The role of sex and handedness in the performance of the smartphone-based Finger-Tapping Test

PLOS Digit Health. 2023 Aug 16;2(8):e0000304. doi: 10.1371/journal.pdig.0000304. eCollection 2023 Aug.

Abstract

The Finger Tapping Test (FTT) is a classical neuropsychological test that assesses motor functioning, and recently it has been employed using smartphones. For classical protocols, it has been observed that sex and handedness influence the performance during the test. By assessing the influence of sex and handedness on the test, it is possible to adjust the performance measurements to ensure the validity of test results and avoid sex- and handedness-related bias. The present study aimed to evaluate the influence of sex and handedness on smartphone-based FTT performance. We developed an Android application for the FTT and recruited 40 males and 40 females to carry out three spatial designs on it (protocols I, II, and III). Participants' performance was measured using the global, temporal, and spatial parameters of the FTT. We observed that for the performance in protocol I, handedness had a significant influence on global and temporal variables, while the interaction between handedness and sex had a greater influence on spatial variables. For protocols II and III, we observed that handedness had a significant influence on global, temporal, and spatial variables compared to the other factors. We concluded that the smartphone-based test is partly influenced by handedness and sex, and in clinical implications, these factors should be considered during the evaluation of the smartphone-based FTT.

Grants and funding

This work was supported by research grants from the Brazilian funding agencies: CNPq Edital Universal (#431748/2016-0, GSS), and Programa de Apoio à Publicação Qualificada from Federal University of Pará (GSS). GSS and BLSL are CNPq Fellow and receive productivity grants (protocol #408288/2022-1). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.