Research Article

Clinical Features of Parkinson’s Disease in Patients with Early-Onset Freezing of Gait

Table 1

Comparison of clinical parameters between FOG and non-FOG patients.

Total PD (n = 53)Freezers (n = 8)Nonfreezers (n = 45) value

Demographic
 Age (years)69.0 (64.0−72.0)68.1 ± 7.869.0 (64.0−71.0)0.471
 Sex (male/female)29/244/425/200.534
 Side of onset (right/left)29/244/425/200.534
 Disease duration (years)0.8 (0.5−1.3)0.8 ± 0.40.8 (0.5−1.3)0.951
 MRI/CT abnormal findings (n)3120.364
Assessment scale
 MMSE score28.0 (27.0−29.0)27.0 (27.0−29.0)29.0 (26.0−29.0)0.583
 TMT-A45.5 (36.8−57.1)57.5 ± 14.844.4 (36.2−50.8)0.056
 TMT-B114.5 (91.8−157.2)133.9 ± 28.4114.0 (91.0−156.7)0.399
 TMTB-A67.1 (52.1−96.4)76.4 ± 21.766.5 (52.0−96.3)0.655
 CDT10.0 (10.0−10.0)10.0 (10.0−10.0)10.0 (10.0−10.0)0.989
 FAB15.0 (14.0−17.0)15.0 (13.0−15.0)16.0 (14.0−17.0)0.086
 BADS103.9 ± 14.494.1 ± 14.1105.4 ± 14.00.054
 BDI-II5.0 (4.0−10.0)9.0 ± 4.35.0 (2.0−7.0)0.063
 AS9.0 (5.0−16.0)15.5 ± 4.18.0 (4.0–13.0)0.018
 OSIT-J5.3 ± 2.75.6 ± 1.95.3 ± 2.80.785
 Modified HY stage2.0 (2.0−2.5)3.0 (2.8−3.0)2.0 (1.5−2.0)<0.001
 UPDRS part III score13.0 (9.0−18.0)30.0 ± 10.911.0 (7.0−16.0)<0.001
 Tremor score2.0 (1.0−4.0)1.5 (1.0−2.0)3.0 (1.0−4.0)0.321
 PIGD score2.0 (0.0−3.0)6.6 ± 1.81.0 (0.0−2.0)<0.001
 FOG-Q2.0 (1.0−3.0)10.1 ± 2.52.0 (0.0−3.0)<0.001
Gait analysis
 Mean gait cycle duration1.22 ± 0.101.18 ± 0.121.23 ± 0.100.245
 Mean gait acceleration amplitude1.79 ± 0.391.45 ± 0.291.85 ± 0.380.006
 Amount of daily movement0.41 ± 0.120.28 ± 0.090.43 ± 0.11<0.001

Data are median (interquartile range) or a number of patients. values by the Mann–Whitney U test, except for those marked with an asterisk (), which are by Pearson’s chi-squared test. FOG: Freezing Of Gait; MMSE: Mini-Mental State Examination; TMT-A: Trail Making Test-A; TMT-B:Trail Making Test-A; TMT-B-A:Trail Making Test Part B minus Part A; CDT: Clock Drawing Test; FAB: Frontal Assessment Battery; BADS: Behavioral Assessment of the Dysexecutive Syndrome; BDI-II: Beck Depression Inventory, Second Edition; SAS: Starkstein Apathy Scale; OSIT-J: Odor Stick Identification Test for Japanese; Modified HY stage: modified Hoehn and Yahr stage; UPDRS part III score: Unified Parkinson’s Disease Rating Scale part III score; Tremor score: the sum of UPDRS “tremor items” 16, 20, and 21; Postural instability and gait disorder (PIGD) score: the sum of UPDRS “PIGD items” 13–15, 29, and 30; FOG-Q: Freezing of Gait Questionnaire.