Effectiveness of dynamic gait exercises on glycemic control and mobility in older adults with diabetes

Introduction: Dynamic gait exercises have been proposed as a strategy to enhance gait stability and metabolic control in older adults with diabetes. however, comparative effectiveness between dynamic gait and traditional exercise programs has not been fully investigated. Objective: The objective of this study was to evaluate the effects of dynamic walking exercises on walking ability and glycemic control in older adults with diabetes and to compare these outcomes with those of traditional exercise programs. Methodology: A randomized controlled trial was conducted with sixty participants randomly assigned to two groups of thirty each. dynamic gait index scores, glycated hemoglobin levels from medical records, and quality of life based on the sf-12 questionnaire were recorded before and after a twelve-week intervention. Results: In the dynamic gait group, DGI scores improved from 16.24 ± 2.30 to 23.85 ± 1.87, hba1c levels decreased from 8.32 ± 0.32 to 5.78 ± 0.22, and sf-12 scores increased from 49.26 ± 6.10 to 67.86 ± 5.54. all changes were statistically significant (p < 0.001). Discussion: These findings align with existing literature showing that task-specific gait training improves neuromuscular coordination and metabolic control in diabetic populations. Conclusions: dynamic gait training should be integrated into rehabilitation programs to improve mobility and glycemic outcomes in older diabetic adults.