Gait freezing and walking challenges are some of the most frustrating movement symptoms in Parkinson’s. Michael Braitsch, PT, DPT, a physical therapist specializing in Parkinson’s, explains why gait changes happen and shares practical tools and strategies to improve mobility.
About the Presenter
Dr. Mike Braitsch PT, DPT, is a physical therapist, owner of Tribe Wellness, and an Assistant Clinical Professor of Physical Therapy at Texas Woman’s University. With a passion for accessible movement and community-based care, Mike has been a longtime advocate for helping people with Parkinson’s stay active, connected, and empowered.
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February 24, 2026
Muscle rigidity is a persistent motor symptom of Parkinson’s disease, and it’s influenced by multiple factors, including posture, stress, medication timing, and overall activity levels. It often manifests as stiffness in the neck, shoulders, back, arms, or legs, and can make ordinary movements feel slow and difficult. Rigidity may fluctuate throughout the day, but its interference with dressing, bathing, walking, and even resting makes it a significant challenge to overcome. While there are some great big-picture lifestyle changes like resistance training and high-intensity interval training (HIIT) that can make a big difference, it’s also important to incorporate consistent, gentle movements into daily routines to further reduce discomfort and improve mobility day-to-day.
Why Rigidity Happens Rigidity in Parkinson’s is caused by changes in how the brain regulates muscle tone. Instead of muscles relaxing fully between movements, they may remain partially contracted. This leads to reduced arm swing while walking, a sense of heaviness in the limbs, difficulty turning in bed, and movement restrictions.
Stiffness may become more noticeable during periods when medication is wearing off, during prolonged inactivity, or when anxiety is heightened. Recognizing patterns can help you better anticipate and manage symptoms.
Ways to Reduce Everyday Stiffness Understanding that rigidity responds well to frequent, moderate movement is key. The following strategies focus on maintaining mobility without overexertion. It’s always a good ideo consult your care team before making major changes to your routine, but these are great places to start.
Warming the muscles
Take a warm shower before starting your day
Apply a heating pad to tight areas
Start activities with light walking rather than static stretching while muscles are “cold”
Mobility practice
Begin with relaxed breathing to release shoulder and jaw tension
Gently roll shoulders forward and backward
Rotate the trunk slowly while seated or standing
Shift weight side to side to encourage hip mobility
Take a brief walk using longer steps and upright posture
Mind-muscle connection
Visualize the movement you’re performing
Think about lifting the chest rather than pulling the shoulders back
Keep your chin level and gaze forward
Allow arms to swing naturally when walking
Modifying Daily Tasks to Accommodate Rigidity
Incorporating occupational therapy principles into your daily routine is a good complement to mobility exercises. They emphasize working with your body rather than pushing against it. These small adjustments conserve energy and reduce frustration, which will in turn help ease some of the challenges of rigidity.
Dressing
Choose clothing with elastic waistbands or simplified fasteners to reduce the amount of fine motor skill needed to get dressed.
Lay clothing out in the order it will be put on
Try getting dressed while seated to reduce balance demands
Bathing
Install grab bars and non-slip mats into the shower or tub
Use a shower chair if standing feels tiring or balance is difficult
Keep toiletries within easy reach
Kitchen and household tasks
Use lightweight cookware to reduce the fatigue of lifting and moving pots and pans
Slide items across counters instead of lifting them (if possible)
Work in short intervals rather than completing tasks all at once
Rigidity is rarely resolved by a single technique. It responds best to repetition, awareness, and thoughtful pacing. Don’t forget to lean on your support system for assistance in implementing these changes and staying on track. Perhaps the most important piece of advice anyone can offer is to ask for help when you need it. Having difficulty with daily tasks can be embarrassing and hard to admit, but being honest with loved ones and taking the time you need to perform movements will always lead to better outcomes.
February 24, 2026
Gait freezing is one of the more complicated and frustrating symptoms associated with Parkinson’s disease (PD). It is defined as sudden, temporary inability to take a step. While brief, these episodes can feel overwhelming and may increase the risk of falls.
Why Gait Freezing Happens Though freezing is often unpredictable, it tends to occur more frequently in specific situations and often has several contributing factors:
Cognitive challenges Planning and coordinating movement, especially when navigating turns, doorways, and uneven ground, can trigger freezing, as well as starting or stopping, moving through small or cluttered spaces, and walking on slippery surfaces.
Multitasking Walking while reaching for something or performing another task.
Emotional triggers Anxiety, excitement, frustration, uncertainty about where to go, and feeling rushed or pressured.
Medication timing and dosage When you take your medication can influence when freezing is more likely to occur.
Practical Tips to Move Better During a Freezing Episode Understanding freezing triggers is the first step toward managing them. The strategies below were developed in partnership with Parkinson’s experts and reflect the techniques clinicians commonly teach their patients to help them move more safely. Always consult your physician or care team before making major changes to your routine, but the following are great places to start:
Visual Strategies Visual cues can help “reset” movement patterns, so find a way to anchor yourself to your environment and shift attention away from the sensation of being stuck.
Focus on a companion walking beside you
Look through doorways rather than at them
Keep your gaze straight ahead instead of looking down
Choose a target in the distance and walk toward it
Place a visible mark on the floor and step over it
Mental Strategies Freezing often worsens when someone feels hurried. Slowing down and mentally rehearsing movement can improve physical control.
Pause to reduce the sense of urgency
Visualize movements such as kicking a ball, climbing stairs, or dancing
Count aloud to create a steady rhythm
Movement-Based Techniques Altering how you initiate movement can help break a freeze by creating a deliberate motor sequence that helps initiate forward motion.
When turning:
Walk in a wide circle instead of pivoting in place
Practice stepping over a companion’s foot or a visible spot on the floor
To start walking:
If you use a cane, tap it on the ground to establish rhythm
Step sideways or backward before stepping forward
Lean slightly forward to shift your weight
Auditory and Tactile Cues External sensory input can serve as a powerful trigger for movement.
Have a companion gently touch your arm or elbow
Walk arm in arm with someone
Use verbal cues such as “walk” or “march”
Listen to rhythmic music you enjoy
Medication Timing Medication management plays an important role in freezing (as well as many other symptoms). Tracking which times of day certain symptoms are most noticeable can help your care team fine-tune your treatment.
Use reminders to take medications at consistent times
Keep a diary of freezing episodes to identify patterns
When possible, plan activities during “On” periods when medication is working optimally
Making the Most of Your Strategies
Gait freezing is complex because it involves motor planning, attention, environment, emotional state, and medication effects. There is rarely a single solution for reducing episodes. Instead, you’re most likely to benefit from a combination of strategies. Take some time to identify which approaches are most helpful and in which situations they are effective, and try not to get discouraged, as this may be a longer process than expected. With preparation, awareness, and good technique, many people with Parkinson’s can improve their ability to move through freezing episodes and reclaim a stronger sense of independence.
Swallowing and speech challenges are common symptoms of Parkinson’s. Join us for a conversation with a speech-language pathologist specializing in Parkinson’s care to learn why these issues occur and what practical strategies can make a difference.
About the Presenter
Julia Robinson (MS, CCC, SLP) is a speech-language pathologist with 25 years of experience who values evidence-based practice. She is part of the outpatient neurological team at Legacy Emanuel Center, specializing in dysphagia, voice, aphasia, and cognitive-linguistic disorders. She is a member of the Brian Grant Foundation Medical Advisory Council for Parkinson’s disease, teaches the weekly Parkinson’s Communication Skills Class (a collaboration of Parkinson’s Resources of Oregon and Legacy Emanuel), and is certified in LSVT ® LOUD voice-therapy treatment for Parkinson’s disease. She also facilitates the monthly, community head-and-neck cancer support group.
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Creating a Legacy of Hope and Support
At the Brian Grant Foundation (BGF), our mission is to empower people impacted by Parkinson’s to lead active, fulfilling lives. By including BGF in your estate plans, you extend that mission into the future, ensuring that individuals and families living with Parkinson’s will continue to find education, resources, and community support for years to come.
Planned giving is one of the most meaningful ways to create a lasting legacy.
Ways to Leave Your Legacy
Bequests (Wills & Trusts): Designate a specific amount, a percentage, or the remainder of your estate to BGF. This flexible and straightforward option makes a lasting difference.
Beneficiary Designations: Name BGF as a beneficiary of your retirement account, life insurance policy, or bank account. It’s a simple step with a powerful impact.
Qualified Charitable Distributions (QCDs): If you’re 70½ or older, you can give up to $100,000 annually from your IRA directly to BGF. QCDs can count toward required minimum distributions and may lower taxable income.
Gifts of Securities or Appreciated Assets: By donating long-term appreciated stocks, bonds, or mutual funds, you avoid capital gains tax and receive a charitable deduction.
Gifts of Real Estate or Property: You may choose to give real estate or other property, either outright or through a retained life interest (subject to BGF acceptance policies).
Charitable Remainder Trusts (CRTs): Establish a trust that provides you or your loved ones with income for life or a term of years, with the remainder supporting BGF’s work.
Life Insurance Gifts: Name BGF as a beneficiary of an existing or new life insurance policy. Premium payments may qualify as tax-deductible contributions.
Donor-Advised Funds (DAFs): If you have a DAF, you can recommend a grant to BGF at any time.
Why Your Legacy Matters
Your planned gift is more than a donation; it’s a promise to future generations. It ensures that:
People with Parkinson’s live empowered lives.
Families and caregivers receive education, resources, and hope.
Programs remain strong, accessible, and sustainable.
Sample Bequest Language
“I give, devise, and bequeath to the Brian Grant Foundation, a nonprofit corporation with principal office in [City, State] (EIN: ________________), (a) __% of my residuary estate; or (b) the sum of $__; or (c) the remainder of my estate, for its general purposes (or for purposes designated).”
Recognition Through the Legacy Circle
We are deeply grateful for the generous supporters who include BGF in their estate plans. Through our Legacy Circle, you may receive:
A welcome letter and certificate of appreciation
Recognition in our annual report and website (if you wish)
Invitations to exclusive events and briefings
Impact updates about how your gift is making a difference
If you prefer, you can remain completely anonymous. We honor every donor’s wishes with the utmost respect and confidentiality.
How to Begin
Consult your advisors. Review options with your attorney or financial planner.
Use our sample language. Adapt it to fit your wishes.
Let us know. While not required, notifying us helps us steward your legacy thoughtfully.
Stay connected. As part of our Legacy Circle, you’ll be welcomed into the BGF community with ongoing updates and gratitude.
Important Note
This information is provided as a guide and should not replace advice from your legal, tax, or financial advisors.
Together, we can ensure that no one faces Parkinson’s alone, now and for generations to come.
Brian Grant Foundation Tax Information: Legal Name: Brian Grant Foundation Address: 650 NE Holladay Street #1600, Portland, OR 97232 Tax ID: 27-1628944
Brian Grant Foundation is a registered 501(c)(3) nonprofit.
If you have any questions, please contact us at (503) 274-9382.
February 03, 2026
Speech changes in Parkinson’s often happen gradually. Many people don’t realize their voice has changed until someone else points it out or they have trouble projecting in everyday situations like phone calls, drive-thrus, work situations, and group conversations. Common speech-related challenges can include:
Low volume or a softer voice
Struggling to be heard in noisy environments
Slurred or unclear speech
Cognitive strain when multitasking
Fatigue, frustration, or self-consciousness while speaking
Speech changes aren’t just physical. They can also affect identity, relationships, and participation in everyday life. Avoiding conversations, staying quiet in group settings, or seeking calmer environments because speaking in socially competitive spaces feels exhausting can lead to reduced connection with others and increased isolation.
How Swallowing Changes Affect Speech For some, speech issues overlap with physical symptoms like saliva management and swallowing difficulties (dysphagia), creating an additional barrier to speaking comfortably. Swallowing changes can happen slowly over time, and the signs and symptoms may look different from person to person, but the following are common:
Muscle stiffness or slowness affecting swallowing
Reduced coordination between breathing and swallowing
Dry mouth or low saliva
Cognitive changes that interfere with swallowing
Posture challenges that increase aspiration risk
Even when swallowing changes don’t seem directly connected to speech, they can still influence it. Frequent throat clearing, coughing, and unpleasant throat sensations can interrupt the flow of conversation and make speaking more difficult. Some in the Parkinson’s community need to address saliva or swallowing issues before they can even attempt to speak clearly. Reduced coordination between breathing and swallowing affects timing and breath control, which both play an important role in speaking with strength and clarity.
Strategies That Can Help The most effective approach to improving speech and swallowing is a combination of professional support and consistent habits that strengthen voice, reduce strain, and make communication easier. Try the following:
Work with a speech-language pathologist early and consistently Building good habits as soon as you notice issues will set you up for success and potentially slow the decline.
Participate in speech therapy programs Evidence-based programs such as LSVT LOUD support vocal strength and clarity to improve and preserve speech.
Practice, practice, practice Daily voice exercises like vocal warmups, reading aloud, and singing help maintain muscle control and strength, and adding in breathing exercises can further encourage projection.
Eat and Drink Safely To help reduce swallowing strain, sit upright during meals, choose softer foods, eat slowly, and limit distractions so you can focus on chewing and swallowing efficiently. To learn more, check out this article on how to eat well when swallowing is hard.
Speech and swallowing changes in Parkinson’s can be challenging, but they don’t have to mean avoiding conversation or withdrawing from social events. With the right support, early intervention, and consistent practice, improvement and preservation are possible. If you’re noticing changes in speech or swallowing, speak with your care team about putting together an action plan to keep your voice strong.
To learn more about how to improve speech and swallowing with Parkinson’s, register for our upcoming webcast with Julia Robinson, a licensed speech-language pathologist with 25 years of experience!
January 23, 2026
For many people living with Parkinson’s disease, changes in chewing and swallowing can turn eating into a source of stress. The muscles involved in swallowing may become slower or less coordinated, increasing the risk of coughing, choking, and fatigue. Over time, this can affect nutrition, hydration, mood and even cause certain types of pneumonia.
The good news is that there are simple adjustments that help make eating safer, easier, and more satisfying. With the right approach, meals can remain nourishing and comforting even when dysphagia is present. Dysphagia is the medical term for difficulty or discomfort while swallowing.
Swallowing Changes in Parkinson’s Swallowing is a complex process that relies on precise timing and muscle control. Swallowing difficulties in Parkinson’s often develop slowly and may not be obvious at first. Early signs include needing more time to finish meals, a feeling that food is stuck in the throat, and coughing during or after eating and drinking. Liquids may be especially challenging, as reduced muscle coordination can make it harder to control their flow.
Because these changes tend to emerge gradually, they’re sometimes mistaken for normal aging or brushed aside as minor inconveniences. Being mindful of how mealtimes are currently going and making a mental note to flag any suspicious or recurring incidents that interfere with swallowing can help identify problems before they affect nutrition and hydration.
If swallowing problems are suspected, a speech-language pathologist should be consulted. In the meantime, there are eating strategies that can make a meaningful difference in your daily routine.
Some Foods to Try The best foods to rely on when swallowing has become difficult require minimal chewing and are easy to control in the mouth. Moisture and softness are important characteristics to look for, but don’t forget to prioritize nutrient density and variety! Here’s a handy list of foods to consider:
Eggs – scrambled, poached, soft omelets
Yogurt, pudding, custard, and other smooth dairy-based desserts
Cottage or ricotta cheese
Hot cereals such as oatmeal and cream of wheat
Puréed soups made from vegetables, beans, or lentils
Smooth mashed potatoes, sweet potatoes, or winter squash
Applesauce and other puréed fruits without skins or seeds
Finely shredded chicken or turkey with gravy or sauce
Soft tofu or well-cooked legumes blended to a smooth consistency
Stewed fruits such as pears and peaches
Mashed or puréed carrots, zucchini, and spinach
Avocado
Foods That Often Cause Trouble While individual tolerance varies, certain textures are the most common culprits when it comes to exacerbating swallowing difficulties:
Dry or crumbly foods such as crackers, toast, and rice
Mixed textures like chunky soups or cereal with milk
Tough meats and foods that require prolonged chewing
Sticky foods that cling to the mouth or coat the throat, such as peanut butter and honey
Which foods you incorporate into your diet are only half the battle. How and when meals are eaten matter just as much, so take a moment to review this list of general mealtime tips and find the ones that work for you:
Slow down Allow yourself plenty of time to eat without feeling rushed. Take small bites and sips. Pause when you need to. Rushing increases the risk of coughing and fatigue.
Sit upright Good posture promotes safer swallowing. Remain seated upright during meals and for at least 30 minutes after. This will also help reduce symptoms of acid reflux and indigestion.
Reduce distractions Focusing on the meal by turning off the TV and other devices that compete for your attention can improve coordination and awareness.
Time wisely Some people find swallowing easier when medications are working optimally. Tracking patterns can help identify your best mealtimes and maximize the effects of your treatments.
Watch for warning signs Frequent coughing, throat clearing, unexplained weight loss, or avoiding favorite foods should prompt a conversation with your physician. Sometimes we don’t notice changes right away, but keeping an eye on feelings and behaviors over time can shed light on emerging symptoms. The sooner you seek support, the sooner you can implement solutions and get back to enjoying meals!
Huge thanks to Jamba Juice and Jaydon Grant for raising $10,000 for the Brian Grant Foundation at the Trail Blazers Charity Free Throw Challenge on January 15!
The PRO-21 diet was built by experts specifically for people with Parkinson’s. Learn more about what it is and how it can lead to a healthier, happier you!
Resources Available from this Webcast
See Dr. Mischley’s presentation slides, click HERE.
Laurie Mischley, ND PhD MPH studied naturopathic medicine at Bastyr University, and epidemiology and nutritional sciences at the University of Washington, and maintains appointments at both universities. Her work is focused on identifying the nutritional requirements unique to individuals with Parkinson’s disease. Dr. Mischley maintains a clinical practice at Seattle Integrative Medicine focused on nutrition and neurological health of patients with Parkinson’s.