SDMT — Symbol Digit Modalities
The Symbol Digit Modalities Test, introduced by Aaron Smith in 1982, is one of the most robust processing-speed tests, widely used in MS, TBI, and cognitive screening. This module uses original symbols (not the Smith 1982 copyrighted key).
Intermediate: 9 symbols, 75 s.
The key (symbol ↔ digit) is shown at the top. A sequence of symbols appears below. Press the matching digit on your keyboard, or click the numeric buttons. Complete as many as you can in 90 seconds.
History
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References: Smith (1982); Sheridan et al. (2006); Strauss et al. (2006).
SDMT · scientific basis
The Symbol Digit Modalities Test was published by Aaron Smith in 1982, pairing 9 abstract symbols with digits 1-9 under a 90-second limit. Strauss, Sherman & Spreen (2006) compendium provides consolidated norms.
Expert-mode parameters
These are the standard parameters from the canonical paradigm (used by the "Expert" difficulty).
| Parameter | Standard value | Source |
|---|---|---|
| Key | 9 symbols ↔ digits 1-9 | Smith 1982 |
| Test items | 110 | Smith 1982 |
| Time limit | 90 seconds | Smith 1982 (all versions) |
| This module | Original symbols (not Smith 1982 copyright) | Project |
Healthy-population norms (by age)
Based on Smith 1982 written-version adult norms and Sheridan 2006 community child norms; the oral version scores ~2-6 points higher. 'Excellent' = mean + 1 SD (matches in 90 s, higher is better). Assessment mode matches your actual age to the corresponding band.
| Age band | Excellent (90 s) | Mean | SD | Evidence |
|---|---|---|---|---|
| 8-9 | ≥ 36 | ~29 | ~7 | medium-strong |
| 10-11 | ≥ 45 | ~37 | ~8 | medium-strong |
| 12-13 | ≥ 53 | ~44 | ~9 | medium-strong |
| 14-15 | ≥ 58 | ~49 | ~9 | medium-strong |
| 16-17 | ≥ 63 | ~53 | ~10 | medium-strong |
| 18-24 | ≥ 63 | ~55.2 | ~7.5 | strong |
| 25-34 | ≥ 60 | ~53.6 | ~6.6 | strong |
| 35-44 | ≥ 59 | ~51.0 | ~7.5 | strong |
| 45-54 | ≥ 56 | ~47.5 | ~8.5 | strong |
| 55-64 | ≥ 53 | ~43.0 | ~10.0 | strong |
| 65+ | ≥ 49 | ~37.4 | ~11.4 | strong |
Standard output metrics
- ·Total correct — Correct matches in 90 s (primary)
- ·Errors — Error count (healthy adults usually <2)
- ·Age-scaled score — Age-adjusted standard score
Citations
- Smith, A. (1982). Symbol Digit Modalities Test (SDMT): Manual (revised). Los Angeles: Western Psychological Services. wpspublish.com
- Sheridan, L. K., et al. (2006). Normative Symbol Digit Modalities Test performance in a community-based sample. Arch Clin Neuropsychol, 21(1), 23-28. DOI
- Strauss, E., Sherman, E. M. S., & Spreen, O. (2006). A Compendium of Neuropsychological Tests (3rd ed.). Oxford University Press. global.oup.com
- Arango-Lasprilla, J. C., et al. (2017). Symbol Digit Modalities Test: Normative data for Spanish-speaking pediatric population. NeuroRehabilitation, 41(3), 581-592. DOI
All reference ranges come from published peer-reviewed literature. For personal training reference only — not a medical diagnosis. Full methodology: docs/PARADIGMS.md.
This tool is for educational and entertainment purposes only and does not constitute medical advice or a clinical diagnosis.