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Article type: Short Communication
Authors: Kal, Elmar C.a; b; * | Ellmers, Toby J.b; c | Fielding, Anna E.d | Hardeman, Lottee | Coito, Julianaa | Joyce, Laurena | Young, William R.c
Affiliations: [a] Division of Physiotherapy, College of Health, Medicine and Life Sciences, Brunel University London, UK | [b] Centre for Cognitive Neuroscience, Brunel University London, UK | [c] Neuro-otology Unit, Department of Brain Sciences, Imperial College London, UK | [d] Institute of Psychiatry, Psychology, and Neuroscience, King’s College London, UK | [e] Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, VU University Amsterdam, the Netherlands | [f] School of Sport and Health Sciences, University of Exeter, UK
Correspondence: [*] Correspondence to: Dr. Elmar Kal, College of Health, Medi-cine and Life Sciences, Brunel University London, Uxbridge UB8 3PH, United Kingdom. E-mail: elmar.kal@brunel.ac.uk.
Abstract: Freezing of gait (FOG) can severely compromise daily functioning in people with Parkinson’s disease. Inability to initiate a step from FOG is likely underpinned, at least in part, by a deficient preparatory weight-shift. Conscious attempts to weight-shift in preparation to step can improve success of initiating forward steps following FOG. However, FOG often occurs during turning, where weight-shifting is more complex and risk of falling is higher. We explored the effectiveness of a dance-based (‘cha-cha’) weight-shifting strategy to re-initiate stepping following FOG during turning. Results suggest that this simple movement strategy can enhance turning steps following FOG, without compromising safety.
Keywords: Parkinson’s disease, freezing of gait, cueing, step initiation, anticipatory postural adjustment, weight-shifting, festination
DOI: 10.3233/JPD-213125
Journal: Journal of Parkinson's Disease, vol. 12, no. 4, pp. 1353-1358, 2022
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