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How does Alzheimer’s dementia develop and can physiotherapy help?

Alzheimer’s dementia is a common form of dementia that affects millions of people worldwide. It is a progressive neurodegenerative disorder that gradually affects memory, thinking and behavior. Although there is no cure for Alzheimer’s dementia, there are several approaches to slowing symptoms and improving quality of life. One of these approaches is physiotherapy. In this blog article, we take a closer look at how Alzheimer’s dementia develops and how physical therapy can help with the disease.

How does Alzheimer’s dementia develop?

The exact cause of Alzheimer’s dementia is not yet fully understood, but scientists have identified several factors that contribute to the onset of the disease. One of the main features of Alzheimer’s dementia is the accumulation of protein fragments called beta-amyloid plaques in the brain. These plaques disrupt communication between neurons and trigger inflammatory responses that lead to neurodegeneration and progressive memory loss.

Another important factor is the accumulation of a protein called tau, which normally helps stabilize the internal structure of neurons. In Alzheimer’s dementia, however, the tau protein changes shape and forms tangles within nerve cells, causing the cells to stop functioning properly and eventually die.

In addition to these characteristic changes in the brain, there are also genetic and environmental factors that can increase the risk of developing Alzheimer’s dementia. Age is one of the main risk factors, with the risk increasing with age. Other risk factors include genetic predisposition, high blood pressure, diabetes, smoking, obesity and a sedentary lifestyle.

Physiotherapy for Alzheimer’s dementia

While physical therapy is primarily known for its role in restoring physical function after injury or surgery, it also has much to offer in the treatment of neurodegenerative diseases such as Alzheimer’s dementia. Physical therapy can be a valuable addition to the treatment plan of a patient with Alzheimer’s dementia, as it aims to maintain mobility, promote overall well-being and improve quality of life.

Exercise and physical activity are essential for maintaining physical and cognitive function in people with Alzheimer’s dementia. Regular exercise can improve circulation, increase muscle strength and promote balance and coordination. It can also improve mood, reduce stress and improve sleep quality.

Physical therapists can develop individualized exercise programs tailored to each patient’s specific needs. These programs may include aerobic exercise, strength training, balance exercises and stretching. The exercises can be adapted to the individual degree and progression of the disease so that they are safe and feasible for the patient.

In addition, physical therapy can also help maintain everyday functional abilities. Physical therapists can advise on the use of assistive devices and techniques to maintain mobility and independence. They can also help improve posture, teach safe transfer techniques and reduce spasticity and stiffness.

In addition to the physical benefits, physical therapy can also have a positive impact on the cognitive functions of people with Alzheimer’s dementia. Exercises that require coordination and concentration can promote neuroplasticity and strengthen cognitive reserves. Physical therapists can incorporate cognitive tasks into the exercise program and teach strategies to improve attention and memory.

Finally, physical therapy can provide a social aspect for people with Alzheimer’s dementia. Group sessions and exercise in a social setting can promote social interaction, reduce feelings of isolation, and improve overall mental health. This can be a valuable source of support and stimulation for patients and their caregivers.


Alzheimer’s dementia is a complex disease with multiple causes for which there is still no cure. However, physical therapy can play an important role in improving the quality of life of people with Alzheimer’s dementia. Through targeted exercises, maintenance of mobility, functional training and cognitive stimulation, physical therapy can help slow disease progression, maintain independence and promote wellness. It is important that physical therapy be integrated into a multidisciplinary treatment plan, where collaboration among various health care providers is essential for a holistic approach to treatment.

It is critical to further explore the efficacy of physical therapy in AD and raise awareness of its benefits. As Alzheimer’s dementia affects more and more people, it is critical to develop integrated care approaches to improve the quality of life for patients and their families. Physical therapy can make a valuable contribution to this effort.


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