Effects of Auditory Environments on Postural Balance and Cognitive Performance in Individuals with Intellectual Disabilities: A Dual-Task Investigation

The objective was to investigate the effects of auditory environments on postural balance during cognitive tasks. Nineteen individuals with intellectual disabilities, aged between 15 and 19, participated in the study. The assessment involved center of pressure (CoP) measurements on both firm and foam surfaces under open-eye (OE) and closed-eye (CE) conditions. During these assessments, participants were exposed to nature sounds and noise sounds while performing counting and verbal fluency tasks. The results showed that nature sounds on a firm surface under OE conditions during counting demonstrated a significant decrease in CoP values (p = 0.037), indicating improved postural balance. However, noise sounds on foam surfaces during counting and verbal fluency showed increased CoP values, reflecting impaired postural balance (p < 0.05). In conclusion, nature sounds on a firm surface with OE during counting improved postural balance. Conversely, noise sounds on foam surfaces during counting and verbal fluency tasks impaired postural balance.