Freezing of Gait (FOG)

Authors

Affiliations

Nate Yomogida, B.S., SPT

Doctor of Physical Therapy

B.S. in Kinesiology

Chloë Kerstein, B.S., SPT

Doctor of Physical Therapy

B.A. in Neuroscience

Examination

Subjective

• Do you experience FOG
• How often
• How long does a FOG last
• What are the triggers?

T&M

• FOG-Q

Paired assessments

Patients who experience freezing of gait, you should include a cognitive exam or ensure someone else has conducted one.

• Mocha

Interventions

External Cueing

• When a subgroup of freezers was analyzed, there was a significant reduction in freezing severity (FOG-Q140 scores) with cueing compared with a no-cueing condition¹

Gait Training

• Greater improvement in FOG was shown with treadmill training plus visual and auditory cues compared with overground gait training with visual and auditory cues¹

References

1.

Osborne JA, Botkin R, Colon-Semenza C, et al. Physical Therapist Management of Parkinson Disease: A Clinical Practice Guideline From the American Physical Therapy Association. Physical Therapy. 2022;102(4):pzab302. doi:10.1093/ptj/pzab302