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The Impact of Walking Meditation on Gait Symmetry Index in Older Adults with Cognitive Impairment

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2025, 20(4), pp.125~134
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
  • Received : August 6, 2025
  • Accepted : August 28, 2025
  • Published : November 30, 2025

Su-Bin Min 1 Lee, Han-Suk 2 선희창 3

1을지대
2을지대학교
3을지대학교 물리치료학과 일반대학원

Accredited

ABSTRACT

PURPOSE: This study aimed to analyze the effects of a six-week walking meditation program on the gait symmetry index in older adults aged 65 years and older with cognitive impairment. METHODS: A total of 16 older adults attending a day-care center participated in the study and were randomly assigned to either the experimental group (n = 8) or the control group (n = 8). The experimental group performed a walking meditation program twice a week for 30 minutes per session in a quiet, designated space. The control group engaged in regular indoor walking under the same frequency and duration. Before and after the intervention, gait parameters—cadence, swing phase, stance phase, and center of force (COF) —were measured using the F-scan system, a tool that captures timing and pressure data related to foot function and gait. RESULTS: In the experimental group, the symmetry indices for cadence, swing phase, stance phase, and COF significantly decreased (p < .05), indicating reduced gait asymmetry following the walking meditation intervention. In the control group, only the COF symmetry index showed a significant decrease (p < .05), with no other significant changes observed (p > .05). No statistically significant differences were found between the two groups across all variables (p > .05). CONCLUSION: This study supports the clinical efficacy of walking meditation in improving gait symmetry among older adults with cognitive impairment. Further research with a larger sample size and long-term follow-up is recommended to confirm the sustainability of these effects.

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