![]() ![]() * Visuospatial abilities are assessed using a clock-drawing task (3 points) and a three-dimensional cube copy (1 point). The short-term memory recall task (5 points) involves two learning trials of five nouns and delayed recall after approximately 5 minutes.The MoCA assesses several cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. There are 3 alternate forms in the english, designed for use in longitudinal settings. The test and administration instructions are freely accessible for clinicians at The test is available in 36 languages and dialects. The MoCA test is a one-page 30-point test administered in approximately 10 minutes. It was validated in the setting of mild cognitive impairment, and has subsequently been adopted in numerous other settings clinically. The Montreal Cognitive Assessment ( MoCA) was created in 1996 by Dr. Associate Editor(s)-in-Chief: Pratik Bahekar, MBBS Overview Risk calculators and risk factors for MoCAĮditor-In-Chief: C. US National Guidelines Clearinghouse on MoCA This work has also been submitted for peer review in manuscript form.Articles on MoCA in N Eng J Med, Lancet, BMJ What’s in a hippo? The meaning of a hippo response on the Montreal Cognitive Assessment, presented at the International Congress of Movement Disorders, 2011 in Toronto, Canada. ![]() "Validating the Montreal Cognitive Assessment for the Diagnosis of Mild Cognitive Impairment in Parkinson's Disease" was presented at the American Academy of Neurology 63rd Annual Meeting, April 9 to Apat Honolulu, Hawaii.Ģ. Therefore an additional level of evaluation is required to confirm the disorder after screening with any of these tests.ġ. However, a substantial number of individuals without MCI will be flagged as possibly having cognitive impairment. ![]() Considering the purpose of the tests to screen for possible MCI the MoCA provides the best overall performance to correctly identify individuals with mild cognitive impairment when compared with the SCOPA-Cog or the MMSE. The MMSE and the SCOPA-Cog’s maximal % correctly classified were somewhat less, at 65 and 63% respectively. At that cutoff, the MoCA detected 85% of individuals who had mild cognitive impairment according to our gold standard, however it incorrectly classified 44% of those without MCI as having MCI. At that cutoff, 71% of the patients were correctly classified as having MCI or not. We found that the cutoff that provides maximal accuracy for diagnosing mild cognitive impairment (MCI) was 26/27. Seventy one (51%) met criteria for mild cognitive impairment. We recruited 139 patients with Parkinson’s disease without dementia. Because it is brief and easily administered, the MoCA has the potential to be the standard screening tool for cognitive impairment in PD if it has appropriate sensitivity and specificity.īy establishing the validity of the MoCA for the assessment of cognitive dysfunction in PD patients this study has the potential to improve the clinical care of PD patients by establishing the MoCA as a practical clinical tool to detect early cognitive impairment and to follow the efficacy of treatments over time. Also, once therapies become available to slow the progression of cognitive impairment in PD, early detection will be even more important. Relevance to Diagnosis/Treatment of Parkinson’s Disease:Ī rapid screening test sensitive to cognitive impairment in PD is needed to optimize early detection of this disabling problem, to prompt full investigation, to trigger initiation of Symptoms & Side Effects treatment and to follow response to treatment. We will repeat the evaluations yearly for two years. In this project we will determine the ability of the MoCA for detecting MCI in PD patients and for following cognitive abilities by administering the MoCA and a series of cognitive tests to 140 PD patients. Our pilot data strongly suggests that the MoCA is better able to detect cognitive impairment in PD patients than the currently used instruments. The Montreal Cognitive Assessment (MoCA) is a 10-minute assessment developed to identify patients with mild cognitive impairment (MCI). A need exists for a brief tool that can detect early cognitive impairment. Dementia affects up to 80 percent of Parkinson’s disease patients, and the prevalence of other dementias including Alzheimer’s disease is high in this age group. ![]()
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