To describe the design and pilot implementation of The Brain Gym, a multimodal stimulation model integrating cognitive, sensory, affective, and motor strategies for individuals with mild cognitive impairment (MCI) and dementia in Matanzas, Cuba.

Dementia and MCI represent an expanding global health challenge, with most affected individuals living in low- and middle-income countries. The 10/66 Dementia Research Group has documented high dementia prevalence in Latin America. While Cognitive Stimulation Therapy improves cognition and quality of life, and Multisensory Stimulation enhances mood and engagement, the combined use of multiple modalities remains underexplored. The Brain Gym integrates these approaches within a community-based framework.

This pilot suggests that The Brain Gym is a feasible, low-cost, and culturally adaptable model for multimodal rehabilitation in MCI and dementia. It may help stabilize/ improve cognitive function, improve daily activity performance, and reduce caregiver burden. Future prospective studies and clinical trials are warranted to validate its impact and scalability across diverse settings.