The Factors that Induce or Overcome Freezing of Gait in Parkinson’s Disease

Freezing of gait (FoG), a transient halt in walking, is a major mobility problem for patients with Parkinson’s disease (PD). This study examined the factors that induce FoG, and identified the cues and strategies that help overcome it through a postal survey of 130 PD patients. 72% reported FoG. The...

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Main Authors: S. Rahman, H. J. Griffin, N. P. Quinn, M. Jahanshahi
Format: Article
Language:English
Published: Wiley 2008-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2008/456298
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author S. Rahman
H. J. Griffin
N. P. Quinn
M. Jahanshahi
author_facet S. Rahman
H. J. Griffin
N. P. Quinn
M. Jahanshahi
author_sort S. Rahman
collection DOAJ
description Freezing of gait (FoG), a transient halt in walking, is a major mobility problem for patients with Parkinson’s disease (PD). This study examined the factors that induce FoG, and identified the cues and strategies that help overcome it through a postal survey of 130 PD patients. 72% reported FoG. The factors that commonly induced FoG were turning, fatigue, confined spaces and stressful situations, in addition to emotional factors. FoG was also ameliorated by various attentional and external cueing strategies. The concept of paradoxical kinesis, the potential neural substrates of such external cueing effects, and their importance for rehabilitation in PD are discussed.
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spelling doaj-art-db665f444bd24c138b694c3cbdc884232025-02-03T00:59:39ZengWileyBehavioural Neurology0953-41801875-85842008-01-0119312713610.1155/2008/456298The Factors that Induce or Overcome Freezing of Gait in Parkinson’s DiseaseS. Rahman0H. J. Griffin1N. P. Quinn2M. Jahanshahi3Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology and the National Hospital for Neurology and Neurosurgery, University College London, Queen Square, London, WC1N 3BG, UKSobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology and the National Hospital for Neurology and Neurosurgery, University College London, Queen Square, London, WC1N 3BG, UKSobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology and the National Hospital for Neurology and Neurosurgery, University College London, Queen Square, London, WC1N 3BG, UKSobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology and the National Hospital for Neurology and Neurosurgery, University College London, Queen Square, London, WC1N 3BG, UKFreezing of gait (FoG), a transient halt in walking, is a major mobility problem for patients with Parkinson’s disease (PD). This study examined the factors that induce FoG, and identified the cues and strategies that help overcome it through a postal survey of 130 PD patients. 72% reported FoG. The factors that commonly induced FoG were turning, fatigue, confined spaces and stressful situations, in addition to emotional factors. FoG was also ameliorated by various attentional and external cueing strategies. The concept of paradoxical kinesis, the potential neural substrates of such external cueing effects, and their importance for rehabilitation in PD are discussed.http://dx.doi.org/10.1155/2008/456298
spellingShingle S. Rahman
H. J. Griffin
N. P. Quinn
M. Jahanshahi
The Factors that Induce or Overcome Freezing of Gait in Parkinson’s Disease
Behavioural Neurology
title The Factors that Induce or Overcome Freezing of Gait in Parkinson’s Disease
title_full The Factors that Induce or Overcome Freezing of Gait in Parkinson’s Disease
title_fullStr The Factors that Induce or Overcome Freezing of Gait in Parkinson’s Disease
title_full_unstemmed The Factors that Induce or Overcome Freezing of Gait in Parkinson’s Disease
title_short The Factors that Induce or Overcome Freezing of Gait in Parkinson’s Disease
title_sort factors that induce or overcome freezing of gait in parkinson s disease
url http://dx.doi.org/10.1155/2008/456298
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