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A Novel Multisegmental Individual-Based Exercise Approach for Postural Dysfunction and Balance Impairment in Older

Filza Shoukat¹, Syed Shakil Ur Rehman¹

¹Faculty of Rehabilitation and Allied Health Sciences, Riphah International University, 6 M Gulberg III Ferozepur Road Lahore, Lahore, 54600, Pakistan, 92 51591289.

|July 9, 2026

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The multisegmental individual-based exercise program (MIBEX) significantly improved mobility and balance in older adults. This exercise approach offers a promising intervention to enhance physical function and reduce fall risk in the elderly population.

Area of Science:

Gerontology
Rehabilitation Science
Exercise Physiology

Background:

Age-related decline in mobility and balance increases fall risk in older adults.
Evidence-based exercise programs are recommended but require further evaluation for effectiveness.

Purpose of the Study:

To evaluate the effectiveness of the multisegmental individual-based exercise program (MIBEX) for postural dysfunction and balance impairment in older adults.

Main Methods:

A 2-arm, single-blinded randomized controlled trial involving 113 community-dwelling adults aged 65+.
Intervention group received MIBEX; control group received postural education via video.
Outcomes included Timed Up and Go, tragus-to-wall test, Mini-Balance Evaluation Systems Test, and postural sway, analyzed with Mann-Whitney U test.

Keywords:

balance exercise old age physical function posture

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Main Results:

The MIBEX group showed significant improvements in all measured outcomes compared to controls (P<.01).
Notable improvements included reduced Timed Up and Go times (r=0.65) and increased tragus-to-wall distance (r=0.52).
Improvements in Mini-Balance Evaluation Systems Test scores and reduced postural sway were also observed (r=0.48 and r=0.40, respectively).

Conclusions:

MIBEX significantly enhanced mobility, balance, and postural stability in older adults compared to usual care.
The findings support MIBEX as an effective intervention for improving physical function and potentially reducing fall risk in the elderly.