Poi refers to both a style of performing art and the equipment used for engaging in poi performance. As a performance art, poi involves swinging tethered weights through a variety of rhythmical and geometric patterns. Poi is a physical activity that draws upon the key components of fitness and is highly customizable. Physically active lifestyles have been proven to reduce risk factors and improve functioning and quality of life in the elderly (Daley, 2000). Intrinsically playful, poi as a form of play is proven to have a vital role in keeping the mind and body young by presenting novel situations which foster cognitive innovation, adaptability, and flexibility; which in turn improves reflexes, memory, processing speeds, etc. (Brown, 2009). Physical, mental and emotional benefits are derived from the rhythm of poi as an active music therapy.(Drake, 2010).