Functional Exercises With Turkish Music in Mild Dementia

NCT07123077 | Completed

• 1 other identifier: MedipolU-FTR-ÇÖ-02
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 2

Brief Summary

This study aims to explore how a functional exercise program, with or without 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 balance, mobility, risk and fear of falling, hand grip strength, daily living activities, and overall quality of life before and after the program.

Conditions

Mild Dementia; Music Therapy

Keywords

Mild Dementia; Functional Exercise; Music Therapy

Outcome Measures

Primary Outcomes (2)

• 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.

  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.

  From enrollment to the end of treatment at 8 weeks

Secondary Outcomes (2)

• 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

Study Arms (2)

Functional Exercise Group

EXPERIMENTAL

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.

Other: Functional Exercises

Functional Exercises with Music Group

EXPERIMENTAL

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 Turkish classical music modes were used during the sessions. Traditional Turkish 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

Other: Functional Exercises; Other: Music Intervention

Interventions

Functional Exercises OTHER

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.

Functional Exercise Group; Functional Exercises with Music Group

Music Intervention OTHER

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 Turkish classical music modes were used. Traditional Turkish instruments such as qanun, ney, kudüm, and oud were preferred in the performance of the compositions.

Functional Exercises with Music Group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Residing in a nursing home, being over 65 years of age,
• Having no problems understanding verbal commands.

You may not qualify if:

• 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.

Sponsors & Collaborators

• Medipol University: lead

Study Sites (2)

Atlas Nursing Home

Istanbul, Turkey (Türkiye)

Location

Istanbul Huzur Hospital ve Dinleme Evleri Foundation

Istanbul, Turkey (Türkiye)

Location

Study Officials

• Esra Çelik

  Istanbul Huzur Hospital and Dinlenme Evleri Foundation and Atlas Nursing Home

  PRINCIPAL INVESTIGATOR

• Çağla Özgören

  Medipol University

  PRINCIPAL INVESTIGATOR

• Sena Özdemir Görgü

  Medipol University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The person who performed the statistical analysis was blinded.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator, Lecturer in Physiotherapy, Specialist Physiotherapist

Study Record Dates

• First Submitted: July 28, 2025
• First Posted: August 14, 2025
• Study Start: February 1, 2025
• Primary Completion: April 20, 2025
• Study Completion: April 20, 2025
• Last Updated: May 15, 2026

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)