Journal of Human Sport and Exercise

Effect of simple home exercise focused on timing and coordination on lower-extremity function in non-disabled older persons: A quasi-randomized controlled trial

Kazuya Fujii, Masaki Kobayashi, Toru Saito, Yasuyoshi Asakawa



Introduction: Lower-extremity function is a predictor of subsequent disability in non-disabled older persons. The present study aimed to determine the effect of simple home exercise focused on timing and coordination of movement on lower-extremity function in community dwelling non-disabled older persons. Materials and methods: Study design was a single-blind quasi-randomized controlled trial. The participants were 66 non-disabled older persons aged 60 years or older who independent activity of daily living and walking indoor and outdoor. They were devilled into intervention group (n = 34) and control group (n = 32). Participants in the control group participated in routine activities. The intervention group participated in a 1-month of simple home exercise focused on timing and coordination of movement consisted of calf raise, pivot turn and front stepping. Lower-extremity function was assessed by measuring maximum walking speed, figure-of-8 walk test, 3-m zigzag walk test and chair stand five test at baseline and at 1month after starting the intervention. Results: The intervention improved chair stand five test (8.8sec to 7.5sec; p < .05). There was no significant change in maximum walking speed, figure-of-8 walk test and 3-m zigzag walk test. The mean adherence rate of home exercise was 76.1 ± 17.4%. Conclusion: Simple home exercise focused on timing and coordination of movement is effective to improve lower-extremity function in community dwelling non-disabled older persons.


Non-disabled older persons; Lower-extremity function; Home based exercise; Health promotion


Albert, S. M., Bear-Lehman, J., & Anderson, S. J. (2015). Declines in mobility and changes in performance in the instrumental activities of daily living among mildly disabled community-dwelling older adults. J Gerontol A Biol Sci Med Sci, 70(1), 71–77.

Ando, M., & Kamide, N. (2013). The reference values for the 5 m walking time in community-dwelling Japanese elderly people: Determination using the methodology meta-analysis. Sogo Rihabiriteshon, 41, 961-967. (In Japanese, English abstract)

Bland, K., Lowry, K., Krajek, A., Woods, T., & VanSwearingen, J. (2019). Spatiotemporal variability underlying skill in curved-path walking. Gait Posture, 67, 137-141.

Bohannon, R. W. (1995). Sit-to-stand test for measuring performance of lower extremity muscles. Percept Mot Skills, 80(1), 163-166.

Bohannon, R. W. (2006). Reference values for the five-repetition sit-to-stand test: A descriptive meta-analysis of data from elders. Percept Mot Skills, 103(1), 215-222.

Brach, J. S., Francois, S. J., VanSwearingen, J. M., Gilmore, S., Perera, S., & Studenski, S. A. (2016). Translation of a Motor Learning Walking Rehabilitation Program Into a Group-Based Exercise Program for Community-Dwelling Older Adults. PM R : the journal of injury, function, and rehabilitation, 8(6), 520–528.

Glaister, B. C., Bernatz, G. C., Klute, G. K., & Orendurff, M. S. (2007). Video task analysis of turning during activities of daily living. Gait Posture, 25(2), 289-294.

Green, P., Woglom, A. E., Genereux, P., Maurer, M. S., Kirtane, A. J., Hawkey, M., … Kodali, S. (2012). Gait speed and dependence in activities of daily living in older adults with severe aortic stenosis. Clin Cardiol, 35(5), 307–314.

Guralnik, J. M., Ferrucci, L., Simonsick, E. M., Salive, M. E., & Wallace, R. B. (1995). Lower-Extremity Function in Persons over the Age of 70 Years as a Predictor of Subsequent Disability. N Engl J Med, 332, 556-562.

Hess, R. J., Brach, J. S., Piva, S. R., & VanSwearingen, J. M. (2010). Walking skill can be assessed in older adults: validity of the Figure-of-8 Walk Test. Phys Ther, 90(1), 89–99.

Hiemstra, L. A., Lo, I. K., & Fowler, P. J. (2001). Effect of fatigue on knee proprioception: Implications for dynamic stabilization. J Orthop Sports Phys Ther, 31(10), 598-605.

Judge, J. O., Õunpuu, S., & Davis, R. B. (1996). Effects of Age on the Biomechanics and Physiology of Gait. Clin Geriatr Med, 12(4), 659-678.

Lord, S. R., & Fitzpatrick, R. C. (2001). Choice stepping reaction time: A composite measure of falls risk in older people. J Gerontol A Biol Sci Med Sci, 56(10), M627-M632.

Lord, S. R., Murray, S. M., Chapman, K., Munro, B., & Tiedemann, A. (2002). Sit-to-stand performance depends on sensation, speed, balance, and psychological status in addition to strength in older people. J Gerontol A Biol Sci Med Sci, 57(8), M539-M543.

Masuda, S., Suganuma, K., Kaneko, C., Hoshina, K., Suzuki, T., Serita, T., & Sakakibara, R. (2013). Prediction of Falls Using a 3-m Zigzag Walk Test. J Phys Ther Sci, 25(9), 1051–1054.

Mizota, K., Murata, S., Otao, H., Hachiya, M., Kubo, A., Kai, Y., Matsuo, N., Miyazaki, J., & Yamamoto, F. (2014). Validity and reliability of the Figure-of-8 Walk Test in which participants walk at maximum speeds. Jpn J Health Prom Phys Ther, 4(1), 1-6. (In Japanese, English abstract)

Odonkor, C. A., Thomas, J. C., Holt, N., Latham, N., Vanswearingen, J., Brach, J. S., … Bean, J. (2013). A comparison of straight- and curved-path walking tests among mobility-limited older adults. J Gerontol A Biol Sci Med Sci, 68(12), 1532–1539.

Quach, L., Galica, A. M., Jones, R. N., Procter-Gray, E., Manor, B., Hannan, M. T., & Lipsitz, L. A. (2011). The nonlinear relationship between gait speed and falls: the Maintenance of Balance, Independent Living, Intellect, and Zest in the Elderly of Boston Study. J Am Geriatr Soc, 59(6), 1069–1073.

Ribeiro, F., & Oliveira, J. (2007). Aging effects on joint proprioception: The role of physical activity in proprioception preservation. Eur Rev Aging Phys Act, 4(2), 71-76.

Salbach, N. M., Mayo, N. E., Higgins, J., Ahmed, S., Finch, L. E., & Richards, C. L. (2001). Responsiveness and predictability of gait speed and other disability measures in acute stroke. Arch Phys Med Rehabil, 82(9), 1204-1212.

Studenski, S., Perera, S., Patel, K., Rosano, C., Faulkner, K., Inzitari, M., … Guralnik, J. (2011). Gait speed and survival in older adults. JAMA, 305(1), 50–58.

Suzuki, T., Bean, J. F., & Fielding, R. A. (2001). Muscle power of the ankle flexors predicts functional performance in community-dwelling older women. J Am Geriatr Soc, 49(9), 1161-1167.

Taylora, M., Dabnichki, P., & Strike, S. (2005). A three-dimensional biomechanical comparison between turning strategies during the stance phase of walking. Hum Mov Sci, 24(4), 558-573.

Thigpen, M. T., Light, K. E., Creel, G. L., & Flynn, S. M. (2000). Turning Difficulty Characteristics of Adults Aged 65 Years or Older. Phys Ther, 80(12), 1174-1187.

Tiedemann, A., Shimada, H., Sherrington, C., Murray, S., & Lord, S. (2008). The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people. Age Ageing, 37(4), 430-435.

VanSwearingen, J. M., Perera, S., Brach, J. S., Cham, R., Rosano, C., & Studenski, S. A. (2009). A randomized trial of two forms of therapeutic activity to improve walking: effect on the energy cost of walking. J Gerontol A Biol Sci Med Sci, 64(11), 1190–1198.

VanSwearingen, J. M., Perera, S., Brach, J. S., Wert, D., & Studenski, S. A. (2011). Impact of exercise to improve gait efficiency on activity and participation in older adults with mobility limitations: a randomized controlled trial. Phys Ther, 91(12), 1740–1751.

VanSwearingen, J. M., & Studenski, S. A. (2014). Aging, motor skill, and the energy cost of walking: implications for the prevention and treatment of mobility decline in older persons. J Gerontol A Biol Sci Med Sci, 69(11), 1429–1436.

Whitney, S. L., Wrisley, D. M., Marchetti, G. F., Gee, M. A., Redfern, M. S., & Furman, J. M. (2005). Clinical Measurement of Sit-to-Stand Performance in People With Balance Disorders: Validity of Data for the Five-Times-Sit-to-Stand Test. Phys Ther, 85(10), 1034-1045.


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