Evaluations
This study implemented a single-blind design to minimize bias and ensure the impartiality of the results. Blinding occurred at various stages of the research process. Firstly, the randomization process, conducted by a separate researcher, ensured that participants were assigned to either the experimental or control group without any knowledge of their group allocation. Secondly, during the exercise sessions, a different researcher served as the observer and guide for both groups, ensuring that they remained unaware of their group status. Furthermore, data evaluation and analysis were carried out by individuals who were unaware of which group the participants belonged to, as participants engaged in sessions on different days and times. This comprehensive blinding approach was adopted to maintain the integrity and objectivity of the study results.All data collection and pre-intervention outcome measure assessments were made by the researcher during the initial qualifying phase of the study participants in an isolated room at the local municipal health clinic. Outcome measurements were repeated at the end of the study at the same location. The detailed Consort flow chart of the study is given in 