| Summary: | Background: We aimed to investigate the effects of a community-based senior musical program on the cognitive and physical functions in older women. Method: Older women aged ≥65 years participating in a program at a community welfare center were randomized to experimental (n = 17) or control (n = 17) groups. The control group participated in singing and yoga classes offered at the welfare center, while the experimental group participated in a senior musical program consisting of vocal training, dancing, and breathing training. The effects of the 12-week program (120 min/session, two sessions/week) and the intergroup differences in outcomes were compared using the cognitive impairment screening test (CIST), pulmonary function test (PFT), respiratory muscle pressure test (RPT), and static and dynamic balance tests. Result: The experimental group showed significant post-intervention changes in CIST scores, cardiorespiratory parameters, and static and dynamic balance (<i>p</i> < 0.05), but the control group only showed significant changes in some respiratory and balance parameters (<i>p</i> < 0.05). In comparison with the control group, the experimental group showed significantly greater post-intervention changes in the CIST score, PFT and RPT parameters, static balance, and Y-balance anterior (<i>p</i> < 0.05). Conclusions: The senior musical program enhanced older women’s cognitive, respiratory, and physical functions and promoted a sense of accomplishment and self-satisfaction.
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