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The MoCA has been extensively used and studied in older adult populations and in PD where cognitive impairment is problematic. 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. MCI and Dementia (Goldstein et al, 2014 N=81 African Americans Normal Cognition (NC) n=38, mean age 65.8 (7.7), mean 13.4 (3.1) years of education 13.4 Mild Cognitive Impairment (MCI) n=38, mean age 71.9 (8.9), mean 10.9 (2.4) years of education Dementia n=27, mean age 70.5 (11.4), mean 11.7 (2.2) years of education) 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.When using the recommended MoCA cutoff score for impairment ( ≤ 26), the MoCA showed excellent sensitivity (100%) for identifying MCI or dementia.The cutoff score had low specificity (31%).The cutoff score of ≤ 24 points on the MoCA showed good sensitivity for detecting MCI (95%) specificity improved slightly (63%).A cutoff score of ≤ 22 points showed good sensitivity (96%) and specificity (88%).Īlzheimer’s Disease and Mild Cognitive Impairment (Lam et al, 2013 N=107 mean age 72 (10.3) mean 14.5 (3.8) years of education 14.5 Alzheimer’s Disease (AD) n=75 Mild Cognitive Impairment (MCI) n=32 mean MMSE score 24.9 (2.7) mean DRS score 124 (11.2)).Based on the results, the recommended Cut-off subscores for the MoCA included.
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Trail making requires cognitive flexibility generated through the dorsolateral and medial prefrontal cortices.For example, 20-21 on the MoCA is equivalent to 26 on the MMSE.Īlzheimer’s Disease and Mild Cognitive Impairment (Lam et al, 2013) Lower MoCA scores were associated with higher MMSE scores.Researchers used equipercentile equating to find comparable scores between the MoCA and the MMSE, resulting in conversion scores.Cut-off scores on the MMSE can be reliably compared with scores on the MoCA.The MoCA had better sensitivity (100%) identifying subjects with MCI who were diagnosed with dementia at a six month followup, than the MMSE with sensitivity of 25%.Īlzheimer’s Disease and Mild Cognitive Impairment (Raolf et al, 2013) (Smith et al, 2007 From a population in a memory clinic: 32 subjects diagnosed with dementia 23 subjects with mild cognitive impairment 12 comparison subjects mean age 73.6 (10) years mean MMSE score at baseline 27.4 (1.6) mean MoCA score 22.3 (3.6)).At the end of the second trial, inform the subject that (s)he will be asked to recall these words again by saying, “ I will ask you to recall those words again at the end of the test.” Try to remember and tell me as many words as you can, including words you said the first time.” Put a check in the allocated space for each word the subject recalls after the second trial. When the subject indicates that (s)he has finished (has recalled all words), or can recall no more words, read the list a second time with the following instructions: “ I am going to read the same list for a second time. It doesn’t matter in what order you say them.” Mark a check in the allocated space for each word the subject produces on this first trial. When I am through, tell me as many words as you can remember. I am going to read a list of words that you will have to remember now and later on. Read a list of 5 words at a rate of 1 word per second, giving the following instructions: “ This is a memory test.