好色先生

好色先生

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Abstract Details

Please be Patient, I’ll Be with You Shortly: Elucidating Experiences and Strategies in Freezing of Gait in Parkinson’s Disease
Movement Disorders
P4 - Poster Session 4 (5:00 PM-6:00 PM)
5-015
To compare experiences and compensatory strategies in freezing of gait (FoG) between individuals with Parkinson’s Disease (PD) plus cognitive impairment (PD+CI) versus PD alone. 
PD patients with CI, even mild cognitive impairment (MCI), are often excluded from FoG studies, limiting our understanding of the scope of this phenomenon. 
In this prospective, single-center, mixed-methods study, we included participants with PD>3 years, MDS-UPDRS subjective and or objective FoG score(s)>2 (mild or worse), and Mini-Cog>0. PD+CI group was defined by Montreal Cognitive Assessment (MoCA)<26. Participants completed the MoCA and a ten-question semi-structured interview regarding FoG impact on daily life and coping strategies. Interviews were manually coded and analyzed using grounded theory for common themes.  
Eighteen participants comprised each PD+CI and PD group. The median MoCA for the PD+CI group was 21.5 vs. PD 27.5, p<0.0001. PD+CI participants commonly described FoG as a mind-body disconnect with loss of command over their body (27.8%), whereas the PD group often characterized FoG in physical terms as feet stuck or glued to the floor (33.3%). Approaches to overcome FoG unique to the PD+CI group were reactivating one’s attention (11.1%) and incorporating relaxation (11.1%), whereas those distinct to the PD group included visual cues (16.7%) and integrating morning exercise (11.1%). Both groups expressed that FoG was poorly understood by the public. The PD group held unique views in perceiving FoG as a physical liability to others and analogized public misinterpretation of FoG to intoxication. The PD+CI group disclosed and educated others about FoG more than the PD group.
Both groups viewed public understanding of FoG as limited which discouraged participation in social activities. 好色先生al initiatives around FoG as a part of the constellation of PD symptoms as well as venue arrangements, such as expedited entry and exit for those with FoG, may improve awareness and engagement.    
Authors/Disclosures
Jade S. Park, MD (Dept of Neurological Sciences)
PRESENTER 		Dr. Park has nothing to disclose.
Jessica Hemm Mrs. Hemm has received personal compensation for serving as an employee of Rush Medical Center.
Bichun Ouyang Bichum Ouyang has nothing to disclose.
Jori Fleisher, MD, MSCE, FAAN (Rush University Parkinson's and Movement Disorders Program) The institution of Dr. Fleisher has received research support from Parkinson's Foundation. The institution of Dr. Fleisher has received research support from NIH/NINDS. The institution of Dr. Fleisher has received research support from NIH/NINDS. The institution of Dr. Fleisher has received research support from NIA/NINDS. The institution of Dr. Fleisher has received research support from NIA/NINDS. Dr. Fleisher has received publishing royalties from a publication relating to health care. Dr. Fleisher has received personal compensation in the range of $0-$499 for serving as a Speaker with Parkinson's Foundation. Dr. Fleisher has received personal compensation in the range of $500-$4,999 for serving as a Speaker with Lewy Body Dementia Association. Dr. Fleisher has received personal compensation in the range of $500-$4,999 for serving as a Speaker with Davis Phinney Foundation. Dr. Fleisher has a non-compensated relationship as a Editorial Board Member with AAN Brain & Life Magazine that is relevant to AAN interests or activities.