Effect of Ruesi Dadton on vital capacity, flexibility and range of motion in healthy elderly individuals

Main Article Content

Phaksachiphon Khanthong
Ananya Dechakhamphu
Amornrat Natason


Pulmonary function and physical performance decrease with age, resulting in an increase in morbidity and mortality in the elderly. Ruesi Dadton (RD) combines various protocols for health promotion suitable for all ages, including deep breathing and stretching. The aims of this quasi-experimental study were to investigate the effectiveness of RD on vital capacity and the physical performance in healthy elderly individuals after 4 and 12 weeks in pre-post intervention. Twenty-three participants were instructed to perform RD for 60 min, 3 times/week over a 12-week period. Measurement tools included spirometry device, a sit-and-reach (SR) box, and a goniometer to measure vital capacity (VC), which flexibility and range of motion were assessed. All parameters showed significant improvement. SR and shoulder flexion improved at all measurement time-points. VC and hip extension were significantly different after 12 weeks of RD. Shoulder extension significantly increased after 12 weeks of RD versus that at baseline and the 4-week timepoint. Hip flexion significantly improved from baseline to the 12-week timepoint. However, there was no change in shoulder abduction. Thus, it is recommended that the use of RD for health promotion may improve respiratory and musculoskeletal function in healthy elderly individuals.


Download data is not yet available.

Article Details

How to Cite
Khanthong, P., Dechakhamphu, A., & Natason, A. (2022). Effect of Ruesi Dadton on vital capacity, flexibility and range of motion in healthy elderly individuals. Science, Engineering and Health Studies, 16, 22050003. https://doi.org/10.14456/sehs.2022.8
Health sciences


Aiemong, R., Konguan, W., Kanokvalaiwan, S., Vannajak, P. T., and Vannajak, K. (2018). The immediate and short term effects of dynamic sitting exercise and Rusie Dutton on trunk flexibility in healthy sedentary. The Public Health Journal of Burapha University, 13(1), 1-10. [in Thai]

Bahat, G., Tufan, F., Saka, B., Akin, S., Ozkaya, H., Yucel, N., Erten, N., and Karan, M. A. (2012). Which body mass index (BMI) is better in the elderly for functional status? Archives of Gerontology and Geriatrics, 54(1), 78-81.

Bhaskar, V. (2021). Effect of suryanamaskar on functional mobility, functional reach and trunk flexibility of elderly men. International Journal of Physiology, Nutrition and Physical Education, 6(1), 94-98.

Chard, M. D., Hazleman, R., Hazleman, B. L., King, R. H., and Reiss, B. B. (1991). Shoulder disorders in the elderly: a community survey. Arthritis and Rheumatism, 34(6), 766-769.

Chen, K. M., and Tseng, W. S. (2008). Pilot-testing the effects of a newly-developed silver yoga exercise program for female seniors. Journal of Nursing Research, 16(1), 37-46.

Chiacchiero, M., Dresely, B., Silva, U., DeLosReyes, R., and Vorik, B. (2010). The relationship between range of movement, flexibility, and balance in the elderly. Topics in Geriatric Rehabilitation, 26(2), 148-155.

Chidnok, W, Weerapun O, Wasuntarawat C, Lertsinthai P, and Sripariwuth, E. (2007). Effects of Ruesi Dadton (hermit training) on muscle strength, respiration and exercise performance in females. Thai Journal of Physical Therapy, 27(3), 126- 136.

Department of Older Persons. (2021). Statistics of the elderly in Thailand, 77 provinces as of December 31, 2020. [Online URL: https://www.dop.go.th/th/know/side/1/1/335] accessed on March 11, 2021. [in Thai]

Dyer, C. (2012). The interaction of ageing and lung disease. Chronic Respiratory Disease, 9(1), 63-67.

Ezzati, M., Friedman, A. B., Kulkarni, S. C., and Murray, C. J. (2008). The reversal of fortunes: trends in county mortality and cross-county mortality disparities in the United States. PLoS Medicine, 5(4), e66.

Fan, J. T., and Chen, K. M. (2011). Using silver yoga exercises to promote physical and mental health of elders with dementia in long-term care facilities. International Psychogeriatrics, 23(8), 1222-1230.

George, J. H., Kiyoji, T., Ryosuke, S., and Masaki, N. (2002). Flexibility and physical functions of older adults: a review. Journal of Aging and Physical Activity, 10(2), 169-206.

Gonçalves, L. C., Vale, R. G. d. S., Barata, N. J. F., Varejão, R. V., and Dantas, E. H. M. (2011). Flexibility, functional autonomy and quality of life (QoL) in elderly yoga practitioners. Archives of Gerontology and Geriatrics, 53(2), 158-162.

Gothe, N. P., and McAuley, E. (2016). Yoga is as good as stretching–strengthening exercises in improving functional fitness outcomes: results from a randomized controlled trial. The Journals of Gerontology: Series A, 71(3), 406-411.

Graham, B. L., Steenbruggen, I., Miller, M. R., Barjaktarevic, I. Z., Cooper, B. G., Hall, G. L., Hallstrand, T. S., Kaminsky, D. A., McCarthy, K., McCormack, M. C., Oropez, C. E., Rosenfeld, M., Stanojevic, S., Swanney, M. P., and Thompson, B. R. (2019). Standardization of spirometry 2019 update An official American thoracic society and European respiratory society technical statement. American Journal of Respiratory and Critical Care Medicine, 200(8), 70-88.

Gupta, R. P., and Strachan, D. P. (2017). Ventilatory function as a predictor of mortality in lifelong non-smokers: evidence from large British cohort studies. BMJ Open, 7(7), e015381.

Hua, Y., Xiaojuan, R., Yuefeng, W., Ying, Z., and Hongmei, D. (2016). An empirical study on the effect of tai chi exercise on the physical and mental health of the elderly based on network data. Revista Ibérica de Sistemas e Tecnologias de Informação, 13(12), 219-227.

Khanthong, P., Natason, A., and Dechakhamphu, A. (2022). Benefit of Ruesi Dadton on oxidative stress and physical performance: quasi-experimental study. Physical and Occupational Therapy in Geriatrics, 40(1), 79-93.

Khanthong, P., Sriyakul, K., Dechakhamphu, A., Krajarng, A., Kamalashiran, C., and Tungsukruthai, P. (2021). Traditional Thai exercise (Ruesi Dadton) for improving motor and cognitive functions in mild cognitive impairment: a randomized controlled trial. Journal of Exercise Rehabilitation, 17(5), 331-338.

Khanthong, P., Suktho, S., Panthprohm, S., Thaenhom, K., and Rahan, W. (2019). The immediate effects of individual thai yoga on back flexibility in the elderly. UBRU Journal for Public Health Research, 7(2), 108-114. [in Thai]

Kongkaew, C., Lertsinthai, P., Jampachaisri, K., Mongkhon, P., Meesomperm, P., Kornkaew, K., and Malaiwong, P. (2018). The effects of Thai yoga on physical fitness: A meta-analysis of randomized control trials. Journal of Alternative and Complementary Medicine, 24(6), 541-551.

Lemmink, K. A. P. M., Kemper, H. C. G., Greef, M. H. G., Rispens, P., and Stevens, M. (2003). The validity of the sit-and-reach test and the modified sit-and-reach test in middle-aged to older men and women. Research Quarterly for Exercise and Sport, 74(3), 331-336.

Lim, S., Kwon, S. Y., Yoon, J. W., Kim, S. Y., Choi, S. H., Park, Y. J., Yoon, H. I., Chang, Y. S., Lee, J. H., Lee, C. T., Kim, K. W., Park, K. S., and Jang, H. C. (2011). Association between body composition and pulmonary function in elderly people: the Korean longitudinal study on health and aging. Obesity, 19(3), 631-638.

Lu, W. A., and Kuo, C. D. (2012). Effect of 3-month tai chi chuan on heart rate variability, blood lipid and cytokine profiles in middle-aged and elderly individuals. International Journal of Gerontology, 6(4), 267-272.

Mayorga-Vega, D., Merino-Marban, R., and Viciana, J. (2014). Criterion-related validity of sit-and-reach tests for estimating hamstring and lumbar extensibility: a meta-analysis. Journal of Sports Science & Medicine, 13(1), 1-14.

Milanović, Z., Pantelić, S., Trajković, N., Sporiš, G., Kostić, R., and James, N. (2013). Age-related decrease in physical activity and functional fitness among elderly men and women. Clinical Interventions in Aging, 8, 549-556.

Natason, A., Khanthong, P., and Dechakhamphu, A. (2020). The effect of Rueseedutton exercise postures on nutritional status and quality of life in older people. Ramathibodi Nursing Journal, 26(1), 90-106.

Noradechanunt, C., Worsley, A., and Groeller, H. (2017). Thai Yoga improves physical function and well-being in older adults: a randomised controlled trial. Journal of Science and Medicine in Sport, 20(5), 494-501.

Oyarzún, G. M. (2009). Pulmonary function in aging. Revista Medica de Chile, 137(3), 411-418.

Pavlica, T., Bozic-Krstic, V., and Rakic, R. (2010). Correlation of vital lung capacity with body weight, longitudinal and circumference dimensions. Biotechnology & Biotechnological Equipment, 24, 325-328.

Pimboon, B., Supaporn, S., and Peepathum, P. (2021). Effects of qigong, tai chi and yoga training on balance and physical fitness in elderly females. Christian University Journal, 27(1), 97-109. [in Thai]

Pongnaratorn, P. (2015). The effects of applied Ruesi Datton exercise on movement and flexibility of the back in low back pain patients. Journal of Thai Traditional & Alternative Medicine, 13(3), 247-257. [in Thai]

Ross, R., Goodpaster, B. H., Koch, L. G., Sarzynski, M. A., Kohrt, W. M., Johannsen, N. M., Skinner, J. S., Castro, A., Irving, B. A., Noland, R. C., Sparks, L. M., Spielmann, G., Day, A. G., Pitsch, W., Hopkins, W. G., and Bouchard, C. (2019). Precision exercise medicine: understanding exercise response variability. British Journal of Sports Medicine, 53(18), 1141-1153.

Sanford, A. M., Morley, J. E., Berg-Weger, M., Lundy, J., Little, M. O., Leonard, K., and Malmstrom, T. K. (2020). High prevalence of geriatric syndromes in older adults. PLoS ONE, 15(6), e0233857.

Santaella, D. F., Devesa, C. R., Rojo, M. R., Amato, M. B., Drager, L. F., Casali, K. R., Montano, N., and Lorenzi-Filho, G. (2011). Yoga respiratory training improves respiratory function and cardiac sympathovagal balance in elderly subjects: a randomised controlled trial. BMJ Open, 1(1), e000085.

Sharma, G., and Goodwin, J. (2006). Effect of aging on respiratory system physiology and immunology. Clinical Interventions in Aging, 1(3), 253-260.

Shephard, R. J., Berridge, M., and Montelpare, W. (1990). On the generality of the “sit and reach” test: an analysis of flexibility data for an aging population. Research Quarterly for Exercise and Sport, 61(4), 326-330.

Soucie, J. M., Wang, C., Forsyth, A., Funk, S., Denny, M., Roach, K. E., Boone, D., and Hemophilia Treatment Center Network (2011). Range of motion measurements: reference values and a database for comparison studies. Haemophilia, 17(3), 500-507.

Subcharoen, P. (2013). Rue Si Dat Ton, 1st, Bangkok: Post publishing, Department of Thai Traditional and Alternative Medicine, pp. 1-76.

Takeshima, N., Islam, M. M., Kato, Y., Koizumi, D., Narita, M., Kitabayashi, Y., Rogers, N. L., and Rogers, M. E. (2017). Effects of 12 weeks of tai chi chuan training on balance and functional fitness in older Japanese adults. Sports, 5(2), 32.

Tanasugarn, L., Natearpha, P., Kongsakon, R., Chaosaowapa, M., Choatwongwachira, W., Seanglaw, D., Kiratisin, P., Namatra, C., Srinonprasert, V., Nimmannnit, A., Vannabhum, M., Laohapand, T., and Kuptniratsaikul, V. (2015). Physical effects and cognitive function after exercising "Rue-si-dad-ton" (exercise using the posture of the hermit doing body contortion): a randomized controlled pilot trial. Journal of the Medical Association of Thailand, 98(3), 306-313.

Thonglong, T., and Rattanathantong, K. (2017). Effects of traditional Thai hermit's exercise or Ruesi Dudton on flexibility and range of motion in female university students. Thai Pharmaceutical and Health Science Journal, 12(3), 129-132.

Watt, J. R., Jackson, K., Franz, J. R., Dicharry, J., Evans, J., and Kerrigan, D. C. (2011). Effect of a supervised hip flexor stretching program on gait in elderly individuals. Randomized Controlled Trial, 3(4), 324-329.

Wattanathorn, J., Boonterm, T., Thukhummee, W., Muchimapura, S., Wannanon, P., Kaewbutra, S., Chinnabut, W., Chaisiwamongol, K., and Kaewkaen, P. (2012). Evaluation of Thai style stretching exercise on "Ruesi Dud Ton" on physical health and oxidative stress in healthy volunteer. OnLine Journal of Biological Sciences, 12(4), 134-141.

Wells, K. F., and Dillon, E. K. (1952). The sit and reach—A test of back and leg flexibility. American Association for Health, Physical Education and Recreation, 23(1), 115-118.

Widjaja, W., Wongwattanapong, T., Laskin, J. J., and Ajjimaporn, A. (2021). Benefits of Thai yoga on physical mobility and lower limb muscle strength in overweight/obese older women: a randomized controlled pilot trial. Complementary Therapies in Clinical Practice, 43, 101345.

Won, C. W., Yoo, H. J., Yu, S. H., Kim, C. O., Dumlao, L. C. I., Dewiasty, E., Rowland, J., Chang, H. H., Wang, J., Akishita, M., Tan, T. L., Lum, C., and Prakash, O. (2013). Lists of geriatric syndromes in the Asian-Pacific geriatric societies. European Geriatric Medicine, 4(5), 335-338.

Wong, A., Figueroa, A., Sanchez-Gonzalez, M. A., Son, W. M., Chernykh, O., and Park, S. Y. (2018). Effectiveness of tai chi on cardiac autonomic function and symptomatology in women with fibromyalgia: a randomized controlled trial. Journal of Aging and Physical Activity, 26(2), 214-221.

World Health Organization Expert Consultation. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. The Lancet, 363(9403), 157-163.