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Journal of Orthopedic Education

Volume  11, Issue 2, May. Aug 2025, Pages 43-49
 

Original Article

Cognitive Behavioural Interventions for Freezing of Gait in Parkinson’s Disease: A Case Study

R.B. Uppin1, Sana S. Momin2, Ravi B. Patil3

1 Consultant, Department of Orthopedics, Vijaya Hospital and Trauma Centre, Belgavi, Karnataka, India. 2 Bachelor’s of Physiotherapy, Department of Orthopedics, Vijaya Hospital and Trauma Centre, Belgavi, Karnataka, India.  3 Consultant, Department of Orthopedics, Vijaya Hospital and Trauma Centre, Belgavi, Karnataka, India.Sana S. Momin
 

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DOI: 10.21088/joe.2454a.7956.11225.1

Abstract

This case study investigates the transformative impact of cognitive behavioural interventions on freezing of gait (FOG) in an 80-year-old female patient, Sharadha, diagnosed with Parkinson’s disease. Despite conventional treatments, Sharadha’s FOG persisted, hindering her mobility and diminishing her quality of life.1 Through a tailored treatment plan encompassing psycho education, cognitive restructuring, behavioural techniques, and stress management, Sharadha experienced remarkable improvements. She learned to challenge negative thought patterns, visualise fluid movement, and utilise external cues to overcome FOG episodes.2 As a result, Sharadha regained confidence, independence, and mobility, demonstrating the profound potential of non-pharmacological interventions in managing FOG in Parkinson’s disease. This study underscores the importance of holistic approaches in improving outcomes for individuals living with Parkinson’s disease and offers hope for enhanced quality of life through cognitive behavioural interventions. The implementation of the cognitive-behavioural intervention led to significant improvements in Sharadha’s mobility and overall quality of life. Within several weeks of beginning treatment, Sharadha reported a marked reduction in the frequency and severity of her FOG episodes. She became more confident in her ability to walk independently, even in challenging environments. The use of external cues, combined with her cognitive restructuring efforts, allowed Sharadha to break through the “freeze” moments, significantly reducing her risk of falls. Aim and Objectives Aim:  • The aim of this study is to evaluate the effectiveness of cognitive behavioural interventions in reducing freezing of gait (FOG) episodes and improving mobility in individuals with Parkinson’s disease (PD). Objective:  • To investigate the efficacy of a four-week program of repetitive exercise with cueing and movement strategies upon freezing of gait in people with Parkinson’s disease.6 Materials • Informed consent forms • Participant information sheets • Video recording equipment for capturing gait and mobility assessments  Assessment Tools: • Freezing of Gait Questionnaire (FOG-Q)  • Unified Parkinson’s Disease Rating Scale (UPDRS)  • Timed Up and Go (TUG) test • 10-Meter Walk Test  Parkinson’s Disease Questionnaire (PDQ-39) or Parkinson’s Disease Quality of Life Questionnaire (PDQL) Result: By targeting both cognitive and behavioural aspects of the condition, individuals like Mrs. Sharadha can experience meaningful improvements in symptom management and overall well-being.  Conclusion: This case study underscores the potential efficacy of cognitive behavioural interventions in addressing FOG in Parkinson’s disease patients. By targeting both cognitive and behavioural aspects of the condition, individuals like Mrs. Sharadha can experience meaningful improvements in symptom management and overall well-being. Further research and clinical trials are warranted to validate the effectiveness of CBT and other non-pharmacological interventions in the treatment of FOG in Parkinson’s disease 


Keywords : Parkinson’s disease • Cognitive behavioural • Freezing of gait
Corresponding Author : Sana S. Momin,