How cueing works in NexStride to help freezing of gait
The Art of Cueing
As medication and surgery have not previously been successful in treating these symptoms, more recently, cueing has been studied and has shown immense promise in overcoming episodic freezing.
FOG can be characterized into three different forms:
Pure
Akinesia
No motion of the person’s legs is observed2.
“Tremble in Place” Form
The person’s inability to step with their legs trembling.
“Shuffling”
Form
A spontaneously increasing cadence and a decrease in step length3.
The other forms of Freezing of Gait are shuffling and trembling in place. These forms of FoG have been known to be major contributors to falls in people with Parkinson’s. This places an immense strain on carers and increased pressure on the health system due to the rise of hospitalizations4.
Additionally, other non-motor effects can be caused by FoG complications, including anxiety, depression, and the overall decrease in a person’s quality of life5.

How does cueing help?
Reduces Freezing Episodes
Allows For Continued Movement
Cueing In NexStride

These visual and audio cues help users re-establish the connection between the brain and the body and allow the user to walk smoothly again.
Sources
• 2. Bloem B.R., Hausdorff J.M., Visser J.E., Giladi N. Falls and freezing of gait in Parkinson’s disease: A review of two interconnected, episodic phenomena. Mov. Disord. Off. J. Mov. Disord. Soc. 2004;19:871–884. DOI: 10.1002/mds.20115.
• 3. Hausdorff J.M., Balash Y., Giladi N. Time series analysis of leg movements during freezing of gait in Parkinson’s disease: Akinesia, rhyme or reason? Phys. A Stat. Mech. Appl. 2003;321:565–570. DOI: 10.1016/S0378-4371(02)01744-2.
• 4. Paul S.S., Harvey L., Canning C.G., Boufous S., Lord S.R., Close J.C.T., Sherrington C. Fall-related hospitalization in people with Parkinson’s disease. Eur. J. Neurol. 2017;24:523–529. doi: 10.1111/ene.13238
• 5. Ishii M., Okuyama K. Influence of Freezing of Gait on Quality of Life in Patients with Parkinson’s disease. J. Fac. Health Sci. 2018;12:1–10.