%0 Journal Article
%@ 1438-8871
%I JMIR Publications
%V 27
%N 
%P e63105
%T Modernizing the Staging of Parkinson Disease Using Digital Health Technology
%A Templeton,John Michael
%A Poellabauer,Christian
%A Schneider,Sandra
%A Rahimi,Morteza
%A Braimoh,Taofeek
%A Tadamarry,Fhaheem
%A Margolesky,Jason
%A Burke,Shanna
%A Al Masry,Zeina
%+ , Bellini College of Artificial Intelligence, Cybersecurity, and Computing, University of South Florida, 4202 E Fowler Ave, Tampa, FL, 33620, United States, 1 813 396 0962, jtemplet@usf.edu
%K digital health
%K Parkinson disease
%K disease classification
%K wearables
%K personalized medicine
%K neurocognition
%K artificial intelligence
%K AI
%D 2025
%7 4.4.2025
%9 Viewpoint
%J J Med Internet Res
%G English
%X Due to the complicated nature of Parkinson disease (PD), a number of subjective considerations (eg, staging schemes, clinical assessment tools, or questionnaires) on how best to assess clinical deficits and monitor clinical progression have been published; however, none of these considerations include a comprehensive, objective assessment of all functional areas of neurocognition affected by PD (eg, motor, memory, speech, language, executive function, autonomic function, sensory function, behavior, and sleep). This paper highlights the increasing use of digital health technology (eg, smartphones, tablets, and wearable devices) for the classification, staging, and monitoring of PD. Furthermore, this Viewpoint proposes a foundation for a new staging schema that builds from multiple clinically implemented scales (eg, Hoehn and Yahr Scale and Berg Balance Scale) for ease and homogeneity, while also implementing digital health technology to expand current staging protocols. This proposed staging system foundation aims to provide an objective, symptom-specific assessment of all functional areas of neurocognition via inherent device capabilities (eg, device sensors and human-device interactions). As individuals with PD may manifest different symptoms at different times across the spectrum of neurocognition, the modernization of assessments that include objective, symptom-specific monitoring is imperative for providing personalized medicine and maintaining individual quality of life.
%R 10.2196/63105
%U https://www.jmir.org/2025/1/e63105
%U https://doi.org/10.2196/63105