Print Print
CKS is no longer commissioned by the National Institute for Health and Clinical Excellence (NICE). NICE remains committed to providing a replacement service for CKS and is currently reviewing its options. In the meantime, although CKS content is now not being maintained, it still remains relevant and will continue to be made available. CKS content was generated under a programme of topic creation and update. To check if the topic you are viewing is current or out of date, please refer to the topic publication details by clicking on the 'How up-to-date is this topic?' link in the left hand menu on individual topic pages.

Parkinson's disease - Management
How might a specialist manage freezing of gait?

'Off' freezing

  • Treatment for wearing off (see Managing motor fluctuations), such as dispersible levodopa, may be used.
  • The use of visual or auditory cues may be useful.

'On' freezing

  • May respond to a reduction in dopaminergic therapy, but this may result in worsening symptoms of wearing off.

[Lim et al, 2005; Horstink et al, 2006]

© NHS Institute for Innovation and Improvement