7. Difficulties with Movement: The Reluctant Steps
In FTLD, changes in the brain can extend beyond cognitive and behavioral symptoms to influence physical capabilities as well. Difficulties with movement, while not present in all individuals with FTLD, can become a significant concern, particularly in advanced stages or specific subtypes of the disease.
Movement difficulties in FTLD can be wide-ranging. Some individuals may experience muscle weakness that makes it challenging to execute daily tasks such as buttoning a shirt or opening a jar.
Others might grapple with coordination problems, which can lead to clumsiness or unsteady gait. In more advanced stages, or in specific types of FTLD like corticobasal syndrome, symptoms might include stiffness in the limbs or even difficulties swallowing, known as dysphagia. This breadth of symptoms underscores the diverse ways in which FTLD can manifest itself.
Motor problems in FTLD don’t just affect physical health; they can also have a significant impact on an individual’s mental well-being. Struggling with tasks that once came easily can lead to frustration, embarrassment, or a loss of independence. These emotional responses can compound the already challenging cognitive and behavioral symptoms of FTLD, adding another layer to the complexity of this disease.
Managing movement difficulties in FTLD often requires a multidisciplinary approach. Physical therapy can be a valuable tool, helping to maintain mobility, improve coordination, and address specific motor issues.
Occupational therapy can provide strategies and adaptive tools to manage daily tasks more efficiently. In cases where swallowing becomes difficult, speech therapy can provide techniques to ensure safe eating and drinking. It’s important to remember that while these therapies may not reverse the motor problems, they can significantly enhance quality of life and slow down the progression of symptoms. (7)
