Reducing Freezing of Gait - May 7 Meeting

Berkshire Parkinson’s Support Group

Monterey Library - May 7, 2026

Summary by Virgil Stucker 

We were offered an interactive presentation by Tricia Wyatt, PT, (tricia@mobilivespt.com) (413-822-9456) well known to us as the leader of a Parkinson’s exercise group many attend and as well as an in-home physical therapist with expertise in Parkinson’s. She focused on "Freezing of Gait" (FOG) in Parkinson's Disease. Here's a summary of the key points discussed (Copies of Tricia’s slides are attached):

1. Common Gait Changes: People with Parkinson's often experience slowness, shortened steps, shuffling, decreased arm swing, and postural instability.

2. Definition of FOG: FOG is typically characterized by episodes where a person is unable to move their feet forward despite the intention to do so. (There are other forms of FOG as well.)

3. Diagnosis of FOG: It can be identified through patient self-reporting, specific questionnaires and clinical scales.

4. Triggers for FOG: Common triggers include environmental factors (like clutter and narrow spaces), time pressures, distractions, emotional states (like anxiety), and cognitive load.

5. Strategies to Reduce Freezing Episodes: Patients can employ internal cues (like counting), mental imagery, external cues (auditory or visual), practice focused tasks, and avoid multitasking.

6. Physical Therapy Approaches: Effective therapy may include gait training, balance exercises, cueing techniques, and fall prevention education.

7. Steps to Break a Freeze: The "Five S's" strategy—STOP, STAND tall, SIGH/SHAKE, SHIFT weight, and STEP with intention—can help individuals overcome freezing episodes.

8. Assistive Devices: Tools like walkers with cueing systems, canes with visual aids, and proper footwear can provide support.

9. Tips for Care Partners: Care partners can assist by managing time to avoid rushing, reducing clutter, and being patient.

10. Medications: Medications like Levodopa may help reduce FOG, but timing and individual responses can vary. Deep Brain Stimulation (DBS) may be beneficial for some patients.

11. Home Modifications: Suggestions include keeping pathways clear, improving lighting, and installing safety features like grab bars.

12. Exercise and Long-Term Management: Regular exercise is essential for improving mobility and confidence, with activities like walking, Tai Chi, and dance being recommended.

In summary, FOG is a significant issue in Parkinson's Disease, but understanding triggers and employing various strategies, therapies, and environmental modifications can improve quality of life for affected individuals. A multidisciplinary approach is often the most effective.

Tricia also led us in a challenging exercise of speaking the color of words while walking and swinging our arms. The words are attached.