Why do people with dementia exhibit repetitive hand movements

People with dementia often exhibit repetitive hand movements, which can be puzzling for caregivers and family members. These movements are not just random actions; they serve several purposes and are linked to the cognitive and emotional changes that occur in dementia.

Firstly, repetitive hand movements can be a way for individuals with dementia to cope with stress or anxiety. As dementia progresses, people may feel overwhelmed by their surroundings or unable to express their needs effectively. Engaging in repetitive activities like folding clothes, clapping hands, or tapping fingers can provide a sense of comfort and familiarity, helping to calm the mind and body.

Another reason for these movements is the need for physical activity. Dementia can lead to a decline in physical function, but the body still requires some form of exercise. Repetitive hand movements can help maintain dexterity and keep the hands active, even if the person is unable to perform more complex tasks.

Additionally, these movements can be a form of self-soothing or self-stimulation. In some cases, people with dementia may engage in repetitive behaviors as a way to stimulate their senses or to maintain a sense of control over their environment. This is similar to how some people without dementia might fidget or tap their feet when they are bored or restless.

Lastly, repetitive hand movements can be a sign of underlying cognitive issues. Dementia affects the brain’s ability to process information and control movements, leading to involuntary actions. In some cases, these movements might be similar to those seen in conditions like tardive dyskinesia, which involves involuntary, repetitive body movements often caused by medication side effects. However, in dementia, these movements are more likely related to the disease’s impact on brain function.

Understanding why people with dementia exhibit repetitive hand movements can help caregivers develop strategies to support them. For instance, providing safe and engaging activities can redirect these movements into more productive and calming behaviors. This not only helps manage agitation but also enhances the person’s quality of life by keeping them occupied and fulfilled.