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Cognitive Abilities
Internal consistency
Test-retest reliability
Shifting
0,726
0,842
Divided Attention
0,866
0,85
Width of Field of View
0,806
0,998
Hand-eye Coordination
0,779
0,876
Naming
0,687
0,782
Focused Attention
1
0,905
Visual Scanning
0,862
0,922
Estimation
0,761
0,986
Inhibition
0,661
0,697
Phonological Short-term Memory
0,915
0,698
Contextual Memory
0,884
0,775
Visual Short-Term Memory
0,866
0,743
Short-Term Memory
0,853
0,721
Working Memory
0,85
0,696
Non-verbal Memory
0,787
0,73
Spatial Perception
0,611
0,907
Visual Perception
0,751
0,882
Auditory perception
0,652
0,904
Planning
0,765
0,826
Recognition
0,864
0,771
Response Time
0,873
0,821
Processing Speed
0,888
0,764
Cognitive Assessment for Parkinson’s Disease Research (CAB-PK)

Reliability analysis of the evaluation (Only in English)Download

Cognitive Assessment for Parkinson’s Disease Research (CAB-PK)

Innovative online test to detect cognitive impairment related to Parkinson's Disease. Performs a complete cognitive screening and assesses the risk index of Parkinson's disease.

Who is it for?

This product is not for sale. This product is for research purposes only. For more info see CogniFit Research Platform

Multi-platform

Cognitive Assessment for Parkinson’s Disease Research (CAB-PK)

You are going to create a patient management account. This account is designed to give your patients access to CogniFit evaluations and training.

You are going to create a student management account. This account is designed to give your students access to CogniFit evaluations and training.

You are going to create a research account. This account is specially designed to help researchers with their studies in the cognitive areas.

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+
Number of assessments*

* Assessment licenses can be used for any type of assessment

 

Computerized assessment for evaluating and detecting cognitive symptoms in Parkinson's disease

Computerized assessment for evaluating and detecting cognitive symptoms in Parkinson's disease

  • Assesses the risk index for the presence of Parkinson's disease
  • For young adults, adults or seniors
  • The tests lasts about 30-40 minutes
  • Reliability analysis of the evaluation - Only in English Download

CogniFit's Cognitive Assessment for Parkinson’s Disease Patients (CAB-PK) is a leading professional tool consisting of a battery of clinical trials and validated tasks, aimed at quickly and accurately detecting and evaluating the presence of symptoms, traits, and dysfunctionalities in the cognitive processes affected by Parkinson's disease.

This innovative online Parkinson's test is a scientific resource that allows you to perform a complete cognitive screening, know the weaknesses and strengths, and assess the risk index of Parkinson's presence as well as know which areas are affected by the disease. This test is aimed at young adults, adults, or seniors who have any of the risk factors. Any private or professional user can easily use this neuropsychological assessment battery.

The report from the assessment will be automatically available for download after the test, which usually lasts about 30-40 minutes.

The diagnosis of Parkinson's Disease (PD) requires multidisciplinary evaluation and a comprehensive differential diagnosis to rule out the possibility that dysfunctional symptoms may be best explained by the presence of a mood disorder, other degenerative diseases, or other pathologies.

Medical history, physical and neurological examination, laboratory analyses, questionnaires, neuroimaging tests and neurophysiological examinations are the most effective tools to diagnose Parkinson's disease, although this is not sufficient to know the degree of cognitive impairment derived from the disease. In order to know the depth of the disorder, a thorough clinical and neuropsychological evaluation is necessary. Note that CogniFit does not directly offer a medical diagnosis of PD. It is recommended to use this comprehensive Parkinson's test in addition to the professional diagnosis and not as a substitute of a clinical consultation

Digitalized Protocol for Parkinson's Assessment (CAB-PK)

Digitalized Protocol for Parkinson's Assessment (CAB-PK)

This comprehensive cognitive screening for Parkinson's Disease consists of a questionnaire and a complete set of neuropsychological tests. It lasts about 30-40 minutes.

Younger adults, adults or seniors at risk for Parkinson's must complete a questionnaire that evaluates symptoms and clinical signs related to Parkinson's disease and then perform a series of validated exercises and tasks that are presented as simple computer games.

Well-being Questionnaire

A series of easy-to-respond questions is presented, aimed at detecting the main diagnostic criteria (DSM-5) and symptoms of Parkinson's disease. The questionnaire contains screening tests.

Neuropsychological factors and cognitive profile

The CAB-PK continues with a battery of tasks aimed at assessing the main neuropsychological factors identified in the scientific literature for this disorder. The results will be compared with the scales according to the age and sex of the user.

Complete results report

At the end of the Parkinson's test, CogniFit generates a fully detailed result report, showing the risk index for the disorder (low-medium-high), the warning signs and symptoms, cognitive profile, analysis of results, and recommendations. The results provide valuable information to identify support strategies.

Psychometric Results

Psychometric Results

CogniFit's Cognitive Assessment for Parkinson’s Disease Patients (CAB-PK), uses patented algorithms and artificial intelligence (AI), which makes it possible to analyze thousands of variables and notify users whether there is a risk of Parkinson's with very satisfactory psychometric results.

The neuropsychological cognitive report has a high reliability, consistency, and stability. The test has been validated by repeated tests and measurement processes. Transversal research designs have been followed, like the Alpha Cronbach coefficient, reaching scores of about .9. The Test-Retest tests have received scores of almost 1, which shows the high reliability and precision that this battery offers.

See validation table

Who is it for?

Who is it for?

The Cognitive Assessment for Parkinson’s Disease Patients (CAB-PK) can be used by young adults, adults, and seniors who are suspected of having any risk factors related to Parkinson's disease.

Any private or professional user can easily use this neuropsychological battery. No special training or skills are needed to use this online professional program. It is especially designed for:

Individual Users

Know the state of my brain, as well as my strengths or weaknesses

CogniFit Cognitive Assessment Battery for Parkinson's Disease allows us to measure the state of our cognitive abilities related to this disease and, through a simple questionnaire, check whether our symptoms are compatible with Parkinson.

Healthcare Professionals

Precisely assess patients and access a complete report

CogniFit's neuropsychological assessment battery for Parkinson's disease makes it possible for healthcare professionals to detect, diagnose, and create an appropriate intervention. Detecting the symptoms and cognitive dysfunctions is the first step to identifying this degenerative disease and orient an appropriate neuropsychological intervention. This powerful software makes it possible to manage patients, study multiple variables, and offer complete, personalized reports.

Parents, caretakers, and individual users

Identify if your family members present a risk for Parkinson's

The Parkinson test from CogniFit is a scientific resource made of simple and attractive tasks and tests that can be taken online. It allows any person, without specialized training, to evaluate the different neuropsychological factors identified in Parkinson's disease. The complete results system makes it possible to identify whether there is a risk of suffering from any of the cognitive disorders related to the disease and detail a plan of action for each case.

Researchers

Measures the cognitive abilities of study participants

With CogniFit's Cognitive Assessment for Parkinson’s Disease Patients (CAB-PK) it is possible to efficiently conduct rigorous measurements of the cognitive abilities involved in this disorder in our scientific research.

Benefits

Benefits

Using this technology-based support platform to quickly and precisely assess the presence of symptoms, weaknesses, strengths, traits, and poor functioning of the cognitive processes affected by Parkinson's disease offers multiple benefits:

LEADING INSTRUMENT

The Cognitive Assessment for Parkinson’s Disease Patients (CAB-PK) is a professional resource created by specialists in neurodegenerative diseases. The cognitive tests in this battery have been patented and clinically validated. This leading instrument is used by the scientific community, universities, families, foundations, and medical centers around the world.

EASY-TO-USE

Any individual or professional user (healthcare professional, teacher, etc.) can personally use this neuropsychological battery without needing special training or knowledge of neuroscience or technology. The interactive format offers a simple and effective use of the platforms.

USER-FRIENDLY

All clinical tasks are presented in a fully automated way. To make them accessible and entertaining, they have been developed in the form of fun interactive games, making them easier to understand.

DETAILED RESULTS REPORT

The Cognitive Assessment for Parkinson’s Disease Patients (CAB-PK) offers quick and precise feedback, creating a complete system to analyze results. This makes it possible to recognize and understand the clinical symptoms, strengths, weaknesses, and risk index.

ANALYSIS AND RECOMMENDATIONS

This powerful software makes it possible to analyze thousands of variables and offer specific recommendations tailored to each user.

When should you use this Parkinson test?

When should you use this Parkinson test?

With this assessment battery, it is possible to reliably detect the risk of Parkinson's-related symptoms and cognitive impairment in young adults, adults or seniors. Early detection allows for treatment commencement and an appropriate cognitive stimulation program to help maintain impaired cognitive abilities in Parkinson's disease at a functional level.

This neuropsychological assessment battery also identifies the risk of early onset Parkinson's and associated cognitive impairment in younger people. Although early-onset Parkinson's (diagnosed before age 49) is estimated to account for only 10% of all Parkinson's patients, it should be noted that thousands of young people remain affected. Functional and cognitive impairment may not yet be evident at those ages, but it is best to begin stimulating cognitive abilities as soon as possible in order to minimize impairment.

Without early detection and the necessary adapted tools, it is difficult to function on a daily basis and can lead to problems in the workplace, in social or family interactions and emotionally. Therefore, this disease not only causes resting tremors but also affects different cognitive aspects: attention and memory problems, visuospatial alterations, slow processing, executive and language dysfunction. Parkinson's is associated with delays and difficulties in functional, work and social functioning. Mainly it is possible to differentiate between:

Parkinson's Cases
Most representative symptoms
Description
According to type of difficulties
Difficulties in movement and mobility
Language difficulties
Sleep difficulties
Psychological problems

Difficulties in movement and mobility

The most well known and obvious symptoms are the visible motor alterations in Parkinson's disease. Tremor, stiffness, slowness, and postural instability can make the patient's day-to-day life much more difficult. For example, slowness may prevent the patient from reacting in time when cooking or simply moving from one room to another can be a difficult activity.

Language difficulties

Most people affected by Parkinson's disease experience changes in speech and voice. They also end up with swallowing problems with the progression of the disease. Symptoms that appear in the rest of the body (tremors, stiffness, and slowness) may also occur in the muscles responsible for speech and swallowing. Therefore, the person with Parkinson's may need more time to answer a question, or choking may occur when food textures are mixed.

Sleep difficulties

About 33% of patients with Parkinson's disease have insomnia, as sleep disorders are common in this disease. Other common sleep disorders in Parkinson's are vivid dreams, daytime sleepiness, or disturbances in the sleep-wake cycle. This can lead to a person with Parkinson's being tired during the day and having trouble going to sleep at night.

Psychological problems

There is a group of non-motor symptoms in people with Parkinson's, such as depression, anxiety, or apathy. They may experience hallucinations, delusions, loss of impulse control, and end up manifesting inappropriate behaviors. For this reason, it is not uncommon for Parkinson's patients to also show sadness and lack interest in activities they have always liked.

Description of the diagnostic criteria questionnaire

Description of the diagnostic criteria questionnaire

Parkinson's is characterized by a series of symptoms and clinical signs. These indicators may make us suspect the presence of this disorder. Therefore, the first step of the Cognitive Assessment for Parkinson’s Disease Patients (CAB-PK) consists of a questionnaire with screening questions that are adapted to the main diagnostic criteria and symptoms appropriate to each age group.

The questions presented here are similar to those that can be found in a diagnostic manual, clinical questionnaire or assessment scales but have been simplified so that they can be understood and answered by virtually anyone.

Diagnostic criteria in adults

It is made up of a series of simple questions that can be completed by the user him or herself, or by the professional in charge of the assessment. The questionnaire gathers questions about the following areas:Motricity and movement (slowness, postural instability, tremors, stiffness, etc.), mental state (depression, anxiety, apathy, etc.), sleep (insomnia, daytime sleepiness, vivid dreams, disturbances of the sleep-wake cycle, etc.) and language (changes in speech, voice, swallowing problems).

Battery description to assess neuropsychological factors involved in Parkinson's disease

Battery description to assess neuropsychological factors involved in Parkinson's disease

The presence of alterations in some of the cognitive abilities may be an indicator of Parkinson's. An overall profile of cognitive abilities can tell us how intense is the extent of cognitive impairment derived from this disease.

Some of the problems in mental state, sleep, language, and motor skills can be caused by deficits in cognitive abilities. These are the domains and cognitive skills assessed in the Parkinson's Test (CAB-PK).

Evaluated Cognitive Domains
Cognitive Abilities

Attention

Ability to filter distractions and focus on relevant information.

Excellent

8.1% above average

Focused Attention

Focus and Parkinson's. Focus is the ability to concentrate our attention on an objective stimulus, regardless of how long it lasts. Often, people with Parkinson's have difficulty focusing on the relevant and appropriate stimuli or events of each situation. People with Parkinson's have a hard time in a conversation since they are prone to lose information.

622Your Score

400Average

Memory

Ability to retain or manipulate new information and recover memories from the past.

Excellent

8.0% above average

Short-Term Memory

Short-term memory and Parkinson's. Short-term memory is the ability to hold a small amount of information for a short period of time. Parkinson's disease may, for example, make it difficult or impossible to understand read information.

570Your Score

400Average

Visual Short-Term Memory

Visual short-term memory is defined as the ability to retain a small amount of visual information (letters, figures, colors ...) for a short period of time. Visual short-term memory appears to be affected in people with Parkinson's disease, however verbal short-term memory remains relatively unaffected. Alterations in visual short-term memory are considered to correspond to the severity of the disease and the motor performance of the user.

583Your Score

400Average

Working Memory

Working memory and Parkinson's. Working memory is the ability to retain and manipulate information needed for complex cognitive tasks, such as understanding language, learning, and reasoning. A deficit in Parkinson's-related work memory may mean difficulty understanding written language, spoken language, or working with received information.

743Your Score

400Average

Coordination

Ability to efficiently carry-out precise and organized movements.

Excellent

8.5% above average

Response Time

Reaction time and Parkinson's. The reaction time refers to the time that elapses from when we perceive something until we respond to that stimulus. One of the main motor disorders that appear in Parkinson's disease is bradykinesia or slow movement. Therefore, the reaction time of people with Parkinson's may be slower for physical activities, such as eating or getting dressed.

572Your Score

400Average

Perception

Ability to interpret the stimuli from one's surroundings.

Excellent

7.5% above average

Recognition

Recognition is the ability of our brain to identify stimuli that we have previously perceived (situations, people, objects, etc.). Different studies indicate recognition deficits in people with Parkinson's disease, this problem occurs both in people who had developed dementia and in people without dementia.

452Your Score

400Average

Visual Perception

Visual perception and Parkinson's. Visual perception is the ability to interpret the information that our eyes give us about the environment. The subcortical structures affected in Parkinson's are also involved in visual perception. This makes it difficult for people with Parkinson's to interpret this visual information.

567Your Score

400Average

Reasoning

Ability to efficiently use (organize, relate, etc.) acquired information.

Excellent

8.1% above average

Planning

Planning and Parkinson's. Planning is the ability to organize mentally the best way to achieve a goal in the future. People with Parkinson's usually have planning alterations, which can lead to problems with sequencing actions, such as planning what ingredients you will need to fill a recipe correctly.

733Your Score

400Average

Processing Speed

Processing speed and Parkinson's. Processing Speed is the time a person needs to perform a mental task. In Parkinson's disease, not only is there a slow movement, but the speed of mental processing is also slow. This means that a person with Parkinson's may need more time to remember information or to solve a problem.

520Your Score

400Average

Shifting

Shifting or Mental Flexibility can be defined as the ability of our brain to adapt our behavior and thinking to novel, changing, or unexpected situations. Several studies indicate that people with Parkinson's disease tend to perform worse in cognitive flexibility, which causes a greater number of perseverative errors, which can be detected even early in the disease.

480Your Score

400Average

Evaluation tasks

Our Digital Cognitive Assessments

CogniFit digital tests are designed to measure a specific areas of cognition and are grouped together to form customized batteries based on the unique requirements of the study design and population. Learn more about our different tests and how they can support the unique needs of your study by exploring the details and demos below.

Tapping Test

The Speed Test REST-HECOOR exercise was inspired by the classic test of Fingertip tapping from the assessment battery NEPSY (Korkman et al., 1998). The test-taker is required to keep on clicking for 10 seconds and as rapidly as possible with the mouse, or finger if using a touch-screen device, in a defined area on the screen. Data is collected as the number of clicks during the allocated time, number of clicks inside the defined area and number of clicks outside it.

Psychomotor Vigilance Test

The Resolution Test REST-SPER was inspired by the classic paradigms Go/No Go Task (Gordon & Caramazza, 1982), Continuous Performance Test (Conners, 1989; Epstein et al., 2001), and the Psychomotor Vigilance Task (Dinges & Powell, 1985). The test-taker is required to rapidly press on circles which appear on the screen and to ignore hexagons should they also appear. Embedded in the task are 16 circles-only items and 8 circles-and-hexagons items. For each item data is collected on response time, response accuracy and cursor distance from target center.

Visual Working Memory Span Test

The Concentration Test VISMEM-PLAN took as a reference the Corsi block-tapping test (Corsi, 1972; Kessels et al., 2000; Wechsler, 1945). In the first part of the task, some circles, within a fixed array of circles, light up. The test-taker is required to memorize which circles, within the array, have lit up and then try to reproduce the sequence in the right order. In the second part of the task, a delay of 4 secs is added between the first screen and the playback screen, in order to increase the time the user must retain the information.

Eye-Hand Coordination Test Fixed Trajectory and Predictable Direction

The Synchronization Test UPDA-SHIF is based on the Vienna Test System (VST) (Whiteside, 2002). In this task the test-taker is required to carefully and precisely track a ball which moves along a path. The distance in pixels between the center of the ball and the cursor moved by the user is considered to calculate the accuracy score.

Multimodal Lexical Memory Test

The Identification Test COM-NAM is based on the Boston Naming Test (Kaplan et al., 1983) and by the vocabulary test from the WAIS-III (Wechsler, 1997). For each object shown, the test-taker must choose from three possibilities: 1) the item is presented for the first time in the task or 2) the last time it appeared the item was spoken or 3) the last time it appeared the item was presented as a picture.

Lexical Memory Test

The Inquiry Test REST-COM took as a reference the classic Boston Naming Test (Kaplan et al., 1983), the vocabulary test from WAIS-III (Wechsler, 1997), the Test of Variables of Attention (Greenberg et al., 1996), and the Rey Auditory Verbal Learning Test (Schmidt, 1994). A series of objects are shown. In a new series of objects, the test-taker must then recognize only those objects that were previously displayed. This new series could be presented as images or as spoken words.

Digit Span Test

The Sequencing Test WOM-ASM is based on the classic direct and indirect digit test of the WAIS-III (Wechsler, 1997). The test-taker is required to remember and reproduce increasingly longer number sequences, which appear, each in its turn, on the screen. The task will begin with a two- -number sequence.

Naming Test

The Decoding Test VIPER-NAM was inspired by the Boston Naming Test (Kaplan et al., 1983) and by the vocabulary test from the WAIS-III (Wechsler, 1997). The test-taker is required to click on the first letter, among four of them, that spells the name of the object depicted on the screen. For example, for the picture of an apple, the test-taker should click on the letter “A” but not on the three incorrect responses (C, P, M) also present on the screen.

Divided Attention Test

The Simultaneity Test DIAT-SHIF stems from the classic Stroop test (Stroop, 1935), the Vienna Test System (Whiteside, 2002), and the Test of Variables of Attention (Greenberg et al., 1996). The test-taker is required to accurately follow a ball moving and turning in all directions on the screen while, at the same time, performing a variant of the Stroop test.

The Brain and Parkinson's Disease

The Brain and Parkinson's Disease

Not only do people with Parkinson's have motor tremors and difficulties, but the brain alterations resulting from the disease also have negative cognitive consequences. The brain areas that are mainly altered in Parkinson's disease are the Substantia Nigra and, consequently, the Basal Ganglia.

1 Substantia Nigra

Substantia Nigra or black substance is a set of dopaminergic neurons (which produce the neurotransmitter "dopamine") pigmented by an element called "neuromelanin", which gives it a blackish color. The dopaminergic axons of these neurons connect with other nuclei of the basal ganglia. In Parkinson's disease, the neurons of the black substance are destroyed, which disrupts or makes it difficult to connect dopamine between the black substance and the basal ganglia.

2 Basal Ganglia

Basal ganglia are a set of subcortical structures located at the "base" of the brain. The main function of the basal ganglia is to regulate voluntary movement and to learn motor skills. Dopamine is a fundamental neurotransmitter in the correct functioning of the basal ganglia. With the death of dopaminergic neurons of the black substance, basal ganglia act erratically, producing Parkinson's symptoms such as the stiffness and slowness of movement, in addition to certain cognitive symptoms.

Customer Service

Customer Service

If you have any questions about data operation, management or interpretation of our assessments, you can contact us immediately. Our team of professionals will solve your doubts and help you with anything you need.

Contact Us Now

References

References

  • Lees, A. J., & Smith, E. (1983). Cognitive deficits in the early stages of Parkinson’s disease. Brain, 106(2), 257-270.
  • Dubois, B., & Pillon, B. (1996). Cognitive deficits in Parkinson’s disease. Journal of Neurology, 244(1), 2-8.
  • Owen, A. M., James, M., Leigh, P. N., Summers, B. A., Marsden, C. D., Quinn, N. P., … Robbins, T. W. (1992). Fronto-striatal cognitive deficits at different stages of Parkinson’s disease. Brain, 115(6), 1727-1751.
  • Da Silva, F. C., Iop, R. da R., de Oliveira, L. C., Boll, A. M., de Alvarenga, J. G. S., Gutierres Filho, P. J. B., … da Silva, R. (2018). Effects of physical exercise programs on cognitive function in Parkinson’s disease patients: A systematic review of randomized controlled trials of the last 10 years. PLOS ONE, 13(2), e0193113.
  • Ding W, Ding LJ, Li FF, Han Y, Mu L. (2015). Neurodegeneration and cognition in Parkinson's disease: a review. Eur Rev Med Pharmacol Sci.;19(12):2275‐2281.
  • Litvan, I., Goldman, J. G., Tröster, A. I., Schmand, B. A., Weintraub, D., Petersen, R. C., … Emre, M. (2012). Diagnostic criteria for mild cognitive impairment in Parkinson’s disease: Movement Disorder Society Task Force guidelines. Movement Disorders, 27(3), 349-356.
  • Gauntlett-Gilbert, J., & Brown, V. J. (1998). Reaction Time Deficits and Parkinson’s Disease. Neuroscience & Biobehavioral Reviews, 22(6), 865-881.
  • Evarts, E. V., Teräväinen, H., & Calne, D. B. (1981). Reaction time in Parkinson’s disease. Brain, 104(1), 167-186.

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