Sleep disturbances are a widespread concern among older adults and significantly impair their overall quality of life.1 Age-related physiological changes alter sleep architecture, often leading to reduced sleep efficiency, increased nighttime awakenings, and diminished deep sleep.2 These disruptions are associated with various adverse health outcomes, including cognitive decline, impaired immune function, and a heightened risk of chronic illnesses.3 Studies estimate that up to 50 % of older adults experience some form of sleep disturbance, underscoring the importance of accessible and effective interventions.4,5

Pharmacological treatments, though commonly used, carry risks such as dependency and adverse effects, particularly in the elderly.6 As a result, there is a growing emphasis on non-pharmacological approaches to manage sleep issues in this population.7 One such approach is Brain Gym Therapy, a program of simple physical exercises originally developed by Paul and Gail Dennison to enhance brain function and holistic well-being.8, 9, 10, 11 These movements are designed to stimulate both cerebral hemispheres, promote cognitive function, and support emotional balance.12

The premise of Brain Gym is grounded in educational kinesiology, which links physical movement to cognitive development.13 Brain Gym exercises have shown promise in improving attention, memory, coordination, and emotional regulation.14 While its cognitive and emotional benefits are increasingly recognized, limited empirical research has examined its impact on sleep quality, particularly among older adults.15

Preliminary studies suggest that Brain Gym may contribute to improved sleep outcomes by enhancing neuroplasticity and supporting circadian rhythm regulation. Its emphasis on gentle, structured movement and mind-body integration makes it an accessible and appealing intervention for the elderly.16 Unlike vigorous exercise programs, Brain Gym can be safely incorporated into daily routines with minimal physical strain.17

Given the high prevalence of sleep disturbances in the aging population and the limitations of medication-based treatments, exploring Brain Gym Therapy as a viable alternative is both timely and necessary.18, 19, 20 Nurses, as frontline healthcare providers, are ideally positioned to implement such interventions within primary care settings.21 Their role includes educating older adults, guiding them through exercises, and monitoring outcomes.22

This study addresses a gap in current literature by investigating the effects of Brain Gym Therapy on sleep quality among older adults. By evaluating this non-pharmacological intervention, the study aims to contribute to the development of safe, scalable strategies to enhance sleep and overall well-being in the elderly population.

The aim of this study is to evaluate the effects of Brain Gym Therapy on sleep quality in older adults attending primary healthcare facilities

Does the implementation of Brain Gym Therapy lead to a significant improvement in the overall sleep quality of elderly individuals compared to those who do not participate in the therapy?

What specific aspects of sleep, such as sleep onset, sleep duration, and sleep maintenance, are most affected by Brain Gym Therapy in elderly participants?