Evidence map›Paper›PMID 40000872›Full record

ArticleCommunications medicine2025

Using wearable sensors and machine learning to assess upper limb function in Huntington's disease.

Adonay S Nunes, İlkay Yıldız Potter, Ram Kinker Mishra, Jose Casado, Nima Dana, Andrew Geronimo, Christopher G Tarolli, Ruth B Schneider, E Ray Dorsey, Jamie L Adams and 1 more

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Adonay S NunesBioSensics LLC, 57 Chapel St, Newton, MA, USA.
İlkay Yıldız PotterBioSensics LLC, 57 Chapel St, Newton, MA, USA.
Ram Kinker MishraBioSensics LLC, 57 Chapel St, Newton, MA, USA.ORCID http://orcid.org/0000-0001-9441-683X
Jose CasadoBioSensics LLC, 57 Chapel St, Newton, MA, USA.ORCID http://orcid.org/0000-0002-4990-6052
Nima DanaBioSensics LLC, 57 Chapel St, Newton, MA, USA.
Andrew GeronimoPenn State College of Medicine, Hershey, PA, USA.ORCID http://orcid.org/0000-0002-7754-3754
Christopher G TarolliCenter for Health + Technology, University of Rochester Medical Center, Rochester, NY, USA.
Ruth B SchneiderCenter for Health + Technology, University of Rochester Medical Center, Rochester, NY, USA.
E Ray DorseyCenter for Health + Technology, University of Rochester Medical Center, Rochester, NY, USA.ORCID http://orcid.org/0000-0002-5140-1248
Jamie L Adams *Center for Health + Technology, University of Rochester Medical Center, Rochester, NY, USA.
Ashkan Vaziri *BioSensics LLC, 57 Chapel St, Newton, MA, USA. ashkan.vaziri@biosensics.com.ORCID http://orcid.org/0009-0009-2151-8267

Funding

Wrist-worn Sensors for Tele-Rehabilitation of the Hemiparetic Upper-ExtremityR44HD084035 · NICHD · BIOSENSICS, LLC · PI BONATO, PAOLO, KEYSOR, JULIE J · 2015 to 2024
$4.6M
Wearable Sensors for Quantitative Assessment of Motor Impairment in Huntington's DiseaseR44NS103648 · NINDS · BIOSENSICS, LLC · PI NGUYEN, HUNG P. · 2017 to 2018
$2.5M
NICHD NIH HHS R44 HD084035NINDS NIH HHS R44 NS103648U.S. Department of Health & Human Services | NIH | Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) R44HD084035U.S. Department of Health & Human Services | NIH | National Institute of Neurological Disorders and Stroke (NINDS) R44NS103648
6 · The paper itself

Abstract

backgroundHuntington's disease, a neurodegenerative disorder, impairs both upper and lower limb function, typically assessed in clinical settings. However, wearable sensors offer the opportunity to monitor real-world data that complements clinical assessments, providing a more comprehensive understanding of disease symptoms.

methodsIn this study, we monitor upper limb function in individuals with Huntington's disease (HD, n = 16), prodromal HD (pHD, n = 7), and controls (CTR, n = 16) using a wrist-worn wearable sensor over a 7-day period. Goal-directed hand movements are detected through a deep learning model, and kinematic features of each movement are analyzed. The collected data is used to predict disease groups and clinical scores using statistical and machine learning models.

resultsHere we show that significant differences in goal-directed movement features exist between the groups. Additionally, several of these features strongly correlate with clinical scores. Classification models accurately distinguish between HD, pHD, and CTR individuals, achieving a balanced accuracy of 67% and a recall of 0.72 for the HD group. Regression models effectively predict clinical scores.

conclusionsThis study demonstrates the potential of wearable sensors and machine learning to monitor upper limb function in Huntington's disease, offering a tool for early detection, remote monitoring, and assessing treatment efficacy in clinical trials.

Identifiers

PMID40000872
PMCPMC11861259

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.