Published online Jan 19, 2026. doi: 10.5498/wjp.v16.i1.112073
Revised: September 5, 2025
Accepted: November 12, 2025
Published online: January 19, 2026
Processing time: 167 Days and 20 Hours
Core Tip: This study proposes a paradigm shift in mild cognitive impairment screening, moving from subjective cognitive tests to objective, quantifiable measures of gait and handwriting kinematics. This novel approach uses readily observable behaviors and non-invasive technology (like digital pens) to circumvent barriers of traditional neuropsychological assessments, such as language dependency and cultural bias. By measuring motor kinematics, which capture the real-world effect of cognitive-motor changes, the method offers ecological validity and reflects functional status, distinguishing it from biomarkers focused only on pathology. The integration of gross and fine motor abilities provides a scalable and accessible foundation for early, proactive mild cognitive impairment detection, paving the way for better intervention.
