Weighting for the Beat: Using a Dance Cue to Facilitate Turning in People with Parkinson's Disease and Freezing of Gait

Elmar C. Kal*, Toby J. Ellmers, Anna E. Fielding, Lotte Hardeman, Juliana Coito, Lauren Joyce, William R. Young

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

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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.

Original languageEnglish
Pages (from-to)1353-1358
Number of pages6
JournalJournal of Parkinson's Disease
Volume12
Issue number4
Early online date24 May 2022
DOIs
Publication statusPublished - 2022

Bibliographical note

Funding Information:
This project is supported by a Parkinson’s UK project grant (K-1604).

Publisher Copyright:
© 2022 - IOS Press. All rights reserved.

Keywords

  • anticipatory postural adjustment
  • cueing
  • festination
  • freezing of gait
  • Parkinson's disease
  • step initiation
  • weight-shifting

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