Does a 10-week stretching program enhance walking in older adults?

In 2011, a study published in the field of geriatric rehabilitation has demonstrated that a 10-week supervised hip flexor stretching program can significantly improve gait mechanics in healthy elderly individuals. The research, led by Jaclyn R. Watt and colleagues, aimed to investigate the effects of this specific stretching regimen on various aspects of walking, including peak hip extension, stride length, gait speed, and anterior pelvic tilt.

The study was conducted as a double-blinded, randomized, controlled trial involving 82 elderly participants. These individuals were divided into two groups: the treatment group, consisting of 43 subjects, and the control group, with 39 subjects. The treatment group engaged in a hip flexor stretching program, performed twice daily over ten weeks, and supervised twice weekly by a rehabilitation clinician. In contrast, the control group followed a shoulder abductor stretching program for the same duration.

Pre- and posttreatment assessments were conducted in a gait laboratory to ensure precise measurement of changes in gait parameters. The researchers measured passive hip extension range of motion, dynamic peak hip extension, peak anterior pelvic tilt, stride length, and gait speed during walking.

The findings revealed that the treatment group exhibited significant improvements in passive hip extension range of motion (P = .007). Notably, participants in this group who had limited peak hip extension before the intervention showed marked enhancements in stride length (P = .019) and peak hip extension (P = .012). Additionally, these individuals demonstrated a significant reduction in anterior pelvic tilt (P = .006) while walking. In contrast, the control group only showed a decrease in anterior pelvic tilt (P = .013), with no significant changes in the other parameters.

This study highlights the potential of a structured hip flexor stretching program to counteract the age-related decline in gait function. The improvements in stride length and hip extension observed in the treatment group suggest that such an intervention could be a simple yet effective strategy to enhance mobility and reduce the risk of falls in the elderly population.

Overall, these results underscore the importance of targeted exercise programs in maintaining and improving the quality of life for older adults.

Reference: Watt, J. R., Jackson, K., Franz, J. R., Dicharry, J., Evans, J., & Kerrigan, D. C. (2011). Effect of a supervised hip flexor stretching program on gait in elderly individuals. PM&R3(4), 324-329.

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