Biomechanical Effects of the MIND&GAIT Exercise Program on Sit-to-Stand and Marching in Place Motor Coordination in...

Background: Motor decline associated with ageing compromises mobility, postural control and the ability, thereby increasing risk among older adults. Biomechanical characterization of movement, particularly using non-linear methods, offers a process-oriented approach capable of detecting subtle changes in motor coordination. The MIND&GAIT programme has previously demonstrated benefits in physical function in frail older individuals; however, its potential to improve motor coordination parameters that underpin fall risk remains insufficiently explored. Objectives: To analyse the impact of the MIND&GAIT program on motor coordination during sit-to-stand (STS) and walking tasks, two daily activities strongly associated with fall risk, using advanced non-linear and biomechanical metrics in institutionalized older adults. Methods: Fourteen institutionalized older adults (82.21 ± 7.14 years) participated. Three-dimensional acceleration and angular velocity were recorded using inertial sensors. Motor variability and predictability were quantified using the multivariate Lyapunov exponent (LyEM) and multivariate incremental entropy (MIE). STS (30 s) and walking-in-place (2 min) tasks were assessed pre- and post-intervention following a three-month, thrice-weekly programme. Results: Although no statistically significant differences emerged (ps > 0.05), trends were observed suggesting increases in LyEM during STS and in both MIE and LyEM during walking were found post-intervention. These exploratory findings may indicate enhanced motor complexity, stability and adaptability, features associated with reduced fall vulnerability. Conclusions: Despite the absence of statistical significance, the biomechanical trends observed suggest improvements in motor coordination patterns relevant to fall risk reduction in institutionalized older adults following the MIND&GAIT programme. These findings highlight the potential of structured exercise-based interventions for promoting safer movement behaviors in frail populations.