Tribe Feed Forums 2024 Insight LIVE PANEL DISCUSSION – Freezing of Gait

  • Melissa McConaghy

    Administrator
    13/04/2024 at 10:06 am

    It was my pleasure to host the FOG panel with three eminent panelists – Tamine, Bhanu and Lina. Please enjoy the Q&A and if you have any questions or comments, please feel free to post them below.

  • Loki Cheung

    Member
    13/04/2024 at 11:24 am

    hi, is there any slides to this presentations?

    Thanks

  • Loki Cheung

    Member
    13/04/2024 at 12:20 pm

    sorry, i meant the articles for the beginning of the presentations

  • Rachel Horwell

    Member
    13/04/2024 at 3:17 pm

    Excellent discussion. Thank you for gathering a group of such knowledgeable experts to discuss this topic.

  • Sandy Clewett

    Member
    13/04/2024 at 8:34 pm

    Thank you all for this interesting and thought provoking Discussion on Freezing of Gait

    Perhaps Prof. Per Borghammer’s presentation today, ” Brain-first and Body -first Parkinson’s disease” might give us more clarity in understanding and identifying the different subtypes of PD, PPD and DLB + or-AD when Freezing of Gait presents as part of the client’s history.

    Having a greater insight about the history of onset of signs, symptoms, impairments and comorbidities found during Assessment will help clinicians and researchers to identify and personalize physiotherapy treatment for people with FOG.

    In my clinical experience I have observed that people with FOG experience cognitive freezing as well as motor freezing. I have had to find ways for them to unlock the cognitive freeze before they can initiate a lateral weight shift to resume movement . Do any of the panel for today’s discussion have further comment and experience about this?

    Insight 2024 is providing me with deeper knowledge and a huge appreciation for the enormous amount of work and collaboration relating to PD that is going on around the world. It is really exciting to see the growth in knowledge, and the evidence from research flowing to the development of clinical best practice guidelines that I have witnessed in attending The Insight Conference over the past 5 years.

    A Big Thank you to Melissa and the Insight Team for bringing this conference for the benefit of so many again this year.

  • Kim Howlett

    Member
    13/04/2024 at 11:15 pm

    Thank you for this very interesting discussion on FOG.

    The connections being explored between FOG and cognition, mood and sensory changes are interesting as we see them in assessments but is there any specific assessment that you would use to identify these factors in freezing? I noted the mention of dual-task Timed Up and Go for cognition with consideration of the percentage change in time. Is there equivalent mood or sensory assessments?

    Thanks again.

  • Emily Moncheski

    Member
    14/04/2024 at 5:26 am

    Definitely relate to a comment made by Dr. Bhanu regarding the challenge of relying only on subjective reports because the patient is only seen by the therapist when they are at “their best” or “showing off”..can make treatment strategies difficult.

    Also interested in her comment on increased abdominal tissue causing anterior weight shift and increased propensity of freezing of gait…would love more info on this.. I have seen individuals with more anterior weight and without, as freezers, clinically, but would love more info here. Thanks for the panel!

  • Karla Andrews

    Member
    15/04/2024 at 2:34 am

    Is there a resource that you can suggest to review the TUG and TUG + DT that discusses the changes in terms of cognitive interference and what is clinically significant? Dr. Bhanu was speaking to it.

  • Emily Moncheski

    Member
    21/04/2024 at 8:57 am

    This was a great panel. Thank you.

    I second the question related to sensory changes assessment in relation to FOG, and what interventions might be for that.

    Another question for Bhanu, you mentioned used loading and weightbearing of the non involved side, I believe… are there specific interventions you could describe that you are referring to here?

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