Mobility Changes in Dementia: 5 Easy Ways to Improve Safety

Dementia is a complex neurological condition that affects millions of people worldwide. One of the most challenging aspects of dementia is the progressive decline in cognitive function, including memory, judgment, and problem-solving abilities.

However, it’s important to recognize that mobility changes often occur in the middle stages dementia. Damage to areas of the brain that control movement and coordination can lead to changes in balance, gait, and motor skills.

In this blog post, we will explore the mobility changes that accompany dementia, understand why they occur, discuss strategies for improving safety, and highlight adaptive equipment that can enhance independence for people living with dementia.

Understanding Mobility Changes in Dementia

As dementia progresses, people experience a range of mobility changes due to the impact on brain function and neurological pathways.

The specific mobility challenges may vary depending on the type of dementia, but some common changes include:

Mobility Changes in Dementia

Balance and Stability

Dementia can impair an individual’s ability to maintain balance, resulting in an increased risk of falls. Factors such as muscle weakness, sensory disturbances, and altered perception of space contribute to this decline.

Gait and Coordination

Dementia can affect the way people walk, leading to changes in stride length, speed, and rhythm. These changes can result in a shuffling gait, reduced arm swing, and an unsteady walking pattern.

Spatial Awareness

Difficulty in judging distances and spatial relationships is another common challenge. People with dementia may struggle to navigate their surroundings, leading to increased confusion and disorientation.

Motor Skills

Fine motor skills, such as buttoning clothes or using utensils, may also be impacted in later stages of dementia. These changes can make daily activities more challenging and frustrating for people with dementia.

5 Ways to Improve Safety during Mobility Changes

Caregivers play a crucial role in ensuring the safety and well-being of individuals with dementia as they navigate mobility changes. Here are some strategies that can help improve safety.

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1 Environmental Modifications

Creating a safe living environment is essential when mobility challenges occur.

Remove tripping hazards, secure loose rugs, electrical cords, and clutter.

Install grab bars in bathrooms. Use a shower chair or raised toilet seat to improve bathroom safety.

Install a bed rail for safety when getting in and out of bed and ensure adequate lighting throughout the home.

Consider installing handrails along staircases and using contrasting colors to improve visual perception.

2 Regular Exercise and Physical/Occupational Therapy

Encourage individuals with dementia to engage in regular exercise. Have a local rehabilitation specialist create physical and occupational therapy programs tailored to their needs.

Exercise helps maintain muscle strength, balance, and flexibility, reducing the risk of falls and improving mobility.

Importance of Exercise for People with Dementia

3 Assistive Devices

The use of assistive devices can greatly enhance mobility and independence.

Walkers or canes provide stability and support during walking, while wheelchair ramps and stairlifts enable safe navigation within the home. Ensure that assistive devices are properly fitted and regularly maintained.

4 Supervision and Monitoring

Keep a close eye on individuals with dementia, especially during activities that require mobility.

Maintain regular communication and provide support and reassurance when needed.

Consider using monitoring systems, such as fall detection devices or video surveillance, to enhance safety.

5 Engaging in Cognitive Stimulation

Engaging in cognitive activities can help slow down the progression of dementia and potentially improve mobility.

Encourage participation in puzzles, memory games, and hobbies that require physical movement, such as gardening or dancing.

Adaptive Equipment for Enhanced Mobility

In addition to environmental modifications and safety strategies, the use of adaptive equipment can significantly enhance mobility and independence for people with dementia.

Be sure to consult with your local physical or occupational therapist for adaptive equipment recommendations that are personalized.

Some helpful adaptive equipment for those with mobility challenges includes:

Walking Aids

Canes, walkers, and rollators provide stability and support while walking. They distribute weight and reduce the risk of falls, enabling individuals to move with greater confidence.


In advanced stages of dementia, individuals may require a wheelchair for increased mobility. These devices allow individuals to move around independently and participate in social activities.

Transfer Aids

Devices such as transfer boards, sliding sheets, and patient lifts assist caregivers in transferring individuals with dementia from one surface to another (e.g., bed to wheelchair) safely.

Bed Rails for Seniors
Transfer Aid: Bed Rail

Adaptive Clothing

Clothing with adaptive features, such as Velcro fasteners or magnetic closures, can make dressing easier for individuals with reduced fine motor skills.

Safety Alarms and Locators

These devices can help locate individuals who may wander or become disoriented. GPS tracking devices and motion sensors can provide peace of mind for caregivers, ensuring their loved ones’ safety.


The journey of dementia is undoubtedly challenging, affecting both cognitive and physical abilities. Understanding the mobility changes that accompany dementia empowers caregivers to implement effective strategies for enhancing safety and independence.

By modifying the environment, encouraging regular exercise, utilizing assistive devices, and engaging in cognitive stimulation, caregivers can help people with dementia maintain mobility for as long as possible.

What’s more, the use of adaptive equipment tailored to the specific needs of an individual with dementia can significantly improve their quality of life.

Remember, with patience, understanding, and proper support, individuals with dementia can continue to lead fulfilling lives even as their mobility changes.

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