Table 1.
Digital test | Sensor feature | MDS-UPDRS item | Test–retest reliability | Spearman’s correlation coefficient | MDS-UPDRS item score 0 versus 1 | Hoehn and Yahr Stage I versus II | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ICC (95% CI) | rs | P value | N | U stat | P value | N 0/N 1 | Percent difference on group medians | U stat | P value | N 1/N 2 | Percent difference on group medians | Feature differences in expected direction | |||
Draw A Shape | Spiral celerity (L) | 3.5 Hand movement (L) | 0.91 (0.88–0.93) | − 0.15 | 0.0092 | 300 | 7061 | 0.0043 | 184/95 | − 14.06 | 6681 | 0.0047 | 74/226 | − 9.5 | Yes |
Spiral celerity (M) | 3.5 Hand movement (M) | 0.92 (0.89–0.94) | − 0.12 | 0.0334 | 300 | 3091 | 0.0981 | 49/144 | − 14.29 | 6463 | 0.0017 | 74/226 | − 15.2 | Yes | |
Dexterity | Tapping variability (L) | 3.4 Finger tapping (L) | 0.84 (0.79–0.88) | 0.32 | < 0.0001 | 300 | 6786 | 0.0006 | 152/116 | 27.33 | 6444 | 0.0015 | 74/226 | 27.16 | Yes |
Tapping variability (M) | 3.4 Finger tapping (M) | 0.88 (0.84–0.91) | 0.37 | < 0.0001 | 300 | 1261 | 0.0006 | 30/135 | 40.64 | 6691 | 0.005 | 74/226 | 17.95 | Yes | |
Hand Turning | Median Hand Turning speed (L) | 3.6 Pronation-supination (L) | 0.92 (0.89–0.94) | − 0.18 | 0.0015 | 300 | 7930 | 0.0361 | 192/95 | − 7.85 | 7268 | 0.0458 | 74/226 | − 7.18 | Yes |
Median Hand Turning speed (M) | 3.6 Pronation-supination (M) | 0.95 (0.93–0.97) | − 0.46 | < 0.0001 | 300 | 1912 | 0.0008 | 43/131 | − 12.37 | 7216 | 0.0385 | 74/226 | − 9.33 | Yes | |
Speech | MFCC2 variability | 3.1 Speech | 0.77 (0.69–0.83) | − 0.29 | < 0.0001 | 295 | 5692 | < 0.0001 | 126/138 | − 13.68 | 6395 | 0.0412 | 71/209 | − 4.47 | Yes |
Phonation | Voice jitter | 3.1 Speech | 0.88 (0.85–0.91) | 0.18 | 0.0017 | 297 | 7381 | 0.0001 | 135/146 | 21.65 | 7248 | 0.073 | 73/224 | 12.87 | Yes |
Postural Tremor | Log median squared energy (L) | 3.15 Postural tremor (L) | 0.83 (0.77–0.87) | 0.23 | < 0.0001 | 300 | 3240 | 0.0002 | 259/39 | 8.26 | 7111 | 0.0343 | 73/227 | 1.2 | Yes |
Log median squared energy (M) | 3.1 Postural tremor (M) | 0.92 (0.90–0.94) | 0.5 | < 0.0001 | 300 | 4779 | < 0.0001 | 150/116 | 12.45 | 8108 | 0.3918 | 73/227 | 1.28 | Yes | |
Rest Tremor | Log median squared energy (L) | 3.17 Rest tremor amplitude (L) | 0.91 (0.88–0.93) | 0.34 | < 0.0001 | 300 | 967 | < 0.0001 | 274/19 | 23.73 | 6614 | 0.0048 | 73/227 | 6.12 | Yes |
Log median squared energy (M) | 3.17 Rest tremor amplitude (M) | 0.94 (0.91–0.95) | 0.71 | < 0.0001 | 300 | 1565 | < 0.0001 | 124/71 | 19.27 | 7896 | 0.2731 | 73/227 | 3.59 | Yes | |
Balance | Log sway jerk | 3.12 Postural stability | 0.82 (0.76–0.87) | 0.14 | 0.0138 | 299 | 890 | 0.0071 | 287/11 | 10.6 | 7988 | 0.3870 | 72/227 | 1.29 | Yes |
U-turn | Median turn sp eed | 3.14 Body bradykinesia | 0.91 (0.88–0.93) | − 0.22 | 0.0001 | 299 | 3113 | 0.0539 | 44/168 | − 5.39 | 6322 | 0.0019 | 72/227 | − 7.83 | Yes |
eSDMT | Number of correct responses | 1.1 Cognitive impairment | 0.75 (0.66–0.81) | − 0.18 | 0.0014 | 303 | 3787.5 | 0.0012 | 248/43 | − 10 | 6538 | 0.0008 | 76/227 | − 7.14 | Yes |
Passive monitoring of gait | Median turn speed | 3.14 Body bradykinesia | 0.82 (0.77–0.89) | − 0.22 | 0.0001 | 285 | 3130 | 0.154 | 43/162 | − 3.3 | 6270 | 0.0138 | 71/214 | − 4.65 | Yes |
Passive monitoring of non-gait arm movements | Median arm movement power (non-gait) | 3.6 Pronation-supination, left hand | 0.85 (0.80–0.89) | − 0.43 | < 0.0001 | 269 | 3108 | < 0.0001 | 106/89 | − 35.73 | 5221 | 0.0242 | 60/209 | − 30.64 | Yes |
“M” = most affected side; “L” = least affected side.
CI confidence interval, eSDMT electronic Symbol Digit Modalities Test, ICC intraclass correlation coefficient, L less affected side, M more affected side, MDS-UPDRS Movement Disorder Society—Unified Parkinson's Disease Rating Scale, MFCC2 Mel Frequency Cepstral Coefficient 2.