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Related Experiment Video

Updated: May 4, 2026

Traditional Trail Making Test Modified into Brand-new Assessment Tools: Digital and Walking Trail Making Test
08:07

Traditional Trail Making Test Modified into Brand-new Assessment Tools: Digital and Walking Trail Making Test

Published on: November 23, 2019

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An eye-tracking version of the trail-making test.

Stephen L Hicks1, Rakesh Sharma1, Amad N Khan1

  • 1Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, United Kingdom.

Plos One
|December 25, 2013
PubMed
Summary
This summary is machine-generated.

Amyotrophic lateral sclerosis (ALS) patients often lose speech and writing abilities, complicating cognitive assessments. A novel eye-tracking Trail-Making Test shows promise for objectively evaluating cognitive function in non-verbal individuals.

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Area of Science:

  • Neuroscience
  • Clinical Psychology

Background:

  • Amyotrophic lateral sclerosis (ALS) is a neurodegenerative disorder frequently causing speech and writing impairment.
  • Objective assessment of cognitive deficits, particularly dysexecutive dysfunction, is challenging in non-verbal ALS patients.
  • Development of alternative assessment methods utilizing unaffected motor systems is crucial.

Purpose of the Study:

  • To introduce and validate a novel eye-tracking version of the Trail-Making Test (TMT).
  • To compare the performance of the eye-tracking TMT with the standard written TMT in healthy volunteers.
  • To establish the viability of eye-tracking TMT for assessing cognitive function in individuals with communication impairments.

Main Methods:

  • A proof-of-principle study involving healthy volunteers.
  • Comparison of a novel eye-tracking version of the Trail-Making Test (Part B) with the standard written version.
  • Analysis of performance metrics, specifically focusing on speed.

Main Results:

  • A strong correlation (R²=0.73) was observed between the eye-tracking and written versions of TMT Part B for speed.
  • This indicates good agreement between the two assessment modalities.
  • The findings support the reliability of the eye-tracking approach.

Conclusions:

  • The eye-tracking version of the Trail-Making Test is a viable method for objective cognitive assessment.
  • This method is particularly suitable for patients with amyotrophic lateral sclerosis or other conditions preventing speech or writing.
  • Further research can explore its application in clinical populations.