The Effects of Functional Exercises Performed With Culturally Familiar Music on Daily Living Activities, Balance Level, and Quality of Life in Individuals With Mild Dementia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Four-Stage Balance Test
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
The person who performed the statistical analysis was blinded.
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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.
研究组 & 干预措施
Functional Exercise with Culturally Familiar Music Group
The exercise program was implemented with the same content, duration, and by the same researcher as the protocol used in the functional exercise group. Exercise sessions were conducted with music, and the music was provided by a single expert researcher. Slow-paced pieces in the Rast mode were selected for warm-up and cool-down exercises, while more upbeat pieces in the Mahur mode were used for strength and balance exercises. To enhance participants' concentration, instrumental compositions in these selected cultural music modes were used during the sessions. Instruments such as qanun, ney, kudüm, and oud were chosen to perform the compositions.
The music pieces were recorded in a quiet environment and played for the participants during exercise sessions via a JBL Go Essential Bluetooth speaker (IPX7). The use of pre-recorded music provided a standardized auditory stimulus for all participants, increasing the reproducibility of of the intervention and cont
干预措施: Functional Exercises (Other)
Functional Exercise with Culturally Familiar Music Group
The exercise program was implemented with the same content, duration, and by the same researcher as the protocol used in the functional exercise group. Exercise sessions were conducted with music, and the music was provided by a single expert researcher. Slow-paced pieces in the Rast mode were selected for warm-up and cool-down exercises, while more upbeat pieces in the Mahur mode were used for strength and balance exercises. To enhance participants' concentration, instrumental compositions in these selected cultural music modes were used during the sessions. Instruments such as qanun, ney, kudüm, and oud were chosen to perform the compositions.
The music pieces were recorded in a quiet environment and played for the participants during exercise sessions via a JBL Go Essential Bluetooth speaker (IPX7). The use of pre-recorded music provided a standardized auditory stimulus for all participants, increasing the reproducibility of of the intervention and cont
干预措施: Music Intervention (Other)
Functional Exercise Group
The exercise program consisted of warm-up, strength-balance, and cool-down exercises, all of which were administered to the participants under the supervision of a physiotherapist. Necessary precautions were taken to prevent participants from falling during the standing balance exercises.
干预措施: Functional Exercises (Other)
结局指标
主要结局
Four-Stage Balance Test
时间窗: From enrollment to the end of treatment at 8 weeks
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.
Katz Index of Independence in Activities of Daily Living
时间窗: From enrollment to the end of treatment at 8 weeks
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.
次要结局
- Hand Grip Strength(From enrollment to the end of treatment at 8 weeks)
- World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD)(From enrollment to the end of treatment at 8 weeks)
研究者
Çağla ÖZGÖREN
Principal Investigator, Lecturer in Physiotherapy, Specialist Physiotherapist
Medipol University