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

Nikmatur RosidahPhysiotherapy Department, Faculty of Health Sciences,University of Muhammadiyah MalangAnanda Viona AmeyliaPhysiotherapy Department, Faculty of Health Sciences, University of Muhammadiyah MalangNungki Marlian YuliadarwatiPhysiotherapy Department, Faculty of Health Sciences, University of Muhammadiyah MalangBayu PrastowoPhysiotherapy Department, Faculty of Health Sciences, University of Muhammadiyah MalangAnnisa Salsabila Budi NingrumPhysiotherapy Department, Faculty of Health Sciences, University of Muhammadiyah MalangFahmi RizalPhysiotherapy Department, Faculty of Health Sciences University of Muhammadiyah Pekajangan PekalonganAnup AcharyaGurkha Welfare Trust, Bagmati Cluster, Kathmandu, NepalDwi Agung PrasetyoPhysiotherapy Department, Institute of Science and Health Technology (ITSK) Dr. Soepraoen Hospital Malang
2026
ABI

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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.

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