The On-Freezing Phenomenon: Cognitive and Behavioral Aspects

Freezing of gait is a warning sign of Parkinson's disease. One could distinguish off-freezing, which is associated with dopaminergic therapy and to its titration, and it is clinically related to wearing-off phenomenon. Differently, the on-freezing phenomenon seems to be related to a neural disr...

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Main Authors: Rita Moretti, Paola Torre, Rodolfo M. Antonello, Francesca Esposito, Giuseppe Bellini
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.4061/2011/746303
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author Rita Moretti
Paola Torre
Rodolfo M. Antonello
Francesca Esposito
Giuseppe Bellini
author_facet Rita Moretti
Paola Torre
Rodolfo M. Antonello
Francesca Esposito
Giuseppe Bellini
author_sort Rita Moretti
collection DOAJ
description Freezing of gait is a warning sign of Parkinson's disease. One could distinguish off-freezing, which is associated with dopaminergic therapy and to its titration, and it is clinically related to wearing-off phenomenon. Differently, the on-freezing phenomenon seems to be related to a neural disruption of the frontal-parietal-basal ganglia-pontine projections; clinically, it does not respond to therapy modifications or to different drug titration. In a group of patients with on-freezing, we have detected an alteration of focusing attention, an impairment of set-shifting, in addition to poor abstract reasoning and a reduction of planning. These aspects have been even more evident, when compared with the results obtained by a group of PD patients, without freezing.
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institution Kabale University
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publishDate 2011-01-01
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series Parkinson's Disease
spelling doaj-art-d08ae8e82c6248e28b02c8f0cfa9ef8e2025-02-03T00:59:35ZengWileyParkinson's Disease2042-00802011-01-01201110.4061/2011/746303746303The On-Freezing Phenomenon: Cognitive and Behavioral AspectsRita Moretti0Paola Torre1Rodolfo M. Antonello2Francesca Esposito3Giuseppe Bellini4Medicina Clinica, Ambulatorio Complicanze Internistiche Cerebrali, Dipartimento Universitario Clinici di Scienze Mediche Tecnologiche e Traslazionali, Università degli Studi di Trieste, Ospedale di Cattinara, Strada Fiume 447, 34149 Trieste, ItalyMedicina Clinica, Ambulatorio Complicanze Internistiche Cerebrali, Dipartimento Universitario Clinici di Scienze Mediche Tecnologiche e Traslazionali, Università degli Studi di Trieste, Ospedale di Cattinara, Strada Fiume 447, 34149 Trieste, ItalyMedicina Clinica, Ambulatorio Complicanze Internistiche Cerebrali, Dipartimento Universitario Clinici di Scienze Mediche Tecnologiche e Traslazionali, Università degli Studi di Trieste, Ospedale di Cattinara, Strada Fiume 447, 34149 Trieste, ItalyMedicina Clinica, Ambulatorio Complicanze Internistiche Cerebrali, Dipartimento Universitario Clinici di Scienze Mediche Tecnologiche e Traslazionali, Università degli Studi di Trieste, Ospedale di Cattinara, Strada Fiume 447, 34149 Trieste, ItalyMedicina Clinica, Ambulatorio Complicanze Internistiche Cerebrali, Dipartimento Universitario Clinici di Scienze Mediche Tecnologiche e Traslazionali, Università degli Studi di Trieste, Ospedale di Cattinara, Strada Fiume 447, 34149 Trieste, ItalyFreezing of gait is a warning sign of Parkinson's disease. One could distinguish off-freezing, which is associated with dopaminergic therapy and to its titration, and it is clinically related to wearing-off phenomenon. Differently, the on-freezing phenomenon seems to be related to a neural disruption of the frontal-parietal-basal ganglia-pontine projections; clinically, it does not respond to therapy modifications or to different drug titration. In a group of patients with on-freezing, we have detected an alteration of focusing attention, an impairment of set-shifting, in addition to poor abstract reasoning and a reduction of planning. These aspects have been even more evident, when compared with the results obtained by a group of PD patients, without freezing.http://dx.doi.org/10.4061/2011/746303
spellingShingle Rita Moretti
Paola Torre
Rodolfo M. Antonello
Francesca Esposito
Giuseppe Bellini
The On-Freezing Phenomenon: Cognitive and Behavioral Aspects
Parkinson's Disease
title The On-Freezing Phenomenon: Cognitive and Behavioral Aspects
title_full The On-Freezing Phenomenon: Cognitive and Behavioral Aspects
title_fullStr The On-Freezing Phenomenon: Cognitive and Behavioral Aspects
title_full_unstemmed The On-Freezing Phenomenon: Cognitive and Behavioral Aspects
title_short The On-Freezing Phenomenon: Cognitive and Behavioral Aspects
title_sort on freezing phenomenon cognitive and behavioral aspects
url http://dx.doi.org/10.4061/2011/746303
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