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Updated: Nov 4, 2025

Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
Measuring implicit sequence learning and dual task ability in mild to moderate Parkinson´s disease: A feasibility
Malin Freidle1, Hanna Johansson1,2, Alexander V Lebedev3
1Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Two reaction time tasks assessing implicit sequence learning and dual task ability were feasible for individuals with mild to moderate Parkinson's disease and healthy older adults. Further analysis is needed to address task fatigue and ceiling effects in future trials.
Area of Science:
- Neuroscience
- Cognitive Psychology
Background:
- Parkinson's disease (PD) affects motor and cognitive functions, including sequence learning and dual-tasking.
- Assessing these abilities in individuals with mild to moderate PD is crucial for understanding disease progression and developing interventions.
Purpose of the Study:
- To evaluate the feasibility of two choice reaction time tasks for assessing implicit sequence learning and dual task ability.
- To compare task performance between individuals with mild to moderate PD and healthy older adults.
Main Methods:
- A serial reaction time task measured implicit sequence learning.
- A modified task with an added counting task assessed dual task ability.
- Twelve individuals with mild to moderate PD and 12 healthy controls (≥60 years) participated.
Main Results:
- Both tasks were understood by participants and deemed acceptable in difficulty.
- Task fatigue was observed, suggesting careful data analysis considerations for future studies.
- Ceiling effects were noted in accuracy but not in reaction time outcomes.
Conclusions:
- The investigated reaction time tasks are feasible for use in individuals with mild to moderate Parkinson's disease and healthy older adults.
- The tasks show potential for assessing cognitive functions relevant to PD, though further methodological refinement is warranted.
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