Mobile Test of Manual Dexterity in the Diagnostics of Frail Geriatric Patients – Pilot Study

  • Piotr SeiffertEmail author
  • Jacek Kawa
  • Czesław Marcisz
  • Paula Stępień
  • Małgorzata Czernek
  • Marcin Bugdol
  • Wojciech Kapko
  • Jarosław Derejczyk
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 925)


Mortality rate increases exponentially with people’s age. They gather age-related diseases and become ‘frail’, i.e. increasingly vulnerable to various stressors. The gold standard to evaluate the severity of upper limb motor symptoms is to use the UPDRS-part III (motor examination) yet it is proven that simple tests of manual dexterity can identify persons at high risk for neurodegenerative diseases.

The aim of this study is to evaluate a novel, objective, observer-independent and assistance-independent tablet device-based method which could be helpful in the upper limb function diagnostics designed for telemedicine technology and frailty assessment. The test employs a tablet and a fixed-height obstacle. The patient is required to move his/her hand above the obstacle and touch the round fields displayed on the tablet. The test is performed for 30 s, as fast as possible, using pointing finger of the dominating hand. Several parameters are registered using the tablet.

In the study, the test is evaluated in the group inpatients of geriatric hospital separated into Frail (14 patients) and Control (14 patients) groups. The patients in the Control group are featuring (Mann-Whitney U-test, p-value < 0.05) more correct touches (\(23.4\pm 8.2\) vs. \(17.1\pm 12.4\)) than the members of the Frail group. The reaction time and mean time between touches in Control group is shorter than in the Frail group (respectively Mann-Whitney U-test and Student’s t-test; p-value < 0.05).


Telegeriatrics Frailty Mobile assessment Manual dexterity test 


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Piotr Seiffert
    • 1
    Email author
  • Jacek Kawa
    • 2
  • Czesław Marcisz
    • 3
  • Paula Stępień
    • 2
  • Małgorzata Czernek
    • 1
  • Marcin Bugdol
    • 2
  • Wojciech Kapko
    • 1
  • Jarosław Derejczyk
    • 1
  1. 1.John Paul II Geriatric HospitalKatowicePoland
  2. 2.Faculty of Biomedical EngineeringSilesian University of TechnologyZabrzePoland
  3. 3.Department of Gerontology and Geriatric Nursing, School of Health SciencesMedical University of SilesiaKatowicePoland

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