| The mini-mental state examination and montreal cognitive assessment in persons with mild subacute stroke: relationship to functional outcome. | |
| | |
MedLine Citation:
|
PMID: 21530727 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
OBJECTIVES: To compare Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE) global and subscores in classifying cognitive impairment in persons with mild stroke and to explore the relationship between admission and discharge functional status and improvement. DESIGN: Retrospective analysis of data. SETTING: Acute rehabilitation unit of a large urban university-affiliated hospital. PARTICIPANTS: Inpatients with stroke (N=72; mean age, 70y; median time poststroke, 8.5d) and mild neurologic (median National Institutes of Health Stroke Scale score, 4) and cognitive deficits (median MMSE score, 25). INTERVENTION: Not applicable. MAIN OUTCOME MEASURE: Admission cognitive status was assessed by using the MMSE and MoCA. The motor subscale of the FIM instrument (mFIM) and motor relative functional efficiency was used to assess discharge functional status and improvement. RESULTS: The MoCA classified more persons as cognitively impaired than the MMSE (89% vs 63%, respectively; using a cutoff score of 27 on the MMSE and 26 on the MoCA). The MoCA also showed less of a ceiling effect than the MMSE, higher internal reliability (Cronbach α=.78 compared with α=.60), and marginally stronger associations with discharge functional status (r=.40; P<.001) than the MMSE (r=0.30; P<.05). The MoCA visuoexecutive subscore was the strongest predictor of functional status (P=.01) and improvement (P=.02) in global and subscores for both tests. CONCLUSIONS: The MoCA may be an important cognitive screening tool for persons with stroke and mild cognitive dysfunction on an acute rehabilitation unit. Lower visuoexecutive subscores may assist in identifying persons at risk for decreased functional gains in self-care and mobility (mFIM) during inpatient rehabilitation. The findings justify further validation studies of the MoCA in persons with subacute stroke. |
| | |
Authors:
|
Joan Toglia; Kerri A Fitzgerald; Michael W O'Dell; Andrea R Mastrogiovanni; C David Lin |
Related Documents
:
|
16945317 - Memories affect mood: evidence from covert experimental assignment to positive, neutral... 19899917 - Memory and depressive symptoms are dynamically linked among married couples: longitudin... 21987807 - The origin and evolution of word order. 22248577 - Task by stimulus interactions in brain responses during chinese character processing. 22580017 - Feature-based attention enhances performance by increasing response gain. 8665987 - Memory performance in relation to age, verbal ability, and activity. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Archives of physical medicine and rehabilitation Volume: 92 ISSN: 1532-821X ISO Abbreviation: Arch Phys Med Rehabil Publication Date: 2011 May |
Date Detail:
|
Created Date: 2011-05-02 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 2985158R Medline TA: Arch Phys Med Rehabil Country: United States |
Other Details:
|
Languages: eng Pagination: 792-8 Citation Subset: AIM; IM |
Copyright Information:
|
Copyright © 2011 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
|
Mercy College, Dobbs Ferry, New York, NY; Department of Rehabilitation Medicine, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, New York, NY. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Correlation of electromyogram and muscle biopsy in myopathy of young age.
Next Document: Dynamic gait stability, clinical correlates, and prognosis of falls among community-dwelling older a...