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. Author manuscript; available in PMC: 2021 Jul 16.
Published in final edited form as: J Alzheimers Dis. 2021;82(1):47–57. doi: 10.3233/JAD-201129

Table 1.

Digital Clock Drawing Test Feature description.

Variable Name Variable Description
Total number of strokes Total number of strokes used in drawing all components of this clock
Total completion time (sec) Total time to draw all clock components
Clockface number of strokes Total number of strokes used to draw the clockface
Clockface total time (sec) Time to draw the clockface
Clockface overshoot distance (mm) The minimum distance between start of the longest clockface stroke and the end, divided by the total length of the stroke. Gives a normalized measure of how far apart or overlapped the closest points near the end of the stroke are
Clockface overshoot angle (degrees) Number of degrees between the start and end of the longest stroke in the first clockface, measured from the center of the ellipse. Positive: end of stroke goes past the start, negative: end does not go past the start
Hour Hand length (mm) Distance from innermost to outermost point on the hand
Hour Hand distance from center (mm) Distance from inner end of hour hand to center of ellipse
Hour Hand difference from ideal angle (degrees) Difference between hour hand angle and the perfect angle
Minute Hand length (mm) Distance from innermost to outermost point on the hand
Minute Hand distance from center (mm) Distance from inner end of minute hand to center of ellipse
Minute Hand difference from ideal angle (degrees) Difference between minute hand angle and the perfect angle
Hour Hand length/Minute Hand length Represents the ratio of hour hand length the minute hand length
Post-Clock Face Latency (PCFL) (sec) Delay between finishing the last stroke in the clockface and whatever is drawn next
Pre-First Hand Latency (PFHL) (sec) Delay between whatever was drawn before the first clock hand and starting to draw that clock hand
Pre-Second Hand Latency (PSHL) (sec) Delay between whatever was drawn before the second clock hand and starting to draw that clock hand
Total Drawing time (sec) Total time with the pen drawing on the paper
Drawing length (mm) Summation of total ink length of the drawn components
Average digit height (mm) Average height of the bounding boxes for all numbers on the clock
Average digit width (mm) Average width of the bounding boxes for all numbers on the clock
Average digit distance from circumference (mm) Average distance from each digit to the nearest point on the clock face
Average digit misplacement (degrees) A summation of each digit’s distance from ideal placement, divided by the number of digits
Clockface area (mm2) Area of a circle fitted to the drawn clockface
Symmetry Measure of how circular or oblong the clockface is, using horizontal and vertical dimensions
Velocity (mm/sec) Drawing length/Drawing time
Average pen pressure Average pressure of the pen on the paper during the entire test
Standard deviation of pressure Standard deviation of pressure of the pen on the paper during the entire test
Average pressure/velocity Average pressure/Velocity
Any digit missing Any digits not appearing on the clock
Any digit outside Any digits placed outside the clockface
Any digit perseveration Any digits repeated
Anchoring Anchoring
Any hand missing Any of the hour hand or minute hand missing
More than one for each hand More than one hour-hand or more than one minute-hand
Hand crossed Out Any of the hands crossed out
Any digit over 12 Any digits over 12 drawn
Ten-eleven stroke Single line drawn connecting the numbers 11 and 2