She hasn't had a stroke and insists she is perfectly comfortable sitting leaning over. If I mention sitting up straight she insists she is. It doesn't matter if she is on the couch or in a chair and it doesn't happen all the time but more times than not. She does have dementia. Is this a part of the disease?
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What makes you think that your mom might have LBD?
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On the other hand, does she have arthritis, osteoporosis, any spinal issues? Does she do any exercise for her back?
If this is recent and fairly progressive, I'd take her to see an orthopedic doctor who can do x-rays and see if there are any spinal issues that could be addressed before the situation becomes worse.