Journal of the International Neuropsychological Society. The Addenbrooke’s Cognitive Examination III: Psychometric characteristics and relations to functional ability in dementia. Weintraub, “Validity of the MoCA and MMSE in the Detection of Mci and De-mentia in Parkinson’s Disease,” Neurology, Vol. Please note that the Memory and Fluency subtests have not been included as the items in these subtests are identical in both ACE tests. Ravina, “The Montreal Cognitive Assessment as a Screening Tool for Cognitive Impairment in Parkinson’s Disease,” Movement disorders, Vol. Cherthow, “The Montreal Cognitive Assessment, MoCA: A Brief Screening Tool for Mild Cognitive Impairment,” Journal of the American Geriatrics Society, Vol. Riedel, “Cognitive Impairment in 873 Patients with Idiopathic Parkinson’s Disease: Results from the German Study on Epidemiology of Parkinson’s Disease with De-mentia (GEPAD),” Journal of Neurology, Vol. The test is available in multiple languages. McIntyre, “The Mini-Mental State Examination: A Comprehensive Review,” Journal of the American Geriatrics Society, Vol. The MoCA test is a method of detecting mild cognitive impairment or early signs of dementia. McHugh, “Mini- Mental State: A Practical Method for Grading the Cogni-tive State of Patients for the Clinican,” Journal of Psychi-atric Research, Vol. Marras, “A comparison of the Mini Mental StateĮxam to the Montreal Cognitive Assessment in Identify-ing Cognitive Deficits in Parkinson’s Disease,” Movement disorders, Vol. Marder, “Cognitive Impairment and Dementia in Park-inson’s Disease,” Movement disorders, Vol. Nazem, “Montreal Cognitive Assessment Performance in Patients with Parkinson’s Disease with “Normal” Global Cognition According to Mini-Mental State Examination Score,” Journal of the American Geriatrics Society, Vol. Even though the MoCA takes longer to administer, the additional important information provided indicates that the MoCA should be used rather than the MMSE as a cogni-tive screening tool. MMSE did not perform well as a screening instrument for mild cognitive impairment as there were 43 patients who scored 24 or more on MMSE, and 25 patients (58%) scored 25 or less on MoCA, indicating the presence of cognitive impairment. The mean performance time for the MMSE was 7.4 minutes and 14.8 minutes for the MoCA. The Pearson’s correlation coefficient between the scores was 0.695 (p < 0.003). The mean test score for MMSE was 26.5 and 22.2 for the MoCA. A total of 50 consecutive patients were studied with an average age of 71.7 years of age. We performed a longitudinal study to compare the utility of the MMSE and MoCA in an inpatient rehabilitation setting. Recently, the Montreal Cognitive Assessment (MoCA) has been developed as a brief cognitive screening tool to detect mild-moderate cognitive impairment. The Folstein Mini Mental State Examination (MMSE) has been used by clinicians as a cognitive screening tool for its convenience, even though it is not sensitive, and often fails to detect cognitive impairment. Identifying the presence of cognitive impairment in patients admitted for inpatient rehabilitation is important as it may impact on their ability to participate in a rehabilitation program.
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