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Firstly, apart from dual-task deficits, motor and functional deficits are key early markers of dementia (e.g. ambulatory difficulties, limited forward flexion of the torso when getting up from a chair).2,3 A decline of functional and motor performances due to dementia is known to be the most common reason why elderly people develop a need for long-term care. In my opinion, validated functional performance tests such as the “Timed up-and-go test (TUG)” and “Five-times-sit-to-stand” test (FTSS) should therefore also be implemented as part of dementia assessment and the management protocol for Nepal. The test-retest reliability values for the quick and feasible TUG and FTSS have proven to be excellent or good, respectively, in older people with dementia.4 There is a negative association between each of the motor tools for assessing functional mobility or lower-limb strength and global cognitive performance.5

Re: Dementia Assessment and Management Protocol for Doctors in Nepal