Can Parkinson’s disease cause difficulty turning corners while walking?

Parkinson’s disease can indeed cause difficulty turning corners while walking, and this challenge is closely related to the motor symptoms that characterize the condition. Parkinson’s is a progressive neurological disorder that primarily affects movement, causing symptoms such as tremors, stiffness, slowed movement (bradykinesia), and impaired balance. These symptoms collectively contribute to problems with walking and mobility, including the specific difficulty of turning corners.

One of the core motor issues in Parkinson’s is bradykinesia, which means movements become slower and less fluid. When a person with Parkinson’s tries to turn a corner, the action requires coordinated, smooth, and timely adjustments in posture and foot placement. Because bradykinesia slows down the initiation and execution of these movements, turning can become awkward and challenging. The person may take smaller, shuffling steps and have trouble shifting their weight properly, which makes the turn feel unstable or difficult.

Another important factor is rigidity, or stiffness in the muscles. This stiffness reduces flexibility and the ability to make quick, precise movements. Turning corners requires a certain degree of trunk rotation and leg movement, and rigidity can limit these motions, making the turn feel stiff and effortful.

Balance problems are also common in Parkinson’s and play a significant role in difficulty turning. The disease affects the brain circuits that control balance and posture, leading to a stooped posture and impaired postural reflexes. When turning, the body must constantly adjust to maintain balance, especially since the center of gravity shifts. Parkinson’s patients often have delayed or reduced postural responses, increasing the risk of instability or even falls during turns.

Freezing of gait is another symptom that can specifically affect turning. This phenomenon involves a sudden, temporary inability to move the feet forward despite the intention to walk. Freezing episodes often occur during complex walking tasks such as turning, navigating narrow spaces, or starting to walk. When turning a corner, the change in direction and the need for precise foot placement can trigger freezing, causing the person to feel stuck or unable to complete the turn smoothly.

Because of these combined factors—slowed movement, rigidity, impaired balance, and freezing—turning corners can be one of the more challenging aspects of walking for people with Parkinson’s. This difficulty can lead to increased risk of falls, reduced confidence in mobility, and a greater need for assistance or adaptive strategies.

Physical therapy and targeted movement training can help manage these difficulties. Exercises that focus on improving balance, flexibility, and gait can enhance the ability to turn more safely and confidently. Techniques such as consciously breaking down the turn into smaller steps, using visual or auditory cues, and practicing weight shifting can be beneficial. In some cases, medication adjustments or advanced therapies may also improve motor control and reduce symptoms that interfere with turning.

In summary, Parkinson’s disease affects multiple aspects of movement and balance that are essential for turning corners while walking. The combination of slowed movements, muscle stiffness, balance impairment, and freezing episodes makes turning a complex and often difficult task for those living with the condition.