Skip to main content

The Case for Symptom-Specific Neurological Digital Biomarkers

  • Conference paper
  • First Online:
Wireless Mobile Communication and Healthcare (MobiHealth 2021)

Abstract

Digital biomarkers provide novel and objective assessment of neurodegenerative diseases, such as Parkinson’s Disease (PD). This paper demonstrates that objective digital biomarkers, obtained from mobile-based functional assessments, can be used for symptom-specific insights on neurological deficiencies. These digital biomarkers were found to be sensitive to change in relation to structured physical interventions. In this pilot study, 54 participants (n = 36 PD; n = 18 control) completed 13 neurocognitive functional tasks with 115 digital biomarkers being identified and compared between groups for objective assessment, evaluation, and monitoring of disease progression. 36 (31.30%) of these biomarkers were significant (\(p < 0.10\)) between groups. Of the 36 significant biomarkers, 10 were motor, 6 were memory, 1 was speech, 6 were executive function, and 13 were multi-functional. 8 biomarkers were significant (\(p < 0.10\)) between groups regardless of intervention, which may indicate strong biomarkers to assess PD. Further, 15 (13.04%) digital biomarkers showed significance (\(p < 0.10\)) in relation to structured physical intervention. Overall, mobile-based digital biomarkers provide promising measures and sensitivity to functional change that can be used in assessment and monitoring of Parkinson’s Disease. Further integration of mobile device capabilities can enhance the understanding of how neurodegenerative diseases present and aid clinicians in the diagnosis and monitoring of conditions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Nasreddine, Z.S., et al.: The Montreal cognitive assessment, MoCA: a brief screening tool for mild cognitive impairment. J. Am. Geriatr. Soc. 53, 695–699 (2005)

    Article  Google Scholar 

  2. Tombaugh, T.N., McIntyre, N.J.: The mini-mental state examination: a comprehensive review. J. Am. Geriatr. Soc. 40, 922–935 (1992)

    Article  Google Scholar 

  3. Chen, K.B., Savage, A.B., Chourasia, A.O., Wiegmann, D.A., Sesto, M.E.: Touch screen performance by individuals with and without motor control disabilities. Appl. Ergon. 44, 297–302 (2013)

    Article  Google Scholar 

  4. Byrom, B., Wenzel, K., Pierce, J., Wenzel, K., Pierce, J.: Computerised clinical assessments: derived complex clinical endpoints from patient self-report data, pp. 179–202, May 2016

    Google Scholar 

  5. Goñi, M., Eickhoff, S., Sahandi Far, M., Patil, K., Dukart, J.: Limited diagnostic accuracy of smartphone-based digital biomarkers for Parkinson’s disease in a remotely-administered setting

    Google Scholar 

  6. Vianello, A., Chittaro, L., Burigat, S., Budai, R.: MotorBrain: a mobile app for the assessment of users’ motor performance in neurology. Comput. Methods Programs Biomed. 143, 35–47 (2017)

    Article  Google Scholar 

  7. Pettersson, A.F., Olsson, E., Wahlund, L.-O.: Motor function in subjects with mild cognitive impairment and early Alzheimer’s disease. Dement. Geriatr. Cogn. Disord. 19, 299–304 (2005)

    Article  Google Scholar 

  8. Barbosa, A.F., et al.: Cognitive or cognitive-motor executive function tasks? Evaluating verbal fluency measures in people with Parkinson’s disease. BioMed. Res. Int. 2017, 7893975 (2017)

    Google Scholar 

  9. Yang, Y., Tang, B.S., Guo, J.F.: Parkinson’s disease and cognitive impairment (2016)

    Google Scholar 

  10. Löfgren, N., Conradsson, D., Rennie, L., Moe-Nilssen, R., Franzén, E.: The effects of integrated single- and dual-task training on automaticity and attention allocation in Parkinson’s disease: a secondary analysis from a randomized trial. Neuropsychology 33, 147–156 (2019)

    Article  Google Scholar 

  11. Bauer, R.M., Iverson, G.L., Cernich, A.N., Binder, L.M., Ruff, R.M., Naugle, R.I.: Computerized neuropsychological assessment devices: joint position paper of the American academy of clinical neuropsychology and the national academy of neuropsychology \(\dagger \)

    Google Scholar 

  12. Fellows, R.P., Dahmen, J., Cook, D., Schmitter-Edgecombe, M.: Multicomponent analysis of a digital trail making test. Clin. Neuropsychol. 31, 154–167 (2017)

    Article  Google Scholar 

  13. Templeton, J.M., Poellabauer, C., Schneider, S.: Enhancement of neurocognitive assessments using smartphone capabilities: systematic review. JMIR mHealth uHealth 8, e15517 (2020)

    Google Scholar 

  14. Blake-Krebs, B.: When Parkinson’s Strikes Early: Voices, Choices, Resources and Treatment, 1st edn. HunterHouse (2001)

    Google Scholar 

  15. Ryu, J., Vero, J., Dobkin, R.D., Torres, E.B.: Dynamic digital biomarkers of motor and cognitive function in Parkinson’s disease. J. Vis. Exp. 2019, e59827 (2019)

    Google Scholar 

  16. Nonnekes, J., Nieuwboer, A.: Towards personalized rehabilitation for gait impairments in Parkinson’s disease, January 2018

    Google Scholar 

  17. Zlokovic, B.V.: Neurovascular pathways to neurodegeneration in Alzheimer’s disease and other disorders, December 2011

    Google Scholar 

  18. Yang, C.-C., Hsu, Y.-L., Yang, C.-C., Hsu, Y.-L.: A review of accelerometry-based wearable motion detectors for physical activity monitoring. Sensors 10, 7772–7788 (2010)

    Article  Google Scholar 

  19. Mathie, M.J., Coster, A.C.F., Lovell, N.H., Celler, B.G.: Accelerometry: providing an integrated, practical method for long-term, ambulatory monitoring of human movement. Physiol. Meas. 25, 1–20 (2004)

    Article  Google Scholar 

  20. Bhatia, M., Sood, S.K.: Temporal informative analysis in smart-ICU monitoring: M-healthcare perspective. J. Med. Syst. 40, 1–15 (2016)

    Article  Google Scholar 

  21. Vacher, M., Fleury, A., Portet, F., Serignat, J.-F., Noury, N.: Complete sound and speech recognition system for health smart homes: application to the recognition of activities of daily living. Technical report (2010)

    Google Scholar 

  22. Rosenblum, L.D.: Speech perception as a multimodal phenomenon. Curr. Dir. Psychol. Sci. 17, 405–409 (2008)

    Article  Google Scholar 

  23. Linares-del Rey, M., Vela-Desojo, L., Cano-de la Cuerda, R.: Mobile phone applications in Parkinson’s disease: a systematic review. Neurología (English Edition) 34, 38–54 (2019)

    Google Scholar 

  24. Maguire, Á., Martin, J., Jarke, H., Ruggeri, K.: Psychological services getting closer? Differences remain in neuropsychological assessments converted to mobile devices (2018)

    Google Scholar 

  25. Kobayashi, M., Hiyama, A., Miura, T., Asakawa, C., Hirose, M., Ifukube, T.: Elderly user evaluation of mobile touchscreen interactions. In: Campos, P., Graham, N., Jorge, J., Nunes, N., Palanque, P., Winckler, M. (eds.) INTERACT 2011. LNCS, vol. 6946, pp. 83–99. Springer, Heidelberg (2011). https://doi.org/10.1007/978-3-642-23774-4_9

  26. Zygouris, S., Tsolaki, M.: Computerized cognitive testing for older adults: a review. Am. J. Alzheimer’s Dis. Dementias 30(1), 13–28 (2015)

    Google Scholar 

  27. Borrione, P.: Effects of physical activity in Parkinson’s disease: a new tool for rehabilitation. World J. Methodol. 4(3), 133 (2014)

    Article  Google Scholar 

  28. Lauzé, M., Daneault, J.F., Duval, C.: The effects of physical activity in Parkinson’s disease: a review, January 2016

    Google Scholar 

  29. Mantri, S., Wood, S., Duda, J.E., Morley, J.F.: Comparing self-reported and objective monitoring of physical activity in Parkinson disease. Parkinsonism Relat. Disord. 67, 56–59 (2019)

    Article  Google Scholar 

  30. Prodoehl, J., et al.: Two-year exercise program improves physical function in Parkinson’s disease: the PRET-PD randomized clinical trial. Neurorehabilitation Neural Repair 29, 112–122 (2015)

    Article  Google Scholar 

  31. Schenkman, M., Hall, D.A., Baron, A.E., Schwartz, R.S., Mettler, P., Kohrt, W.M.: Exercise for people in early- or mid- stage Parkinson disease: a 16-month randomized controlled trial. Phys. Ther. 92, 1395–1410 (2012)

    Article  Google Scholar 

  32. Rovini, E., Fiorini, L., Esposito, D., Maremmani, C., Cavallo, F.: Fine motor assessment with unsupervised learning for personalized rehabilitation in Parkinson disease. In: IEEE International Conference on Rehabilitation Robotics, vol. 2019-June, pp. 1167–1172. IEEE Computer Society, June 2019

    Google Scholar 

  33. Post, B., Van Den Heuvel, L., Van Prooije, T., Van Ruissen, X., Van De Warrenburg, B., Nonnekes, J.: Young onset Parkinson’s disease: a modern and tailored approach, January 2020

    Google Scholar 

  34. Templeton, J.M., Poellabauer, C., Schneider, S.: Design of a mobile-based neurological assessment tool for aging populations. In: Ye, J., O’Grady, M.J., Civitarese, G., Yordanova, K. (eds.) MobiHealth 2020. LNICST, vol. 362, pp. 166–185. Springer, Cham (2021). https://doi.org/10.1007/978-3-030-70569-5_11

  35. Scarpina, F., Tagini, S.: The Stroop color and word test. Front. Psychol. 8, 557 (2017)

    Article  Google Scholar 

  36. Gao, L., Zhang, J., Hou, Y., Hallett, M., Chan, P., Wu, T.: The cerebellum in dual-task performance in Parkinson’s disease. Sci. Rep. 7, 1–11 (2017)

    Article  Google Scholar 

  37. Mazzoni, P., Shabbott, B., Cortés, J.C.: Motor control abnormalities in Parkinson’s disease. Cold Spring Harbor Perspect. Med. 2(6) (2012)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to John Michael Templeton .

Editor information

Editors and Affiliations

A Appendix

A Appendix

Table 5. List of collected digital biomarkers from single functional tasks (\(n = 54; PD = 36; Control = 18\)). (* = Sig. BvC) (\(\dagger \) = Sig. AvC) (\(\ddagger \) = Sig. BvA); (\(p<0.05\))
Table 6. List of collected digital biomarkers from multi-functional tasks (\(n = 54; PD = 36; Control = 18\)). (* = Sig. BvC) (\(\dagger \) = Sig. AvC) (\(\ddagger \) = Sig. BvA); (\(p<0.05\))
Table 7. Expanded list of collected digital biomarkers from single functional tasks (\(n = 20; PD = 12; Control = 8\)). (* = Sig. BvC) (\(\dagger \) = Sig. AvC) (\(\ddagger \) = Sig. BvA); (\(p<0.05\))
Table 8. Expanded list of collected digital biomarkers from multi-functional tasks (\(n = 20; PD = 12; Control = 8\)). (* = Sig. BvC) (\(\dagger \) = Sig. AvC) (\(\ddagger \) = Sig. BvA); (\(p<0.05\))
Table 9. Expanded list of collected digital biomarkers from multi-functional tasks continued (\(n = 20; PD = 12; Control = 8\)). (* = Sig. BvC)(\(\dagger \) = Sig. AvC) (\(\ddagger \) = Sig. BvA); (\(p<0.05\))

Rights and permissions

Reprints and permissions

Copyright information

© 2022 ICST Institute for Computer Sciences, Social Informatics and Telecommunications Engineering

About this paper

Check for updates. Verify currency and authenticity via CrossMark

Cite this paper

Templeton, J.M., Poellabauer, C., Schneider, S. (2022). The Case for Symptom-Specific Neurological Digital Biomarkers. In: Gao, X., Jamalipour, A., Guo, L. (eds) Wireless Mobile Communication and Healthcare. MobiHealth 2021. Lecture Notes of the Institute for Computer Sciences, Social Informatics and Telecommunications Engineering, vol 440. Springer, Cham. https://doi.org/10.1007/978-3-031-06368-8_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-06368-8_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-06367-1

  • Online ISBN: 978-3-031-06368-8

  • eBook Packages: Computer ScienceComputer Science (R0)

Publish with us

Policies and ethics