The science

How your smartphone measures tremor better than a waiting room

David Wong, PhDDavid Wong, PhD · Professor, University of Leeds·June 24, 2026·5 min read
Hands holding a smartphone
The sensors already in your pocket can measure tremor dozens of times more often than any clinic.

A clinic visit captures your tremor for a few minutes, in one room, on one day, often while you are nervous. Your smartphone can capture it every day, in your real life, under the conditions that actually matter. That difference changes everything about how tremor can be understood.

The problem with a single snapshot

Essential Tremor fluctuates. It changes with time of day, sleep, stress, temperature, caffeine, and a dozen other factors. A neurologist watching you draw a spiral in a quiet office sees one point on a curve that moves constantly. It is a useful point, but it is still just one.

Researchers call this the snapshot problem, and it cuts both ways. Some people tremble more at appointments because clinics make them anxious. Others happen to arrive on a good day and leave with their worst days undocumented. Either way, treatment decisions end up based on a sample of minutes per year.

What the sensors in your phone actually capture

A modern smartphone carries an accelerometer and a gyroscope that sample movement hundreds of times per second. When you hold the phone during a short guided test, those sensors record the frequency and amplitude of your tremor with remarkable precision.

Frequency is how many times per second the tremor cycles; it tends to be stable for a person and helps distinguish tremor types. Amplitude is how large the movement is; it fluctuates day to day, and it is the number that tracking makes visible. Consistency comes from repeated short tests that reveal your personal range, so a genuinely unusual day stands out from ordinary variation.

"The phone does not replace your neurologist. It gives your neurologist ninety days of evidence instead of ninety seconds."
David Wong, PhD

Why repeated measurement beats precise measurement

Here is the counterintuitive part: a slightly noisy measurement taken sixty times tells you far more than a perfect measurement taken once. Repetition averages out the noise and reveals the trend. That is the core idea behind digital biomarkers, and it is why a phone in your kitchen can outperform an examination room for tracking change over time.

Measure it yourself with TremorZen

Two-minute daily check-ins connect your tremor measurements with sleep, stress, and everyday routines, and show you which ones actually matter for you. Join the waitlist for early access.

Join the waitlist →

What this means for your care

None of this replaces clinical judgment. What it does is arm your clinician with evidence. A chart of your real-world measurements turns the conversation from "I think it has been worse lately" into "here is what the last three months actually looked like." Appointments get more productive, adjustments get faster, and you stop having to be your own unreliable historian.

Medical disclaimer

The content on this blog is for general informational purposes only. It is not medical advice, diagnosis, or treatment, and does not replace consultation with a qualified healthcare professional. Always talk to your clinician before making changes to your care. If you think you are experiencing a medical emergency, call 911 or your local emergency number.

← Back to all articles
David Wong, PhD
David Wong, PhD
Professor, University of Leeds

David is a professor and AI data science researcher at the University of Leeds, UK. At the Ending Tremor Project he leads the work of turning raw sensor signals into reliable, repeatable measures of tremor.

Keep reading