Freezing in Parkinson’s disease: causes, risks, treatment<\/h1><\/div><\/div><\/div><\/div><\/div>![](\"https:\/\/parkinsonsjournal.com\/wp-content\/uploads\/2026\/05\/freezing-of-gait-fog-parkinson.jpg\")
<\/span><\/div><\/div><\/div><\/div><\/div>“Freezing of gait”, or FOG for short, describes the sudden, unpredictable “freezing” of walking movements in Parkinson’s disease. At these moments, it seems as if the feet suddenly stick to the ground and those affected can no longer move forward. This sudden block in movement, the “freezing”, can occur particularly at crossings or in narrow spaces such as doorways and is often associated with a feeling of helplessness. <\/p>\n<\/div>
For many people with Parkinson’s and their relatives, this symptom is difficult to understand and frustrating, as it seems to occur without warning. FOG is a well-known symptom of Parkinson’s disease. It’s good to know that there are strategies and tools that can help to restore the flow of movement and regain some mobility and self-confidence at such times.
We present many helpful tips for dealing with freezing and the role that sensory stimuli play in overcoming these blockages.<\/p>\n<\/div>
Contents at a glance<\/div><\/div><\/div><\/div><\/div><\/div><\/div>What exactly does “freezing of gait” mean in Parkinson’s disease?<\/h2>\n
In German, “freezing of gait” means “freezing of the gait”. Perhaps you have already come into contact with this phenomenon yourself? Because around half of people with Parkinson’s are familiar with the sudden freezing of gait, which can usually occur for the first time from the fifth year after diagnosis. In moments of freezing, nothing happens for several seconds. A feeling of paralysis and loss of control over movements is described because the feet can only be lifted from the ground with great difficulty or not at all. <\/p>\n
Freezing can last from a few seconds to half a minute. Sometimes the movement block occurs sporadically, sometimes several times a day. The blockage occurs while the patient is fully conscious and is a stressful experience for many of those affected, as their own body suddenly refuses to move in the usual way. However, freezing is not only unpleasant, but can also be risky: it can lead to falls and other dangerous situations – especially in moments when quick reactions are required, such as when crossing a road. <\/p>\n<\/div>
On and off phases of freezing<\/h3><\/div>In the case of Parkinson’s, doctors speak of on-phases and off-phases in connection with freezing. They describe the condition of those affected in relation to the effect of the medication: <\/p>\n
\n- On phase: <\/b>In the on phase, the medication, usually levodopa, works well. The symptoms are significantly alleviated and movements are easier. During this phase, many patients are able to cope with everyday life with virtually no symptoms. Freezing also occurs less frequently in the on phase or is less pronounced. <\/li>\n
- Off-phase:<\/b> In the off-phase, the effect of the medication wears off and the Parkinson’s symptoms become more severe. In this phase, movements become more difficult, tremors and stiffness increase, and freezing occurs more frequently and more intensely. <\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div>
What are the causes and triggers of freezing?<\/h2>\n
Freezing – this sudden freezing of movement – is not the result of weakness or a lack of willpower, but the result of complex changes in the brain that are typical of Parkinson’s disease. Knowing that the brain can no longer make small adjustments as usual helps us to understand these moments better and to show ourselves a little more compassion. Possible causes and triggers of freezing include: <\/p>\n
\n- Dopamine deficiency<\/b>: In Parkinson’s disease, the brain is no longer sufficiently supplied with the neurotransmitter dopamine. However, dopamine is important for smooth movements. If the dopamine level drops, movements may suddenly be interrupted. This is often the case during an “off-freezing” phase, when the effect of the medication wears off. <\/li>\n
- Effect of the medication<\/b>: Sometimes freezing is also caused by the effect of the Parkinson’s medication itself. Paradoxically, if the medication has a particularly strong effect, this can also lead to freezing. This is known as “on-freezing” (“on phase”) and can be particularly frustrating because the treatment that is supposed to help can have the opposite effect in some situations. <\/li>\n
- Stressful situations<\/b>: Situations that require extra concentration, such as crossing a road or entering a confined space, can also trigger freezing. Stress, uncertainty and the feeling of “having to perform particularly well now” often increase the risk of freezing. <\/li>\n
- Environment and sensory impressions<\/b>: Frequent changes in the environment, for example lots of people, noises or sudden obstacles, can promote freezing. Unfamiliar surfaces or narrow passages can also have an effect, as the brain is sometimes overwhelmed by the many impressions. <\/li>\n
- Patterns in the brain and habitual movements<\/b>: Movement sequences are deeply anchored in the brain. If these processes are disrupted by Parkinson’s, it can happen that the habitual patterns seem “blocked”. The brain then no longer sends a clear signal to the legs, causing them to virtually stand still. This shows that freezing is often not simply a “head thing”, but is based on complex processes in the brain. <\/li>\n<\/ul>\n
Good to know:<\/b> A combination of several of these causes is often a possible trigger. Whatever triggers freezing, it is helpful to know that with practice, patience and professional support, you can find ways to overcome such moments. <\/p>\nSymptom “freezing” in Parkinson’s disease: how the blockage manifests itself<\/h2>\n
Freezing can manifest itself in various moments and situations. Here are typical signs of movement blockage: <\/p>\n
\n- Start inhibition<\/b>: Difficulty starting to move, especially after a break in walking, when the first step is to be taken.<\/li>\n
- Sudden blockage of movement when walking<\/b>: When crossing narrow areas, such as door frames or corridors, when entering elevators or when turning or changing direction, the movement sequences freeze.<\/li>\n
- Stress and anxiety situations<\/b>: Freezing is more common in moments of increased tension or in unfamiliar environments.<\/li>\n
- Influence of medication<\/b>: Freezing can occur in connection with certain phases of medication intake, which can possibly increase the blockages.<\/li>\n<\/ul>\n
Complications of freezing in Parkinson’s disease<\/h2>\n
Freezing is not only an unpleasant symptom for people with Parkinson’s, but also poses various risks and dangers in everyday life. The sudden blockage of movement leads to those affected feeling “at the mercy” in certain situations, which can lead to insecurity and frustration. These moments of freezing are particularly problematic in everyday life if they occur at critical moments, for example when crossing roads or getting on and off public transport. Below we summarize the most important risks and complications that can arise from freezing: <\/p>\n
\n- Increased risk of falling<\/b>: Suddenly stopping a movement can severely disrupt balance. Especially when walking or turning, the sudden stop may cause those affected to lose their balance and fall. The risk also increases if freezing occurs when walking downhill, such as on stairs or sloping paths – a sudden stop can cause particularly serious balance problems. <\/li>\n
- Risk of injury from falls<\/b>: There is an increased risk of injury from falls caused by the sudden blockage of movement. Abrupt movements and falling can lead to bruises, broken bones or even head injuries. Such injuries can lead to a considerable impairment of mobility in older people. <\/li>\n
- Loss of independence and mobility<\/b>: Frequent freezing not only has a physical impact on life, but also an emotional and practical one. The sudden freezing moments in everyday life, such as when walking around the home or on the way to the shops, can make the person affected feel insecure and increasingly dependent on relatives or carers. This restriction of mobility then also significantly limits their independence. <\/li>\n
- Psychological stress<\/b>: The unpredictable occurrence of freezing episodes can trigger severe anxiety, e.g. fear of movement (kinesiophobia). This fear often leads to increasing avoidance of activities, which in turn has a negative impact on self-confidence and general well-being. The fear of suddenly “freezing” in a risky situation, such as when crossing a road, can lead to those affected increasingly restricting their range of action. <\/li>\n
- Restrictions on quality of life<\/b>: The constant uncertainty caused by freezing and the associated complications can significantly reduce quality of life. As those affected may avoid activities and meetings with friends and family in order to avoid unpleasant situations, the risk of social isolation increases. The result can be a withdrawal from social life, which in turn significantly impairs life satisfaction. <\/li>\n<\/ul>\n
Diagnosis of “freezing”<\/h2>\n
The diagnosis of freezing in Parkinson’s disease is based on a thorough clinical examination and close observation of the symptoms by experienced physicians. The focus is placed on the specific characteristics that are typical of freezing: <\/p>\n
\n- Medical history and questioning<\/b>: First, the doctor will conduct a detailed interview to establish the frequency, timing and circumstances of the freezing. They will also ask about triggers such as confined spaces, sudden turns or situations such as starting or stopping walking. <\/li>\n
- Observation in everyday life<\/b>: Certain movements that can trigger freezing are often tested, such as walking, turning or walking through door frames. The doctors observe whether the typical “freezing” occurs and how long it lasts. <\/li>\n
- Special tests and questionnaires<\/b>: There are standardized tests and questionnaires, such as the FOG score, which help to assess the extent and frequency of freezing. These tests can also provide valuable information about the severity and specific triggers of the symptom. <\/li>\n
- Movement analysis using modern technology<\/b>: In some cases, modern technology such as wearable sensors or video analysis is also used to precisely record the gait pattern. This allows doctors to recognize subtle signs of freezing that sometimes go unnoticed in everyday life. The progression and effectiveness of treatment measures can also be documented. <\/li>\n
- Motor tests<\/b>: Standardized motor tests such as the Unified Parkinson’s Disease Rating Scale (UPDRS) help to objectively assess the ability to move and the extent of freezing. Sometimes a specific freezing test is also carried out, in which those affected are asked to perform certain movements to provoke freezing. <\/li>\n
- Exclusion of other causes<\/b>: Since freezing can also be caused by other diseases or side effects of medication, neurologists check whether it is a typical Parkinson’s symptom or whether other causes play a role.<\/li>\n
- Consultation with relatives<\/b>: The observations of relatives or caregivers can be a valuable addition to the diagnosis, as they experience freezing episodes more frequently in everyday life and can provide more precise information on the possible triggers and the course of the disease.<\/li>\n<\/ol>\n
Treating freezing: how to overcome the blockages<\/h2>\n
You can put together your personal favorites from our many tips to be prepared for the challenging moments of freezing. And remember: not everything will work straight away. It takes some time, patience and practice for the various techniques to develop their full benefits. The best way to train is as part of physiotherapy – with the support of an experienced physiotherapist. <\/p>\n<\/div>
4 steps: What to do if freezing occurs<\/h3><\/div>If a walking blockage occurs, you and your loved ones can follow a few simple steps together to get the movement moving again. It has proven helpful to have a strategic approach in mind to react calmly in moments of freezing: <\/p>\n
\n- Keep calm and take a deep breath<\/b>: Try to stay calm and not let the situation upset you. A few conscious, deep breaths help to reduce tension and promote concentration. <\/li>\n
- Decide on the best way to move<\/b>: Choose one of the methods below that will best help you take your next walking step.<\/li>\n
- Make sure you take the right step<\/b>: Make sure you put your heel on the ground first with every forward step. This promotes a more stable, flowing movement. <\/li>\n
- Use assistance in a targeted manner<\/b>: If someone wants to help, support should be provided from the side and not from the front or back. It is important to leave enough space for walking. If assistance is offered, helpers should avoid pulling on the arms, as this can often make the blockage worse. <\/li>\n<\/ol>\n<\/div><\/div><\/div><\/div>
Physiotherapy: support through cues (cueing) – sensory stimuli<\/h3>\n
In order to release the movement blockages, targeted external stimulation is often necessary to outwit the freezing mechanism. Many sufferers have had positive experiences with so-called cues. In a therapeutic context, cueing is the use of external visual or acoustic stimuli to stimulate and support rhythmic movements. Sensory triggers help to stimulate the brain and restart movement. <\/p>\n
Sensory stimuli during freezing<\/h4>\n
The best way to find and practise the right cues is together with a physiotherapist. Try out and practise these cues as part of a physiotherapy session. This can be an important step in dealing better with freezing and regaining control of movement. Here are some possibilities: <\/p>\n
\n- Visual cues<\/b>: Visual anchors, such as markings on the floor, small obstacles or deliberately placed uneven ground, can give the body a new impulse. These visual cues provide orientation and help to restore the flow of movement. <\/li>\n
- Acoustic cues<\/b>: Sounds and rhythms can activate the brain and support the flow of movement. A metronome, rhythmic clapping, counting or even music can be used for this purpose – anything that provides a steady pattern and helps the body to resume movement. Rhythmic music helps to prevent blockages. Smartphones or MP3 players with headphones are helpful here. Marching music is particularly suitable. <\/li>\n
- Haptic (sensory) cues<\/b>: Touch-sensitive (tactile) stimulation can also encourage the body to perform movements. Guided movements or touch, such as a light pinch, tap or slap on the thigh, send additional signals to the brain and can release you from freezing. <\/li>\n
- Mental cues<\/b>: Sometimes it helps to set yourself a clear internal goal, such as aiming for a fixed point in space or giving yourself a positive affirmation. Small encouragements and inner motivation can strengthen security and promote self-confidence. <\/li>\n<\/ul>\n
Aids for freezing<\/h2>\n
Those unexpected, spontaneous freezing moments can be very scary. Fortunately, there are various aids that can help you overcome these blockages and feel more confident again. Here is an overview of useful tools that can help you with freezing in everyday life: <\/p>\n
\n- Walking aids with built-in cues<\/b>: There are special walking aids that are equipped with visual or acoustic cues. These devices give you rhythmic signals, for example, or show visual markings on the floor to help you find a steady walking rhythm. Some walking aids have laser lines that are projected onto the floor and thus provide an orientation aid to overcome freezing. <\/li>\n
- Rhythm generators such as metronomes or beat generators<\/b>: A metronome or a mobile rhythm generator can be a helpful tool to promote a regular flow of movement. These devices provide a steady beat that helps you to resume walking. A mobile beat generator is particularly practical as it can be carried in your pocket and activated at the touch of a button whenever you need it. <\/li>\n
- Acoustic aids and music<\/b>: Music can not only relax you, but also provide a rhythmic stimulus to help you walk. Choose music with a clear beat or a special Parkinson’s playlist service that can be customized to your walking speed. Music with a strong rhythm gives your body the impulse to move to the beat and can help to release freezing. <\/li>\n
- Visual anchors (floor markings)<\/b>: Floor markings are also a proven aid for freezing. Self-applied floor markings, such as colorful adhesive tape, can provide orientation and safety of movement in the home. <\/li>\n
- Wearables with vibration<\/b>: There are special wearables, such as vibrating wristbands or devices, which send gentle vibration signals to the body during freezing and help you to focus your attention on the movement.<\/li>\n<\/ul>\n
With the right aids and techniques, freezing can be better managed in everyday life. It can be helpful to combine several of these approaches and use different stimuli to support the flow of movement. Even if it takes time and patience, the targeted use of these aids offers valuable support in order to remain safer and more independent. <\/p>\n
“Prevent freezing: ABCDE scheme for safe walking<\/h2>\n
With the so-called ABCDE scheme, you can work together with relatives or caregivers to specifically support your ability to walk. The ABCDE scheme comprises five simple steps that help you to stabilize walking with Parkinson’s in a targeted manner. It is designed to make movement easier in stressful or demanding moments and to reduce freezing as much as possible. By incorporating this easy-to-implement scheme into your everyday life, you can make your movements more conscious and safer. <\/p>\n
5 steps of the ABCDE scheme:<\/h4>\n\n- A – Take enough time<\/b>: Stress and a hectic pace can trigger or worsen freezing. Therefore, take enough time to consciously plan your movement before you carry it out. It can be particularly helpful to mentally prepare for the next step and remain calm. Planning ahead helps you to maintain a sense of control over your movement and gives you the composure you need to become more confident. <\/li>\n
- B – Break down the task: <\/b>Complex movements, such as walking or turning, can be more difficult with Parkinson’s. Therefore, try to break down such movements into smaller, simple individual steps. In concrete terms, this means lowering your heel before putting your toes down. By dividing the movement into clear, small steps, you can reduce the feeling of being overwhelmed and approach the next step in a more targeted manner. <\/li>\n
- C – Stay smart and focused: <\/b>Concentrate fully on every single step you take. Pay conscious attention to how you move and do not allow yourself to be distracted. This focused attention is important in order to make the movement smoother and more even. Even if it feels strenuous at first, the mindful steps will help to improve the flow of movement and thus reduce the frequency of freezing. <\/li>\n
- D – Avoid duplication of tasks: <\/b>To prevent freezing, focus on one thing at a time. Therefore, avoid doing several things at the same time, such as talking on the phone or otherwise distracting yourself while walking. A clear focus on walking will help you to progress more smoothly and safely. If you concentrate on one task at a time, the brain can coordinate the movement better. <\/li>\n
- E – Use external stimuli: <\/b>External sensory stimuli, so-called “cues”, are a proven means of supporting the flow of movement. For example, you can use acoustic signals, such as walking to the beat of a metronome, or visual cues, such as deliberately crossing floor markings or lines. <\/li>\n<\/ul>\n<\/div><\/div><\/div>Also worth reading<\/div><\/div>
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For people with Parkinson’s with a Deep Brain Stimulation (DBS) System<\/p>\n<\/div>
Clinical study evaluating an investigational device for freezing of gait (FOG)<\/p>\n<\/div>
<\/span><\/div><\/div><\/div><\/div><\/div>“Freezing of gait”, or FOG for short, describes the sudden, unpredictable “freezing” of walking movements in Parkinson’s disease. At these moments, it seems as if the feet suddenly stick to the ground and those affected can no longer move forward. This sudden block in movement, the “freezing”, can occur particularly at crossings or in narrow spaces such as doorways and is often associated with a feeling of helplessness. <\/p>\n<\/div>
For many people with Parkinson’s and their relatives, this symptom is difficult to understand and frustrating, as it seems to occur without warning. FOG is a well-known symptom of Parkinson’s disease. It’s good to know that there are strategies and tools that can help to restore the flow of movement and regain some mobility and self-confidence at such times.
We present many helpful tips for dealing with freezing and the role that sensory stimuli play in overcoming these blockages.<\/p>\n<\/div>
What exactly does “freezing of gait” mean in Parkinson’s disease?<\/h2>\n
In German, “freezing of gait” means “freezing of the gait”. Perhaps you have already come into contact with this phenomenon yourself? Because around half of people with Parkinson’s are familiar with the sudden freezing of gait, which can usually occur for the first time from the fifth year after diagnosis. In moments of freezing, nothing happens for several seconds. A feeling of paralysis and loss of control over movements is described because the feet can only be lifted from the ground with great difficulty or not at all. <\/p>\n
Freezing can last from a few seconds to half a minute. Sometimes the movement block occurs sporadically, sometimes several times a day. The blockage occurs while the patient is fully conscious and is a stressful experience for many of those affected, as their own body suddenly refuses to move in the usual way. However, freezing is not only unpleasant, but can also be risky: it can lead to falls and other dangerous situations – especially in moments when quick reactions are required, such as when crossing a road. <\/p>\n<\/div>
On and off phases of freezing<\/h3><\/div>In the case of Parkinson’s, doctors speak of on-phases and off-phases in connection with freezing. They describe the condition of those affected in relation to the effect of the medication: <\/p>\n
\n- On phase: <\/b>In the on phase, the medication, usually levodopa, works well. The symptoms are significantly alleviated and movements are easier. During this phase, many patients are able to cope with everyday life with virtually no symptoms. Freezing also occurs less frequently in the on phase or is less pronounced. <\/li>\n
- Off-phase:<\/b> In the off-phase, the effect of the medication wears off and the Parkinson’s symptoms become more severe. In this phase, movements become more difficult, tremors and stiffness increase, and freezing occurs more frequently and more intensely. <\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div>
What are the causes and triggers of freezing?<\/h2>\n
Freezing – this sudden freezing of movement – is not the result of weakness or a lack of willpower, but the result of complex changes in the brain that are typical of Parkinson’s disease. Knowing that the brain can no longer make small adjustments as usual helps us to understand these moments better and to show ourselves a little more compassion. Possible causes and triggers of freezing include: <\/p>\n
\n- Dopamine deficiency<\/b>: In Parkinson’s disease, the brain is no longer sufficiently supplied with the neurotransmitter dopamine. However, dopamine is important for smooth movements. If the dopamine level drops, movements may suddenly be interrupted. This is often the case during an “off-freezing” phase, when the effect of the medication wears off. <\/li>\n
- Effect of the medication<\/b>: Sometimes freezing is also caused by the effect of the Parkinson’s medication itself. Paradoxically, if the medication has a particularly strong effect, this can also lead to freezing. This is known as “on-freezing” (“on phase”) and can be particularly frustrating because the treatment that is supposed to help can have the opposite effect in some situations. <\/li>\n
- Stressful situations<\/b>: Situations that require extra concentration, such as crossing a road or entering a confined space, can also trigger freezing. Stress, uncertainty and the feeling of “having to perform particularly well now” often increase the risk of freezing. <\/li>\n
- Environment and sensory impressions<\/b>: Frequent changes in the environment, for example lots of people, noises or sudden obstacles, can promote freezing. Unfamiliar surfaces or narrow passages can also have an effect, as the brain is sometimes overwhelmed by the many impressions. <\/li>\n
- Patterns in the brain and habitual movements<\/b>: Movement sequences are deeply anchored in the brain. If these processes are disrupted by Parkinson’s, it can happen that the habitual patterns seem “blocked”. The brain then no longer sends a clear signal to the legs, causing them to virtually stand still. This shows that freezing is often not simply a “head thing”, but is based on complex processes in the brain. <\/li>\n<\/ul>\n
Good to know:<\/b> A combination of several of these causes is often a possible trigger. Whatever triggers freezing, it is helpful to know that with practice, patience and professional support, you can find ways to overcome such moments. <\/p>\nSymptom “freezing” in Parkinson’s disease: how the blockage manifests itself<\/h2>\n
Freezing can manifest itself in various moments and situations. Here are typical signs of movement blockage: <\/p>\n
\n- Start inhibition<\/b>: Difficulty starting to move, especially after a break in walking, when the first step is to be taken.<\/li>\n
- Sudden blockage of movement when walking<\/b>: When crossing narrow areas, such as door frames or corridors, when entering elevators or when turning or changing direction, the movement sequences freeze.<\/li>\n
- Stress and anxiety situations<\/b>: Freezing is more common in moments of increased tension or in unfamiliar environments.<\/li>\n
- Influence of medication<\/b>: Freezing can occur in connection with certain phases of medication intake, which can possibly increase the blockages.<\/li>\n<\/ul>\n
Complications of freezing in Parkinson’s disease<\/h2>\n
Freezing is not only an unpleasant symptom for people with Parkinson’s, but also poses various risks and dangers in everyday life. The sudden blockage of movement leads to those affected feeling “at the mercy” in certain situations, which can lead to insecurity and frustration. These moments of freezing are particularly problematic in everyday life if they occur at critical moments, for example when crossing roads or getting on and off public transport. Below we summarize the most important risks and complications that can arise from freezing: <\/p>\n
\n- Increased risk of falling<\/b>: Suddenly stopping a movement can severely disrupt balance. Especially when walking or turning, the sudden stop may cause those affected to lose their balance and fall. The risk also increases if freezing occurs when walking downhill, such as on stairs or sloping paths – a sudden stop can cause particularly serious balance problems. <\/li>\n
- Risk of injury from falls<\/b>: There is an increased risk of injury from falls caused by the sudden blockage of movement. Abrupt movements and falling can lead to bruises, broken bones or even head injuries. Such injuries can lead to a considerable impairment of mobility in older people. <\/li>\n
- Loss of independence and mobility<\/b>: Frequent freezing not only has a physical impact on life, but also an emotional and practical one. The sudden freezing moments in everyday life, such as when walking around the home or on the way to the shops, can make the person affected feel insecure and increasingly dependent on relatives or carers. This restriction of mobility then also significantly limits their independence. <\/li>\n
- Psychological stress<\/b>: The unpredictable occurrence of freezing episodes can trigger severe anxiety, e.g. fear of movement (kinesiophobia). This fear often leads to increasing avoidance of activities, which in turn has a negative impact on self-confidence and general well-being. The fear of suddenly “freezing” in a risky situation, such as when crossing a road, can lead to those affected increasingly restricting their range of action. <\/li>\n
- Restrictions on quality of life<\/b>: The constant uncertainty caused by freezing and the associated complications can significantly reduce quality of life. As those affected may avoid activities and meetings with friends and family in order to avoid unpleasant situations, the risk of social isolation increases. The result can be a withdrawal from social life, which in turn significantly impairs life satisfaction. <\/li>\n<\/ul>\n
Diagnosis of “freezing”<\/h2>\n
The diagnosis of freezing in Parkinson’s disease is based on a thorough clinical examination and close observation of the symptoms by experienced physicians. The focus is placed on the specific characteristics that are typical of freezing: <\/p>\n
\n- Medical history and questioning<\/b>: First, the doctor will conduct a detailed interview to establish the frequency, timing and circumstances of the freezing. They will also ask about triggers such as confined spaces, sudden turns or situations such as starting or stopping walking. <\/li>\n
- Observation in everyday life<\/b>: Certain movements that can trigger freezing are often tested, such as walking, turning or walking through door frames. The doctors observe whether the typical “freezing” occurs and how long it lasts. <\/li>\n
- Special tests and questionnaires<\/b>: There are standardized tests and questionnaires, such as the FOG score, which help to assess the extent and frequency of freezing. These tests can also provide valuable information about the severity and specific triggers of the symptom. <\/li>\n
- Movement analysis using modern technology<\/b>: In some cases, modern technology such as wearable sensors or video analysis is also used to precisely record the gait pattern. This allows doctors to recognize subtle signs of freezing that sometimes go unnoticed in everyday life. The progression and effectiveness of treatment measures can also be documented. <\/li>\n
- Motor tests<\/b>: Standardized motor tests such as the Unified Parkinson’s Disease Rating Scale (UPDRS) help to objectively assess the ability to move and the extent of freezing. Sometimes a specific freezing test is also carried out, in which those affected are asked to perform certain movements to provoke freezing. <\/li>\n
- Exclusion of other causes<\/b>: Since freezing can also be caused by other diseases or side effects of medication, neurologists check whether it is a typical Parkinson’s symptom or whether other causes play a role.<\/li>\n
- Consultation with relatives<\/b>: The observations of relatives or caregivers can be a valuable addition to the diagnosis, as they experience freezing episodes more frequently in everyday life and can provide more precise information on the possible triggers and the course of the disease.<\/li>\n<\/ol>\n
Treating freezing: how to overcome the blockages<\/h2>\n
You can put together your personal favorites from our many tips to be prepared for the challenging moments of freezing. And remember: not everything will work straight away. It takes some time, patience and practice for the various techniques to develop their full benefits. The best way to train is as part of physiotherapy – with the support of an experienced physiotherapist. <\/p>\n<\/div>
4 steps: What to do if freezing occurs<\/h3><\/div>If a walking blockage occurs, you and your loved ones can follow a few simple steps together to get the movement moving again. It has proven helpful to have a strategic approach in mind to react calmly in moments of freezing: <\/p>\n
\n- Keep calm and take a deep breath<\/b>: Try to stay calm and not let the situation upset you. A few conscious, deep breaths help to reduce tension and promote concentration. <\/li>\n
- Decide on the best way to move<\/b>: Choose one of the methods below that will best help you take your next walking step.<\/li>\n
- Make sure you take the right step<\/b>: Make sure you put your heel on the ground first with every forward step. This promotes a more stable, flowing movement. <\/li>\n
- Use assistance in a targeted manner<\/b>: If someone wants to help, support should be provided from the side and not from the front or back. It is important to leave enough space for walking. If assistance is offered, helpers should avoid pulling on the arms, as this can often make the blockage worse. <\/li>\n<\/ol>\n<\/div><\/div><\/div><\/div>
Physiotherapy: support through cues (cueing) – sensory stimuli<\/h3>\n
In order to release the movement blockages, targeted external stimulation is often necessary to outwit the freezing mechanism. Many sufferers have had positive experiences with so-called cues. In a therapeutic context, cueing is the use of external visual or acoustic stimuli to stimulate and support rhythmic movements. Sensory triggers help to stimulate the brain and restart movement. <\/p>\n
Sensory stimuli during freezing<\/h4>\n
The best way to find and practise the right cues is together with a physiotherapist. Try out and practise these cues as part of a physiotherapy session. This can be an important step in dealing better with freezing and regaining control of movement. Here are some possibilities: <\/p>\n
\n- Visual cues<\/b>: Visual anchors, such as markings on the floor, small obstacles or deliberately placed uneven ground, can give the body a new impulse. These visual cues provide orientation and help to restore the flow of movement. <\/li>\n
- Acoustic cues<\/b>: Sounds and rhythms can activate the brain and support the flow of movement. A metronome, rhythmic clapping, counting or even music can be used for this purpose – anything that provides a steady pattern and helps the body to resume movement. Rhythmic music helps to prevent blockages. Smartphones or MP3 players with headphones are helpful here. Marching music is particularly suitable. <\/li>\n
- Haptic (sensory) cues<\/b>: Touch-sensitive (tactile) stimulation can also encourage the body to perform movements. Guided movements or touch, such as a light pinch, tap or slap on the thigh, send additional signals to the brain and can release you from freezing. <\/li>\n
- Mental cues<\/b>: Sometimes it helps to set yourself a clear internal goal, such as aiming for a fixed point in space or giving yourself a positive affirmation. Small encouragements and inner motivation can strengthen security and promote self-confidence. <\/li>\n<\/ul>\n
Aids for freezing<\/h2>\n
Those unexpected, spontaneous freezing moments can be very scary. Fortunately, there are various aids that can help you overcome these blockages and feel more confident again. Here is an overview of useful tools that can help you with freezing in everyday life: <\/p>\n
\n- Walking aids with built-in cues<\/b>: There are special walking aids that are equipped with visual or acoustic cues. These devices give you rhythmic signals, for example, or show visual markings on the floor to help you find a steady walking rhythm. Some walking aids have laser lines that are projected onto the floor and thus provide an orientation aid to overcome freezing. <\/li>\n
- Rhythm generators such as metronomes or beat generators<\/b>: A metronome or a mobile rhythm generator can be a helpful tool to promote a regular flow of movement. These devices provide a steady beat that helps you to resume walking. A mobile beat generator is particularly practical as it can be carried in your pocket and activated at the touch of a button whenever you need it. <\/li>\n
- Acoustic aids and music<\/b>: Music can not only relax you, but also provide a rhythmic stimulus to help you walk. Choose music with a clear beat or a special Parkinson’s playlist service that can be customized to your walking speed. Music with a strong rhythm gives your body the impulse to move to the beat and can help to release freezing. <\/li>\n
- Visual anchors (floor markings)<\/b>: Floor markings are also a proven aid for freezing. Self-applied floor markings, such as colorful adhesive tape, can provide orientation and safety of movement in the home. <\/li>\n
- Wearables with vibration<\/b>: There are special wearables, such as vibrating wristbands or devices, which send gentle vibration signals to the body during freezing and help you to focus your attention on the movement.<\/li>\n<\/ul>\n
With the right aids and techniques, freezing can be better managed in everyday life. It can be helpful to combine several of these approaches and use different stimuli to support the flow of movement. Even if it takes time and patience, the targeted use of these aids offers valuable support in order to remain safer and more independent. <\/p>\n
“Prevent freezing: ABCDE scheme for safe walking<\/h2>\n
With the so-called ABCDE scheme, you can work together with relatives or caregivers to specifically support your ability to walk. The ABCDE scheme comprises five simple steps that help you to stabilize walking with Parkinson’s in a targeted manner. It is designed to make movement easier in stressful or demanding moments and to reduce freezing as much as possible. By incorporating this easy-to-implement scheme into your everyday life, you can make your movements more conscious and safer. <\/p>\n
5 steps of the ABCDE scheme:<\/h4>\n\n- A – Take enough time<\/b>: Stress and a hectic pace can trigger or worsen freezing. Therefore, take enough time to consciously plan your movement before you carry it out. It can be particularly helpful to mentally prepare for the next step and remain calm. Planning ahead helps you to maintain a sense of control over your movement and gives you the composure you need to become more confident. <\/li>\n
- B – Break down the task: <\/b>Complex movements, such as walking or turning, can be more difficult with Parkinson’s. Therefore, try to break down such movements into smaller, simple individual steps. In concrete terms, this means lowering your heel before putting your toes down. By dividing the movement into clear, small steps, you can reduce the feeling of being overwhelmed and approach the next step in a more targeted manner. <\/li>\n
- C – Stay smart and focused: <\/b>Concentrate fully on every single step you take. Pay conscious attention to how you move and do not allow yourself to be distracted. This focused attention is important in order to make the movement smoother and more even. Even if it feels strenuous at first, the mindful steps will help to improve the flow of movement and thus reduce the frequency of freezing. <\/li>\n
- D – Avoid duplication of tasks: <\/b>To prevent freezing, focus on one thing at a time. Therefore, avoid doing several things at the same time, such as talking on the phone or otherwise distracting yourself while walking. A clear focus on walking will help you to progress more smoothly and safely. If you concentrate on one task at a time, the brain can coordinate the movement better. <\/li>\n
- E – Use external stimuli: <\/b>External sensory stimuli, so-called “cues”, are a proven means of supporting the flow of movement. For example, you can use acoustic signals, such as walking to the beat of a metronome, or visual cues, such as deliberately crossing floor markings or lines. <\/li>\n<\/ul>\n<\/div><\/div><\/div>Also worth reading<\/div><\/div>
- \n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<\/div>\n<\/div><\/div><\/div>
Freezing for Parkinson’s disease<\/a><\/h6><\/div><\/div><\/div><\/div><\/div><\/li>\n- \n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<\/div>\n<\/div><\/div><\/div>
Deep brain stimulation (DBS) for Parkinson’s disease<\/a><\/h6><\/div><\/div><\/div><\/div><\/div><\/li>\n- \n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<\/div>\n<\/div><\/div><\/div>
Rigor in Parkinson’s disease<\/a><\/h6><\/div><\/div><\/div><\/div><\/div><\/li>\n<\/ul><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>Now enrolling<\/p>\n<\/div>
For people with Parkinson’s with a Deep Brain Stimulation (DBS) System<\/p>\n<\/div>
Clinical study evaluating an investigational device for freezing of gait (FOG)<\/p>\n<\/div>
In the case of Parkinson’s, doctors speak of on-phases and off-phases in connection with freezing. They describe the condition of those affected in relation to the effect of the medication: <\/p>\n
- \n
- On phase: <\/b>In the on phase, the medication, usually levodopa, works well. The symptoms are significantly alleviated and movements are easier. During this phase, many patients are able to cope with everyday life with virtually no symptoms. Freezing also occurs less frequently in the on phase or is less pronounced. <\/li>\n
- Off-phase:<\/b> In the off-phase, the effect of the medication wears off and the Parkinson’s symptoms become more severe. In this phase, movements become more difficult, tremors and stiffness increase, and freezing occurs more frequently and more intensely. <\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div>
What are the causes and triggers of freezing?<\/h2>\n
Freezing – this sudden freezing of movement – is not the result of weakness or a lack of willpower, but the result of complex changes in the brain that are typical of Parkinson’s disease. Knowing that the brain can no longer make small adjustments as usual helps us to understand these moments better and to show ourselves a little more compassion. Possible causes and triggers of freezing include: <\/p>\n
- \n
- Dopamine deficiency<\/b>: In Parkinson’s disease, the brain is no longer sufficiently supplied with the neurotransmitter dopamine. However, dopamine is important for smooth movements. If the dopamine level drops, movements may suddenly be interrupted. This is often the case during an “off-freezing” phase, when the effect of the medication wears off. <\/li>\n
- Effect of the medication<\/b>: Sometimes freezing is also caused by the effect of the Parkinson’s medication itself. Paradoxically, if the medication has a particularly strong effect, this can also lead to freezing. This is known as “on-freezing” (“on phase”) and can be particularly frustrating because the treatment that is supposed to help can have the opposite effect in some situations. <\/li>\n
- Stressful situations<\/b>: Situations that require extra concentration, such as crossing a road or entering a confined space, can also trigger freezing. Stress, uncertainty and the feeling of “having to perform particularly well now” often increase the risk of freezing. <\/li>\n
- Environment and sensory impressions<\/b>: Frequent changes in the environment, for example lots of people, noises or sudden obstacles, can promote freezing. Unfamiliar surfaces or narrow passages can also have an effect, as the brain is sometimes overwhelmed by the many impressions. <\/li>\n
- Patterns in the brain and habitual movements<\/b>: Movement sequences are deeply anchored in the brain. If these processes are disrupted by Parkinson’s, it can happen that the habitual patterns seem “blocked”. The brain then no longer sends a clear signal to the legs, causing them to virtually stand still. This shows that freezing is often not simply a “head thing”, but is based on complex processes in the brain. <\/li>\n<\/ul>\n
Good to know:<\/b> A combination of several of these causes is often a possible trigger. Whatever triggers freezing, it is helpful to know that with practice, patience and professional support, you can find ways to overcome such moments. <\/p>\n
Symptom “freezing” in Parkinson’s disease: how the blockage manifests itself<\/h2>\n
Freezing can manifest itself in various moments and situations. Here are typical signs of movement blockage: <\/p>\n
- \n
- Start inhibition<\/b>: Difficulty starting to move, especially after a break in walking, when the first step is to be taken.<\/li>\n
- Sudden blockage of movement when walking<\/b>: When crossing narrow areas, such as door frames or corridors, when entering elevators or when turning or changing direction, the movement sequences freeze.<\/li>\n
- Stress and anxiety situations<\/b>: Freezing is more common in moments of increased tension or in unfamiliar environments.<\/li>\n
- Influence of medication<\/b>: Freezing can occur in connection with certain phases of medication intake, which can possibly increase the blockages.<\/li>\n<\/ul>\n
Complications of freezing in Parkinson’s disease<\/h2>\n
Freezing is not only an unpleasant symptom for people with Parkinson’s, but also poses various risks and dangers in everyday life. The sudden blockage of movement leads to those affected feeling “at the mercy” in certain situations, which can lead to insecurity and frustration. These moments of freezing are particularly problematic in everyday life if they occur at critical moments, for example when crossing roads or getting on and off public transport. Below we summarize the most important risks and complications that can arise from freezing: <\/p>\n
- \n
- Increased risk of falling<\/b>: Suddenly stopping a movement can severely disrupt balance. Especially when walking or turning, the sudden stop may cause those affected to lose their balance and fall. The risk also increases if freezing occurs when walking downhill, such as on stairs or sloping paths – a sudden stop can cause particularly serious balance problems. <\/li>\n
- Risk of injury from falls<\/b>: There is an increased risk of injury from falls caused by the sudden blockage of movement. Abrupt movements and falling can lead to bruises, broken bones or even head injuries. Such injuries can lead to a considerable impairment of mobility in older people. <\/li>\n
- Loss of independence and mobility<\/b>: Frequent freezing not only has a physical impact on life, but also an emotional and practical one. The sudden freezing moments in everyday life, such as when walking around the home or on the way to the shops, can make the person affected feel insecure and increasingly dependent on relatives or carers. This restriction of mobility then also significantly limits their independence. <\/li>\n
- Psychological stress<\/b>: The unpredictable occurrence of freezing episodes can trigger severe anxiety, e.g. fear of movement (kinesiophobia). This fear often leads to increasing avoidance of activities, which in turn has a negative impact on self-confidence and general well-being. The fear of suddenly “freezing” in a risky situation, such as when crossing a road, can lead to those affected increasingly restricting their range of action. <\/li>\n
- Restrictions on quality of life<\/b>: The constant uncertainty caused by freezing and the associated complications can significantly reduce quality of life. As those affected may avoid activities and meetings with friends and family in order to avoid unpleasant situations, the risk of social isolation increases. The result can be a withdrawal from social life, which in turn significantly impairs life satisfaction. <\/li>\n<\/ul>\n
Diagnosis of “freezing”<\/h2>\n
The diagnosis of freezing in Parkinson’s disease is based on a thorough clinical examination and close observation of the symptoms by experienced physicians. The focus is placed on the specific characteristics that are typical of freezing: <\/p>\n
- \n
- Medical history and questioning<\/b>: First, the doctor will conduct a detailed interview to establish the frequency, timing and circumstances of the freezing. They will also ask about triggers such as confined spaces, sudden turns or situations such as starting or stopping walking. <\/li>\n
- Observation in everyday life<\/b>: Certain movements that can trigger freezing are often tested, such as walking, turning or walking through door frames. The doctors observe whether the typical “freezing” occurs and how long it lasts. <\/li>\n
- Special tests and questionnaires<\/b>: There are standardized tests and questionnaires, such as the FOG score, which help to assess the extent and frequency of freezing. These tests can also provide valuable information about the severity and specific triggers of the symptom. <\/li>\n
- Movement analysis using modern technology<\/b>: In some cases, modern technology such as wearable sensors or video analysis is also used to precisely record the gait pattern. This allows doctors to recognize subtle signs of freezing that sometimes go unnoticed in everyday life. The progression and effectiveness of treatment measures can also be documented. <\/li>\n
- Motor tests<\/b>: Standardized motor tests such as the Unified Parkinson’s Disease Rating Scale (UPDRS) help to objectively assess the ability to move and the extent of freezing. Sometimes a specific freezing test is also carried out, in which those affected are asked to perform certain movements to provoke freezing. <\/li>\n
- Exclusion of other causes<\/b>: Since freezing can also be caused by other diseases or side effects of medication, neurologists check whether it is a typical Parkinson’s symptom or whether other causes play a role.<\/li>\n
- Consultation with relatives<\/b>: The observations of relatives or caregivers can be a valuable addition to the diagnosis, as they experience freezing episodes more frequently in everyday life and can provide more precise information on the possible triggers and the course of the disease.<\/li>\n<\/ol>\n
Treating freezing: how to overcome the blockages<\/h2>\n
You can put together your personal favorites from our many tips to be prepared for the challenging moments of freezing. And remember: not everything will work straight away. It takes some time, patience and practice for the various techniques to develop their full benefits. The best way to train is as part of physiotherapy – with the support of an experienced physiotherapist. <\/p>\n<\/div>
4 steps: What to do if freezing occurs<\/h3><\/div>
If a walking blockage occurs, you and your loved ones can follow a few simple steps together to get the movement moving again. It has proven helpful to have a strategic approach in mind to react calmly in moments of freezing: <\/p>\n
- \n
- Keep calm and take a deep breath<\/b>: Try to stay calm and not let the situation upset you. A few conscious, deep breaths help to reduce tension and promote concentration. <\/li>\n
- Decide on the best way to move<\/b>: Choose one of the methods below that will best help you take your next walking step.<\/li>\n
- Make sure you take the right step<\/b>: Make sure you put your heel on the ground first with every forward step. This promotes a more stable, flowing movement. <\/li>\n
- Use assistance in a targeted manner<\/b>: If someone wants to help, support should be provided from the side and not from the front or back. It is important to leave enough space for walking. If assistance is offered, helpers should avoid pulling on the arms, as this can often make the blockage worse. <\/li>\n<\/ol>\n<\/div><\/div><\/div><\/div>
Physiotherapy: support through cues (cueing) – sensory stimuli<\/h3>\n
In order to release the movement blockages, targeted external stimulation is often necessary to outwit the freezing mechanism. Many sufferers have had positive experiences with so-called cues. In a therapeutic context, cueing is the use of external visual or acoustic stimuli to stimulate and support rhythmic movements. Sensory triggers help to stimulate the brain and restart movement. <\/p>\n
Sensory stimuli during freezing<\/h4>\n
The best way to find and practise the right cues is together with a physiotherapist. Try out and practise these cues as part of a physiotherapy session. This can be an important step in dealing better with freezing and regaining control of movement. Here are some possibilities: <\/p>\n
- \n
- Visual cues<\/b>: Visual anchors, such as markings on the floor, small obstacles or deliberately placed uneven ground, can give the body a new impulse. These visual cues provide orientation and help to restore the flow of movement. <\/li>\n
- Acoustic cues<\/b>: Sounds and rhythms can activate the brain and support the flow of movement. A metronome, rhythmic clapping, counting or even music can be used for this purpose – anything that provides a steady pattern and helps the body to resume movement. Rhythmic music helps to prevent blockages. Smartphones or MP3 players with headphones are helpful here. Marching music is particularly suitable. <\/li>\n
- Haptic (sensory) cues<\/b>: Touch-sensitive (tactile) stimulation can also encourage the body to perform movements. Guided movements or touch, such as a light pinch, tap or slap on the thigh, send additional signals to the brain and can release you from freezing. <\/li>\n
- Mental cues<\/b>: Sometimes it helps to set yourself a clear internal goal, such as aiming for a fixed point in space or giving yourself a positive affirmation. Small encouragements and inner motivation can strengthen security and promote self-confidence. <\/li>\n<\/ul>\n
Aids for freezing<\/h2>\n
Those unexpected, spontaneous freezing moments can be very scary. Fortunately, there are various aids that can help you overcome these blockages and feel more confident again. Here is an overview of useful tools that can help you with freezing in everyday life: <\/p>\n
- \n
- Walking aids with built-in cues<\/b>: There are special walking aids that are equipped with visual or acoustic cues. These devices give you rhythmic signals, for example, or show visual markings on the floor to help you find a steady walking rhythm. Some walking aids have laser lines that are projected onto the floor and thus provide an orientation aid to overcome freezing. <\/li>\n
- Rhythm generators such as metronomes or beat generators<\/b>: A metronome or a mobile rhythm generator can be a helpful tool to promote a regular flow of movement. These devices provide a steady beat that helps you to resume walking. A mobile beat generator is particularly practical as it can be carried in your pocket and activated at the touch of a button whenever you need it. <\/li>\n
- Acoustic aids and music<\/b>: Music can not only relax you, but also provide a rhythmic stimulus to help you walk. Choose music with a clear beat or a special Parkinson’s playlist service that can be customized to your walking speed. Music with a strong rhythm gives your body the impulse to move to the beat and can help to release freezing. <\/li>\n
- Visual anchors (floor markings)<\/b>: Floor markings are also a proven aid for freezing. Self-applied floor markings, such as colorful adhesive tape, can provide orientation and safety of movement in the home. <\/li>\n
- Wearables with vibration<\/b>: There are special wearables, such as vibrating wristbands or devices, which send gentle vibration signals to the body during freezing and help you to focus your attention on the movement.<\/li>\n<\/ul>\n
With the right aids and techniques, freezing can be better managed in everyday life. It can be helpful to combine several of these approaches and use different stimuli to support the flow of movement. Even if it takes time and patience, the targeted use of these aids offers valuable support in order to remain safer and more independent. <\/p>\n
“Prevent freezing: ABCDE scheme for safe walking<\/h2>\n
With the so-called ABCDE scheme, you can work together with relatives or caregivers to specifically support your ability to walk. The ABCDE scheme comprises five simple steps that help you to stabilize walking with Parkinson’s in a targeted manner. It is designed to make movement easier in stressful or demanding moments and to reduce freezing as much as possible. By incorporating this easy-to-implement scheme into your everyday life, you can make your movements more conscious and safer. <\/p>\n
5 steps of the ABCDE scheme:<\/h4>\n
- \n
- A – Take enough time<\/b>: Stress and a hectic pace can trigger or worsen freezing. Therefore, take enough time to consciously plan your movement before you carry it out. It can be particularly helpful to mentally prepare for the next step and remain calm. Planning ahead helps you to maintain a sense of control over your movement and gives you the composure you need to become more confident. <\/li>\n
- B – Break down the task: <\/b>Complex movements, such as walking or turning, can be more difficult with Parkinson’s. Therefore, try to break down such movements into smaller, simple individual steps. In concrete terms, this means lowering your heel before putting your toes down. By dividing the movement into clear, small steps, you can reduce the feeling of being overwhelmed and approach the next step in a more targeted manner. <\/li>\n
- C – Stay smart and focused: <\/b>Concentrate fully on every single step you take. Pay conscious attention to how you move and do not allow yourself to be distracted. This focused attention is important in order to make the movement smoother and more even. Even if it feels strenuous at first, the mindful steps will help to improve the flow of movement and thus reduce the frequency of freezing. <\/li>\n
- D – Avoid duplication of tasks: <\/b>To prevent freezing, focus on one thing at a time. Therefore, avoid doing several things at the same time, such as talking on the phone or otherwise distracting yourself while walking. A clear focus on walking will help you to progress more smoothly and safely. If you concentrate on one task at a time, the brain can coordinate the movement better. <\/li>\n
- E – Use external stimuli: <\/b>External sensory stimuli, so-called “cues”, are a proven means of supporting the flow of movement. For example, you can use acoustic signals, such as walking to the beat of a metronome, or visual cues, such as deliberately crossing floor markings or lines. <\/li>\n<\/ul>\n<\/div><\/div><\/div>
Also worth reading<\/div><\/div>- \n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<\/div>\n<\/div><\/div><\/div>
Freezing for Parkinson’s disease<\/a><\/h6><\/div><\/div><\/div><\/div><\/div><\/li>\n
\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<\/div>\n<\/div><\/div><\/div>Deep brain stimulation (DBS) for Parkinson’s disease<\/a><\/h6><\/div><\/div><\/div><\/div><\/div><\/li>\n
\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t<\/div>\n<\/div><\/div><\/div>Rigor in Parkinson’s disease<\/a><\/h6><\/div><\/div><\/div><\/div><\/div><\/li>\n<\/ul><\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div>
Now enrolling<\/p>\n<\/div>
For people with Parkinson’s with a Deep Brain Stimulation (DBS) System<\/p>\n<\/div>
Clinical study evaluating an investigational device for freezing of gait (FOG)<\/p>\n<\/div>
- B – Break down the task: <\/b>Complex movements, such as walking or turning, can be more difficult with Parkinson’s. Therefore, try to break down such movements into smaller, simple individual steps. In concrete terms, this means lowering your heel before putting your toes down. By dividing the movement into clear, small steps, you can reduce the feeling of being overwhelmed and approach the next step in a more targeted manner. <\/li>\n
- Rhythm generators such as metronomes or beat generators<\/b>: A metronome or a mobile rhythm generator can be a helpful tool to promote a regular flow of movement. These devices provide a steady beat that helps you to resume walking. A mobile beat generator is particularly practical as it can be carried in your pocket and activated at the touch of a button whenever you need it. <\/li>\n
- Acoustic cues<\/b>: Sounds and rhythms can activate the brain and support the flow of movement. A metronome, rhythmic clapping, counting or even music can be used for this purpose – anything that provides a steady pattern and helps the body to resume movement. Rhythmic music helps to prevent blockages. Smartphones or MP3 players with headphones are helpful here. Marching music is particularly suitable. <\/li>\n
- Decide on the best way to move<\/b>: Choose one of the methods below that will best help you take your next walking step.<\/li>\n
- Observation in everyday life<\/b>: Certain movements that can trigger freezing are often tested, such as walking, turning or walking through door frames. The doctors observe whether the typical “freezing” occurs and how long it lasts. <\/li>\n
- Risk of injury from falls<\/b>: There is an increased risk of injury from falls caused by the sudden blockage of movement. Abrupt movements and falling can lead to bruises, broken bones or even head injuries. Such injuries can lead to a considerable impairment of mobility in older people. <\/li>\n
- Sudden blockage of movement when walking<\/b>: When crossing narrow areas, such as door frames or corridors, when entering elevators or when turning or changing direction, the movement sequences freeze.<\/li>\n
- Effect of the medication<\/b>: Sometimes freezing is also caused by the effect of the Parkinson’s medication itself. Paradoxically, if the medication has a particularly strong effect, this can also lead to freezing. This is known as “on-freezing” (“on phase”) and can be particularly frustrating because the treatment that is supposed to help can have the opposite effect in some situations. <\/li>\n
- Off-phase:<\/b> In the off-phase, the effect of the medication wears off and the Parkinson’s symptoms become more severe. In this phase, movements become more difficult, tremors and stiffness increase, and freezing occurs more frequently and more intensely. <\/li>\n<\/ul>\n<\/div><\/div><\/div><\/div>
![](\"https:\/\/parkinsonsjournal.com\/wp-content\/uploads\/2026\/05\/freezing-of-gait-dbs-therapy-parkinson-study-hero-mobile.jpg\")
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