Research Article

Freezing of Gait in Parkinson’s Disease: Risk Factors, Their Interactions, and Associated Nonmotor Symptoms

Table 1

Subject characteristics in relation to freezing of gait.

Variable demographicsFOG+FOG value
n64100

Male (n, %)45 (70%)67 (67%)0.66
Age (y, SD)74.0 (10.0)70.8 (9.7)0.02
Age at PD onset (y, SD)61.8 (12.1)63.9 (11.0)0.86
PD duration (y, SD)12.1 (5.9)6.9 (5.1)<0.0001
Duration of L-Dopa Rx8.7 (5.5)3.8 (4.1)<0.0001

Motor subtype (n, %)
 Tremor-predominant5 (7%)47 (47%)<0.0001
 Indeterminate2 (3%)10 (10%)
 PIGD57 (89%)43 (43%)
Modified H/Y St. 1–2.5 (n, %)28 (44%)77 (77%)<0.0001
Modified H/Y St. 3–5 (n, %)36 (56%)23 (23%)
≥1 fall in past month (n, %)36 (56%)19 (19%)<0.0001

MDS-UPDRS Subscale scores
 Pt. I: Nonmotor EDL10.2 (4.5)6.5 (4.0)<0.0001
  Nonmotor EDL score >747 (73%)37 (37%)<0.0001
 Pt II: Motor EDL19.4 (8.4)10.8 (7.0)<0.0001
 Pt. III: Motor exam39.5 (11.3)31.3 (13.9)<0.0001
  Bradykinesia score17.0 (4.9)13.9 (5.9)0.0002
  Rigidity score8.5 (3.1)7.7 (3.7)0.07
  Tremor score2.7 (4.1)4.8 (4.6)1.0
  PIGD score9.7 (4.8)3.8 (3.1)<0.0001
  Balance-gait score6.6 (3.3)3.5 (2.9)<0.0001
 Pt. IV: Motor complications3.8 (3.9)1.2 (2.4)<0.0001
  Dyskinesias > 0 (n, %)32 (50%)18 (18%)<0.0001
  Time in off state > 0 (n, %)32 (50%)24 (24%)0.0006
  Functional impact of motor
   Fluctuations > 0 (n, %)31 (48%)18 (18%)<0.0001
  Complexity of Mot. Fluct > 032 (50%)22 (22%)0.0002
  Sum of Mot. Fluct. scores2.5 (2.9)0.9 (1.8)<0.0001

 Cognition
 Dementia (n, %)19 (59%)13 (13%)0.009
 Mild cognitive impairment or dementia (n, %)48 (75%)50 (50%)0.001
 Medications
 LED (mg, SD)973 (493)575 (391)<0.0001
 LD doses/day (mean, SD)4.8 (2.0)3.1 (1.9)<0.0001
 Dopamine agonist (n, %)30 (47%)35 (35%)0.13
 MAO-B inhibitor (n, %)28 (44%)46 (46%)0.85
 Amantadine (n, %)12 (19%)5 (5%)0.005
 Acetylcholinesterase inhibitor (n, %)11 (18%)9 (9%)0.10
 SSRI/SNRI (n, %)16 (25%)16 (16%)0.18

FOG+ and FOG reference patients with and without freezing of gait, respectively. H/Y St: Hoehn and Yahr Stage; EDL: experiences of Daily Living; Mot. Fluct: motor fluctuations; LED: levodopa equivalent dose; LD: levodopa; MDS-UPDRS subscale scores are listed as mean (SD) and group scores as n (%).