{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T20:47:14Z","timestamp":1782420434164,"version":"3.54.5"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"National Science, Research and Innovation Fund of Thailand","award":["682A10007"],"award-info":[{"award-number":["682A10007"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Falls among older adults are a major public health concern, but evidence on Thai boxing dance (TBD) interventions for prevention remains inconclusive.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effectiveness of a 6-month 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This study was a 3-arm parallel-group, assessor-blinded randomized controlled trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>The study was conducted at 3 primary health care centers in Chiang Rai, Thailand.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Among the 123 participants enrolled, 115 older adults aged \u226560\u00a0years were identified as being at risk of falling and completed the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Participants were randomly allocated to 1 of 3 groups: TBD, conventional balance exercise (CBE), or a control group (CG). All groups participated in biweekly sessions over a 24-week period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcomes and Measures<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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 the 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ptj\/pzag054","type":"journal-article","created":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T11:47:44Z","timestamp":1778932064000},"source":"Crossref","is-referenced-by-count":0,"title":["Role of Thai boxing dance program on fall prevention and physical performance in community-dwelling older adults at risk: a randomized controlled study"],"prefix":"10.1093","volume":"106","author":[{"given":"Pattanasin","family":"Areeudomwong","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, School of Integrative Medicine, Mae Fah Luang University , Chiang Rai 57100 ,","place":["Thailand"]},{"name":"Research Group on Smart Integrative Medicine & Technology Sustainability, Mae Fah Luang University , Chiang Rai 57100 ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wiriya","family":"Mahikul","sequence":"additional","affiliation":[{"name":"Princess Srisavangavadhana Faculty of Medicine, Chulabhorn Royal Academy , Bangkok 10210 ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siriyaporn","family":"Khunthason","sequence":"additional","affiliation":[{"name":"Department of Public Health, School of Health Science, Mae Fah Luang University , Chiang Rai 57100 ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yadanuch","family":"Boonyaratana","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Integrative Medicine, Mae Fah Luang University , Chiang Rai 57100 ,","place":["Thailand"]},{"name":"Research Group on Smart Integrative Medicine & Technology Sustainability, Mae Fah Luang University , Chiang Rai 57100 ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1112-4688","authenticated-orcid":false,"given":"Vitsarut","family":"Buttagat","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, School of Integrative Medicine, Mae Fah Luang University , Chiang Rai 57100 ,","place":["Thailand"]},{"name":"Research Group on Smart Integrative Medicine & Technology Sustainability, Mae Fah Luang University , Chiang Rai 57100 ,","place":["Thailand"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,5,18]]},"reference":[{"issue":"2","key":"2026062515564068600_ref1","doi-asserted-by":"publisher","first-page":"121","DOI":"10.56808\/2586-940X.1128","article-title":"Fall incidences, risk factors, and health effects among early-and middle-aged elderly people in rural areas of border provinces in southern Thailand","volume":"39","author":"Sukchan","year":"2025","journal-title":"J Health Res"},{"issue":"1","key":"2026062515564068600_ref2","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1186\/s13018-022-03222-1","article-title":"Global prevalence of falls in the older adults: a comprehensive systematic review and meta-analysis","volume":"17","author":"Salari","year":"2022","journal-title":"J Orthop Surg Res"},{"key":"2026062515564068600_ref3","doi-asserted-by":"publisher","first-page":"ii37","DOI":"10.1093\/ageing\/afl084","article-title":"Falls in older people: epidemiology, risk factors and strategies for prevention","volume":"35","author":"Rubenstein","year":"2006","journal-title":"Age Ageing"},{"issue":"4","key":"2026062515564068600_ref4","doi-asserted-by":"publisher","first-page":"E7","DOI":"10.1519\/JPT.0000000000000221","article-title":"Effect of community-based group exercise interventions on standing balance and strength in independent living older adults","volume":"42","author":"Alqahtani","year":"2019","journal-title":"J Geriatr Phys Ther"},{"key":"2026062515564068600_ref5","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1016\/j.ijnurstu.2018.03.015","article-title":"Effect of interactive cognitive motor training on gait and balance among older adults: a randomized controlled trial","volume":"82","author":"Kao","year":"2018","journal-title":"Int J Nurs Stud"},{"issue":"3","key":"2026062515564068600_ref6","doi-asserted-by":"publisher","first-page":"151","DOI":"10.12965\/jer.150208","article-title":"Correlation between physical fitness and fall efficacy in elderly women in Korea","volume":"11","author":"Jeoung","year":"2015","journal-title":"J Exerc Rehabil"},{"issue":"15","key":"2026062515564068600_ref7","doi-asserted-by":"publisher","first-page":"885","DOI":"10.1136\/bjsports-2019-101512","article-title":"Exercise for preventing falls in older people living in the community: an abridged Cochrane systematic review","volume":"54","author":"Sherrington","year":"2020","journal-title":"Br J Sports Med"},{"issue":"4","key":"2026062515564068600_ref8","doi-asserted-by":"publisher","first-page":"2023","DOI":"10.3390\/ijerph18042023","article-title":"Key factors associated with adherence to physical exercise in patients with chronic diseases and older adults: an umbrella review","volume":"18","author":"Collado-Mateo","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2026062515564068600_ref9","doi-asserted-by":"publisher","first-page":"231","DOI":"10.1016\/j.archger.2019.04.010","article-title":"Balance and functional fitness benefits of a Thai boxing dance program among community-dwelling older adults at risk of falling: a randomized controlled study","volume":"83","author":"Areeudomwong","year":"2019","journal-title":"Arch Gerontol Geriatr"},{"key":"2026062515564068600_ref10","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afae104","article-title":"Effectiveness of dance interventions for falls prevention in older adults: systematic review and meta-analysis","volume":"53","author":"Lazo, Green","year":"2024","journal-title":"Age Ageing"},{"key":"2026062515564068600_ref11","doi-asserted-by":"publisher","first-page":"1496692","DOI":"10.3389\/fpubh.2024.1496692","article-title":"The effects of dance interventions on reducing the risk of falls in older adults: a network meta-analysis","volume":"12","author":"Li","year":"2024","journal-title":"Front Public Health"},{"issue":"6","key":"2026062515564068600_ref12","doi-asserted-by":"publisher","first-page":"1118","DOI":"10.1123\/japa.2021-0404","article-title":"Dance as an intervention to reduce fall risk in older adults: a systematic review with a meta-analysis","volume":"30","author":"Blanco-Rambo","year":"2022","journal-title":"J Aging Phys Act"},{"key":"2026062515564068600_ref13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.maturitas.2017.05.004","article-title":"Dance movement therapy and falls prevention","volume":"102","author":"Veronese","year":"2017","journal-title":"Maturitas"},{"issue":"1","key":"2026062515564068600_ref14","article-title":"Effects of Muay Thai aerobic dance on biochemical bone markers and physical fitness in elderly women","volume":"20","author":"Tantiwiboonchai","year":"2017","journal-title":"J Exerc Physiol Online"},{"issue":"1","key":"2026062515564068600_ref15","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1177\/1049732318805753","article-title":"Health practitioners\u2019 perceptions of falls and fall prevention in older people: a metasynthesis","volume":"29","author":"Rhyn","year":"2019","journal-title":"Qual Health Res"},{"key":"2026062515564068600_ref16","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1590\/S1413-35552011000200003","article-title":"Predictive values at risk of falling in physically active and non-active elderly with berg balance scale","volume":"15","author":"Santos","year":"2011","journal-title":"Braz J Phys Ther"},{"issue":"10","key":"2026062515564068600_ref17","doi-asserted-by":"publisher","first-page":"1301","DOI":"10.1001\/jamainternmed.2018.3915","article-title":"Effectiveness of a therapeutic Tai Ji Quan intervention vs a multimodal exercise intervention to prevent falls among older adults at high risk of falling: a randomized clinical trial","volume":"178","author":"Li","year":"2018","journal-title":"JAMA Intern Med"},{"issue":"21","key":"2026062515564068600_ref18","doi-asserted-by":"publisher","first-page":"365","DOI":"10.3238\/arztebl.2016.0365","article-title":"Fall prevention in a primary care setting: the effects of a targeted complex exercise intervention in a cluster randomized trial","volume":"113","author":"Siegrist","year":"2016","journal-title":"Dtsch Arztebl Int"},{"issue":"2","key":"2026062515564068600_ref19","doi-asserted-by":"publisher","first-page":"141","DOI":"10.4235\/agmr.23.0008","article-title":"Integrated effects of Thai essential oil and balance exercise on parameters associated with falls in older adults at risk of falling: a randomized controlled study","volume":"27","author":"Areeudomwong","year":"2023","journal-title":"Ann Geriatr Med Res"},{"issue":"2","key":"2026062515564068600_ref20","doi-asserted-by":"publisher","first-page":"60","DOI":"10.22540\/JFSF-07-060","article-title":"Balance exercise circuit for fall prevention in older adults: a randomized controlled crossover trial","volume":"07","author":"Costa","year":"2022","journal-title":"J Frailty Sarcopenia Falls"},{"issue":"4","key":"2026062515564068600_ref21","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1080\/02703181.2018.1556231","article-title":"Concurrent validity of postural sway measures in older adults with cognitive impairment","volume":"36","author":"McGough","year":"2018","journal-title":"Phys Occup Ther Geriatr"},{"issue":"9","key":"2026062515564068600_ref22","doi-asserted-by":"publisher","first-page":"095003","DOI":"10.1088\/1361-6579\/ab4023","article-title":"Validity of mobility lab (version 2) for gait assessment in young adults, older adults and Parkinson\u2019s disease","volume":"40","author":"Morris","year":"2019","journal-title":"Physiol Meas"},{"issue":"8","key":"2026062515564068600_ref23","doi-asserted-by":"publisher","first-page":"1646","DOI":"10.1016\/j.jamda.2020.09.038","article-title":"The short physical performance battery (SPPB): a quick and useful tool for fall risk stratification among older primary care patients","volume":"22","author":"Welch","year":"2021","journal-title":"J Am Med Dir Assoc"},{"key":"2026062515564068600_ref24","first-page":"277","article-title":"Psychometric testing of the falls efficacy scale\u2013international","volume":"29","author":"Thiamwong","year":"2012","journal-title":"Songklanagarind Med J"},{"issue":"12","key":"2026062515564068600_ref25","doi-asserted-by":"publisher","first-page":"2550","DOI":"10.1111\/jgs.13820","article-title":"The Montreal cognitive assessment\u2013basic: a screening tool for mild cognitive impairment in illiterate and low-educated elderly adults","volume":"63","author":"Julayanont","year":"2015","journal-title":"J Am Geriatr Soc"},{"issue":"8","key":"2026062515564068600_ref26","doi-asserted-by":"publisher","first-page":"e1002112","DOI":"10.1371\/journal.pmed.1002112","article-title":"Social dancing and incidence of falls in older adults: a cluster randomized controlled trial","volume":"13","author":"Merom","year":"2016","journal-title":"PLoS Med"},{"issue":"24","key":"2026062515564068600_ref27","doi-asserted-by":"publisher","first-page":"1750","DOI":"10.1136\/bjsports-2016-096547","article-title":"Exercise to prevent falls in older adults: an updated systematic review and meta-analysis","volume":"51","author":"Sherrington","year":"2017","journal-title":"Br J Sports Med"},{"issue":"1","key":"2026062515564068600_ref28","doi-asserted-by":"publisher","first-page":"682","DOI":"10.70252\/TYTU2767","article-title":"Improvements in postural stability, dynamic balance, and strength following 12 weeks of online ballet-modern dance classes for older women","volume":"17","author":"Chen","year":"2024","journal-title":"Int J Exerc Sci"},{"key":"2026062515564068600_ref29","doi-asserted-by":"publisher","first-page":"1384387","DOI":"10.3389\/fspor.2024.1384387","article-title":"Moving together\u2014benefits of a 12-week online dance training intervention on static and dynamic postural stability and gait speed in older women: an exploratory pre-post study","volume":"6","author":"Hansen","year":"2024","journal-title":"Front Sports Act Living"},{"issue":"4","key":"2026062515564068600_ref30","doi-asserted-by":"publisher","first-page":"600","DOI":"10.1093\/ptj\/pzz187","article-title":"Effect of senior dance (DanSE) on fall risk factors in older adults: a randomized controlled trial","volume":"100","author":"Franco","year":"2020","journal-title":"Phys Ther"},{"issue":"7","key":"2026062515564068600_ref31","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1136\/bjsports-2015-095452","article-title":"Step training improves reaction time, gait and balance and reduces falls in older people: a systematic review and meta-analysis","volume":"51","author":"Okubo","year":"2017","journal-title":"Br J Sports Med"},{"issue":"4","key":"2026062515564068600_ref32","doi-asserted-by":"publisher","first-page":"235","DOI":"10.3233\/IES-2010-0389","article-title":"Sit-to-stand test: performance and determinants across the age-span","volume":"18","author":"Bohannon","year":"2010","journal-title":"Isokinet Exerc Sci"},{"issue":"6","key":"2026062515564068600_ref33","doi-asserted-by":"publisher","first-page":"510","DOI":"10.3390\/biology10060510","article-title":"Test-retest reliability of five times sit to stand test (FTSST) in adults: a systematic review and meta-analysis","volume":"10","author":"Mu\u00f1oz-Bermejo","year":"2021","journal-title":"Biology"},{"issue":"2","key":"2026062515564068600_ref34","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1007\/s00198-015-3236-5","article-title":"Age-associated declines in muscle mass, strength, power, and physical performance: impact on fear of falling and quality of life","volume":"27","author":"Trombetti","year":"2016","journal-title":"Osteoporos Int"},{"issue":"12","key":"2026062515564068600_ref35","doi-asserted-by":"publisher","first-page":"2455","DOI":"10.1111\/ggi.13102","article-title":"Fear of falling and gait parameters in older adults with and without fall history","volume":"17","author":"Makino","year":"2017","journal-title":"Geriatr Gerontol Int"},{"issue":"1","key":"2026062515564068600_ref36","doi-asserted-by":"publisher","first-page":"200","DOI":"10.1186\/s12877-023-03922-1","article-title":"Development of a personalized fall rate prediction model in community-dwelling older adults: a negative binomial regression modelling approach","volume":"23","author":"Wapp","year":"2023","journal-title":"BMC Geriatr"}],"container-title":["Physical Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ptj\/advance-article-pdf\/doi\/10.1093\/ptj\/pzag054\/68328678\/pzag054.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ptj\/article-pdf\/106\/6\/pzag054\/68328678\/pzag054.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ptj\/article-pdf\/106\/6\/pzag054\/68328678\/pzag054.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T19:56:50Z","timestamp":1782417410000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ptj\/article\/doi\/10.1093\/ptj\/pzag054\/8686408"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,18]]},"references-count":36,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6,10]]}},"URL":"https:\/\/doi.org\/10.1093\/ptj\/pzag054","relation":{},"ISSN":["0031-9023","1538-6724"],"issn-type":[{"value":"0031-9023","type":"print"},{"value":"1538-6724","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,18]]},"article-number":"pzag054"}}