PTRCTJournal of physical therapy science2019

Effects of Taekkyon training on balance control during stair descent in community-dwelling older adults.

Hyeong-Dong Kim, Hyun Dong Je, Ji Hoon Jeong

PMID 30858651

WHAT IT FOUND

Older adults who took part in a Taekkyon programme showed greater increases in foot-pressure movement while going downstairs than those who received wellness education.

The study did not show fewer falls.

Key findings

01The Taekkyon programme produced greater increases than wellness education in foot-pressure movement front-to-back and side-to-side, and in average foot-pressure speed, during stair descent.

02The Taekkyon group increased these foot-pressure measures from pre-test to post-test, while the wellness education group showed no significant change.

03For the right foot, front-to-back foot-pressure movement changed from 11.8 cm to 28.7 cm in the Taekkyon group and from 11.1 cm to 12.2 cm in the wellness education group.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The participants were community-dwelling older adults who could walk without a cane or walker and had high balance and thinking test scores, so it may not apply to frailer people or those with more severe fall risk. The training was delivered as a package of Taekkyon movements with warm-up, cool-down, music and synchronized breathing, so the contribution of any single element cannot be separated. The staircase was only three steps, which may not represent real stair descent. No follow-up was collected, so long-term effects are unknown. The outcomes were laboratory foot-pressure measures, not falls or everyday stair safety. The authors note a limited sample size and that only a subset of balance parameters was measured. The text says 23 participants in each group completed, but the results table lists 22 in the wellness education group.

Declared interests

The study was supported by a Korean government basic science research grant, and the authors declared no conflicts of interest.

The easy way to misread this

Do not conclude that Taekkyon training prevents falls or makes everyday stair descent safer. The study measured foot-pressure movement on a short lab staircase, not falls, and the participants were high-functioning community-dwelling older adults.

Read it on PubMed →

Effects of Taekkyon training on balance control during stair descent in community-dwelling older adults. — Applied Evidence