International Psychogeriatrics

Studies on Dementia

Maintenance of Mobility in Residents of an Alzheimer Special Care Facility

Judith Saxton a1, Myrna Silverman a2, Edmund Ricci a2, Christopher Keane a2 and Beth Deeley a3
a1 Alzheimer's Disease Research Center, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
a2 Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA
a3 Presbyterian SeniorCare, Oakmont, Pittsburgh, Pennsylvania, USA.

Article author query
saxton j   [PubMed][Google Scholar] 
silverman m   [PubMed][Google Scholar] 
ricci e   [PubMed][Google Scholar] 
keane c   [PubMed][Google Scholar] 
deeley b   [PubMed][Google Scholar] 


The cognitive and functional decline of demented residents in a specialized Alzheimer's facility was compared to that of demented residents living in a traditional nursing home. All residents met DSM-III-R criteria for dementia. The evaluation consisted of a clinical interview with patients and collateral assessments of cognition, general health, problem behaviors, depression, and a broad range of activities of daily living (ADLs) including mobility. Residents were evaluated at baseline and 6-month intervals over 18 months. Similar rates of decline were found in cognition and overall ADLs in both groups. However, the most striking finding was preserved mobility in residents of the Alzheimer's facility. This finding suggests that specialized facilities do not halt or slow the overall progression of cognitive and functional decline seen in Alzheimer's disease; however, residents of such facilities may show slower decline in mobility.

(Received November 13 1997)
(Accepted April 23 1998)