How do people with Parkinson’s disease cope when they encounter a frozen gait?

  As the disease progresses and the stiffness in the limbs of people with Parkinson’s disease increases, patients may experience difficulty starting and freezing. It’s like the feet are glued to the ground or there’s a gravitational pull that sucks the feet to the ground, making it difficult to start walking.  Doctors say, “About 38 percent of people with Parkinson’s will have a fall every year. The falls almost always occur when the patient changes walking direction or turns around, and these falls are often closely related to a frozen gait.”  Parkinson’s freezing gait usually appears in the middle and late stages of Parkinson’s disease, manifesting itself in the patient’s inability to walk or walking feeling like his feet are “stuck” to the floor or being sucked in by the floor, lifting his feet, not being able to lift his feet, and not being able to move his steps, with his body leaning forward due to inertia, making it difficult to take steps. Prof. Wang explained that the patient’s frozen gait will be more obvious at the beginning of walking or when crossing an obstacle, and after the patient steps away, the gait will be aborted suddenly and unpredictably during walking, and it will be difficult to turn.  How can patients with frozen gait avoid falling when walking?  1.When walking, first determine the target you want to go to, stabilize your emotions and focus your attention. Look ahead and step forward, the first step can be slightly elevated.  2.When walking, first land on your heel, then on your toes, and then take the next step after shifting your weight to one foot. At the same time, the arms try to swing with it.  3.When “freezing gait” occurs, do not let the body instinctively lean forward, but stand still and wait for the emotional relaxation before walking.  4.When walking, you can listen to rhythmic music or shout a password, walk with the beat of the music or password, you can give yourself encouragement and confidence to overcome tension.  5.Patients with unstable gait can use crutches or walkers to assist walking to avoid falls and ensure safety.  How to treat frozen gait?  1.Medication: 95% of patients with frozen gait appear in the “off” phase, and the duration of freezing in the “off” phase is significantly longer than that in the “on” phase, these phenomena suggest that levodopa can These phenomena suggest that levodopa can alleviate the freezing gait in the off phase. A number of studies have concluded that sellegrin and amantadine can reduce the risk of freezing gait in patients with Parkinson’s disease, but amantadine is ineffective in freezing gait that has already formed, while the dose of sellegrin for freezing gait needs to reach 20 mg/day to be effective.  2, deep brain electrical stimulation therapy: when Parkinson’s disease patients with freezing phenomenon to receive deep brain electrical stimulation therapy treatment can obtain significant results, and the postoperative recovery of normal life and work ability is much more likely than patients with advanced Parkinson’s disease.