‘Off legs’ can hide many diagnoses ranging from cord compression to end-stage dementia.  Common presentations will include:

  • ‘Found sleeping in their chair’.
  • ‘Got stuck in the toilet’.
  • ‘They’ve just seized up’.

The underlying cause for immobility could be an atypical presentation of an acute event (e.g., heart attack, stroke, infections) or exacerbation of an underlying condition (e.g., hypothyroidism, Parkinson’s disease). Immobility can also be the result of psychological factors (e.g., fear of falling or getting hurt, motivation or depression).

Sudden changes in mobility are as significant as total immobility.

A comprehensive assessment is essential to focus on urgent and important issues.