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Academic Subject Movement Disorders

Parkinsonian Freezing of Gait (FOG) & Visual/Auditory Cueing Strategies

Topic Summary & Background: A 68-year-old female with Idiopathic Parkinson's Disease (Hoehn & Yahr Stage III) experiences frequent freezing when turning in narrow doorways or initiating locomotion.

Key Discussion Questions:
  • Rhythmic Auditory Stimulation (RAS) metronome tempo selection vs baseline cadence.
  • Visual laser line projector vs step-over tape cues for overcoming motor block.
  • Dual-task cognitive interference during functional gait re-education.
Standard Clinical Consensus: Standard Neuro Consensus: External cueing bypasses damaged basal ganglia motor loops by utilizing intact cortical visual and auditory motor pathways.
DS
Dr. Shalini Das, MPT (Neuro)
Neuro Faculty • Just now
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