Effects of Retro-Walking Training on Kinesio Phobia and Cognition in Geriatric Population: A Quasi- Experimental Study

Abstract

Introduction: Aging brings challenges such as Kinesio phobia and cognitive decline, significantly impacting quality of life and fall risk in older adults. Retro-walking, a novel exercise modality, has shown promise in improving balance and motor control. Objective: This study aimed to assess the effects of retro-walking training on kinesiophobia and cognition in geriatric subjects. Methodology: A quasi-experimental design was employed with 60 geriatric participants aged 65-75 years. Participants were divided into control and experimental groups. The experimental group underwent retro-walking training thrice weekly for 6 weeks, complemented by home exercises. Kinesio phobia was assessed using the Tampa Scale of Kinesiophobia (TSK), and cognition was evaluated using the Montreal Cognitive Assessment (MoCA) scale. Result: Significant improvements were observed in both TSK (pre: 50.6 ± 8.6, post: 27.6 ± 6.9, p < 0.001) and MoCA scores (pre: 25.0 ± 3.1, post: 27.7 ± 1.8, p < 0.001) post- intervention. The experimental group showed a marked reduction in kinesiophobia and enhanced cognitive function compared to the control group. Conclusion: Retro-walking training demonstrated beneficial effects on reducing kinesiophobia and enhancing cognition in geriatric subjects. These findings suggest that retro-walking can be an effective intervention to improve functional outcomes and mitigate fall risks in the elderly population.