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

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...

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Main Authors: Maryam Binesh, Jamil Eslami, Shima Shahrokhi, Hossein Mirzabeigi, Ensieh Naimi, Mina Sadat Mirshoja
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2025-07-01
Series:Journal of Mazandaran University of Medical Sciences
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Online Access:http://jmums.mazums.ac.ir/article-1-20380-en.pdf
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author Maryam Binesh
Jamil Eslami
Shima Shahrokhi
Hossein Mirzabeigi
Ensieh Naimi
Mina Sadat Mirshoja
author_facet Maryam Binesh
Jamil Eslami
Shima Shahrokhi
Hossein Mirzabeigi
Ensieh Naimi
Mina Sadat Mirshoja
author_sort Maryam Binesh
collection DOAJ
description 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)
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spelling doaj-art-e7f1b2b915ef4884a50135f8ad94f4ed2025-08-20T03:51:19ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792025-07-01352463646The Effectiveness of Multisensory-Based Perceptual-Motor Exercises on Quality of Life and Daily Living Activities in Older Adults with Mild Cognitive Impairment: A Clinical TrialMaryam Binesh0Jamil Eslami1Shima Shahrokhi2Hossein Mirzabeigi3Ensieh Naimi4Mina Sadat Mirshoja5 Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran Assistant Professor, Department of Occupational Therapy, School of Rehabilitation Sciences, Semnan University of Medical Sciences, Semnan, Iran 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)http://jmums.mazums.ac.ir/article-1-20380-en.pdfperceptual-motor skillsmultisensory interventionsdaily activitieselderlycognitive deficits
spellingShingle Maryam Binesh
Jamil Eslami
Shima Shahrokhi
Hossein Mirzabeigi
Ensieh Naimi
Mina Sadat Mirshoja
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
Journal of Mazandaran University of Medical Sciences
perceptual-motor skills
multisensory interventions
daily activities
elderly
cognitive deficits
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic perceptual-motor skills
multisensory interventions
daily activities
elderly
cognitive deficits
url http://jmums.mazums.ac.ir/article-1-20380-en.pdf
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