Penerapan Brain Gym Exercise dan Memory Training terhadap Perubahan Fungsi Kognitif pada Lansia dengan Demensia

Authors

  • Sari Triyulianti Universitas Abdurrab Author
  • Sepdina Harlianti Universitas Abdurrab Author
  • Ayu Permata Universitas Abdurrab Author
  • Nova Relida Samosir Universitas Abdurrab Author
  • Siti Muawanah Universitas Abdurrab Author
  • Salsabila Putri Syahrika Universitas Abdurrab Author

DOI:

https://doi.org/10.70437/excellent.v4i2.240

Keywords:

Brain Gym Exercise, Demensia, Fungsi Kognitif, Lansia, Memory Training, Mini-Mental State Examination (MMSE)

Abstract

Demensia merupakan gangguan neurodegeneratif yang menjadi permasalahan kesehatan global karena menyebabkan penurunan fungsi kognitif progresif yang berdampak terhadap kemampuan lansia dalam melakukan aktivitas sehari-hari. Gangguan kognitif pada demensia ditandai dengan penurunan memori, orientasi, perhatian, dan kemampuan berpikir yang dapat menurunkan kualitas hidup. Salah satu pendekatan nonfarmakologis untuk mempertahankan fungsi kognitif adalah Brain Gym Exercise dan Memory Training melalui stimulasi aktivitas otak, koordinasi, konsentrasi, dan kemampuan mengingat. Penelitian ini bertujuan mengetahui perubahan fungsi kognitif setelah pemberian Brain Gym Exercise dan Memory Training pada lansia dengan demensia. Studi kasus dilakukan pada seorang pasien lansia berusia 73 tahun dengan diagnosis demensia yang diberikan intervensi Brain Gym Exercise dan Memory Training sebanyak 12 sesi selama 4 minggu. Evaluasi fungsi kognitif dilakukan menggunakan Mini-Mental State Examination (MMSE) sebelum dan setelah intervensi. Hasil menunjukkan skor MMSE meningkat dari 14 sebelum intervensi yang termasuk kategori demensia sedang menjadi 23 setelah intervensi yang termasuk kategori demensia ringan. Brain Gym Exercise dan Memory Training menunjukkan perubahan positif terhadap fungsi kognitif lansia dengan demensia dan berpotensi diterapkan sebagai intervensi fisioterapi berbasis stimulasi kognitif yang praktis, noninvasif, serta dapat diintegrasikan dalam program rehabilitasi lansia.

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References

Balbim, G. M., Falck, R. S., Barha, C. K., Starkey, S. Y., Bullock, A., Davis, J. C., & Ambrose, T. L.-. (2022). Effects of exercise training on the cognitive function of older adults with different types of dementia : a systematic review and meta- ­ analysis. 933–940. https://doi.org/10.1136/bjsports-2021-104955

Bidaurrazaga-letona, I., Varela, S., & Ay, C. (2023). The effect of Brain Gym on cognitive function in older people : A systematic review and meta-analysis. 53, 175–180. https://doi.org/10.1016/j.gerinurse.2023.07.015

Blackmore, D. G., Schaumberg, M. A., Ziaei, M., Belford, S., Vinh, X., Keeffe, I. O., Bernard, A., Mitchell, J., Hume, E., Rose, G. L., Shaw, T., York, A., Barth, M., Cooper, E. J., & Skinner, T. L. (2025). Long-Term Improvement in Hippocampal-Dependent Learning Ability in Healthy , Aged Individuals Following High Intensity Interval Training. 16(3), 1732–1753.

Boa, N. C., Silva, S., Nagamatsu, L. S., Gill, D. P., & Owen, A. M. (2020). Memory Function and Brain Functional Connectivity Adaptations Following Multiple-Modality Exercise and Mind – Motor Training in Older Adults at Risk of Dementia : An Exploratory Sub-Study. 12(February), 1–16. https://doi.org/10.3389/fnagi.2020.00022

Cancela, J. M., Casal, Á., & Sánchez-lastra, M. A. (2020). Brain Gym exercises versus standard exercises for institutionalised older people with cognitive impairment : a randomised controlled study. 15(1), 1–7.

Chang, Y., Erickson, K. I., & Aghjayan, S. L. (2022). The multi-domain exercise intervention for memory and brain function in late middle-aged and older adults at risk for Alzheimer ’ s disease : A protocol for Western – Eastern Brain Fitness Integration Training trial.

Demurtas, J., Schoene, D., Torbahn, G., Marengoni, A., Grande, G., Zou, L., Petrovic, M., Maggi, S., Cesari, M., Lamb, S., Soysal, P., Kemmler, W., Sieber, C., Mueller, C., Shenkin, S. D., Schwingshackl, L., Smith, L., & Veronese, N. (2020). Physical Activity and Exercise in Mild Cognitive Impairment and Dementia: An Umbrella Review of Intervention and Observational Studies. Journal of the American Medical Directors Association, 21(10), 1415-1422.e6. https://doi.org/10.1016/j.jamda.2020.08.031

Frisoni, G. B., Altomare, D., Ribaldi, F., Villain, N., Brayne, C., Mukadam, N., Abramowicz, M., Barkhof, F., Berthier, M., Bieler-Aeschlimann, M., Blennow, K., Brioschi Guevara, A., Carrera, E., Chételat, G., Csajka, C., Demonet, J. F., Dodich, A., Garibotto, V., Georges, J., … Dubois, B. (2023). Dementia prevention in memory clinics: recommendations from the European task force for brain health services. The Lancet Regional Health - Europe, 26, 1–15. https://doi.org/10.1016/j.lanepe.2022.100576

Gavelin, H. M., Dong, C., Minkov, R., Bahar-Fuchs, A., Ellis, K. A., Lautenschlager, N. T., Mellow, M. L., Wade, A. T., Smith, A. E., Finke, C., Krohn, S., & Lampit, A. (2021). Combined physical and cognitive training for older adults with and without cognitive impairment: A systematic review and network meta-analysis of randomized controlled trials. Ageing Research Reviews, 66(August). https://doi.org/10.1016/j.arr.2020.101232

Gerten, S., Engeroff, T., Fleckenstein, J., Füzéki, E., Matura, S., Pilatus, U., Vogt, L., Pantel, J., & Banzer, W. (2022). Deducing the Impact of Physical Activity, Sedentary Behavior, and Physical Performance on Cognitive Function in Healthy Older Adults. Frontiers in Aging Neuroscience, 13(January). https://doi.org/10.3389/fnagi.2021.777490

Imran, Y., Adriani, D., Amani, P., Rachmiyani, I., & Prawiroharjo, P. (2020). Association Between Brain Gym And Cognitive Function In Postmenopausal Women. 9(03), 1405–1408.

Jiménez-Maldonado, A., Rentería, I., Johnson, D. K., Moncada-Jiménez, J., & García-Suárez, P. C. (2024). Physical exercise and cognition in older adults, a scientific approach scanty reported in Latin America and Caribbean populations. Frontiers in Sports and Active Living, 6(March), 1–7. https://doi.org/10.3389/fspor.2024.1368593

Kim, H.-J., Lee, D., & Lee, Y. (2022). The Effect of Aerobic Exercise on Brain-Derived Neurotrophic Factor (BDNF) in Individuals with Mild Cognitive Impairment: a Systematic Review and Meta-Analysis of a Randomized Controlled Trials. Physical Therapy Rehabilitation Science, 11(3), 304–310. https://doi.org/10.14474/ptrs.2022.11.3.304

Kraiwong, R., Vongsirinavarat, M., Rueankam, M., & Sumalrot, T. (2021). Effects of physical-cognitive training on physical and psychological functions among older adults with type 2 diabetes and balance impairment : a randomized controlled trial. 17(2), 120–130.

Li, B., Luo, Y., & Lin, M. (2021). A systematic review of the use of play in dementia care. Alzheimer’s & Dementia : The Journal of the Alzheimer’s Association, 17, e057509. https://doi.org/10.1002/alz.057509

Lina, R. K., Puput, G., & Kurniawan, D. (2022). Brain Gym Exercise Give Benefit to Improve Cognitive Function among Elderly : A Systematic Review. 9(2). https://doi.org/10.32668/jitek.v9i2.543

Morland, C., Andersson, K. A., Haugen, Ø. P., Hadzic, A., Kleppa, L., Gille, A., Rinholm, J. E., Palibrk, V., Diget, E. H., Kennedy, L. H., Stølen, T., Hennestad, E., Moldestad, O., Cai, Y., Puchades, M., Offermanns, S., Vervaeke, K., Bjørås, M., Wisløff, U., … Bergersen, L. H. (2017). Exercise induces cerebral VEGF and angiogenesis via the lactate receptor HCAR1. Nature Communications, 8(7491), 1–9. https://doi.org/10.1038/ncomms15557

Olanrewaju, O., Stockwell, S., Stubbs, B., & Smith, L. (2020). Sedentary behaviours, cognitive function, and possible mechanisms in older adults: a systematic review. Aging Clinical and Experimental Research, 32(6), 969–984. https://doi.org/10.1007/s40520-019-01457-3

Pahlavani, H. A. (2023). Exercise therapy to prevent and treat Alzheimer’s disease. Frontiers in Aging Neuroscience, 15(August). https://doi.org/10.3389/fnagi.2023.1243869

Park, M. O., & Lee, S. H. (2018). Effects of cognitive-motor dual-Task training combined with auditory motor synchronization training on cognitive functioning in individuals with chronic stroke. Medicine (United States), 97(22), 1–6. https://doi.org/10.1097/MD.0000000000010910

Quigley, A., MacKay-Lyons, M., & Eskes, G. (2020a). Effects of Exercise on Cognitive Performance in Older Adults: A Narrative Review of the Evidence, Possible Biological Mechanisms, and Recommendations for Exercise Prescription. Journal of Aging Research, 2020. https://doi.org/10.1155/2020/1407896

Quigley, A., MacKay-Lyons, M., & Eskes, G. (2020b). Effects of Exercise on Cognitive Performance in Older Adults: A Narrative Review of the Evidence, Possible Biological Mechanisms, and Recommendations for Exercise Prescription. Journal of Aging Research, 2020. https://doi.org/10.1155/2020/1407896

Rahmi, U., Goenawan, H., Sylviana, N., Setiawan, Andriyani, S., Putri, S. T., & Fitriana, L. A. (2022). Effects of Physical Exercise (Type, Intensity, Duration) on BDNF and Cognitive Functions in the Hippocampus of Adults and Elderly: A Literature Review. Universal Journal of Public Health, 10(5), 473–481. https://doi.org/10.13189/ujph.2022.100505

Revelo Herrera, S. G., & Leon-Rojas, J. E. (2024). The Effect of Aerobic Exercise in Neuroplasticity, Learning, and Cognition: A Systematic Review. Cureus, 16(2), 12–18. https://doi.org/10.7759/cureus.54021

Sakpal, S., Ganvir, S., Suvarna, D., Ranade, P., & Pitchai, P. (2026). Mapping Evidence on the Effectiveness of Mind- Body Interventions and Brain Gym on Cognitive Function in Older Adults : A Scoping Review. 18(3). https://doi.org/10.7759/cureus.104687

Singh-Manoux, A., & Kivimäki, M. (2010). The importance of cognitive ageing for understanding dementia. Age, 32(4), 509–512. https://doi.org/10.1007/s11357-010-9147-7

Steichele, K., Keefer, A., Dietzel, N., Graessel, E., Prokosch, H. U., & Rabas, P. L. K. (2022). The effects of exercise programs on cognition , activities of daily living , and neuropsychiatric symptoms in community ‑ dwelling people with dementia — a systematic review. Alzheimer’s Research & Therapy, 1–13. https://doi.org/10.1186/s13195-022-01040-5

Triyulianti, S., Ayuningtyas, L., Fisioterapi, P. S. D., & Abdurrab, U. (2022). Pengaruh Brain Gym dan Resistance Exercise Pada Lansia dengan Kondisi Demensia Untuk Meningkatkan Fungsi Kognitif. 5, 22–26.

Triyulianti, S., Muawanah, S., Samosir, N. R., & Soleha, A. (2025). Effect of Motor-Cognitive Dual Task Training on Cognitive Function in patients with Dementia. Jurnal Teknologi Kesehatan Borneo, 6(1), 28–36. https://doi.org/10.30602/jtkb.v6i1.423

Triyulianti, S., Permata, A., & Roza, E. (2024). Efek Latihan Aerobik dan Play Therapy terhadap Fungsi Kognitif Lansia dengan Demensia. Jurnal Teknologi Kesehatan Borneo, 5(2), 131–138.

Triyulianti, S., & Rizal, Y. (2023). Improving Cognitive Function Through High Intensity Interval Training in Sedentary Healthy Young Adults. International Journal of Innovative Science and Research Technology, 8(11), 1365–1367.

Triyulianti, S., Rizal, Y., & Tifani, A. D. (2024). Aerobic Exercise Improves Cognitive Function in Sedentary Young Adults Without Cognitive Impairment. Jurnal Teknologi Kesehatan Borneo, 5(1), 15–22. https://doi.org/10.30602/jtkb.v5i1.314

Zoila, F., Filannino, F. M., Panaro, M. A., Sannicandro, I., Cianciulli, A., & Porro, C. (2025). Enhancing active aging through exercise : a comparative study of high-intensity interval training and continuous aerobic training bene fi ts. June, 1–14. https://doi.org/10.3389/fragi.2025.1493827

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Published

2026-06-23

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How to Cite

Triyulianti, S., Harlianti, S., Permata, A., Samosir, N. R. ., Muawanah, S., & Syahrika, S. P. . (2026). Penerapan Brain Gym Exercise dan Memory Training terhadap Perubahan Fungsi Kognitif pada Lansia dengan Demensia. Excellent Health Journal, 4(2), 86-92. https://doi.org/10.70437/excellent.v4i2.240

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