The Effect of an Applied Fon Jerng Exercise Program on Physical Balance, Muscle Strength, and Activities of Daily Living (ADLs) among the Social Bound Elderly in Lampang Province

Main Article Content

Pensri Phongprapapan
Puangpet Meesiri
Nittaya Wannasopa

Abstract

This quasi-experimental study, employing a two-group pretest–posttest design, aimed to compare mean balance time, lower-extremity muscle strength, and activities of daily living (ADL) ability among socially engaged older adults in Lampang Province. Sixty-six participants were recruited using simple random sampling and allocated to either the control group (n = 33) or the experimental group (n = 33). Research instruments included the adapted Fon Joeng exercise program, a general information form, the Time Up and Go Test, the Five Times Sit-to-Stand Test, and the Basic Activities of Daily Living Assessment. Data were analyzed using descriptive statistics, the Wilcoxon signed-rank test, and the Mann–Whitney U test.


The results indicated that after participating in the program, older adults in the experimental group demonstrated statistically significant reductions in mean balance time and muscle strength time (Z = 5.13, 3.27; p < .01, respectively). These values were also significantly lower than those of the control group at level of .05 (Z = 3.46, 3.46; p < .01, respectively). However, no significant differences were observed in mean ADLs scores from baseline or when compared with the control group (Z = 0.58, p = .56; Z = 1.02, p = .30, respectively).


These findings suggest that nurses and public health personnel should incorporate this exercise program into community health promotion initiatives to enhance balance and muscle strength among community-dwelling older adults.

Downloads

Download data is not yet available.

Article Details

How to Cite
Phongprapapan, P. ., Meesiri, P., & Wannasopa, N. . (2025). The Effect of an Applied Fon Jerng Exercise Program on Physical Balance, Muscle Strength, and Activities of Daily Living (ADLs) among the Social Bound Elderly in Lampang Province. Journal of Prachomklao College of Nursing, Phetchaburi Province, 8(3), 17–32. retrieved from https://he01.tci-thaijo.org/index.php/pck/article/view/279899
Section
Research Articles

References

American College of Sports Medicine. (2021). ACSM's guidelines for exercise testing and prescription (11th ed.). Wolters Kluwer.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum.

Cui, J., Hao, Z., Tian, H., Yang, Y., Wang, J., & Lin, X. (2024). The effects of Tai Chi on standing balance control in older adults may be attributed to the improvement of sensory reweighting and complexity rather than reduced sway velocity or amplitude. Frontiers in Aging Neuroscience, 16, 1330063. https://doi.org/10.3389/fnagi.2024.1330063

Daungsupha, K., Pansakun, N., Srisookkum, T., Manotham, M., Promma, N., Somjit, P., & Lidchiwwong, P. (2025). Physical activity and associated factors among older adults with noncommunicable diseases in rural Northern Thailand. Universal Journal of Public Health, 13(1), 160–168. https://doi.org/10.13189/ujph.2025.130116

Department of Older Persons. (2024). Statistics on the elderly in Thailand 2024. https://www.dop.go.th/th/statistics_page?cat=3&id=2526 (in Thai)

Dissara, W., Banchonhattakit, P., & Thongdee, J. (2022). Effects of exercise on balance of the elderly: A systematic review. Journal of Health Research and Innovation, 5(2), 1–13. (in Thai)

El Hadouchi, M., Kiers, H., de Vries, R., Veenhof, C., & van Dieën, J. (2022). Effectiveness of power training compared to strength training in older adults: A systematic review and meta-analysis. European Review of Aging and Physical Activity, 19(1), 18. https://doi.org/10.1186/s11556-022-00297-x

Health data center. (2025) Health data center of Lampang Provincial Health Office. https:// hdc.moph.go.th/ lpg/public/standard-report_detail/aa86b13e8cb60cae6c3216b7e3e5f151

Khuntong, N., Tammatisthan, C., & Rombanloa, P. (2016). The training effect of 14 poses of applied Manora Dancing towards the elders balance. In 13th KU-KPS Conference: Following in the Royal Footsteps-Kasetsart Kamphaeng Saen Agriculture (pp. 1520–1527). Kasetsart University. (in Thai)

Meesiri, P., Sangwichitr, C., Chatmontree, J., & Khenkew, W. (2021). The effect of applying the dance posture to Lampang on increasing muscle mass of the old women in Lampang Province. Journal of Health Sciences Scholarship, 8(2), 166-180. (in Thai)

Na Nakhon, W., Onsiri, S., Amitpai, C., & Sukhomo, N. (2022). Effects of applied Fon-Jerng exercise dance program on physical fitness of elderly in the Sriwiang Village, Wiang Chai District, Chiang Rai Province. Journal of Health, Physical Education and Recreation, 48(1), 295-304. (in Thai)

National Statistical Office. (2024). The 2024 survey of the older persons in Thailand. https://www.nso.go.th/nsoweb/storage/survey_detail/2025/20241209145003_27188.pdf (in Thai)

Nawai, A., Ampansirirat, A., Kosanpipat, P., Fujai, S., & Phongphanngam, S. (2020). Development of a Fon Jerng exercise model to promote physical fitness and psychological well-being among community-dwelling older adults with knee pain. Journal of Social Science and Buddhistic Anthropology, 5(10), 266–285. (in Thai)

Palombi, T., Chirico, A., Cazzolli, B., Zacchilli, M., Alessandri, G., Filosa, L., Borghi, A., Fini, C., Antoniucci, C., Pistella, J., Alivernini, F., Baiocco, R., & Lucidi, F. (2025). Motivation, psychological needs and physical activity in older adults: A qualitative review. Age and Ageing, 54, afaf180. https://doi.org/10.1093/ageing/afaf180

Phutthipong, P., Winat, D., Arunrat, S., & Maithip, S. (2018). The optimal cut-off score of the dynamic balance test for predict risk of falls in community-dwelling older adults. Srinagarind Medical Journal, 33(4), 334-338. (in Thai)

Rittibul, P., & Chaiyasung, P. (2023). Development of physical activity model using applied dance arts for the elderly. Silpakorn University e-Journal, 43(6), 91–105. (in Thai)

Rodríguez, B., & Paris-Garcia, F. (2022). Influence of dance programmes on gait parameters and physical parameters of the lower body in older people: A systematic review. International Journal of Environmental Research and Public Health, 19(3), 1547. https://doi.org/10.3390/ijerph19031547

Rodseeda, P. (2018). Fall prevention among the elderly living in a community: The nursing role in home health care. Thai Red Cross Nursing Journal, 11(2), 15-25. (in Thai)

Rodsungnoen, J. (2021). Effects of exercise programs on balance and fear of falling among elderly in the community. Regional Health Promotion Center 9 Journal, 15(38), 541-560. (in Thai)

Sherrington, C., Fairhall, N., Wallbank, G., Tiedemann, A., Michaleff, Z. A., Howard, K., Clemson, L., Hopewell, S. & Lamb, S. (2020). Exercise for preventing falls in older people living in the community: An Abridged Cochrane Systematic Review. British Journal of Sports Medicine, 54(15), 885-891. https://doi.org/10.1136/bjsports-2019-101512

Smuntavekin, S., Kittichotpanich, B., & Chawpreecha, O. (2021). Effects of a Tai Chi and aerobic training program on muscular strength, balance, and quality of life in elders. Journal of The Police Nurses and Health Science, 13(2), 345-356. (in Thai)

Sribudta, N., Thojampa, S., & Naewbood, S. (2023). Effects of the self-efficacy enhancement program with the applied Fon-Jerng dance on falls prevention behaviors and balance among elderly in Phrae Province. Journal of Nursing and Health Sciences, 17(3), 26-38. (in Thai)

Thongsrikate, A., Rugchat, J., & Srinorajan, S. (2023). Well-being development of the elderly base on Lanna Wisdom: Consumption, agricultural and ritual media. Journal of Roi Kaensarn Academi, 8(8), 560-578. (in Thai)

Wang, D. X. M., Yao, J., Zirek, Y., Reijnierse, E. M., & Maier, A. B. (2020). Muscle mass, strength, and physical performance predicting activities of daily living: A meta-analysis. Journal of Cachexia, Sarcopenia and Muscle, 11(1), 3–25. https://doi.org/10.1002/jcsm.12502