Neuroscience. 2024; 16: 1-9.
17. Pau M, Corona F, Pili R, Casula C, Sors F, Agostini T, et al. Effects of physical rehabilitation integrated with rhythmic auditory stimulation on spatio-temporal and kinematic parameters of gait in Parkinson’s disease. Frontiers in Neurology. 2016; 7: 1-12.
18. da Silva LD, Shiel A, McIntosh C. Effects of Pilates on the risk of falls, gait, balance and functional mobility in healthy older adults: A randomised controlled trial. Journal of Bodywork and Movement Therapies. 2022; 30: 30-41.
19. Fernández-Rodríguez R, Álvarez-Bueno C, Ferri-Morales A, Torres-Costoso A, Pozuelo-Carrascosa DP, Martínez-Vizcaíno V. Pilates improves physical performance and decreases risk of falls in older adults: a systematic review and meta-analysis. Physiotherapy. 2021; 112: 163-77.
20. Ko HS, Jung HU, Park TY, Song JK, Wang J, Jung HC. Comparisons of functional movements and core muscle activity in women according to Pilates proficiency. Frontiers in Physiology. 2024; 15: 1-11.
21. Işık Eİ, Başar S. Pilates training in the elderly. International Journal of Academic Medicine and Pharmacy. 2021; 3(3): 277-80.
22. Paquette C, Paquet N, Fung J. Aging affects coordination of rapid head motions with trunk and pelvis movements during standing and walking. Gait & Posture. 2006; 24(1): 62-69.
23. Ferreira JS, Cruvinel-Júnior RH, Marcos Duarte M, Isabel CN, Sacco ICN. Gait Profile Scores and their correlation with clinical outcomes in individuals with diabetic neuropathy: a cross-sectional study with 102 patients. Gait & Posture. 2025; 122: 240-6.
24. Choi W, Joo Y, Lee S. Pilates exercise focused on ankle movements for improving gait ability in older women. Journal of Women & Aging. 2021; 33(1): 30-40.
25. Geremia JM, Iskiewicz MM, Marschner RA, Lehnen TE, Lehnen AM. Effect of a physical training program using the Pilates method on flexibility in elderly subjects. Age. 2015; 37(6):1-12.
26. Carrasco-Poyatos M, Rubio-Arias JA, Ballesta-García I, Ramos-Campo DJ. Pilates vs. muscular training in older women. Effects in functional factors and the cognitive interaction: A randomized controlled trial. Physiology & behavior. 2019; 201: 157-64.
27. Mahajan L, Mahajan P, Shinde M, Prakash A. Effect of tai chi exercise versus pilates on dynamic balance and gait in elderly-a comparative study. International Journal of Health Sciences and Research. 2022; 12(7): 200-13.
28. Antonelli M, Caselli E, Gastaldi L. Comparison of gait smoothness metrics in healthy elderly and young people. Applied Sciences. 2024; 14(2): 911.

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