When walking, legs freeze and it gets hard to pick up the feet
SEE A NEUROLOGIST WITH A MOVEMENT DISORDER SPECIALITY
If you are not seeing a movement disorder doctor, make an appointment with one.
Freezing of gait episodes often occur when a person is under-medicated and can improve with increased amounts of their PD meds, usually carbidopa/levodopa. You may need a referral from a Dr. to get physical therapy.
TRAIN WITH A PARKINSON’S PHYSICAL THERAPIST
LSVT BIG ( https://www.lsvtglobal.com/LSVTBig ) trains people with Parkinson disease (PD) to use their body more normally
Tips to help
Try another movement – raise an arm, touch your head, point to the ceiling; then re-start
Change direction: if you can’t move forward, try stepping sideways first, and then go forward
Carry a laser pointer in your pocket; when you freeze – shine the laser in front of your foot and step on the light – this visual cue can help you re-start.
Visualize an object on the ground in front of you and try to step over it.
Wear a metronome on your belt or carry a small one in your pocket – turn it on and the external beat can help you re-start.
Try humming a song and time your re-start with the beat of the music
Count “1-2-3-go” and then step forward
Shift your weight from side to side to help initiate taking a step
March in place a few times and then step forward
Don’t fight the freeze by trying harder to step forward – shift your attention from moving the legs to moving the arms – then resume walking forward
The U-step walker https://www.ustep.com/ was designed specifically to prevent falls caused by freezing.. Although it may not help every patient with PD, it has some features that are worth knowing about. The U-step walker has a reverse braking system which means that without engaging anything, the walker is in the braked position and the wheels will not turn. A lever must be gripped or pressed (depending on the model) in order for the wheels to turn. Therefore, if a freeze occurs, the walker should stay stable. In addition, the resistance of the wheels, which controls the rolling speed, is adjustable. Finally, the walker can be ordered with a laser light and sound cueing module which can be used to interrupt a freeze as discussed above.
Your physical therapist can help you determine the walking aid that is best-suited for your specific situation.
That is a lot of really good information. Thank you.