4/23/2024 0 Comments Moca cognitive assessment test![]() There are multiple parallel versions of the MoCA, an advantage when it might be used more than once with a partient.ĭo you see an error or have a suggestion for this instrument summary? Please e-mail us! The MoCA has a greater emphasis on attention and executive function than the MMSE that is commonly used to screen for cognitive impairments.įor those with mild deficits, the MoCA appears to be more sensitive for those with high premorbid IQ, non-AD dementia and early stages of dementia. This review is not exhaustive, but focused on initial development of the measure and its use with persons with stroke to determine possible appropriateness of the measure for use with TBI. The MoCA has been extensively used and studied in older adult populations and in PD where cognitive impairment is problematic. Chou et al, 2010 reported task force recommendation (based on review of 353 published articles) was to use MoCA over several other cognitive assessment screens (MMSE, MMP, PANDA, and SCOPA-cog) for detection of MCI in those with PD when cognition is not a primary outcome measure.Is additional research warranted for this tool (Y/N) Students should be exposed to tool? (Y/N)Īppropriate for use in intervention research studies? (Y/N) Students should learn to administer this tool? (Y/N) Recommendations for entry-level physical therapy education and use in research: Recommendations for use based on ambulatory status after brain injury: Recommendations based on level of care in which the assessment is taken: Recommendations Based on Parkinson Disease Hoehn and Yahr stage: Reasonable to use, but limited study in target group / Unable to Recommend These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.įor detailed information about how recommendations were made, please visit: The MoCA is a brief cognitive screening tool with high sensitivity and specificity for detecting MCI as currently conceptualized in patients performing in the normal range on the MMSE.Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below. MCI as an entity is evolving and somewhat controversial. ![]() Specificity was excellent for both MMSE and MoCA (100% and 87%, respectively). ![]() In the mild AD group, the MMSE had a sensitivity of 78%, whereas the MoCA detected 100%. Using a cutoff score 26, the MMSE had a sensitivity of 18% to detect MCI, whereas the MoCA detected 90% of MCI subjects. The MoCA and MMSE were administered to all participants, and sensitivity and specificity of both measures were assessed for detection of MCI and mild AD. ![]() Ninety-four patients meeting MCI clinical criteria supported by psychometric measures, 93 patients with mild Alzheimer's disease (AD) (Mini-Mental State Examination (MMSE) score > or =17), and 90 healthy elderly controls (NC). To develop a 10-minute cognitive screening tool (Montreal Cognitive Assessment, MoCA) to assist first-line physicians in detection of mild cognitive impairment (MCI), a clinical state that often progresses to dementia.Ī community clinic and an academic center. ![]()
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