Multisensory Exercises Research Articles

Effect of Selected Fall-proof Exercises on Fear of Falling and Quality of Life in the Elderly

Objectives: Fear of falling in the elderly can be a disabling disease that causes negative outcomes including reduced daily productivity, reduced physical activities, and lower quality of life. The present study evaluates effects of an 8-week training protocol with selected Fallproof exercises on fear of falling and quality of life in the elderly. Methods & Materials: This is a quasi-experimental study that initiated in 2019. Population of the study includes 53 elderly from nursing homes in Rasht, from among which 24 individuals aged 60-74 were selected using convenience sampling based on inclusion criteria. The subjects were randomly assigned to experimental (n=12; 66.41±4.41 and control n=12; 66.16±2.40) groups. Fallproof exercises include a range of multisensory exercises (visual, vestibular, and somatosensory), center of gravity control, postural strategies, and power training including toe and heel walking, knee flexion and extension, adduction and abduction. Training intensity was increased based on overload principle and individual differences in an 8-week training protocol, three times a week for 60 minutes. Paired t-test and covariance analysis were used for intra-group and inter-group comparisons, respectively. Data analysis was performed using SPSS at significance level of P<0.05. Results: Our results indicate that fear of falling P<0.001 and quality of life P<0.01 improved significantly in the experimental group while showing no differences in the control group. Conclusion: It is concluded that Fallproof exercises significantly improve quality of life and reduce fear of falling in the elderly. This is observed in improvements in the experimental group. Considering multidimensional effects of Fallproof exercises and multifactor nature of fear of falling, these training protocols can be applied in rehabilitation programs in care centers for the elderly.

Efficacy of multisensory exercise programme on cognition and functionality in postmenopausal women

Efficacy of multisensory exercise programme on cognition and functionality in postmenopausal women

Efeitos do treinamento multissensorial na mobilidade de tronco e no equilíbrio em idosos comunitários

Este é um estudo avaliativo, quantitativo-descritivo, que teve como objetivo avaliar os efeitos de um programa de exercícios multissensoriais na mobilidade de tronco e no equilíbrio de idosos comunitários frequentadores de um grupo de exercício físico orientado, realizado no segundo semestre de 2018. Participaram do estudo 20 idosos que foram submetidos a uma avaliação inicial do Índice Massa Corpórea e Teste do Alcance Funcional e após oito semanas de intervenção ao Teste do Alcance Funcional. Foram realizados exercícios multissensoriais, duas vezes por semana, com duração de 60 minutos por oito semanas. Os resultados mostraram que os idosos apresentam IMC de 26,33 ± 4,48, considerado dentro do limite de normalidade para idosos e no Teste do Alcance Funcional a média inicial foi de 31,98 ± 6,13 e após intervenção, 34,45 ± 8,77 (p=0,08), indicando que embora tenha havido melhora em valores absolutos, o treinamento não foi suficiente para promover melhora significativa.

Effects of the Use of Anchor Systems in the Rehabilitation of Dynamic Balance and Gait in Individuals With Chronic Dizziness of Peripheral Vestibular Origin: A Single-Blinded, Randomized, Controlled Clinical Trial

ObjectiveTo assess the effectiveness of the anchors in the balance rehabilitation of participants with chronic peripheral vestibulopathy who failed to respond positively to conventional rehabilitation for dynamic balance and gait. DesignAssessor-blind, randomized controlled trial. SettingDepartment of Otoneurology and Laboratory of Assessment and Rehabilitation of Equilibrium. ParticipantsWomen with chronic dizziness of peripheral vestibular origin (N=42), who continued to show otoneurologic symptoms for more than 6 months after starting classic vestibular rehabilitation, with no clinical improvement observed. InterventionsParticipants were randomly assigned to receive a clinical intervention with the anchor system, a clinical intervention without the anchor system, or no intervention or anchor system. The intervention was based on multi-sensory exercises for 6 weeks, twice a week, totaling 12 sessions, in groups of up to 4 participants, with an average time of 40 minutes per session. Main Outcome MeasuresThe primary outcome was functional balance as assessed by the short version of the Balance Evaluation Systems Test. The secondary outcomes were gait parameters of step width in meters, step length in meters, and gait speed in meters per second. The measures were assessed preintervention and postintervention, and after a 3-month follow-up period. ResultsThe proposed intervention was beneficial for dizziness, balance, and gait for both groups studied. At the 3-month follow-up, only the group that used anchors retained the benefits related to the physical aspects of dizziness, balance, and gait. ConclusionsThe present study found that the proposed intervention protocol, with or without the use of anchors, was beneficial for improving the dizziness, balance, and gait. However, retention of the benefits achieved through the exercise protocol was observed only for those using the anchor system, which promotes the use of haptic information. The use of anchors was effective, in short protocols (12wk), with maintenance of results after 3 months.

Effects of multisensory exercises on improving physical function and reducing number of falls in subjects with diabetic neuropathy

Effects of multisensory exercises on improving physical function and reducing number of falls in subjects with diabetic neuropathy

Effectiveness of interventions to indirectly support food and drink intake in people with dementia: Eating and Drinking Well IN dementiA (EDWINA) systematic review.

BackgroundRisks and prevalence of malnutrition and dehydration are high in older people but even higher in older people with dementia. In the EDWINA (Eating and Drinking Well IN dementiA) systematic review we aimed to assess effectiveness of interventions aiming to improve, maintain or facilitate food/drink intake indirectly, through food service or dining environment modification, education, exercise or behavioural interventions in people with cognitive impairment or dementia (across all settings, levels of care and support, types and degrees of dementia).MethodsWe comprehensively searched Medline and twelve further databases, plus bibliographies, for intervention studies with ≥3 cognitively impaired adult participants (any type/stage). The review was conducted with service user input in accordance with Cochrane Collaboration’s guidelines. We duplicated assessment of inclusion, data extraction, and validity assessment, tabulating data. Meta-analysis (statistical pooling) was not appropriate so data were tabulated and synthesised narratively.ResultsWe included 56 interventions (reported in 51 studies). Studies were small and there were no clearly effective, or clearly ineffective, interventions. Promising interventions included: eating meals with care-givers, family style meals, soothing mealtime music, constantly accessible snacks and longer mealtimes, education and support for formal and informal care-givers, spaced retrieval and Montessori activities, facilitated breakfast clubs, multisensory exercise and multicomponent interventions.ConclusionsWe found no definitive evidence on effectiveness, or lack of effectiveness, of specific interventions but studies were small and short term. A variety of promising indirect interventions need to be tested in large, high-quality RCTs, and may be approaches that people with dementia and their formal or informal care-givers would wish to try.Trial registrationThe systematic review protocol was registered (CRD42014007611) and is published, with the full MEDLINE search strategy, on Prospero (http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42014007611).Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-016-0256-8) contains supplementary material, which is available to authorized users.

다감각 운동이 여성노인의 발 바닥 압력감각, 균형에 미치는 영향

Objective : The purpose of this study was to analyze the effects of multisensory exercise on foot pressure sensitivity and balance for the elderly. Method : The subjects were 17 elderly women (11 for the experimental group and 6 for the control group) with a mean age of 83. The subjects all lived in...

Feeling Forward into the Past: Depths and Surfaces in Archaeology

As novice archaeologists learn to project their attention beyond what is immediately visible on the ground, in the company of experts who support them by drawing their attention through gestures, they develop a capacity to feel forward into the absent properties of the landscape. A multisensory exercise, this capacity constitutes a movement not only to the future but also into a deeply buried past. This experience, common to the practice of excavation, has been recently questioned by the landscape approach and the archaeology of the contemporary past, which have invited practitioners to lift the past up to the surface. Unlike the traditional corporeal tendency to look downward, these approaches have encouraged archaeologists to raise their heads and walk the past, following the image of an unfolding horizon. This contrast suggests continuity between the ecology of movement and time concepts. I argue that concepts of time are not abstract entities, fixedly stored inside the mind, but sentient acts of conceptualization that depend on the dynamic field of forces in which things and people become entangled. As sentient conceptualizations, concepts are neither discovered nor constructed, but grow as archaeologists learn to find their ways through materials in a world in constant formation.

Effects of Multisensory Training on Balance and Gait in Persons with Type 2 Diabetes: A Randomised Controlled Trial

Purpose: Progressive deterioration of physical function occurs in persons with Type 2 diabetes and peripheral neuropathy. This study assessed the effects of multisensory training on balance and gait in persons with diabetic neuropathies. Method: Thirty two persons with peripheral neuropathies were enrolled, randomised, and subdivided into 2 groups - an experimental group of 16 participants with diabetes (65 ± 2.12 years) and a control group of 16 participants with diabetes (68 ± 2.17 years). For 6 weeks, both groups were given health education on diabetes for 30 minutes a week. In addition, the experimental group practised a multisensory exercise programme for 30 minutes, 3 times a week over 6 weeks. Outcome measures used were ‘timed up and go’ test for assessing balance and ‘6-minute walk’ test for gait. Standard descriptive statistics were used to report means, standard deviation, and range for baseline characteristics. Paired and unpaired ‘t-tests’ were used wherever necessary, to determine significant differences in data among groups and between pre-test and post-test scores (p<0.05). Results: By the end of the trial period, the intervention group showed a significant improvement in scores of the ‘timed up and go’ test (t= 14.7092), but there was no statistically significant difference in the ‘6-minute walk’ test scores (p=0.7206, t= 0.3644).There was no difference for both measures in the control group. Conclusion: The study showed that multisensory exercises could improve balance in persons with Type 2 diabetes and peripheral neuropathy. The findings suggest that along with physiological sensory factors, cognitive-behavioural factors and strengthening of the lower limb muscles should be considered when treating diabetic persons with gait alterations. doi 10.5463/DCID.v24i1.206

P17-15 Selective attention improves with a multi-sensory finger exercise

P17-15 Selective attention improves with a multi-sensory finger exercise

The effect of a multisensory exercise program on engagement, behavior, and selected physiological indexes in persons with dementia.

A multisensory exercise approach that evokes the stimulation and use of various senses, such as combining physical and cognitive stimuli, can assist in the management of persons with Alzheimer's disease (AD). The objective of this study was to evaluate the outcomes of a multisensory exercise program on cognitive function (engagement), behavior (mood), and physiological indices (blood pressure, resting heart rate, and weight) in 13 nursing home residents diagnosed with moderate to severe AD. A one-group pretest/post-test, quasi-experimental design was used. The program combined a variety of sensory stimulations, integrating storytelling and imaging strategies. Results showed an improvement in resting heart rate, overall mood, and in engagement of physical activity. The findings suggest that a multisensory exercise approach can be beneficial for individuals with AD.

The multi-sensory approach to the optometric management of children with specific learning difficulties (such as dyslexia and dyspraxia)

In the 1920's Skeffington portrayed vision as a product of the interaction of four component subprocesses. These sub-processes were depicted as four overlapping intertwined circles, with vision emerging as a product of their interaction. The circles represent the antigravity system, centring, identification and speech auditory processes. He postulated that if any of these sub-processes fails to develop correctly, the emergent vision will be affected. In children with specific learning difficulties these sub-processes can be affected to different degrees. So as well as the more well documented problems with tracking eye movements, convergence insufficiency, reduced fusional reserves and accommodative facility, all of which can be improved with specific exercises, attention should also be given to multisensory exercises. Visual space is a varying mix of central and peripheral vision. The attention given to each will vary with visual task, and also from person to person. For best visual performance the correct balance between the two systems is required. If a person is too centrally oriented they tend to be very “focal” in their behavior, ignoring peripheral stimuli and paying too much attention to detail and tend to process sequentially. In contrast the peripherally biased person has poor concentration, jumps from one thing to the other and is easily distracted by peripheral stimuli; a particular problem in a busy classroom environment. The types of problems commonly found in youngsters with specific learning difficulties will be presented, with the emphasis on a multisensory exercise programme specifically designed to improve these problems.

The multi‐sensory approach to the optometric management of children with specific learning difficulties (such as dyslexia and dyspraxia)

In the 1920's Skeffington portrayed vision as a product of the interaction of four component subprocesses. These sub‐processes were depicted as four overlapping intertwined circles, with vision emerging as a product of their interaction. The circles represent the antigravity system, centring, identification and speech auditory processes. He postulated that if any of these sub‐processes fails to develop correctly, the emergent vision will be affected.In children with specific learning difficulties these sub‐processes can be affected to different degrees. So as well as the more well documented problems with tracking eye movements, convergence insufficiency, reduced fusional reserves and accommodative facility, all of which can be improved with specific exercises, attention should also be given to multisensory exercises.Visual space is a varying mix of central and peripheral vision. The attention given to each will vary with visual task, and also from person to person. For best visual performance the correct balance between the two systems is required. If a person is too centrally oriented they tend to be very “focal” in their behavior, ignoring peripheral stimuli and paying too much attention to detail and tend to process sequentially. In contrast the peripherally biased person has poor concentration, jumps from one thing to the other and is easily distracted by peripheral stimuli; a particular problem in a busy classroom environment.The types of problems commonly found in youngsters with specific learning difficulties will be presented, with the emphasis on a multisensory exercise programme specifically designed to improve these problems.

Increasing Communication with Multi-Sensory Exercises

Increasing Communication with Multi-Sensory Exercises