EFFECTS OF CHAIR-BASED AEROBIC EXERCISE INCORPORATING RESISTANCE BAND MOVEMENTS ON BALANCE ABILITY AND FALL RISK AMONG OLDER ADULTS IN THE SENA NIVET 1 COMMUNITY, BANGKOK
Article Sidebar
Main Article Content
Abstract
This study aimed to investigate and compare the effects of chair-based aerobic exercise incorporating resistance band movements on balance ability and fall risk among older adults in the Sena Nivet 1 Community, Bangkok. The participants were 40 older adults, including both men and women, aged 60–79 years (10 men and 30 women), who were members of a local elderly club and voluntarily participated in the study. All participants met the inclusion criteria of being able to perform chair-based exercise. The participants were divided into an experimental group (n = 20) and a control group (n = 20). The experimental group participated in a chair-based aerobic exercise program incorporating resistance band movements developed by the researchers, which demonstrated excellent content validity (IOC = 1.00), while the control group maintained their normal daily activities. The intervention was conducted over an eight-week period, with training sessions held twice per week, each lasting 45 minutes. Balance ability and fall risk were assessed before and after the intervention using the Timed Up and Go Test and the 4-Stage Balance Test. Data were analyzed using mean, standard deviation, paired sample t-tests, and independent-sample t-tests. The results indicated that after eight weeks of chair-based aerobic exercise incorporating resistance band movements, the experimental group demonstrated a statistically significant improvement in balance ability and fall risk. Specifically, the Timed Up and Go Test time decreased from 8.99 ± 1.86 seconds to 6.41 ± 1.08 seconds (a reduction of 2.58 seconds), and the 4-Stage Balance Test score increased from 3.50 ± 0.51 points to 3.85 ± 0.36 points (an increase of 0.35 points), compared with both the pre-training values and the control group (p < .05). These findings indicate that chair-based aerobic exercise incorporating resistance band movements is effective in enhancing balance ability and reducing fall risk among older adults. Furthermore, this exercise program represents a safe and appropriate approach for promoting functional stability in community-dwelling older adults
Article Details
เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวารสารวิทยาศาสตร์การกีฬาและนวัตกรรมสุขภาพ กลุ่มมหาวิทยาลัยราชภัฏแห่งประเทศไทย ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวารสารวิทยาศาสตร์การกีฬาและนวัตกรรมสุขภาพ กลุ่มมหาวิทยาลัยราชภัฏแห่งประเทศไทย ถือเป็นลิขสิทธิ์ของคณะวิทยาศาสตร์และเทคโนโลยี มหาวิทยาลัยราชภัฏศรีสะเกษ หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากวารสารวิทยาศาสตร์การกีฬาและนวัตกรรมสุขภาพ กลุ่มมหาวิทยาลัยราชภัฏแห่งประเทศไทย ก่อนเท่านั้น
References
Ambrose, A. F., Paul, G., & Hausdorff, J. M. (2013). Risk factors for falls among older adults: A review of the literature. Maturitas, 75(1), 51–61.
Cancela Carral, J. M., Pallin, E., Orbegozo, A., & Ayan Perez, C. (2017). Effects of three different chair-based exercise programs on people older than 80 years. Rejuvenation Research, 20(5), 411-419.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.
Defossez, K., Kongsin, W., Charoenpeng, R., & Chanbut, P. (2024). The Effects of self-management promotion in exercise on physical performance (Timed Up and Go, 30-Second Chair Stand, 4-Stage Balance) among older adults. Journal of Environmental and Community Health, 9(3), 376-384. (in Thai)
Delbaere, K., Crombez, G., Vanderstraeten, G., Willems, T., & Cambier, D. (2004). Fear-related avoidance of activities, falls and physical frailty. A prospective community-based cohort study. Age and Ageing, 33(4), 368-373.
Department of Health. (2021). Guidelines for promoting the health of older adults. Nonthaburi: Ministry of Public Health. (in Thai)
Efendi, F., Tonapa, S. I., Has, E. M. M., & Ho, K. H. M. (2023). Effects of chair-based resistance band exercise on physical functioning, sleep quality, and depression of older adults in long-term care facilities: systematic review and meta-analysis. International Journal of Nursing Sciences, 10(1), 72-81.
Furtado, G. E., Uba-Chupel, M., Carvalho, H. M., Souza, N. R., Ferreira, J. P., & Teixeira, A. M. (2016). Effects of chair-yoga exercises on stress hormone levels, daily life activities, falls, and physical fitness in institutionalized older adults. Complementary Therapies in Clinical Practice, 24, 123–129.
Gao, Y., Zhang, L., Wei, Y., Ren, Y., He, Y., & Shan, W. (2025). The effect of chair-based exercise on physical functioning in postmenopausal women: a meta-analysis. BMC geriatrics, 25(1), 931.
Granacher, U., Gollhofer, A., Hortobágyi, T., Kressig, R. W., & Muehlbauer, T. (2012). The importance of trunk muscle strength for balance, functional performance, and fall prevention in seniors: A systematic review. Sports Medicine, 43(7), 627–641.
Imtiaz, M., Yousaf, A., Afzal, H., Muzummil, A., Khurram, W., Mukhtar, T., & Saleem, T. (2023). Effects of elastic band resistance exercises on balance and mobility in elderly people. Journal of Xi’an Shiyou University, Natural Science Edition, 19(7), 686-691.
Karatrantou, K., Papavasiliou, T., Batatolis, C., Vasilopoulou, T., Ioakimidis, P., & Gerodimos, V. (2023). A chair-based music–kinetic combined exercise program as an alternative approach for increasing health, functional capacity, and physical fitness indices in middle-aged pre-menopausal women. Journal of Functional Morphology and Kinesiology, 8(2), 81.
Klempel, N., Blackburn, N. E., McMullan, I. L., Wilson, J. J., Smith, L., Cunningham, C., ... & Tully, M. A. (2021). The effect of chair-based exercise on physical function in older adults: A systematic review and meta-analysis. International journal of environmental research and public health, 18(4), 1902.
Meng, Y., Hu, Y., Yang, W., Xue, Y., & Yang, S. (2025). Effects of elastic band resistance training on lower limb strength and balance function in older adults: a systematic review and meta-analysis. Frontiers in Sports and Active Living, 7, 1649305.
National Statistical Office. (2021). Report on the elderly population of Thailand 2020–2030. Bangkok: Ministry of Digital Economy and Society. (in Thai)
Oliveira, S. N., Leonel, L., Sudatti Delevatti, R., Heberle, I., & Moro, A. R. P. (2023). Effect of elastic resistance training on functional capacity in older adults: a systematic review with meta-analysis. Physiotherapy Theory and Practice, 39(12), 2553-2568.
Quintela Cardoso do Carmo, P. J., Carvalho, J., Santos, R., & Cesar, A. (2020). Imbalance and fall-risk improvements in the elderly: effects of combined strength and aerobic training. Journal of Hearing Science, 10(1), 41-47.
Sadaqa, M., Németh, Z., Makai, A., Prémusz, V., & Hock, M. (2023). Effectiveness of exercise interventions on fall prevention in ambulatory community-dwelling older adults: a systematic review with narrative synthesis. Frontiers in Public Health, 11, 1209319.
Stojanović, M. D., Mikić, M. J., Milošević, Z., Vuković, J., Jezdimirović, T., & Vučetić, V. (2021). Effects of chair-based, low–load elastic band resistance training on functional fitness and metabolic biomarkers in older women. Journal of Sports Science & Medicine, 20(1), 133-141.
Tsai, Y. T., Su, H. H., Chou, C. H., Chen, Y. H., Chiang, M. H., Kuo, Y. J., & Chen, Y. P. (2022). Impact of elastic band training on functional outcomes and muscle mass in the elderly with sarcopenia: a meta-analysis. International Journal of Gerontology, 16(3), 224-230.
Wang, C., Jiao, X., Liang, J., & Lu, A. (2025). The impact of muscle mass, strength, and physical functioning on postural balance in older adults with sarcopenia. Clinics, 80, 100784.
World Health Organization. (2021). Falls [Online]. Retrieved December 29, 2025, from: https://www.who.int/news-room/fact-sheets/detail/falls
