Walking Gait Changes May Indicate Alzheimer's Disease

Several studies, including one from the journal Current Biology, report the way a senior walks may be messaging something about their future cognitive health. Researchers say walking relies on a person’s navigational skills, which demands mental engagement. 

The slowing of a person’s walking pace is one of the things studies are looking at as an early warning sign of Alzheimer’s disease. People may start to take smaller steps and drift from side to side as well as exhibit poor balance and a history of frequent falls.  Ryan Glatt, a certified personal trainer, senior brain health coach, and director of the FitBrain Program at Pacific Neuroscience Institute in California, told Medical News Today, “In clinical settings, gait-based tests can be helpful for determining fall risk, especially with distractions, and perhaps can be part of a more comprehensive cognitive evaluation in the near future.”

Other studies report that people with early Alzheimer’s disease have difficulty turning when walking. Researchers say the problem was not detected in older, healthy participants who suffered from mild cognitive impairment, suggesting the problem is specific to Alzheimer’s. Glatt explained the reason might be connected to changes in the hippocampus, a region of the brain partially responsible for spatial memory that helps to control visuospatial navigation.

Another early warning sign of Alzheimer’s is an altered sense of a person’s environmental perceptions. For example, a person may struggle to understand objects, and become confused by thinking something is 2D when it is really 3D; or vice versa.  

Dr. Jonathan Fellows, who leads the Michigan Institute for Neurological Disorders, Alzheimer’s Disease and Memory Disorder Center, adds, “Observation of gait is an important assessment in the diagnosis of various dementias, including Alzheimer disease, as patients with this disorder can have what is called dyspraxia, or difficulty doing a previously learned task – in this case walking or turning.” Researchers explained that some of the problems that appear to be specific to Alzheimer’s might allow doctors to diagnose patients earlier; and without the need for blood, spinal fluid or speech tests.  

MorningStar at Bear Creek offers memory care in Colorado Springs for those with Alzheimer’s and other dementia-related diseases.  Our community is specifically designed to accommodate the needs of our residents and encourage and support their independence while keeping them safe.   Daily, purposeful activities use music, dance, art, aromatherapy, and animals to heal and comfort whatever the extent of memory impairment.  Contact us or visit our website for more information on alzheimer care.

MorningStar is guided by a culture rooted in our mission of honoring God, valuing seniors, and investing in our team, which allows us to deliver services with warmth, sincerity and depth of purpose. We have built a reputation for creating homes filled with an atmosphere of love and community. Please contact us to learn more about the finest memory care facility Colorado Springs has to offer.

Source:medicalnewstoday.com/articles/walking-difficulties-could-be-an-early-sign-of-alzheimers-disease#Why-walking-may-be-difficult-for-people-with-Alzheimers

Dementia and Sundowner’s Syndrome

The Alzheimer’s Association explains, “sundowner’s syndrome” or “sundowning” is a set of symptoms or behaviors that are found in some people with Alzheimer’s disease and dementia. The syndrome’s symptoms include agitation and anxiety, and it occurs in the later part of the day and evening with marked behavior changes in the person.

Fred Kobylarz, MD, co-director of the Center for Healthy Aging at Rutgers Robert Wood Johnson Medical School says it is not a disease, but rather a symptom of dementia. While doctors do not know the cause of sundowning, they believe it may be a “combination of hormonal changes, brain deterioration or damage that has occurred, environmental factors, disruption to a person’s circadian rhythm, and more.”

The syndrome may start as early as 1 p.m. in some people but usually is later in the day. Along with agitation and anxiety; symptoms can include things like pacing, disorientation, hallucinations and problems sleeping. Other behavior changes may include angry outbursts and aggressive, sometimes even physical altercations. Others just want to be closer to a person they trust as needed reassurance. Some people do not remember what happened earlier in the day and even forget they just ate dinner and want to eat again. 

Experts say in some cases sundowning starts before a person has had a diagnosis of Alzheimer’s or another form of dementia. However, it is not only found in people with dementia as some older adults exhibit symptoms during an illness or period of delirium.    

Doctors recommend families who see symptoms of sundowning to consult with their healthcare provider to rule out other causes. Guidelines for managing the syndrome include setting up a schedule that adheres to their needs and maintaining a consistent daily routine to reduce confusion and fatigue. During morning hours encourage the person to do activities that increase their exposure to natural light to help support better sleep-wake cycles. Avoid over stimulating the person in the evenings and don’t subject them to crowds, bright screens or loud noises. 

At MorningStar at Bear Creek, we provide 48 suites for residents living with Alzheimer’s and other dementia-related diseases. Our community is specifically designed to enhance our residents’ freedom and fully accommodate the disposition and behaviors of those with dementia. Each resident receives an individualized care plan and participates in meaningful wellness programs and purposeful activities.  Our programs include a variety of exercise options, music, life skills, art, special celebrations and other events. Please see our website for more information about MorningStar’s memory care and alzheimer care in Colorado Springs.

MorningStar at Bear Creek brings a unique vision to senior living with our mission statement “to honor, to value, to invest.” With a foundation built on honoring God, valuing seniors and investing in a staff with a felt calling to serve, we offer loving, compassionate care within a beautiful home-like setting.  Please contact us to learn more about the finest alzheimer care in Colorado Springs.

Source: womenshealthmag.com/health/a63084354/sundowning-dementia-sign/