Related Experiment Video
Updated: Jul 7, 2026

Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
Mokken scale analysis of the UPDRS: dimensionality of the Motor Section revisited
Jan Stochl1, Anne Boomsma, Marijtje van Duijn
1Department of Kinanthropology, Charles University, Czech Republic. stochl@ftvs.cuni.cz
Abstract:
The dimensionality and reliability of the Motor Section of the Unified Parkinson Disease Rating Scale (UPDRS III) was studied with non-parametric Mokken scale analysis. UPDRS measures were obtained on 147 patients with PD (96 men, 51 women, mean age 61, range 35-80 yrs). Mokken scale analysis revealed a four-dimensional structure of the UPDRS III. Left-sided bradykinesia and rigidity appeared to co-occur with axial signs, gait disturbance, and speech/hypomimia, whereas right-sided bradykinesia and rigidity formed a second scale. Two further small scales were found consisting of right- and left-sided tremor. Results from the scale analysis reveal that all four subscales are strong. The reliability of the two tremor scales is low because they only contain three and four items, respectively.
Related Concept Videos
Motor Units
Motor units come in different sizes, with smaller units...
Hierarchy of Motor Control
Strategies of Self-Presentation III: Self-Monitoring
Dimensional Analysis
Dimensional analysis allows us to analyze and compare physical quantities on a...

