Freezing of gait rehabilitation in Parkinson’s disease

1 Nowa Rehabilitacja – Centrum Medyczno-Rehabilitacyjne Kraków-Południe
2 Szpital Specjalistyczny im. J. Dietla w Krakowie
Adres do korespondencji: Barbara Skalska-Dulińska, NZOZ Nowa Rehabilitacja, ul. Komuny Paryskiej 24, 30-389 Kraków,
tel.: 783 444 444, 665 442 244, e-mail: skalska.barbara@gmail.com, biuro@nowarehabilitacja.pl
Praca finansowana ze środków własnych

AKTUALN NEUROL 2014, 14 (2), p. 140–148
DOI: 10.15557/AN.2014.0016
ABSTRACT

Freezing of gait is the episodic gait disturbance common in Parkinson’s disease, often leading to falls and patient’s activity reduction. Physical rehabilitation should be an integral part of the treatment of Parkinson’s disease because of its different course, reaction to pharmacological treatment and progression. Especially in the case of the dominant gait and posture disorders, with stronger bradykinesia and freezing episodes special attention should be paid to gait training and the usage of techniques and equipment which helps the patient to overcome freezing and reduce its severity. Thanks to the early rehabilitation patients longer retain the ability to walk independently. This work aims to present possibilities of using different methods and equipment in the rehabilitation of patient with Parkinson’s disease. Due to the impairment of the functioning mechanism of the generation of internal stimuli the external signals are of particular importance as well as cognitive strategies, among which we can distinguish acoustic stimuli, visual and tactile, on which the widespread method of Frenkel is based on. Not without significance are also external aids such as canes, walkers and crutches recommended for patients with less efficiency.

Keywords: Parkinson’s disease, gait disturbance, freezing of gait, cues, gait rehabilitation