Pôle de gérontologie clinique, Centre hospitalier universitaire de Nantes ; Université de Nantes, UNAM ; Gérontopôle Pays de Loire, Nantes, Département de médecine interne et gériatrie, Centre hospitalier universitaire d’Angers ; Centre Mémoire Ressources Recherche ; UPRES EA 2646, Université d’Angers, UNAM ; Gérontopôle Pays de Loire, Angers, Service de gériatrie, Centre hospitalier régional de Saint Nazaire, Service de neurologie, Centre hospitalier départemental de la Roche sur Yon
Gait and balance disorders are frequent in demented older adults. Their management (i.e., diagnosis, assessment and treatment) is challenging in daily practice because of numerous evaluation tests available, difficulties to select the most adapted intervention, and the lack of knowledge of physicians and health professionals concerning adapted centers to refer their patients to those patients. Thus, a working group of experts was organized by the Gérontopôle of Pays de Loire, France, in December 2010 with the aim to provide clinical guidelines for the management of older adults aged 65 years and older with mild to moderate dementia with gait and balance disorders. These guidelines provide answers to the following questions: 1) Is there gait and/or balance disorders? 2) Which specific tests used? and 3) How to treat patients?