Mode
Text Size
Log in / Sign up

Right inferior frontal gyrus serves as a consistent neural correlate for freezing of gaitBrain activity in specific regions linked to Parkinson's gait freezing

AI-generated summary of the cited source, checked by automated accuracy review. How we work

Key Takeaway
Recognize the right inferior frontal gyrus as a consistent neural correlate for freezing of gait in Parkinson's disease.

This meta-analysis synthesized data from 33 studies to identify brain regions associated with freezing of gait (FOG) in patients with Parkinson's disease. The analysis focused on identifying consistent neural correlates and assessing hemispheric lateralization in patients who experience freezing versus those who do not.

The primary finding is a significant convergent cluster in the right inferior frontal gyrus (IFG) pars opercularis and dorsolateral prefrontal cortex associated with FOG. While a specific cluster was identified in the right IFG, the authors note there is no evidence of overall hemispheric lateralization based on the distribution of reported coordinates.

A noted limitation is that the lack of consistency in other brain regions may reflect the known heterogeneity in the pathophysiology of freezing of gait. These findings provide a consistent neural correlate for FOG, which may assist in understanding the underlying neural mechanisms of the condition.

How this fits prior evidence

This meta-analysis identifies the right inferior frontal gyrus as a consistent neural correlate for freezing of gait. This finding addresses a gap in understanding the specific neural correlates of gait issues, complementing existing evidence that STN-SNr co-stimulation adds no motor or gait benefit over STN-only in Parkinson's disease.

Living with Parkinson's disease can mean facing 'freezing' episodes, where a person suddenly feels like their feet are glued to the floor. These moments are often frightening and can make moving around safely very difficult. Researchers looked at 33 different studies to see what is happening in the brain when these episodes occur.

The analysis found a consistent link between these freezing moments and a specific part of the brain called the right inferior frontal gyrus. This area is part of the prefrontal cortex, which helps with planning and movement. While the study found this specific cluster, it did not find evidence that the issue is only on one side of the brain.

Because Parkinson's affects everyone differently, the researchers noted that the variety in how the disease progresses can make it hard to pinpoint every single brain change. However, identifying this specific area helps experts better understand the underlying biology of why movement suddenly stops.

What this means for you:
A specific area in the right side of the brain is consistently linked to movement freezing in Parkinson's patients.

Common questions

What part of the brain is linked to freezing in Parkinson's?

The study found a consistent link between freezing of gait and a specific area called the right inferior frontal gyrus. This part of the brain is located in the prefrontal cortex. Identifying this specific area helps researchers understand the neural patterns associated with these sudden movements stops.

Is the issue only on one side of the brain?

While the study found a consistent cluster in the right inferior frontal gyrus, it did not find evidence of overall hemispheric lateralization. This means that while a specific spot was identified, the data did not show the issue was limited only to one side of the brain.

Why is it hard to pinpoint every brain change in Parkinson's?

The study noted that there is a lot of variety in how the disease affects different people. This variety in the underlying biology of the condition can make it difficult to find consistent brain regions across all patients with the disease.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedNov 2026
View Original Abstract ↓
Freezing of gait (FOG) is one of the most debilitating motor symptoms of Parkinson's disease (PD). Prior studies have suggested a potential right-hemispheric preference in the pathophysiology of FOG. Yet, there is limited evidence regarding which brain regions are most consistently associated with FOG and whether these alterations indeed show right-hemispheric lateralization. We aimed to identify brain regions associated with FOG based on multimodal neuroimaging findings and to examine their hemispheric lateralization. A systematic review across multiple neuroimaging modalities was performed, followed by an activation likelihood estimation (ALE) coordinate-based meta-analysis to assess convergent brain alterations in PD patients with FOG (freezers) versus those without FOG (nonfreezers). Hemispheric lateralization was assessed using the distribution of reported stereotactic coordinates. The systematic review included 108 articles, of which 33 were included in the primary ALE meta-analysis. We identified a significant convergent cluster in the right inferior frontal gyrus (IFG) pars opercularis/dorsolateral prefrontal cortex in PD freezers compared with nonfreezers. No evidence of overall hemispheric lateralization was observed based on the distribution of reported coordinates. Our findings identify the right IFG as a consistent neural correlate of FOG, potentially reflecting heightened frontal recruitment, with no clear evidence of hemispheric lateralization. The lack of further consistency in brain regions could reflect the known heterogeneity in the pathophysiology of FOG.
Free Newsletter

Clinical research that matters. Delivered to your inbox.

Join thousands of clinicians and researchers. No spam, unsubscribe anytime.