The MoCA has a maximum score of 30, and anything below 24 is a sign of cognitive impairment. It does so based on 11 questions that evaluate seven domains of cognitive function. Our findings suggest that although the MoCA may be a useful screening tool post-stroke in detecting gross impairments, neuropsychological assessment is still necessary for a comprehensive and reliable detection of domain-specific cognitive deficits, which can more reliably inform us for realistic goal setting and vocational advice vital for effective rehabilitation.Ĭognition Cognitive assessment MoCA Neuropsychology Stroke Vascular disease.Ĭopyright © 2014 Elsevier B.V. The MoCA test is a simple, in-office test that can detect mild cognitive impairment and the early onset of dementia. In addition, a high proportion (up to 59%) of patients who scored the maximum points in one of the MoCA-specified domains were impaired on comparable neuropsychological assessment. The most common impairments were in general intelligence, information processing speed and visual memory three areas not assessed by the MoCA. Of these, 78% were found to be impaired (≤ 5%ile) on neuropsychological assessment in one or more cognitive domains. Thomas, PE, Sheetal Raj, M, Adhikari, P & Kotian, S 2018, ' Validity and reliability of montreal cognitive assessment and its comparison with the translated hindi mental status examination in a South Indian geriatric population ', Indian Journal of Public Health Research and Development, vol. In this retrospective study, cognitive profiles for 136 acute stroke patients admitted to the Acute Stroke Unit who had available MoCA and neuropsychological assessment data were examined.Ģ2% of our patients were deemed cognitively intact on the MoCA. Le MoCA est largement utilisé à léchelle internationale par divers professionnels de la santé et disponible dans plus de 100 langues et dialectes. Our retrospective study examined the extent to which intact performance on the MoCA reflects intact cognition as determined by neuropsychological assessment. Montreal Cognitive Assessment (MoCA) has been widely used as a screening test for detection of mild cognitive impairment (MCI) in the highly educated elderly with an average education level of 13 years. Le MoCA original au format papier (« MoCA Full ») est loutil de dépistage cognitif le plus sensible et le plus validé, soutenu par plus de 500 études évaluées par des pairs. The Montreal Cognitive Assessment (MoCA) is an increasingly popular clinical screening tool for detecting cognitive impairment in stroke, but few studies have directly compared performance on the MoCA with neuropsychological assessment.
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