Artificial Intelligence Applications for Assessment, Monitoring, and Management of Parkinson Disease Symptoms: Protocol for a Systematic Review
Open accessPublished version of a preprint
Abstract
BACKGROUND: Parkinson disease (PD) is the second most prevalent neurodegenerative disease, with around 10 million people with PD worldwide. Current assessments of PD symptoms are conducted by questionnaires and clinician assessments and have many limitations, including unreliable reporting of symptoms, little autonomy for patients over their disease management, and standard clinical review intervals regardless of disease status or clinical need. To address these limitations, digital technologies including wearable sensors, smartphone apps, and artificial intelligence (AI) methods have been implemented for this population. Many reviews have explored the use of AI in the diagnosis of PD and management of specific symptoms; however, there is limited research on the application of AI to the monitoring and management of the range of PD symptoms. A comprehensive review of the application of AI methods is necessary to address the gap of high-quality reviews and highlight the developments of the use of AI within PD care. OBJECTIVE: The purpose of this protocol is to guide a systematic review to identify and summarize the current applications of AI applied to the assessment, monitoring, and management of PD symptoms. METHODS: This review protocol was structured using the PRISMA-P (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols) and the Population, Intervention, Comparator, Outcome, and Study (PICOS) frameworks. The following 5 databases will be systematically searched: PubMed, IEEE Xplore, Institute for Scientific Information's Web of Science, Scopus, and the Cochrane Library. Title and abstract screening, full-text review, and data extraction will be conducted by 2 independent reviewers. Data will be extracted into a predetermined form, and any disagreements in screening or extraction will be discussed. Risk of bias will be assessed using the Cochrane Collaboration Risk of Bias 2 tool for randomized trials and the Mixed Methods Appraisal Tool for nonrandomized trials. RESULTS: As of April 2023, this systematic review has not yet been started. It is expected to begin in May 2023, with the aim to complete by September 2023. CONCLUSIONS: The systematic review subsequently conducted as a product of this protocol will provide an overview of the AI methods being used for the assessment, monitoring, and management of PD symptoms. This will identify areas for further research in which AI methods can be applied to the assessment or management of PD symptoms and could support the future implementation of AI-based tools for the effective management of PD. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/46581.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Trajectory forecasting empowers personalized therapeutic strategies for increasingly precise PD management.
“trajectory forecasting empowers personalized therapeutic strategies for increasingly precise PD management”
From Multimodal neuroimaging and AI integration in cognitive disorders: advances, challenges, and future directions for precision medicine (2026) · cites this paper as Bounsall et al., 2023
The Introduction says AI-based symptom assessment and management may provide more tailored care for people with Parkinson disease. It does not say that forecasting disease trajectories enables therapeutic strategies or increasingly precise management; the paper describes tailored care as a potential benefit. (LLM, conf=0.83)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The PRISMA 2020 statement: An updated guideline for reporting systematic reviews
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., et al. (2021) · BMJ · doi:10.1136/bmj.n71 · Cited by 108,283 · see citing works
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A. C., et al. (2011) · BMJ · doi:10.1136/bmj.d5928 · Cited by 33,817 · see citing works
Dermyshi, E., Wang, Y., Yan, C., Hong, W., Qiu, G., Gong, X., & Zhang, T. (2017) · Neonatology · doi:10.1159/000454668 · Cited by 24,577 · see citing works
Feigin, V. L., Stark, B. A., Johnson, C. O., Roth, G. A., Bisignano, C., Gebreheat, G., Abbasifard, M., Abbasi‐Kangevari, M., Abd-Allah, F., Abedi, V., et al. (2021) · The Lancet Neurology · doi:10.1016/s1474-4422(21)00252-0 · Cited by 8,346 · see citing works
Parkinson's disease: clinical features and diagnosis
Jankovic, J. (2008) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp.2007.131045 · Cited by 5,720 · cited 2× · see citing works
“PD is a neurological disorder associated with motor and nonmotor features [4] affecting multiple aspects of movement, including planning, initiation, and execution [5].”
The Mixed Methods Appraisal Tool (MMAT) version 2018 for information professionals and researchers
Hong, Q. N., Fàbregues, S., Bartlett, G., Boardman, F., Cargo, M., Dagenais, P., Gagnon, M.-P., Griffiths, F., Nicolau, B., O’Cathain, A., et al. (2018) · Education for Information · doi:10.3233/efi-180221 · Cited by 4,737 · cited 1× · see citing works
“For nonrandomized studies, the Mixed Methods Appraisal Tool will be used [58] due to its appraisal of most common study types and designs.”
MethodThe well-built clinical question: A key to evidence-based decisions
(1995) · ACP Journal Club · doi:10.7326/acpjc-1995-123-3-a12 · Cited by 2,931 · see citing works
Big Data and Machine Learning in Health Care
Beam, A. L., & Kohane, I. S. (2018) · JAMA · doi:10.1001/jama.2017.18391 · Cited by 2,506 · see citing works
The Emerging Evidence of the Parkinson Pandemic
Dorsey, E. R., Sherer, T., Okun, M. S., & Bloem, B. R. (2018) · Journal of Parkinson s Disease · doi:10.3233/jpd-181474 · Cited by 1,995 · see citing works
Challenges in the diagnosis of Parkinson's disease
Tolosa, E., Garrido, A., Scholz, S. W., & Poewe, W. (2021) · The Lancet Neurology · doi:10.1016/s1474-4422(21)00030-2 · Cited by 1,874 · see citing works
Meta‐Analysis in Medical Research
Haidich, A. (2005) · Wiley eBooks · doi:10.1002/9780470994894 · Cited by 691 · see citing works
Non-motor symptoms in Parkinson's disease
Pfeiffer, R. F. (2016) · Parkinsonism & Related Disorders · doi:10.1016/j.parkreldis.2015.09.004 · Cited by 644 · see citing works
Migliavaca, C. B., Stein, C., Colpani, V., Barker, T. H., Ziegelmann, P. K., Munn, Z., Falavigna, M., & Prevalence Estimates Reviews—Systematic Review Methodology Group (PERSyst) (2022) · Research Synthesis Methods · doi:10.1002/jrsm.1547 · Cited by 577 · see citing works
Artificial Intelligence in Healthcare: Review and Prediction Case Studies
Rong, G., Mendez, A., Assi, E. B., Zhao, B., & Sawan, M. (2020) · Engineering · doi:10.1016/j.eng.2019.08.015 · Cited by 573 · see citing works
Pont‐Sunyer, C., Hotter, A., Gaig, C., Seppi, K., Compta, Y., Katzenschlager, R., Mas, N., Hofeneder, D., Brücke, T., Bayés, A., et al. (2015) · Movement Disorders · doi:10.1002/mds.26077 · Cited by 511 · see citing works
Formulating Questions and Locating Primary Studies for Inclusion in Systematic Reviews
Counsell, C. (1997) · Annals of Internal Medicine · doi:10.7326/0003-4819-127-5-199709010-00008 · Cited by 505 · see citing works
How Wearable Sensors Can Support Parkinson's Disease Diagnosis and Treatment: A Systematic Review
Rovini, E., Maremmani, C., & Cavallo, F. (2017) · Frontiers in Neuroscience · doi:10.3389/fnins.2017.00555 · Cited by 446 · see citing works
Salarian, A., Russmann, H., Wider, C., Burkhard, P. R., Vingerhoets, F. J. G., & Aminian, K. (2007) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2006.886670 · Cited by 416 · see citing works
Machine Learning for the Diagnosis of Parkinson's Disease: A Review of Literature
Mei, J., Desrosiers, C., & Frasnelli, J. (2021) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2021.633752 · Cited by 404 · see citing works
Big data analytics for preventive medicine
Razzak, I., Imran, M. A., & Xu, G. (2019) · Neural Computing and Applications · doi:10.1007/s00521-019-04095-y · Cited by 332 · see citing works
Health‐related quality‐of‐life scales in Parkinson's disease: Critique and recommendations
Martínez‐Martín, P., Jeukens‐Visser, M., Lyons, K. E., Rodríguez‐Blázquez, C., Selai, C. E., Siderowf, A. D., Welsh, M. D., Poewe, W. H., Rascol, O., Sampaio, C., et al. (2011) · Movement Disorders · doi:10.1002/mds.23834 · Cited by 308 · see citing works
Non-motor Parkinson's: integral to motor Parkinson's, yet often neglected
Todorova, A., Jenner, P. G., & Chaudhuri, К. R. (2014) · Practical Neurology · doi:10.1136/practneurol-2013-000741 · Cited by 247 · see citing works
Wearable-Sensor-Based Detection and Prediction of Freezing of Gait in Parkinson’s Disease: A Review
Pardoel, S., Kofman, J., Nantel, J., & Lemaire, E. D. (2019) · Sensors · doi:10.3390/s19235141 · Cited by 207 · see citing works
Powers, R., Etezadi‐Amoli, M., Arnold, E. M., Kianian, S., Mance, I., Gibiansky, M. L., Trietsch, D., Alvarado, A. S., Kretlow, J. D., Herrington, T. M., et al. (2021) · Science Translational Medicine · doi:10.1126/scitranslmed.abd7865 · Cited by 204 · see citing works
Decision Support Framework for Parkinson’s Disease Based on Novel Handwriting Markers
Drotár, P., Mekyska, J., Rektorová, I., Masárová, L., Smékal, Z., & Faúndez-Zanuy, M. (2014) · IEEE Transactions on Neural Systems and Rehabilitation Engineering · doi:10.1109/tnsre.2014.2359997 · Cited by 195 · see citing works
Artificial intelligence for assisting diagnostics and assessment of Parkinson’s disease—A review
Belić, M., Bobić, V., Badža, M., Šolaja, N., Đurić-Jovičić, M., & Kostić, V. S. (2019) · Clinical Neurology and Neurosurgery · doi:10.1016/j.clineuro.2019.105442 · Cited by 194 · see citing works
Progression of motor symptoms in Parkinson’s disease
Xia, R., & Mao, Z. (2012) · Neuroscience Bulletin · doi:10.1007/s12264-012-1050-z · Cited by 186 · see citing works
Radiomics and Machine Learning in Oral Healthcare
Leite, A. F., Vasconcelos, K. D. F., Willems, H., & Jacobs, R. (2020) · PROTEOMICS - CLINICAL APPLICATIONS · doi:10.1002/prca.201900040 · Cited by 153 · see citing works
Parkinson’s Disease Management via Wearable Sensors: A Systematic Review
Mughal, H., Javed, A. R., Rizwan, M., Almadhor, A. S., & Kryvinska, N. (2022) · IEEE Access · doi:10.1109/access.2022.3162844 · Cited by 125 · see citing works
Quality of life in Parkinson's disease.
Opara, J. A., Brola, W., Leonardi, M., & Błaszczyk, B. (2012) · Europe PMC (PubMed Central) · Cited by 122 · see citing works
Channa, A., Popescu, N., & Ciobanu, V. (2020) · Sensors · doi:10.3390/s20092713 · Cited by 114 · see citing works
Feasibility of home-based automated Parkinson's disease motor assessment
Mera, T. O., Heldman, D. A., Espay, A. J., Payne, M., & Giuffrida, J. P. (2011) · Journal of Neuroscience Methods · doi:10.1016/j.jneumeth.2011.09.019 · Cited by 111 · see citing works
Continuous home monitoring of Parkinson’s disease using inertial sensors: A systematic review
Sica, M., Tedesco, S. A., Crowe, C., Kenny, L., Moore, K., Timmons, S., Barton, J. J., O’Flynn, B., & Komaris, D.-S. (2021) · PLoS ONE · doi:10.1371/journal.pone.0246528 · Cited by 111 · see citing works
Chandrabhatla, A. S., Pomeraniec, I. J., & Ksendzovsky, A. (2022) · npj Digital Medicine · doi:10.1038/s41746-022-00568-y · Cited by 109 · see citing works
AlMahadin, G., Lotfi, A., Zysk, E., Siena, F. L., Carthy, M. M., & Breedon, P. (2020) · BMC Neurology · doi:10.1186/s12883-020-01996-7 · Cited by 87 · see citing works
Digital Therapeutics in Parkinson’s Disease: Practical Applications and Future Potential
Ellis, T. D., & Earhart, G. M. (2021) · Journal of Parkinson s Disease · doi:10.3233/jpd-202407 · Cited by 78 · see citing works
Quantitative assessment of bradykinesia in patients with parkinson's disease
Dunnewold, R. J. W., Jacobi, C. E., & van Hilten, J. J. (1997) · Journal of Neuroscience Methods · doi:10.1016/s0165-0270(97)02254-1 · Cited by 72 · see citing works
Zis, P., Martínez‐Martín, P., Sauerbier, A., Rizos, A., Sharma, J. C., Worth, P. F., Sophia, R., Silverdale, M., & Chaudhuri, К. R. (2015) · European Journal of Neurology · doi:10.1111/ene.12733 · Cited by 71 · see citing works
Unveiling relevant non-motor Parkinson's disease severity symptoms using a machine learning approach
Armañanzas, R., Bielza, C., Chaudhuri, К. R., Martínez‐Martín, P., & Larrañaga, P. (2013) · Artificial Intelligence in Medicine · doi:10.1016/j.artmed.2013.04.002 · Cited by 65 · see citing works
van Wamelen, D. J., Sringean, J., Trivedi, D., Carroll, C., Schrag, A. E., Odin, P., Antonini, A., Bloem, B. R., Bhidayasiri, R., & Chaudhuri, К. R. (2021) · Parkinsonism & Related Disorders · doi:10.1016/j.parkreldis.2021.07.032 · Cited by 62 · see citing works
Self-citationTensor Decomposition of Gait Dynamics in Parkinson's Disease
Pham, T. D., & Yan, H. (2017) · IEEE Transactions on Biomedical Engineering · doi:10.1109/tbme.2017.2779884 · Cited by 61 · see citing works
Parkinson's Disease Motor Symptoms in Machine Learning: A Review
Ahlrichs, C., & Lawo, M. (2013) · Health Informatics - An International Journal · doi:10.5121/hiij.2013.2401 · Cited by 58 · see citing works
Automated motion sensor quantification of gait and lower extremity bradykinesia
Heldman, D. A., Filipkowski, D. E., Riley, D. E., Whitney, C. M., Walter, B. L., Gunzler, S. A., Giuffrida, J. P., & Mera, T. O. (2012) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc.2012.6346338 · Cited by 56 · see citing works
Update on the Management of Parkinson’s Disease for General Neurologists
Pirtošek, Z., Bajenaru, O. A., Kovács, N., Milanov, I. G., Relja, M., & Škorvánek, M. (2020) · Parkinson s Disease · doi:10.1155/2020/9131474 · Cited by 54 · see citing works
Martinez-Eguiluz, M., Arbelaitz, O., Gurrutxaga, I., Muguerza, J., Perona, I., Murueta‐Goyena, A., Acera, M., Pino, R. D., Tijero, B., Gómez‐Esteban, J. C., et al. (2022) · Neural Computing and Applications · doi:10.1007/s00521-022-07256-8 · Cited by 54 · see citing works
Machine Learning’s Application in Deep Brain Stimulation for Parkinson’s Disease: A Review
Watts, J., Khojandi, A., Shylo, O. V., & Ramdhani, R. (2020) · Brain Sciences · doi:10.3390/brainsci10110809 · Cited by 49 · see citing works
Effects of parkinsonism on motor control
Contreras-Vidal, J. L., & Stelmach, G. E. (1995) · Life Sciences · doi:10.1016/0024-3205(95)02237-6 · Cited by 47 · see citing works
Monitoring of motor and non-motor symptoms of Parkinson's disease through a mHealth platform
Cancela, J., Villanueva-Mascato, S., Gatsios, D. A., Rigas, G., Marcante, A., Gentile, G., Biundo, R., Giglio, M., Chondrogiorgi, M., Vilzmann, R., et al. (2016) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc.2016.7590789 · Cited by 42 · see citing works
Assisted Diagnosis of Parkinsonism Based on the Striatal Morphology
Segovia, F., Górriz, J. M., Ramı́rez, J., Martínez-Murcia, F. J., & Castillo-Barnés, D. (2019) · International Journal of Neural Systems · doi:10.1142/s0129065719500114 · Cited by 39 · see citing works
Salari, N., Kazeminia, M., Sagha, H., Daneshkhah, A., Ahmadi, A., & Mohammadi, M. (2022) · Current Psychology · doi:10.1007/s12144-022-02949-8 · Cited by 32 · see citing works
Park, Y., Kim, S. R., So, H. Y., Jo, S., Lee, S. H., Hwang, Y. S., Kim, M. S., & Chung, S. J. (2022) · Geriatric Nursing · doi:10.1016/j.gerinurse.2022.05.003 · Cited by 30 · see citing works
Kuresan, H., Dhanalakshmi, S., Ghosh, S., et al. (2021) · Journal of Ambient Intelligence and Humanized Computing · doi:10.1007/s12652-021-02944-0 · Cited by 20 · see citing works
Wu, J. Q., & Cronin‐Golomb, A. (2019) · Behavioral Sleep Medicine · doi:10.1080/15402002.2019.1629445 · Cited by 18 · see citing works
Hu, J., Yuan, D., Zhao, Q., Wang, X. F., Zhang, X. T., Jiang, Q. H., Luo, H., Li, J., Ran, J. H., & Li, J. F. (2020) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-020-01187-x · Cited by 15 · see citing works
A Systematic Review of Machine Learning Based Gait Characteristics in Parkinson’s Disease
Sharma, P., Pahuja, S., & Veer, K. (2021) · Mini-Reviews in Medicinal Chemistry · doi:10.2174/1389557521666210927151553 · Cited by 10 · see citing works
Meinert, E., Milne‐Ives, M., Chaudhuri, К. R., Harding, T., Whipps, J., Whipps, S., & Carroll, C. (2022) · JMIR Research Protocols · doi:10.2196/40317 · Cited by 8 · see citing works
Self-citationCingireddy, A. R., Ghosh, R., Melapu, V. K., et al. (2021) · International Journal of Quantitative Structure-Property Relationships · doi:10.4018/ijqspr.290011 · Cited by 7 · see citing works
Zhang, T., Dong, L., Hua, J., & Gao, S. (2021) · Frontiers in Neurology · doi:10.3389/fneur.2021.668953 · Cited by 6 · see citing works
Artificial Intelligence Model for Parkinson Disease Detection using Machine Learning AlgorithmsPreprint
Yadav, S. (2022) · Research Square · doi:10.21203/rs.3.rs-2098372/v1 · Cited by 6 · see citing works
Griffin, C. P. (2023) · Ultrasound · doi:10.1177/1742271x231152542 · Cited by 1 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [17]National Collaborating Centre for Chronic Conditions Parkinson's Disease: National Clinical Guideline for Diagnosis and Management in Primary and Secondary Care 2006 London, UK Royal College of Physicians 21089238
Cited by
Sorted by citations
Onciul, R., Tataru, C.-I., Dumitru, A. V., Crivoi, C., Serban, M., Covache-Busuioc, R.-A., Radoi, M. P., & Toader, C. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14020550 · Cited by 113 · see citing works
Dang, M., Liu, B., Chen, Y., & Zhang, Z. (2026) · Psychoradiology · doi:10.1093/psyrad/kkag007 · Cited by 7 · see citing works
- Authors
- Bounsall, K., Milne-Ives, M., Hall, A., Carroll, C., & Meinert, E.
- Affiliations
- University of Plymouth (GB)
- National Health Service (GB)
- Harvard University (US)
- Corresponding author
- Meinert, Edward
- Venue
- JMIR Research Protocols
- Publisher
- JMIR Publications Inc.
- Published
- 2023-06-14
- Volume
- 12
- Pages
- e46581
- ISSN
- 1929-0748 (ISSN-L)
- PMC
- PMC10337354
- OpenAlex
- W4362569256
- Cited by
- 16
- References
- 61
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 7 · 2023: 2
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- JMIR Research Protocols (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Newcastle University ePrints (Newcastle Univesity) (cc-by)
- Funders
- Parkinson's UK (H-2101)
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Keywords
- Parkinson's disease, artificial intelligence, symptom assessment, symptom monitoring, symptom management, wearable sensors, mobile application, digital health, neurodegenerative diseases
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review