Freezing of Gait - Tricia Wyatt PT 5.7.2026
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. See the links below.