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 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.

• Publication year

  2008

• Venue

  Behavioural Neurology

• Publication date

  2008-07-15

• Fields of study

  Medicine, Psychology

• Identifiers
  DOI 10.1155/2008/456298PMID 18641432PMCID 5452481
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Quality of life in Parkinson's disease: The relative importance of the symptoms

  2008cited by this paper
• Cueing training in the home improves gait-related mobility in Parkinson’s disease: the RESCUE trial

  2007cited by this paper
• The use of rhythmic auditory cues to influence gait in patients with Parkinson's disease, the differential effect for freezers and non-freezers, an explorative study

  2006cited by this paper
• Evaluation of the effect of training using auditory stimulation on rhythmic movement in Parkinsonian patients--a combined motor and [18F]-FDG PET study.

  2006cited by this paper
• Freezing of gait after bilateral subthalamic nucleus stimulation for Parkinson's disease.

  2006cited by this paper
• Treatment of primary progressive freezing of gait with high doses of selegiline.

  2006cited by this paper
• Special issue on emotional intelligence: an overview.

  2006cited by this paper
• Are freezing of gait (FOG) and panic related?

  2006cited by this paper
• Strategies used by people with Parkinson's disease who report difficulty turning.

  2006influential reference
• The effects of visual rhythms and optic flow on stride patterns of patients with Parkinson's disease.

  2006cited by this paper
• Effects of external rhythmical cueing on gait in patients with Parkinson's disease: a systematic review

  2005cited by this paper
• The effect of external rhythmic cues (auditory and visual) on walking during a functional task in homes of people with Parkinson's disease.

  2005cited by this paper
• Three‐dimensional stereotactic surface projection study of freezing of gait and brain perfusion image in Parkinson's disease

  2005cited by this paper
• The human orbitofrontal cortex: linking reward to hedonic experience

  2005cited by this paper
• Falls and freezing of gait in Parkinson's disease: A review of two interconnected, episodic phenomena

  2004cited by this paper
• Short-term and practice effects of metronome pacing in Parkinson's disease patients with gait freezing while in the 'on' state: randomized single blind evaluation.

  2004cited by this paper
• Freezing of gait in Parkinson's disease.

  2004cited by this paper
• Effects of visual and auditory cues on gait in individuals with Parkinson's disease.

  2004cited by this paper
• Effects of stereotactic neurosurgery on postural instability and gait in Parkinson's disease

  2004cited by this paper
• Auditory cues can modify the gait of persons with early-stage Parkinson's disease: a method for enhancing parkinsonian walking performance?

  2003cited by this paper
• Characterization of freezing of gait subtypes and the response of each to levodopa in Parkinson's disease

  2003cited by this paper
• Relationship between freezing of gait (FOG) and other features of Parkinson's: FOG is not correlated with bradykinesia.

  2003cited by this paper
• Fatigue in Parkinson’s disease

  2003cited by this paper
• Freezing of gait in PD

  2001cited by this paper
• Freezing of gait in patients with advanced Parkinson's disease

  2001cited by this paper
• Disruption of estimation of body-scaled aperture width in Hemiparkinson's disease.

  2001cited by this paper
• What contributes to depression in Parkinson's disease?

  2001cited by this paper
• Postural instability and falls in Parkinson's disease.

  2001cited by this paper
• What contributes to quality of life in patients with Parkinson's disease?

  2000cited by this paper
• Construction of freezing of gait questionnaire for patients with Parkinsonism.

  2000cited by this paper
• Visual control of locomotion in Parkinson's disease.

  1999cited by this paper
• Turning strategies during human walking.

  1999cited by this paper
• Behavioral analysis of the freezing phenomenon in Parkinson's disease: a case study.

  1999cited by this paper
• [Prevalence of mental disorders in persons with Parkinson's disease].

  1998cited by this paper
• [Metronome therapy in patients with Parkinson disease].

  1997cited by this paper
• Freezing phenomenon in patients with parkinsonian syndromes

  1997cited by this paper
• Rhythmic auditory-motor facilitation of gait patterns in patients with Parkinson's disease.

  1997cited by this paper
• Freezing gait in Parkinson's disease.

  1997cited by this paper
• Irrelevant peripheral visual stimuli impair manual reaction times in Parkinson's disease.

  1997cited by this paper
• Stride length regulation in Parkinson's disease. Normalization strategies and underlying mechanisms.

  1996cited by this paper
• Fatigue in Parkinson's disease

  1993cited by this paper
• Contrast sensitivity is increased in a case of nonparkinsonian freezing gait

  1992cited by this paper
• Motor blocks in Parkinson's disease

  1992cited by this paper
• Paradoxical movement in Parkinson's disease.

  1991cited by this paper
• Evaluation of a modified inverted walking stick as a treatment for Parkinsonian freezing episodes

  1990cited by this paper
• Parkinsonism: upturned walking stick as an aid to locomotion.

  1987cited by this paper
• Akinetic freezing and trick movements in Parkinson's disease.

  1980cited by this paper
• The basal ganglia and posture.

  1967cited by this paper
• Parkinsonism

  1967cited by this paper
• The Nature of Human Conflicts. By A. R. Luria. (New York: Liveright, Inc., 1932.)

  1933cited by this paper
• The Nature of Human Conflicts

  1932cited by this paper
• Arteriosclerotic Parkinsonism

  1930cited by this paper

• Understanding Cueing Strategies for Gait Impairments in Parkinson's Disease: Protocol of the Multicenter UNITE‐PD Study

  2026cites this paper
• Parkinson's Disease Freezing of Gait (FoG) Symptom Detection Using Machine Learning from Wearable Sensor Data

  2025cites this paper
• Management of freezing of gait — mechanism-based practical recommendations

  2025cites this paper
• Priors and proprioceptive predictions

  2025cites this paper
• Technology for measuring freezing of gait: Current state of the art and recommendations

  2025cites this paper
• Alterations of functional connectivity between hyperdirect pathway regions and outside regions in Parkinson's disease patients with freezing of gait.

  2025cites this paper
• A feature fusion approach for detection and counting of freezing-of-gait episodes in Parkinson's patients using shank acceleration sensor

  2025cites this paper
• Multimodal Freezing of Gait Detection: Analyzing the Benefits and Limitations of Physiological Data

  2024cites this paper
• Soft robotic apparel to avert freezing of gait in Parkinson’s disease

  2024cites this paper
• Generating Models of Human Gait in Patients with Parkinson’s Disease using Genetic Programming

  2024cites this paper
• Which Gait Tasks Produce Reliable Outcome Measures of Freezing of Gait in Parkinson’s Disease?

  2024cites this paper
• Stress in Huntington’s Disease: Characteristics and Correlates in Patients and At-Risk Individuals

  2024cites this paper
• Exploring the Strategies People with Parkinson's Disease Use to Self-track Symptoms and Medications

  2024cites this paper
• Grid cells: the missing link in understanding Parkinson’s disease?

  2024cites this paper
• Inferring when to move.

  2024cites this paper
• The effect of doorway characteristics on freezing of gait in Parkinson’s disease

  2023cites this paper
• Recent trends in wearable device used to detect freezing of gait and falls in people with Parkinson’s disease: A systematic review

  2023cites this paper
• Techniques for the detection and management of freezing of gait in Parkinson's disease – A systematic review and future perspectives

  2023cites this paper
• Neuromuscular assessment of force development, postural, and gait performance under cognitive-motor dual-tasking in healthy older adults and people with early Parkinson's disease: Study protocol for a cross-sectional Mobile Brain/Body Imaging (MoBI) study

  2023cites this paper
• Gait improvement with wearable cyborg HAL trunk unit for parkinsonian patients: five case reports

  2023cites this paper
• Freezing of gait assessment with inertial measurement units and deep learning: effect of tasks, medication states, and stops

  2023cites this paper
• Smart shoes for Parkinson’s Patients

  2023cites this paper
• Human Gait Recognition using Deep Learning: A Comprehensive Review

  2023cites this paper
• A Wearable Sensor-Based Biofeedback System to Predict the Freezing of Gait (FoG) in Parkinson’s Patients

  2023cites this paper
• Rising From the Floor in Persons With Parkinson's Disease.

  2023cites this paper
• Associated factors and abnormal dorsal raphe nucleus connectivity patterns of freezing of gait in Parkinson’s disease

  2022cites this paper
• Stress system and related biomarkers in Parkinson's disease.

  2022cites this paper
• Fronto-parietal cortex activation during walking in patients with Parkinson's disease adopting different postural strategies

  2022cites this paper
• Improvement of Performance in Freezing of Gait detection in Parkinson's Disease using Transformer networks and a single waist-worn triaxial accelerometer

  2022cites this paper
• Predicting the onset of freezing of gait in Parkinson’s disease

  2022cites this paper
• People With Parkinson’s Disease and Freezing of Gait Show Abnormal Low Frequency Activity of Antagonistic Leg Muscles

  2022cites this paper
• Impact of COVID-19 Pandemic on Parkinson's Disease: A Tale of Fears and Sorrows!

  2021influential citation
• Gait Parameters Measured from Wearable Sensors Reliably Detect Freezing of Gait in a Stepping in Place Task

  2021cites this paper
• Visual cues added to a virtual environment paradigm do not improve motor arrests in Parkinson’s disease

  2021cites this paper
• Measuring freezing of gait during daily-life: an open-source, wearable sensors approach

  2021cites this paper
• More Than Just Static: Dynamic Functional Connectivity Changes of the Thalamic Nuclei to Cortex in Parkinson's Disease With Freezing of Gait

  2021cites this paper
• Perception and Use of Compensation Strategies for Gait Impairment by Persons With Parkinson Disease

  2021cites this paper
• Protocol for the DeFOG trial: A randomized controlled trial on the effects of smartphone-based, on-demand cueing for freezing of gait in Parkinson's disease

  2021cites this paper
• Machine learning based Freezing of Gait detection for an on-demand cueing system

  2021cites this paper
• Automated freezing of gait assessment with marker-based motion capture and multi-stage graph convolutional neural networks approaches expert-level detection

  2021cites this paper
• [Nordic walking in winter as the multitask training in patients with Parkinson's disease].

  2021cites this paper
• Gait-Related Brain Activation During Motor Imagery of Complex and Simple Ambulation in Parkinson's Disease With Freezing of Gait

  2021cites this paper
• Automated freezing of gait assessment with marker-based motion capture and multi-stage spatial-temporal graph convolutional neural networks

  2021cites this paper
• Current Perspectives on the Assessment and Management of Gait Disorders in Parkinson’s Disease

  2021cites this paper
• Virtual reality doorway and hallway environments alter gait kinematics in people with Parkinson disease and freezing.

  2021cites this paper
• Automated freezing of gait assessment with marker-based motion capture and deep learning approaches expert-level detection

  2021cites this paper
• The Effects of Intensive Neurorehabilitation on Sequence Effect in Parkinson's Disease Patients With and Without Freezing of Gait

  2021cites this paper
• Effects of the Coronavirus Disease 2019 Pandemic on Motor Symptoms in Parkinson's Disease: An Observational Study

  2021cites this paper
• Prevalence of freezing of gait in Parkinson’s disease: a systematic review and meta-analysis

  2021cites this paper
• Footsteps and walking trajectories during the Timed Up and Go test in young, older, and Parkinson's disease subjects.

  2021cites this paper
• Perceptions of Compensation Strategies for Gait Impairments in Parkinson’s Disease: A Survey Among 320 Healthcare Professionals

  2020cites this paper
• The Effects of Augmented Reality Visual Cues on Turning in Place in Parkinson's Disease Patients With Freezing of Gait

  2020cites this paper
• Freezing of Gait in Parkinson's Disease: Invasive and Noninvasive Neuromodulation

  2020cites this paper
• Variability of Movement Disorders: The Influence of Sensation, Action, Cognition, and Emotions

  2020influential citation
• Effects of virtual reality environments on overground walking in people with Parkinson disease and freezing of gait

  2020cites this paper
• Effect of Lee Silverman Voice Therapy (LSVT) BIG Exercises on Functional Gait Performance of Parkinson’s Disease Patients

  2020cites this paper
• Behavioural Manifestations and Associated Non-Motor Features of Freezing of Gait: A narrative review and theoretical framework.

  2020cites this paper
• Impact of home confinement during COVID-19 pandemic on Parkinson's disease

  2020cites this paper
• The Role of Architecture and Design in the Management of Parkinson’s Disease: A Systematic Review

  2020influential citation
• Visuomotor control of walking in Parkinson's disease: Exploring possible links between conscious movement processing and freezing of gait.

  2020cites this paper
• Feature-Set-Engineering for Detecting Freezing of Gait in Parkinson's Disease using Deep Recurrent Neural Networks

  2019cites this paper
• Double-Tap Interaction as an Actuation Mechanism for On-Demand Cueing in Parkinson’s Disease

  2019cites this paper
• Long-Term Home-Monitoring Sensor Technology in Patients with Parkinson’s Disease—Acceptance and Adherence

  2019cites this paper
• Neurocomputational models of corticostriatal interactions in action selection

  2019cites this paper
• Clinical features of freezing of gait in Parkinson's disease patients

  2019cites this paper
• Compensation Strategies for Gait Impairments in Parkinson Disease: A Review.

  2019cites this paper
• Walking Along Curved Trajectories. Changes With Age and Parkinson's Disease. Hints to Rehabilitation

  2019cites this paper
• Congelamento da marcha e de membros superiores na doença de Parkinson

  2019cites this paper
• The Detection of Freezing of Gait in Parkinson’s Disease Using Asymmetric Basis Function TV-ARMA Time–Frequency Spectral Estimation Method

  2019cites this paper
• Gait Disorders Questionnaire–Promising Tool for Virtual Reality Designing in Patients With Parkinson's Disease

  2019cites this paper
• Identifying the neural correlates of doorway freezing in Parkinson's disease

  2019cites this paper
• Neural modeling of human motor coordination inspired by biological signals aiming for parkinsonian gaits. (Modélisation neuronale de la coordination motrice humaine inspirée de signaux biologiques et visant des allures de marche parkinsoniennes)

  2019cites this paper
• Towards Personalized Rehabilitation for Gait Impairments in Parkinson’s Disease

  2018cites this paper
• Are Hypometric Anticipatory Postural Adjustments Contributing to Freezing of Gait in Parkinson’s Disease?

  2018cites this paper
• Experiences of fear of falling in persons with Parkinson’s disease – a qualitative study

  2018cites this paper
• The effects of LSVT BIG home exercises and T’ai Chi on balance and gait in an individual with parkinson’s disease: A case study

  2018cites this paper
• Activity avoidance, perceived walking difficulties, and use of mobility devices in people with Parkinson's disease

  2018cites this paper
• Die Patientensicht auf Ganginitiierungsstörungen bei Morbus Parkinson - Validierung eines neuen Fragebogens zu Freezing of Gait (Gangfreezing) in deutscher Sprache

  2018cites this paper
• Ice skating is safe and skillfully preserved amongst some people living with Parkinson's disease : possibility of neurotherapeutic inervention

  2017influential citation
• Spatial constraints evoke increased number of steps during turning in Parkinson's disease.

  2017cites this paper
• Characteristics associated with freezing of gait in actual daily living in Parkinson’s disease

  2017cites this paper
• Inhibitory dysfunction contributes to some of the motor and non-motor symptoms of movement disorders and psychiatric disorders

  2017cites this paper
• Falling upward with Parkinson’s disease

  2017cites this paper
• Superficial brain stimulation to overcome freezing of gait in Parkinson disease

  2017cites this paper
• Kerr, Andrew and Pomeroy, Valerie and Rowe, Philip and Dall, Phillipa and Rafferty, D (2013) Measuring movement fluency during the sit-to-

  2017cites this paper
• Does Dopamine Depletion Trigger a Spreader Lexical-Semantic Activation in Parkinson's Disease? Evidence from a Study Based on Word Fluency Tasks

  2017influential citation
• Serious games as a means for holistically supporting Parkinson's Disease patients: The i-PROGNOSIS personalized game suite framework

  2017cites this paper
• Cueing for people with Parkinson's disease with freezing of gait: A narrative review of the state-of-the-art and novel perspectives.

  2017cites this paper
• Influence of Cueing and an Attentional Strategy on Freezing of Gait in Parkinson Disease During Turning

  2017cites this paper
• Effects of Sensitive Electrical Stimulation‐Based Somatosensory Cueing in Parkinson's Disease Gait and Freezing of Gait Assessment

  2017cites this paper
• Neuropsychological Aspects of Gait Disorders

  2017cites this paper
• Further focus on the study of freezing of gait

  2017cites this paper
• An Integrated Review of Psychological Stress in Parkinson's Disease: Biological Mechanisms and Symptom and Health Outcomes

  2016influential citation
• Effects of Sensitive Electrical Stimulation Based Cueing in Parkinson’s Disease: A Preliminary Study

  2016cites this paper
• Parkinsonism and Related Disorders

  2016cites this paper
• Letter regarding article ‘Freezing of gait associated with a corpus callosum lesion’

  2016cites this paper
• Fear of falling in persons with Parkinson's disease

  2016cites this paper
• The Practicalities of Assessing Freezing of Gait

  2016cites this paper
• Staircase climbing is not solely a visual compensation strategy to alleviate freezing of gait in Parkinson’s disease

  2016cites this paper
• Patterns and predictors of freezing of gait improvement following rasagiline therapy: A pilot study.

  2016cites this paper