![]() Normal Controls (n=90 subjects) had an average age of 72.84 and average education of 13.33 years. In the same study, the sensitivity and specificity of the MoCA for detecting Early AD (n=93 subjects) were 100% and 87% respectively, compared with 78% and 100% respectively for the MMSE. Subsequent work in other settings are less promising, though generally superior to the MMSE. However, it had been established that the MMSE is not well suited for mild cognitive impairment, which raises the question whether it is an adequate "standard" to compare performance with the MoCA.Īccording to the validation study (Nasreddine et al., 2005), the sensitivity and specificity of the MoCA for detecting MCI (n=94 subjects) were 90% and 87% respectively, compared with 18% and 100% respectively for the MMSE. The MoCA test validation study (Nasreddine et al., 2005) has shown the MoCA to be a promising tool for detecting Mild Cognitive Impairment (MCI) and Early Alzheimer's disease compared with the well-known Mini-Mental State Examination (MMSE). Orientation to time and place is evaluated (6 points).Language is assessed using a three-item confrontation naming task with low-familiarity animals ( lion, camel, rhinoceros 3 points), repetition of two syntactically complex sentences (2 points), and the aforementioned fluency task. ![]() Attention, concentration and working memory are evaluated using a sustained attention task (target detection using tapping 1 point), a serial subtraction task (3 points), and digits forward and backward (1 point each).Multiple aspects of executive functions are assessed using an alternation task adapted from the trail-making B task (1 point), a phonemic fluency task (1 point), and a two-item verbal abstraction task (2 points).Visuospatial abilities are assessed using a clock-drawing task (3 points) and a three-dimensional cube copy (1 point).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: There are 3 alternate forms in English, designed for use in longitudinal settings. The test and administration instructions are freely accessible for clinicians at The test is available in 35 languages or 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. Though straightforward the MRI is interesting, I got a little anxious (surprised me, as I am not normally anxious).The Montreal Cognitive Assessment ( MoCA) was created in 1996 by Dr. I'm at the same place you are at the moment, I'm more than happy to share, hope it goes well. It might not come to that, but you don't know until you are told for sure. I want to make plans with my partner for the future, I want her to be secure. However there are also other things M.E, and MS (you can get MS symptoms Neurologically before physical sometimes).Īt this stage the hardest thing is not knowing, the speculation is worse. I'm also hoping for MCI, it would be the preferred option, there isn't much else that offers a better outcome, at least with MCI there is a chance it won't progress to Dementia. Some perception issues - not recognising familiar places and once home (though these are short lived and I can get back) Some coordination and balance issues (seconds only) I don't have a huge issue with memory, it is the other aspects of cognition that are troubling. I'm going through similar, I had my MRI just before Christmas and waiting for the Neurology appt. I’m also in process of selling my business as I just can’t concentrate properly and everything is taking me twice as long to do in the office ?♀️ I’d love to hear from anyone else with this diagnosis (Altho I realise it isn’t my diagnosis until I’ve had the scan and face to face consultation) cx I have also woke up confused a couple of times. I’m currently not driving as I can’t trust my concentration and I’ve had a couple of times I can’t recognise where I am even tho I’m in a familiar place. I wondered if anyone on here had a similar score and what it meant for them. I of course immediately googled it and I think it indicates a diagnosis of Mild Cognitive Impairment which will be a relief as I think I can improve with lifestyle changes (less stress) and does not always lead to full blown dementia. In the letter it says I scored 3.75 on the ‘Short IQCODE’ and 18/22 on the remote MoCa. Hi I have an mri of head due this Saturday and have just got copy of the clinic letter after my initial telephone assessment.
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