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Cognitive Impairment in Parkinson's Disease: Understanding the Problem and Unlocking the Solution to Freezing of Gait.

Course: #2528Level: Advanced2 Hours 1677 Reviews
Recorded Webinar

A select subgroup of persons with Parkinson's Disease (PD) experience the phenomena known as Freezing of Gait (FOG). People who experience FOG exhibit impairment in specific cognitive domains, including attentional control and conflict resolution1,2. These cognitive deficits are related to reduced mobility and quality of life. Understanding cognitive deficits and their relationship to mobility can yield insights into effective treatment. However, to date clinical interventions to arrest or reduce the frequency of FOG are largely transient or contrived – with limited carryover3. This presentation will help clinicians and educators alike understand the physiology of FOG, and cognitive impairments typical of PD in persons with and without FOG. The authors will present a two-fold approach to reducing falls and functional impairment from FOG: 1) rehabilitative- through restitutive dual task and cognitive training4,5,6; and 2) compensatory- through education (awareness and prioritization)7. Additionally, we will provide videotape case studies and specific examples of how to apply each approach and to translate this information into interventions that will improve cognition and FOG. This course is directly related to the practice of physical therapy and is appropriate for the PT and PTA.

Course created on October 20, 2016

Preview Exam
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On Demand

Course Type: Recorded Webinar

CEUs/Hours Offered: AK/2.0; AL/2.0; AR/2.0; AZ/2.0; CA/2.0; CO/2.0; CT/2.0; DE/2.0; FL/2.0; GA/2.0; HI/2.0; IA/2.0; IACET/0.2; ID/2.0; IL/2.0; IN/2.0; KS/2.0; KY/2.0 Category 2; MA/2.0; ME/2.0; MI/2.0; MO/2.0; MS/2.0; MT/2.0; NC/2.0; ND/2.0; NE/2.0; NH/2.0; NY/2.0; OR/2.0; PA/2.0; RI/2.0; SC/2.0; SD/2.0; TN/2.0; TX/2.0; UT/2.0; VA/2.0; VT/2.0; WA/2.0; WI/2.0; WY/2.0

Learning Outcomes

  • checkmarkThe participant will be able to identify at least three relevant cognitive/motor changes that occur in PD and the evidence on objective testing of each impairment.
  • checkmarkThe participant will be able to describe at least two recent evidence findings in clinical interventions to reduce the frequency FOG and the functional limitations from cognitive impairment in PD.
  • checkmarkThe participant will be able to identify at least three of the best clinical measures to detect capacity and responsiveness in dual task cost for persons with FOG in PD.
  • checkmarkThe participant will be able to identify at least two research findings furthering the cognitive / motor interplay in PD.


0-5 Minutes Background, overview, and learning objectives
5-20 Minutes Pathophysiology of cognitive dysfunction and FOG in Parkinson's Disease.
20-35 Minutes Current evidence for treatment of dual task tolerance for Parkinson's patients with and without FOG
35-65 Minutes Identifying responders and interventions: dual task training
65-85 Minutes Compensatory efforts in safety training for those that are not able to improve through dual task training.
85-115 Minutes Case studies translating the evidence with practical intervention strategies
115-120 Minutes Questions and Answers


1677 Reviews

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Presenter Disclosure: The presenter received an honorarium for presenting this course

Content Disclosure: This learning event does not focus exclusively on any specific product or service.

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California is a recognized continuing competency approval agency for the Physical Therapy Board of California. This course is offered for 2.0 hours of continuing competency.

CE Broker

CE Broker is approved to report to CE Broker for PTs and PTAs licensed in the states of FL, GA, MS, SC and TN, CE Provider #: 50-14089. If you are a PT/PTA in one of these states, CE Broker may be of interest to you.

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continued, LLC, DBA, is accredited by the International Association for Continuing Education and Training (IACET). continued complies with the ANSI/IACET Standard, which is recognized internationally as a standard of excellence in instructional practices. As a result of this accreditation, continued is authorized to issue the IACET CEU. continued, LLC, is authorized by IACET to offer 0.2 CEUs for this program.

IL Physical Therapy Continuing Education Sponsor

This course is offered for 2.0 hours (Advanced level) by the Illinois Department of Professional Regulation (Sponsor License #216000252).


This course is offered for 2.0 hours (Advanced level, Category 2) by the Kentucky Physical Therapy Association (Provider #CS80-2012-KPTA).

New York is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider of physical therapy and physical therapist assistant continuing education.

Texas Physical Therapy Association

This course is offered for 2.0 hours (Advanced level) by the Texas Physical Therapy Association. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. The Texas Physical Therapy Association (TPTA) administers the CCAP on behalf of the Texas Board of Physical Therapy Examiners (Provider #2406033TX).

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