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


Xie S. Meng C. Sakipova Z. Shaharudin S.
July 2025Elsevier Inc.

Preventive Medicine Reports
2025#55

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.

Biomechanics , Exercise intervention , Gait , Human health , Older adults

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School of Health Sciences, Universiti Sains Malaysia, Kelantan, Kota Bharu, Malaysia
School of Sports Science, Shanxi Normal University Taiyuan Shanxi, China
School of Pharmacy, S.D. Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan

School of Health Sciences
School of Sports Science
School of Pharmacy

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