Neurological bedside signs are widely used in acute stroke evaluation as if they provide categorical evidence of focal neurological dysfunction. However, this Perspective argues that such interpretation reflects a systematic mismatch between clinical teaching and the probabilistic nature of diagnostic inference....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists; this is a neurology-focused perspective piece on mobile technology for acute stroke assessment with no direct audiology application.
The argument for probabilistic, technology-assisted neurological assessment could indirectly inform how audiologists approach vestibular and balance screening in acute care settings.
- 01Authors advocate replacing binary pass/fail neurological signs with probabilistic, multidimensional scoring.
- 02Mobile technologies (e.g., smartphone accelerometers, video) are proposed as tools to capture richer clinical data.
- 03The focus is acute neurology (stroke), not audiology or vestibular assessment specifically.
- 04Published in Frontiers in Neurology as a perspective/opinion article.
- 05Indirectly relevant to vestibular audiologists using portable balance technology.
Mobile technologies can enable more accurate and multidimensional neurological assessment than traditional binary bedside signs in acute neurology.
opinionpartially supported- PMID
- 42840855
- DOI
- 10.3389/fneur.2026.1901150.
- Journal
- Frontiers in Neurology
- Publication type
- editorial
- Evidence level
- 5
- Population
- Not applicable — opinion/perspective article
- Intervention
- Mobile technology-based probabilistic neurological assessment
- Comparator
- Traditional binary bedside neurological examination
Primary outcomes
Proposed improvement in diagnostic accuracy; Adoption of multidimensional assessment frameworks in acute neurology