Role of Thai Boxing Dance Program on Fall Prevention and Physical Performance in Community-Dwelling Older Adults at Risk: A Randomized Controlled Study

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ID: 313981
2026
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Abstract
Abstract Importance Falls among older adults are a major public health concern, but evidence on Thai boxing dance interventions for prevention remains inconclusive. Objective This study aimed to evaluate the effectiveness of a 6-month Thai boxing dance (TBD) program in reducing fall incidence and improving physical performance, fear of falling, and cognitive function among community-dwelling older adults at risk of falling. Design This study was a 3-arm parallel-group, assessor-blinded randomized controlled trial. Setting The study was conducted at 3 primary health care centers in Chiang Rai, Thailand. Participants Among the 123 participants enrolled, 115 older adults aged ≥60 years were identified as being at risk of falling and completed the study. Interventions Participants were randomly allocated to 1 of 3 groups: Thai boxing dance (TBD), conventional balance exercise (CBE), or a control group (CG). All groups participated in biweekly sessions over a 24-week period. Main outcomes and Measures Falls were monitored over a 180-day period, whereas physical performance, fear of falling, and cognitive function were assessed at baseline and at the 6-month intervention period. Results Of the 123 participants, 115 completed the trial. Incident rates of falls in the TBD and CBE group (0.18 and 0.17 per person-month, respectively) were lower than the rate of 0.62 in the CG. The TBD group showed a 76% reduction in fall rate compared to CG. TBD also led to significantly greater improvements in physical performance, including postural sway, gait parameters, and lower-limb strength, compared with the CG after the 6-month intervention. The CBE group showed greater improvements in gait parameters only. No significant between-group differences were observed in fear of falling or cognitive function. Conclusions and Relevance A 6-month TBD and CBE program reduced falls. TBD improved physical performance more broadly, whereas CBE yielded targeted gait improvements in community-dwelling older adults at risk of falling.
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Authors Pattanasin Areeudomwong, Wiriya Mahikul, Siriyaporn Khunthason, Yadanuch Boonyaratana, Vitsarut Buttagat
Journal Physical Therapy
Year 2026
DOI
10.1093/ptj/pzag054
URL
https://doi.org/10.1093/ptj/pzag054
Keywords Keywords not found

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