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Updated: Aug 8, 2026

Dynamic Digital Biomarkers of Motor and Cognitive Function in Parkinson's Disease
Published on: July 24, 2019
Temporal processing variability as a scalable marker of Parkinson's disease progression
Michael Schwartze1, Anika Voerman1, Sonja A Kotz2
1Department of Neuropsychology and Psychopharmacology, Maastricht University, P.O. Box 616, 6200 Maastricht, Netherlands.
Temporal processing variability in Parkinson's disease (PD) increases with disease severity, measured by the UPDRS score. This timing disruption may offer new research avenues for PD.
Area of Science:
- Neuroscience
- Neurology
- Chronobiology
Background:
- Parkinson's disease (PD) involves disruptions in temporal organization of motor and non-motor behaviors.
- Basal ganglia-thalamocortical circuit dysfunction is implicated in PD's timing impairments.
- The link between temporal variability, PD progression, and clinical severity is not well-defined.
Purpose of the Study:
- To systematically analyze and quantify temporal processing variability in PD.
- To investigate the relationship between temporal variability and PD clinical severity markers.
- To explore associations with participant age and disease progression.
Main Methods:
- Systematic analysis of empirical studies on temporal processing in PD.
- Quantification of temporal processing variability using the coefficient of variation (CV).
- Correlation analyses of CV with UPDRS scores, Hoehn and Yahr (H&Y) stages, and age.
Main Results:
- Temporal processing CV positively correlated with UPDRS scores, independent of age.
- CV negatively correlated with H&Y stage and age, potentially due to measurement differences.
- No significant differences in CV across task type, temporal range, or medication status were found, though limited by study heterogeneity.
Conclusions:
- Temporal processing variability is linked to clinical markers of PD severity.
- Increased temporal variability may reflect disease progression beyond normal aging.
- Temporal processing variability is a potential target for future PD research.
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