The Effectiveness of The Addition of Slow Deep Breathing to Brain Gym Exercise on Cognitive Impairment of The Elderly

Authors

Dhia Maharani Ms, Politeknik Kesehatan Kemenkes Jakarta IIIFollow
Mohammad Ali Mr, Politeknik Kesehatan Kemenkes Jakarta IIIFollow
Zahra Sativani Mrs, Politeknik Kesehatan Kemenkes Jakarta IIIFollow

Abstract

Background: According to WHO, 65.5 million elderly people worldwide have impaired cognitive function. Cognitive impairment can be caused by impaired oxygen supply to the brain, stress, and lack of physical activity. Physiotherapy has a role in elderly cognition through interventions to improve cognition, namely in the form of Brain Gym Exercise with the addition of Slow Deep Breathing. Objective: Knowing the effectiveness of the addition of Slow Deep Breathing to Brain Gym Exercise on cognitive impairment of the elderly at Panti Sosial Tresna Werdha Budi Mulia 4. Methods: This study used quasi experimental with two group pre-post test design. Sampling with purposive sampling amounted to 22 respondents. The measuring instrument uses the Mini Mental State Examination (MMSE). Treatment group 1 was given Brain Gym Exercise with Slow Deep Breathing and treatment 2 was given Brain Gym Exercise. Results: Paired sample t test results in treatment group 1 found delta mean 7.91 and p value 0.000. While in treatment group 2, the delta mean was found to be 3.00 and p value 0.000. In the independent sample t test, the comparison between treatment group 1 and treatment group 2 obtained a p value of 0.000. Conclusion: The provision of Brain Gym Exercise intervention with the addition of Slow Deep Breathing has a more significant effect on the elderly with cognitive impairment than just the Brain Gym Exercise intervention alone.

References

1. Mampa M, Wowor R, Rattu AJM, et al. Analisis Penerapan Pelayanan Kesehatan Lanjut Usia di Puskesmas Pineleng pada Masa Pandemi Covid-19. 2022.
2. World Health Organization. Aging and Health. WHO, https://www.who.int/news-room/fact-sheets/detail/ageing-and-health (2024, accessed 28 May 2025).
3. Sari Muzamil M, Alfriwardi, Dinda Martini R. Hubungan Antara Tingkat Aktivitas Fisik dengan Fungsi Kognitif pada Usila di Kelurahan Jati Kecamatan Padang Timur, http://jurnal.fk.unand.ac.id (2014).
4. Wulandari SR, Winarsih W, Istichomah. Peningkatan Derajat Kesehatan Lansia Melalui Penyuluhan dan Pemeriksaan Kesehatan Lansia di Dusun Mrisi Yogyakarta. Yogyakarta, https://doi.org/xx.xxxxx/xxxxx (13 July 2023).
5. Triyulianti S, Ayuningtyas L, Program ), et al. Pengaruh Brain Gym dan Resistance Exercise Pada Lansia dengan Kondisi Demensia Untuk Meningkatkan Fungsi Kognitif. 2022.
6. Rianawati SB, Harahap HS, Raisa N, et al. THE CORRELATION OF COGNITIVE FUNCTION TO BRAIN GYM IN THE ELDERLY. MNJ (Malang Neurology Journal) 2024; 10: 121–124.
7. 7. Black JM, Hawks JH. Keperawatan Medikal Bedah: Manajemen Klinis Untuk Hasil Yang Diharapkan. 8th ed. Jakarta: Pentasada Media Edukasi, 2014.
8. Lee S-H, Park D-S, Song C-H. The Effect of Deep and Slow Breathing on Retention and Cognitive Function in the Elderly Population. Epub ahead of print 2023. DOI: 10.3390/healthcare.
9. Ch Srinivas, T Padmaja, K Bhagyalakshmi. Effect of Pranayama on cognition and other higher mental functions. Perspective In MMedical Research; 7.
10. Yulisetyaningrum, Hartinah D, Suwarto T, et al. Pengaruh Brain Gym Terhadap Fungsi Kognitif Lansia. 2023.
11. Widanti HN, Arti W, Anjasmara B. Efektivitas Pemberian Latihan Brain Gym terhadap Peningkatan Koordinasi Mata dan Tangan pada Anak Pra-Sekolah. 2021; 3: 40–45.
12. Pujari V, Parvathisam S. Breathing Your Way To Better Brain Function: The Role Of Respiration In Cognitive Performance. Journal of Pharmaceutical Negative Results ¦; 13. Epub ahead of print 2022. DOI: 10.47750/pnr.2022.13.S07.992.
13. Kennedy MB. Synaptic signaling in learning and memory. Cold Spring Harb Perspect Biol 2016; 8: 1–16.
14. Labertus K, Mediawati AS, Kurniawan T. Pengaruh Brain Gym Terhadap Fungsi Kognitif Pasien Pasca Stroke Iskemik Di Rumah Sakit Umum Pusat (RSUP) Dr.Hasan Sadikin Bandung. Jurnal Keperawatan Suaka Insan, https://journal.stikessuakainsan.ac.id/index.php/jksi/article/view/56 (2017).
15. Mudjihartini N. Brain-derived neurotrophic factor (BDNF) dan proses penuaan: sebuah tinjauan. Jurnal Biomedika dan Kesehatan; 4. Epub ahead of print 2021. DOI: 10.18051/JBiomedKes.2021.
16. Pisani A, Paciello F, Del Vecchio V, et al. The Role of BDNF as a Biomarker in Cognitive and Sensory Neurodegeneration. Journal of Personalized Medicine; 13. Epub ahead of print 1 April 2023. DOI: 10.3390/jpm13040652.

Bahasa Abstract

Latar Belakang: Menurut WHO, terdapat 65,5 juta orang lansia di seluruh dunia mengalami gangguan fungsi kognitif. Gangguan kognitif dapat disebabkan oleh gangguan suplai oksigen ke otak, stress, serta kurangnya aktivitas fisik. Fisioterapi memiliki peran dalam kognitif lansia melalui intervensi untuk meningkatkan kognitif, yaitu berupa Brain Gym Exercise dengan penambahan Slow Deep Breathing. Tujuan: Mengetahui efektivitas penambahan Slow Deep Breathing pada Brain Gym Exercise terhadap gangguan kognitif lansia di Panti Sosial Tresna Werdha Budi Mulia 4. Metode: Penelitian ini menggunakan quasi experimental dengan two group pre-post test design. Pengambilan sampel dengan teknik purposive sampling berjumlah 22 responden. Alat ukur menggunakan Mini Mental State Examination (MMSE). Kelompok perlakuan 1 diberi Brain Gym Exercise dengan Slow Deep Breathing dan perlakuan 2 diberi Brain Gym Exercise. Hasil: Hasil uji Paired sample t test pada kelompok perlakuan 1 didapati delta mean 7.91 dan p value 0.000. Sedangkan pada kelompok perlakuan 2 didapati delta mean 3.00 dan p value 0.000. Pada uji independent sample t test perbandingan antara kelompok perlakuan 1 dan kelompok perlakuan 2 didapatkan nilai p value 0.000. Kesimpulan: Pemberian intervensi Brain Gym Exercise dengan penambahan Slow Deep Breathing berpengaruh lebih signifikan terhadap lansia dengan gangguan kognitif dibanding hanya diberikan intervensi Brain Gym Exercise saja.

Recommended Citation

Maharani, Dhia Ms; Ali, Mohammad Mr; and Sativani, Zahra Mrs (2025) "The Effectiveness of The Addition of Slow Deep Breathing to Brain Gym Exercise on Cognitive Impairment of The Elderly," Jurnal Fisioterapi Terapan Indonesia: Vol. 4: Iss. 1, Article 7.
DOI: 10.7454/jfti.v4i1.1115
Available at: https://scholarhub.ui.ac.id/jfti/vol4/iss1/7