Effects of Functional Exercises With Culturally Familiar Music in Mild Dementia

Medipol University40 enrolled

Overview

This study aims to explore how a functional exercise program, with or without culturally familiar music, affects physical function and quality of life in older adults with mild dementia. Participants were divided into two groups: one group performed functional exercises alone, while the other group performed the same exercises accompanied by music. The program was conducted twice a week for 8 weeks, with each session lasting 60 minutes. Researchers evaluated changes in daily living activities, balance level and quality of life before and after the program.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Mild Dementia Music Therapy

Interventions

Functional ExercisesOTHER

Warm-Up Exercises (10 min): Diaphragmatic breathing exercise, neck rotation (right \& left), rotational shoulder movements, trunk rotation, triceps stretching exercise, hamstring stretching exercise Each exercise was performed for 8 repetitions. Strengthening Exercises (40 min): In a seated position: Ankle plantar flexion and dorsiflexion exercises, ankle circumduction, knee extension, hip flexion, shoulder joint range of motion exercises in all directions, elbow and hand flexion-extension exercises In a standing position: Hip extension, toe raises, mini squats, standing on one leg, 360-degree turning, tandem walking exercises Each exercise was performed for 8 repetitions. Cool-Down Exercises (10 min): Diaphragmatic breathing exercise, neck rotation (right \& left), rotational shoulder movements, trunk rotation, triceps stretching exercise, hamstring stretching exercise Each exercise was performed for 8 repetitions.

Music InterventionOTHER

Slow-paced pieces in the Rast mode were selected for the warm-up and cool-down exercises, while more upbeat pieces in the Mahur mode were chosen for strength and balance exercises and played to the participants throughout the sessions alongside the exercises. To enhance participants' concentration, instrumental compositions in these selected culturally music modes were used. Instruments such as qanun, ney, kudüm, and oud were preferred in the performance of the compositions.

Eligibility

Sex: ALLMin age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * The inclusion criteria for participants were: voluntary participation, Mini-Mental State Examination (MMSE) scores between 17 and 24 indicating mild dementia * Residing in a nursing home, being over 65 years of age, * Having no problems understanding verbal commands. Exclusion Criteria: * Diagnosis of severe and untreated hearing impairment that would prevent them from listening to music * A history of musculoskeletal injury or neurological deficit that could affect exercise performance * A psychiatric disorder that could interfere with exercise compliance * Inability to cooperate during tests and exercises, and failure to attend two consecutive sessions.

Locations (2)

Atlas Nursing Home

Istanbul, Turkey (Türkiye)

Istanbul Huzur Hospital ve Dinleme Evleri Foundation

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

Four-Stage Balance Test

The Four-Stage Balance Test is a static balance assessment that measures an individual's ability to maintain stability in various standing positions. In the first stage, the feet are placed side by side. In the second stage, the instep of one foot is placed next to the big toe of the other foot. The third stage involves the tandem stance, where one foot is positioned directly in front of the other, with the heel touching the toes. In the final stage, the individual is asked to stand on one foot. At each stage, the participant is expected to maintain the position without moving or losing stability for 10 seconds. If the feet shift or the individual requires external support, the test is terminated. Participants are allowed to progress to the next stage only if they successfully complete the current one. The highest stage successfully completed is recorded. The test is not administered to individuals who are at high risk of falling or cannot be safely supported.

Time frame: From enrollment to the end of treatment at 8 weeks

Katz Index of Independence in Activities of Daily Living

It measures an individual's capacity to perform activities that are commonly required in daily life and their level of dependence on others. The index evaluates six basic activities: bathing, dressing, toileting, continence, and feeding. As the total score increases, the individual's ability to carry out these functions independently also increases.

Time frame: From enrollment to the end of treatment at 8 weeks

Secondary Outcomes

World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD)

Participants' quality of life was assessed using the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD). The scale consists of 24 Likert-type items grouped into six subscales: sensory abilities, autonomy, past, present and future activities, social participation, death and dying, and intimacy. Higher scores on the scale indicate better perceived quality of life.

Time frame: From enrollment to the end of treatment at 8 weeks

Data from ClinicalTrials.gov

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