Peer-Reviewed Research

Grounded in published, peer-reviewed science

Everything DIGITS™ measures is validated against established clinical gold standards. Explore the body of work led by Dr. Caitlin Symonette and our research collaborators — spanning range of motion, finger dexterity, hand volume, and remote telerehabilitation.

Publications

Selected peer-reviewed papers on software-based and computer-vision hand assessment. Click through to download the full study.

Journal of Hand Therapy 2025

Software-Based Finger Joint Range of Motion Analysis

Létourneau, S., Symonette, C.

A knowledge-translation review of range-of-motion analysis technologies that defines the landscape of software-based systems and proposes directions for clinical integration.

Journal of Hand Therapy 2025

A Novel Technique for Digital Assessment of Hand Volume

Katouzian, N., Parent, C. A., Eagleson, R., Symonette, C.

Develops a webcam-based computer-vision method for hand-volume assessment and compares it against conventional volumetric techniques.

Journal of Hand Surgery 2024

Augmented Reality-Based Finger Joint Range of Motion Measurement

Létourneau, S. G., Jin, H., Peters, E., Grewal, R., Ross, D., Symonette, C.

Determines the reliability and validity of AR-based ROM measurement in healthy hands, demonstrating excellent test–retest reliability (ICC > 0.75).

Journal of Hand Therapy 2024

Assessment of Finger Dexterity Through the DIGITS Joint Tracking Web Application

Kuchtaruk, A., Dong, H., Jin, H., Kang, J., Wilson, C., Davidson, J., Eagleson, R., Symonette, C.

A two-part study comparing DIGITS dexterity outcomes to the nine-hole pegboard test using remote finger-tapping exercises.

Plastic and Reconstructive Surgery — Global Open 2023

Telerehabilitation Technology for Remote Wrist/Finger Range of Motion Evaluation

Kuchtaruk, A., Yu, S. S. Y., Iansavichene, A., Davidson, J., Wilson, C. A., Symonette, C.

A scoping review of 28 studies on telerehabilitation technologies, concluding that telerehab can serve as a reliable substitute for in-person goniometer measurements.

Journal of Hand Surgery Global Online 2023

Next-Generation Remote Hand Assessments: The Cross-Platform DIGITS Web Application

Dong, H., Shin, H., Ho, E., Jin, H. J., Letourneau, S., Banerjee, T., Masschelein, G., Davidson, J., Wilson, C., de Ribaupierre, S., Eagleson, R., Symonette, C. J.

Evaluates DIGITS across devices and operating systems, demonstrating differences of 2°–3° for extension and 3°–8° for flexion versus reference measurements.

Computer Methods in Biomechanics & Biomedical Engineering 2022

The ‘DIGITS’ App: Smartphone Augmented Reality for Hand Telerehabilitation

Dong, H., Ho, E., Shin, H., Banerjee, T., Masschelein, G., Davidson, J., de Ribaupierre, S., Eagleson, R., Symonette, C.

Beta testing showed 6–9 degrees of difference from in-person measurements, with an ICC of 0.98 for extension.