A Case of Apparent Upper-Body Freezing in Parkinsonism while Using a Wheelchair
Freezing of gait (FOG) is a common, disabling gait disturbance in Parkinson’s disease (PD) and other Parkinsonian syndromes. Freezing also occurs during non-gait movements involving the upper limbs. The mechanisms underlying freezing are complex, likely involving motor, cognitive, and sensory system...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2017-05-01
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| Series: | Frontiers in Neurology |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fneur.2017.00205/full |
| _version_ | 1818064447785140224 |
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| author | Samuel T. Nemanich Marie E. McNeely Marie E. McNeely Gammon M. Earhart Gammon M. Earhart Gammon M. Earhart Scott A. Norris Kevin J. Black Kevin J. Black Kevin J. Black Kevin J. Black |
| author_facet | Samuel T. Nemanich Marie E. McNeely Marie E. McNeely Gammon M. Earhart Gammon M. Earhart Gammon M. Earhart Scott A. Norris Kevin J. Black Kevin J. Black Kevin J. Black Kevin J. Black |
| author_sort | Samuel T. Nemanich |
| collection | DOAJ |
| description | Freezing of gait (FOG) is a common, disabling gait disturbance in Parkinson’s disease (PD) and other Parkinsonian syndromes. Freezing also occurs during non-gait movements involving the upper limbs. The mechanisms underlying freezing are complex, likely involving motor, cognitive, and sensory systems that contribute to the episodes. Here, we reported a 60-year-old female with a 24-year history of parkinsonism who experienced significant FOG when ambulatory. Disease progression resulted in her permanent use of a powered wheelchair. While using the power chair, the patient experiences apparent paroxysmal freezing in the hand and arm used to steer and propel the chair. These episodes, some lasting up to several minutes, occur only in circumstances (e.g., entering and leaving an elevator) that are similar to environments known to elicit and exacerbate FOG. Episodes are transient and can be volitionally interrupted by the patient but sometimes require external assistance. Therapeutic intervention for this type of potential freezing has yet to be determined. This case may provide insight into the complex nature of freezing behavior and suggests a need for new approaches to treating non-traditional freezing behavior. |
| first_indexed | 2024-12-10T14:36:09Z |
| format | Article |
| id | doaj.art-ce514c21658a45759341da8828fa5b09 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-10T14:36:09Z |
| publishDate | 2017-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-ce514c21658a45759341da8828fa5b092022-12-22T01:44:50ZengFrontiers Media S.A.Frontiers in Neurology1664-22952017-05-01810.3389/fneur.2017.00205246554A Case of Apparent Upper-Body Freezing in Parkinsonism while Using a WheelchairSamuel T. Nemanich0Marie E. McNeely1Marie E. McNeely2Gammon M. Earhart3Gammon M. Earhart4Gammon M. Earhart5Scott A. Norris6Kevin J. Black7Kevin J. Black8Kevin J. Black9Kevin J. Black10Program in Physical Therapy, Washington University School of Medicine in St. Louis, St. Louis, MO, USAProgram in Physical Therapy, Washington University School of Medicine in St. Louis, St. Louis, MO, USADepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USAProgram in Physical Therapy, Washington University School of Medicine in St. Louis, St. Louis, MO, USADepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USADepartment of Neuroscience, Washington University School of Medicine in St. Louis, St. Louis, MO, USADepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USADepartment of Neurology, Washington University School of Medicine in St. Louis, St. Louis, MO, USADepartment of Neuroscience, Washington University School of Medicine in St. Louis, St. Louis, MO, USADepartment of Radiology, Washington University School of Medicine in St. Louis, St. Louis, MO, USADepartment of Psychiatry, Washington University School of Medicine in St. Louis, St. Louis, MO, USAFreezing of gait (FOG) is a common, disabling gait disturbance in Parkinson’s disease (PD) and other Parkinsonian syndromes. Freezing also occurs during non-gait movements involving the upper limbs. The mechanisms underlying freezing are complex, likely involving motor, cognitive, and sensory systems that contribute to the episodes. Here, we reported a 60-year-old female with a 24-year history of parkinsonism who experienced significant FOG when ambulatory. Disease progression resulted in her permanent use of a powered wheelchair. While using the power chair, the patient experiences apparent paroxysmal freezing in the hand and arm used to steer and propel the chair. These episodes, some lasting up to several minutes, occur only in circumstances (e.g., entering and leaving an elevator) that are similar to environments known to elicit and exacerbate FOG. Episodes are transient and can be volitionally interrupted by the patient but sometimes require external assistance. Therapeutic intervention for this type of potential freezing has yet to be determined. This case may provide insight into the complex nature of freezing behavior and suggests a need for new approaches to treating non-traditional freezing behavior.http://journal.frontiersin.org/article/10.3389/fneur.2017.00205/fullParkinson’s diseasehypokinesiaupper-limb freezingfreezingakinesia |
| spellingShingle | Samuel T. Nemanich Marie E. McNeely Marie E. McNeely Gammon M. Earhart Gammon M. Earhart Gammon M. Earhart Scott A. Norris Kevin J. Black Kevin J. Black Kevin J. Black Kevin J. Black A Case of Apparent Upper-Body Freezing in Parkinsonism while Using a Wheelchair Frontiers in Neurology Parkinson’s disease hypokinesia upper-limb freezing freezing akinesia |
| title | A Case of Apparent Upper-Body Freezing in Parkinsonism while Using a Wheelchair |
| title_full | A Case of Apparent Upper-Body Freezing in Parkinsonism while Using a Wheelchair |
| title_fullStr | A Case of Apparent Upper-Body Freezing in Parkinsonism while Using a Wheelchair |
| title_full_unstemmed | A Case of Apparent Upper-Body Freezing in Parkinsonism while Using a Wheelchair |
| title_short | A Case of Apparent Upper-Body Freezing in Parkinsonism while Using a Wheelchair |
| title_sort | case of apparent upper body freezing in parkinsonism while using a wheelchair |
| topic | Parkinson’s disease hypokinesia upper-limb freezing freezing akinesia |
| url | http://journal.frontiersin.org/article/10.3389/fneur.2017.00205/full |
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