Authors
Michael C Ibekaku, Lori E Weeks, Caitlin McArthur
Published in
Physiotherapy Canada. Physiotherapie Canada. Volume 78. Issue 3. Pages 368-379. Epub Oct 21, 2025.
Abstract
Purpose: People living with dementia experience a decline in mobility, leading to adverse health outcomes. Method: Using the Resident Assessment Instrument-Minimum Data Set 2.0 (RAI-MDS 2.0) and interRAI Long-Term Care Facilities (LTCF) assessment form data, we conducted a cross-sectional study of 79,773 LTC residents across four Canadian provinces. Mobility was assessed using four measures: bed mobility, transfers, locomotion, and walking. We used a generalized logit model to examine associations between mobility and selected determinants. Results: The sample had a mean age of 86.17 (SD 7.96) years; two-thirds were female, with most residing in Ontario. Cognitive impairment reduced independence (odds ratio [OR]: 0.01-0.75, 95% CI: 0.01, 0.91, p < 0.05). Residents with depression had higher odds of requiring limited assistance (OR: 1.50-1.72). Contextual factors, including province, influenced mobility, with Manitoba residents having the highest odds of independence (OR: 1.71-9.09). Receiving physiotherapy or occupational therapy was linked to lower odds of independence (OR: 0.32-0.77), likely because of prioritization of severely impaired residents. Conclusions: The mobility of residents with dementia in LTC is associated with physiological, subjective, and contextual factors. These factors should be considered in developing interventions to improve mobility across different provinces.
PMID:
42840840
Bibliographic data and abstract were imported from PubMed on 07 Oct 2026.
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