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Cueing for freezing of gait in patients with Parkinson's disease: a rehabilitation perspective.
Mov Disord. 2008; 23 Suppl 2:S475-81.MD

Abstract

Freezing of gait (FOG) has been known to respond favorably to sensory tricks and cues. However, FOG is a complex phenomenon with various motor control deficits at play. In this review, we examined and summarized the currently available evidence for the effectiveness of cueing for FOG to determine its value as a clinical method. The results showed that the immediate effects of cues have no consistent impact but longer periods of cued training may be beneficial. The review also showed (1) the limited statistical power and methodological weakness of the studies involved; (2) measurement difficulties of FOG, and (3) the need to better understand its underlying causal factors. Overall, the findings suggest a smaller capacity for compensation in patients suffering from FOG. Especially when attention is overloaded, the therapeutic window and the practical applicability of cueing seem more limited. These aspects need to be incorporated in the development of future cueing programs designed to alleviate FOG.

Authors+Show Affiliations

Department of Rehabilitation Sciences, Katholieke Universiteit, Leuven, Belgium. alice.nieuwboer@faber.kuleuven.be

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

18668619

Citation

Nieuwboer, Alice. "Cueing for Freezing of Gait in Patients With Parkinson's Disease: a Rehabilitation Perspective." Movement Disorders : Official Journal of the Movement Disorder Society, vol. 23 Suppl 2, 2008, pp. S475-81.
Nieuwboer A. Cueing for freezing of gait in patients with Parkinson's disease: a rehabilitation perspective. Mov Disord. 2008;23 Suppl 2:S475-81.
Nieuwboer, A. (2008). Cueing for freezing of gait in patients with Parkinson's disease: a rehabilitation perspective. Movement Disorders : Official Journal of the Movement Disorder Society, 23 Suppl 2, S475-81. https://doi.org/10.1002/mds.21978
Nieuwboer A. Cueing for Freezing of Gait in Patients With Parkinson's Disease: a Rehabilitation Perspective. Mov Disord. 2008;23 Suppl 2:S475-81. PubMed PMID: 18668619.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cueing for freezing of gait in patients with Parkinson's disease: a rehabilitation perspective. A1 - Nieuwboer,Alice, PY - 2008/8/1/pubmed PY - 2008/12/23/medline PY - 2008/8/1/entrez SP - S475 EP - 81 JF - Movement disorders : official journal of the Movement Disorder Society JO - Mov Disord VL - 23 Suppl 2 N2 - Freezing of gait (FOG) has been known to respond favorably to sensory tricks and cues. However, FOG is a complex phenomenon with various motor control deficits at play. In this review, we examined and summarized the currently available evidence for the effectiveness of cueing for FOG to determine its value as a clinical method. The results showed that the immediate effects of cues have no consistent impact but longer periods of cued training may be beneficial. The review also showed (1) the limited statistical power and methodological weakness of the studies involved; (2) measurement difficulties of FOG, and (3) the need to better understand its underlying causal factors. Overall, the findings suggest a smaller capacity for compensation in patients suffering from FOG. Especially when attention is overloaded, the therapeutic window and the practical applicability of cueing seem more limited. These aspects need to be incorporated in the development of future cueing programs designed to alleviate FOG. SN - 1531-8257 UR - https://www.unboundmedicine.com/medline/citation/18668619/Cueing_for_freezing_of_gait_in_patients_with_Parkinson's_disease:_a_rehabilitation_perspective_ DB - PRIME DP - Unbound Medicine ER -