Patients’ Self-Report and Handwriting Performance Features as Indicators for Suspected Mild Cognitive Impairment in Parkinson’s Disease

Early identification of mild cognitive impairment (MCI) in Parkinson’s disease (PD) patients can lessen emotional and physical complications. In this study, a cognitive functional (CF) feature using cognitive and daily living items of the Unified Parkinson’s Disease Rating Scale served to define PD...

Full description

Bibliographic Details
Main Authors: Sara Rosenblum, Sonya Meyer, Ariella Richardson, Sharon Hassin-Baer
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Sensors
Subjects:
Online Access:https://www.mdpi.com/1424-8220/22/2/569
_version_ 1827662832100966400
author Sara Rosenblum
Sonya Meyer
Ariella Richardson
Sharon Hassin-Baer
author_facet Sara Rosenblum
Sonya Meyer
Ariella Richardson
Sharon Hassin-Baer
author_sort Sara Rosenblum
collection DOAJ
description Early identification of mild cognitive impairment (MCI) in Parkinson’s disease (PD) patients can lessen emotional and physical complications. In this study, a cognitive functional (CF) feature using cognitive and daily living items of the Unified Parkinson’s Disease Rating Scale served to define PD patients as suspected or not for MCI. The study aimed to compare objective handwriting performance measures with the perceived general functional abilities (PGF) of both groups, analyze correlations between handwriting performance measures and PGF for each group, and find out whether participants’ general functional abilities, depression levels, and digitized handwriting measures predicted this CF feature. Seventy-eight participants diagnosed with PD by a neurologist (25 suspected for MCI based on the CF feature) completed the PGF as part of the Daily Living Questionnaire and wrote on a digitizer-affixed paper in the Computerized Penmanship Handwriting Evaluation Test. Results indicated significant group differences in PGF scores and handwriting stroke width, and significant medium correlations between PGF score, pen-stroke width, and the CF feature. Regression analyses indicated that PGF scores and mean stroke width accounted for 28% of the CF feature variance above age. Nuances of perceived daily functional abilities validated by objective measures may contribute to the early identification of suspected PD-MCI.
first_indexed 2024-03-10T00:33:45Z
format Article
id doaj.art-c4136127fa71464b9c35e2699b9c86a5
institution Directory Open Access Journal
issn 1424-8220
language English
last_indexed 2024-03-10T00:33:45Z
publishDate 2022-01-01
publisher MDPI AG
record_format Article
series Sensors
spelling doaj.art-c4136127fa71464b9c35e2699b9c86a52023-11-23T15:20:58ZengMDPI AGSensors1424-82202022-01-0122256910.3390/s22020569Patients’ Self-Report and Handwriting Performance Features as Indicators for Suspected Mild Cognitive Impairment in Parkinson’s DiseaseSara Rosenblum0Sonya Meyer1Ariella Richardson2Sharon Hassin-Baer3The Laboratory of Complex Human Activity and Participation (CHAP), Department of Occupational Therapy, Faculty of Social Welfare & Health Sciences, University of Haifa, Haifa 3498838, IsraelDepartment of Occupational Therapy, Ariel University, Ariel 4077603, IsraelDepartment of Industrial Engineering, Jerusalem College of Technology, Jerusalem 9372115, IsraelMovement Disorders Institute, Sheba Medical Center, Ramat Gan 5262000, IsraelEarly identification of mild cognitive impairment (MCI) in Parkinson’s disease (PD) patients can lessen emotional and physical complications. In this study, a cognitive functional (CF) feature using cognitive and daily living items of the Unified Parkinson’s Disease Rating Scale served to define PD patients as suspected or not for MCI. The study aimed to compare objective handwriting performance measures with the perceived general functional abilities (PGF) of both groups, analyze correlations between handwriting performance measures and PGF for each group, and find out whether participants’ general functional abilities, depression levels, and digitized handwriting measures predicted this CF feature. Seventy-eight participants diagnosed with PD by a neurologist (25 suspected for MCI based on the CF feature) completed the PGF as part of the Daily Living Questionnaire and wrote on a digitizer-affixed paper in the Computerized Penmanship Handwriting Evaluation Test. Results indicated significant group differences in PGF scores and handwriting stroke width, and significant medium correlations between PGF score, pen-stroke width, and the CF feature. Regression analyses indicated that PGF scores and mean stroke width accounted for 28% of the CF feature variance above age. Nuances of perceived daily functional abilities validated by objective measures may contribute to the early identification of suspected PD-MCI.https://www.mdpi.com/1424-8220/22/2/569assessmentactivities of daily livingfunctional cognitionParkinson’s disease
spellingShingle Sara Rosenblum
Sonya Meyer
Ariella Richardson
Sharon Hassin-Baer
Patients’ Self-Report and Handwriting Performance Features as Indicators for Suspected Mild Cognitive Impairment in Parkinson’s Disease
Sensors
assessment
activities of daily living
functional cognition
Parkinson’s disease
title Patients’ Self-Report and Handwriting Performance Features as Indicators for Suspected Mild Cognitive Impairment in Parkinson’s Disease
title_full Patients’ Self-Report and Handwriting Performance Features as Indicators for Suspected Mild Cognitive Impairment in Parkinson’s Disease
title_fullStr Patients’ Self-Report and Handwriting Performance Features as Indicators for Suspected Mild Cognitive Impairment in Parkinson’s Disease
title_full_unstemmed Patients’ Self-Report and Handwriting Performance Features as Indicators for Suspected Mild Cognitive Impairment in Parkinson’s Disease
title_short Patients’ Self-Report and Handwriting Performance Features as Indicators for Suspected Mild Cognitive Impairment in Parkinson’s Disease
title_sort patients self report and handwriting performance features as indicators for suspected mild cognitive impairment in parkinson s disease
topic assessment
activities of daily living
functional cognition
Parkinson’s disease
url https://www.mdpi.com/1424-8220/22/2/569
work_keys_str_mv AT sararosenblum patientsselfreportandhandwritingperformancefeaturesasindicatorsforsuspectedmildcognitiveimpairmentinparkinsonsdisease
AT sonyameyer patientsselfreportandhandwritingperformancefeaturesasindicatorsforsuspectedmildcognitiveimpairmentinparkinsonsdisease
AT ariellarichardson patientsselfreportandhandwritingperformancefeaturesasindicatorsforsuspectedmildcognitiveimpairmentinparkinsonsdisease
AT sharonhassinbaer patientsselfreportandhandwritingperformancefeaturesasindicatorsforsuspectedmildcognitiveimpairmentinparkinsonsdisease