The Effect of Brain Gym Therapy and Puzzle Therapy on the Improvement of Cognitive Function in the Elderly in the Working Area of the Small Bridge Health Center of Bengkulu City in 2026

BIMA, MUHAMMAD and Riyadi, Agung and Wulandari, Dwi (2026) The Effect of Brain Gym Therapy and Puzzle Therapy on the Improvement of Cognitive Function in the Elderly in the Working Area of the Small Bridge Health Center of Bengkulu City in 2026. Diploma thesis, MINISTRY OF HEALTH OF THE REPUBLIC OF INDONESIA.

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Abstract

Cognitive impairment is one of the common problems experienced by older adults due to the aging process, affecting memory, thinking ability, concentration, and daily activities. Non-pharmacological interventions that can be used to improve cognitive function include Brain Gym and Puzzle therapy. This study aimed to determine the effect of Brain Gym and Puzzle therapy on improving cognitive function among elderly people in the working area of the Jembatan Kecil Public Health Center, Bengkulu City, in 2026.This study employed a quasi-experimental design with a pre-test and post-test control group design. A total of 44 respondents participated in the study, consisting of 22 respondents in the intervention group and 22 respondents in the control group. The intervention group received Brain Gym and Puzzle therapy four times over a two-week period, while the control group received memory training. Cognitive function was measured using the Mini Mental State Examination (MMSE) before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test, Paired T-Test, and Mann-Whitney Test. The results showed that the intervention group experienced an increase in the median cognitive function score from 21.50 to 24.00 with a p-value of 0.000 (p<0.05). The Mann-Whitney test revealed a p-value of 0.000 (p<0.05), with a median difference score of 4.00 in the intervention group and 1.00 in the control group. These findings indicate that Brain Gym and Puzzle therapy had a significant effect on improving cognitive function in older adults. In conclusion, Brain Gym and Puzzle therapy are effective in improving cognitive function among elderly individuals and may serve as an alternative non-pharmacological intervention to maintain and enhance their quality of life.

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