The Effectiveness of Combined Hatha Yoga and Tandem Walking Exercise on Balance among Older Adults in Malang

Authors

  • Nikmatur Rosidah Physiotherapy Department, Faculty of Health Sciences,University of Muhammadiyah Malang
    Indonesia     https://orcid.org/0000-0001-8519-4972
  • Ananda Viona Ameylia Physiotherapy Department, Faculty of Health Sciences, University of Muhammadiyah Malang
    Indonesia
  • Nungki Marlian Yuliadarwati Physiotherapy Department, Faculty of Health Sciences, University of Muhammadiyah Malang
    Indonesia
  • Bayu Prastowo Physiotherapy Department, Faculty of Health Sciences, University of Muhammadiyah Malang
    Indonesia     https://orcid.org/0000-0002-6249-3299
  • Annisa Salsabila Budi Ningrum Physiotherapy Department, Faculty of Health Sciences, University of Muhammadiyah Malang
    Indonesia
  • Fahmi Rizal Physiotherapy Department, Faculty of Health Sciences University of Muhammadiyah Pekajangan Pekalongan
    Indonesia
  • Anup Acharya Gurkha Welfare Trust, Bagmati Cluster, Kathmandu, Nepal
    Nepal     https://orcid.org/0009-0008-3900-9009
  • Dwi Agung Prasetyo Physiotherapy Department, Institute of Science and Health Technology (ITSK) Dr. Soepraoen Hospital Malang
    Indonesia

DOI:

https://doi.org/10.23917/fisiomu.v7i2.16749

Keywords:

Aged, Balance, Tandem, Walking, Yoga

Abstract

Introduction: Age-related declines in muscle strength, proprioception, and postural control contribute to balance impairment among older adults and increase the risk of falls. Non-pharmacological interventions, particularly structured physical exercise combining relaxation and balance training, have been recommended to improve balance performance. This study aimed to evaluate the effect of a combined Hatha Yoga and Tandem Walking Exercise program on balance among older adults in Malang. scores. Methods: A total of 21 older adults aged 60 years and above who met the inclusion criteria participated in the study. Participants underwent a combined Hatha Yoga and Tandem Walking Exercise program three times per week for four weeks. Balance ability was assessed using the Berg Balance Scale (BBS). Data were analyzed using a wilcoxon signed rank test to compare pre-test and post-test balance scores. Results: The results demonstrated a statistically significant improvement in participants’ balance after the intervention. The mean balance score increased significantly following four weeks of exercise participation, BBS 38.57±4.6 to 44.24±3.6, with a p-value of 0.001 (p < 0.05). These findings indicate that the combined exercise program positively affected balance performance among the participants. Conclusion: In conclusion, the combination of Hatha Yoga and Tandem Walking Exercise was effective in improving balance ability among older adults after four weeks of intervention. This program may serve as a safe and beneficial non-pharmacological approach to support balance enhancement and fall prevention in the elderly population.

Downloads

Download data is not yet available.

References

Agustiningrum, R., Winarti, A., Setianingsih, S., Suyami, S., & Khusnawati, I. (2023). Aktifitas fisik berhubungan dengan risiko jatuh pada lansia. Jurnal Keperawatan Jiwa (JKI), 11(3), 645–654.

Ahmad, M. R., Fatmawati, V., & Ariyanto, A. (2024). Faktor faktor yang mempengaruhi resiko jatuh pada lansia di PCA Factors influencing the risk of falls among the elderly At PCA Pajangan, Yogyakarta. 2(September), 408–416.

Akbar, F., Darmiati, D., Arfan, F., & Putri, A. A. Z. (2021). Pelatihan dan Pendampingan Kader Posyandu Lansia di Kecamatan Wonomulyo. Jurnal Abdidas, 2(2), 392–397.https://doi.org/10.31004/abdidas.v2i2.282

Alifah, N., Rosya, A., Yuliadarwati, N. M., & Rosyida, A. (2024). Penerapan Pemeriksaan Berg Balance Scale untuk Menurunkan Risiko Jatuh pada Lansia di Posyandu Lansia Balearjosari , Malang , Jawa Timur. Jurnal Pengabdian Masyarakat Inovasi Indonesia, 2(6), 675–682.

Alita, E. S., Munawwarah, M., Yolanda Anggita, M., & Maratis, J. (2021). Four Square Step Exercise Sama Baiknya Dengan Tandem Walking Exercise Terhadap Keseimbangan Dinamis Pada Lansia. Indonesian Journal of Physiotherapy Research and Education IJOPRE, 2(2), 71–76.

Alman, M. P., & Rini, I. (2025). Trunk Flexibility and Postural Balance in Older Adults : A Cross-Sectional Study. 13(03), 517–522.

Amira, I., Hendrawati, H., Maulana, I., Sumarni, N., & Rosidin, U. (2023). Upaya Peningkatan Kesehatan Jiwa Lansia Melalui Deteksi Dini dan Edukasi. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 6(12), 5532–5540. https://doi.org/10.33024/jkpm.v6i12.12578

Arib, M. F., Rahayu, M. S., Sidorj, R. A., & Afgani, M. W. (2024). Experimental Research Dalam Penelitian Pendidikan. Innovative: Journal Of Social Science Research, 4(1), 5497–5511.

Arifiati, R. F., Prasaja, P., & Kurniawan, H. (2024). Jalan Tendem Menurunkan Resiko Jatuh Lansia. Jurnal Terapi Wicara Dan Bahasa, 2(2), 666–676. https://doi.org/10.59686/jtwb.v2i2.96

Arik, N. K. A. Y., Dwitayasa, I. M., & Juniartha, M. G. (2023). Pengaruh Hatha Yoga terhadap Keseimbangan Tubuh Lansia Di Panti Sosial Tresna Werdha Wana Seraya Denpasar. Jurnal Yoga Dan Kesehatan, 6(2), 218–232. https://doi.org/10.25078/jyk.v6i2.3008

Bakar, A. A. A., Kadir, A. A., Idris, N. S., Nurbaya, S., & Nawi, M. (2021). Older Adults with Hypertension : Prevalence of Falls and Their Associated Factors.

Barı, T. (2019). The Relationship of Balance Disorders with Falling , the E ff ect of Health Problems , and Social Life on Postural Balance in the Elderly Living in a District.

Cohen, H. S. (2023). Screening People on Standing Balance with Romberg Testing and Walking Balance with Tandem Walking. Journal of Visualized Experiments, 2023(199), 1–9. https://doi.org/10.3791/65663

Cristina, D., Abreu, C. De, Caroline, A., Bandeira, L., Magnani, P. E., Augusto, D., Grigoletto, D. O., Roberto, J., Junior, D. F., Roberto, V., & Teixeira, S. (2024). Standing balance test for fall prediction in older adults : a 6 month longitudinal study. BMC Geriatrics. https://doi.org/10.1186/s12877-024-05380-9

di Fronso, S., Tamburrino, L., & Bertollo, M. (2021). The effects of Hatha Yoga and specific balance exercises in older adults living in nursing homes. Sport Mont, 19(2), 3–9. https://doi.org/10.26773/smj.210618

Elangovan, N., Cheung, C., Mahnan, A., Wyman, J. F., Tuite, P., & Konczak, J. (2020). Hatha yoga training improves standing balance but not gait in Parkinson’s disease. Sports Medicine and Health Science, 2(2), 80–88. https://doi.org/10.1016/j.smhs.2020.05.005

Ghasemikaram, M., Engelke, K., & Kohl, M. (2021). Detraining Effects on Muscle Quality in Older Men with Osteosarcopenia. Follow-Up of the Randomized Controlled Franconian Osteopenia and Sarcopenia Trial (FrOST).

Giovannini, S., Brau, F., Galluzzo, V., Santagada, D. A., Loreti, C., Biscotti, L., Laudisio, A., Zuccalà, G., & Bernabei, R. (2022). Falls among Older Adults: Screening, Identification, Rehabilitation, and Management. Applied Sciences (Switzerland), 12(15). https://doi.org/10.3390/app12157934

Joo, B., Marquez, J. L., & Osmotherly, P. G. (2022). Ten-Second Tandem Stance Test: A Potential Tool to Assist Walking Aid Prescription and Falls Risk in Balance Impaired Individuals. Archives of Rehabilitation Research and Clinical Translation, 4(1), 100173. https://doi.org/10.1016/j.arrct.2021.100173

Kasse, C., Prado, E., Raso, V., & Scharlach, R. (2014). Hatha yoga on body balance. International Journal of Yoga, 7(2), 133. https://doi.org/10.4103/0973-6131.133893

Looney, A. M., Day, H. K., Comfort, S. M., Donaldson, S. T., & Cohen, S. B. (2023). Proximal Hamstring Ruptures: Treatment, Rehabilitation, and Return to Play. Current Reviews in Musculoskeletal Medicine, 16(3), 103–113. https://doi.org/10.1007/s12178-023-09821-7

Papalia, G. F., Papalia, R., Balzani, L. A. D., Torre, G., Zampogna, B., Vasta, S., Fossati, C., Alifano, A. M., & Denaro, V. (2020). The effects of physical exercise on balance and prevention of falls in older people: A systematic review and meta-analysis. Journal of Clinical Medicine, 9(8), 1–19. https://doi.org/10.3390/jcm9082595

Pérez-De La Cruz, S. (2021). Comparison between Three Therapeutic Options for the Treatment of Balance and Gait in Stroke: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 18(2), 1–11. https://doi.org/10.3390/ijerph18020426

Prastowo, N. A., Budiarta, M. O., Suryawinata, K., & Haryono, I. R. (2020). Comparing tools of balance tests in assessing balance of middle-aged women with or without exercises. Jurnal Kedokteran Dan Kesehatan Indonesia, 11(1), 18–26. https://doi.org/10.20885/jkki.vol11.iss1.art4

Sari, M., Sari, N. P., & Sulastri, W. (2024). Pengaruh Tandem Walking Exercise Terhadap Penurunan Resiko Jatuh Pada Lansia di Panti Tresna Werdha Pagar Dewa Provinsi Bengkulu. The Effect of Tandem Walking Exercise on Reducing the Risk of Falls in the Elderly at the Panti Sosial Tresna Werdha Pagar Dew. 7(1), 56–59.

Setyawan, M. G. M., Adiputra, L. M. I. S. H., & Basuki, N. (2022). The implementation of square step exercise is as good as tandem walking exercise on dynamic balance of the elderly in the Kedungwuni II health center area. International Journal of Research in Medical Sciences, 10(9), 1826. https://doi.org/10.18203/2320-6012.ijrms20222254

Tavares, B., Darlene, M., Souza, J. N. De, Ithamar, L., Cristina, M., & Melo, R. S. (2024). Balance , Gait , Functionality and Fall Occurrence in Adults and Older Adults with Type 2 Diabetes Mellitus and Associated Peripheral Neuropathy. 2044–2055.

Vaishya, R., & Vaish, A. (2020). Falls in Older Adults are Serious. Indian Journal of Orthopaedics, 54(1), 69–74. https://doi.org/10.1007/s43465-019-00037-x

Wang, Q., Li, L., Mao, M., Sun, W., Zhang, C., Mao, D., & Song, Q. (2022). The relationships of postural stability with muscle strength and proprioception are different among older adults over and under 75 years of age. Journal of Exercise Science and Fitness, 20(4), 328–334. https://doi.org/10.1016/j.jesf.2022.07.004

Downloads

Submitted

2026-03-20

Accepted

2026-05-21

Published

2026-06-01

How to Cite

Rosidah, N., Ameylia, A. V., Yuliadarwati, N. M., Prastowo, B., Ningrum, A. S. B., Rizal, F., … Prasetyo, D. A. (2026). The Effectiveness of Combined Hatha Yoga and Tandem Walking Exercise on Balance among Older Adults in Malang. FISIO MU: Physiotherapy Evidences, 7(2), 9–17. https://doi.org/10.23917/fisiomu.v7i2.16749

Issue

Vol. 7 No. 2 (2026): Advances in Physiotherapy: Clinical Interventions and Functional Outcomes Across Lifespan

Section

Articles

License

Copyright (c) 2026 FISIO MU: Physiotherapy Evidences

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.


Authors who publish with FISIO MU: Phsiotherapy Evidences agree to the following terms:

  1. Author(s) retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial 4.0 International License that allow others to share the work within an acknowledgement of the work’s authorship and initial publication of this journal.
  2. Author(s) are able to enter into separate, additional contractual arrangement for the non-exclusive distribution of the the journal’s published version of the work (e.g. acknowledgement of its initial publication in this journal).
  3. Author(s) are permitted and encouraged to post their work online (e.g. in institutional repositories or on their websites) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published works.