Volume 35, Issue 246 (7-2025)
J Mazandaran Univ Med Sci 2025, 35(246): 36-46 |
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Binesh M, Eslami J, Shahrokhi S, Mirzabeigi H, Naimi E, Mirshoja M S. The Effectiveness of Multisensory-Based Perceptual-Motor Exercises on Quality of Life and Daily Living Activities in Older Adults with Mild Cognitive Impairment: A Clinical Trial. J Mazandaran Univ Med Sci 2025; 35 (246) :36-46
URL: http://jmums.mazums.ac.ir/article-1-20380-en.html
URL: http://jmums.mazums.ac.ir/article-1-20380-en.html
Maryam Binesh 
, Jamil Eslami , Shima Shahrokhi , Hossein Mirzabeigi , Ensieh Naimi , Mina Sadat Mirshoja
, Jamil Eslami , Shima Shahrokhi , Hossein Mirzabeigi , Ensieh Naimi , Mina Sadat Mirshoja
Abstract: (97 Views)
Background and purpose: Older adults with mild cognitive impairment face challenges such as sensory deficits and reduced independence. The sensory integration approach, which involves daily exercises engaging multiple senses, has been shown to enhance coordination and sensorimotor performance. This study aimed to investigate the effects of multisensory-based sensorimotor exercises on quality of life and performance in daily activities in this population.
Materials and methods: This study employed a quasi-experimental design with a pre-test–post-test framework, featuring control and intervention groups, and was conducted as double-blind research. Purposive and convenience sampling was used to select 30 older adults, who were then randomly and equally assigned to control and intervention groups. Measurement tools included the Barthel Index and the LIPAD Quality of Life Questionnaire. The intervention consisted of eight individual therapy sessions, conducted twice a week over the course of one month for each participant.
Results: In this study, 24 men (80%) and 6 women (20%) with mild cognitive impairment participated, with a mean age of 63.9 years (SD= 6.7) and a mean cognitive score of 22.46 (SD= 4.95). Test-retest reliability for the short-form MMSE, Barthel Index, and LIPAD Quality of Life Questionnaire was 0.81, 0.83, and 0.82, respectively. The mean (SD) LIPAD Quality of Life and Barthel Index scores in the intervention and control groups were 28.88 (SD = 21.03) and 47.79 (SD = 26.4), respectively; for the Barthel Index specifically, scores were 68.2 (SD= 26.15) in the intervention group and 52.20 (SD=26.55) in the control group. Paired t-test results indicated that multisensory-based sensorimotor interventions had a significant effect on both quality of life and daily activities in older adults. In the control group, significant changes were observed only in daily activities, while quality of life showed no meaningful improvement.
Conclusion: Multisensory-based perceptual-motor exercises can reduce dependency among older adults and enhance their quality of life.
(Clinical Trials Registry Number: IRCT20171219037954N4)
Materials and methods: This study employed a quasi-experimental design with a pre-test–post-test framework, featuring control and intervention groups, and was conducted as double-blind research. Purposive and convenience sampling was used to select 30 older adults, who were then randomly and equally assigned to control and intervention groups. Measurement tools included the Barthel Index and the LIPAD Quality of Life Questionnaire. The intervention consisted of eight individual therapy sessions, conducted twice a week over the course of one month for each participant.
Results: In this study, 24 men (80%) and 6 women (20%) with mild cognitive impairment participated, with a mean age of 63.9 years (SD= 6.7) and a mean cognitive score of 22.46 (SD= 4.95). Test-retest reliability for the short-form MMSE, Barthel Index, and LIPAD Quality of Life Questionnaire was 0.81, 0.83, and 0.82, respectively. The mean (SD) LIPAD Quality of Life and Barthel Index scores in the intervention and control groups were 28.88 (SD = 21.03) and 47.79 (SD = 26.4), respectively; for the Barthel Index specifically, scores were 68.2 (SD= 26.15) in the intervention group and 52.20 (SD=26.55) in the control group. Paired t-test results indicated that multisensory-based sensorimotor interventions had a significant effect on both quality of life and daily activities in older adults. In the control group, significant changes were observed only in daily activities, while quality of life showed no meaningful improvement.
Conclusion: Multisensory-based perceptual-motor exercises can reduce dependency among older adults and enhance their quality of life.
(Clinical Trials Registry Number: IRCT20171219037954N4)
Keywords: perceptual-motor skills, multisensory interventions, daily activities, elderly, cognitive deficits
Type of Study: Research(Original) |
Subject:
Occupational therapy
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