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Bicycling breaks the ice for freezers of gait
Author(s) -
Snijders Anke H.,
Toni Ivan,
Ružička Evžen,
Bloem Bastiaan R.
Publication year - 2011
Publication title -
movement disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.352
H-Index - 198
eISSN - 1531-8257
pISSN - 0885-3185
DOI - 10.1002/mds.23530
Subject(s) - parkinsonism , gait , physical medicine and rehabilitation , parkinson's disease , rehabilitation , psychology , neurological rehabilitation , disease , medicine , physical therapy , neuroscience , pathology
Patients with freezing of gait (FOG) have episodic problems with generating adequate steps. This phenomenon is both common and debilitating in patients with Parkinson's disease (PD) or atypical parkinsonism. We recently presented a video case of a patient with longstanding PD and severe FOG, who showed a remarkably preserved ability to ride a bicycle. Here, we comment on the scientific and clinical implications of this single case observation, and show the video of a similar case. We first consider several pathophysiological explanations for this striking discrepancy between walking and cycling in PD. We then discuss the merits and shortcomings of cycling as a potential new avenue for rehabilitation and exercise training in patients grounded by FOG. Finally, we provide some directions for future research stimulated by this fascinating observation. © 2011 Movement Disorder Society