, has advantages over other measures assessing comprehensive CR CRIq measures 3 subdomains, i.e., education, occupation, and leisure activities, which are the most used proxies of CR. The Cognitive Reserve Index questionnaire (CRIq), which has been developed by Nucci et al. Several measures have been developed to assess CR using these variables. CR is associated with diverse factors of life experience such as higher intellectual quotient (IQ), education, occupational complexity and duration, and lifestyle. Moreover, a meta-analysis reported that higher CR lowers the risk for incidence of dementia to 54%. It has been suggested that environmental factors play an important role in the onset of AD. CR is believed to counter the effects of aging or brain damage. Ĭognitive Reserve (CR) is a concept based on the plasticity of the brain. Moreover, MoCA is not only highly sensitive in identifying patients with AD, but also non-AD patients who demonstrate behavioral variants of frontotemporal dementia, dementia associated with Parkinson’s disease, and vascular dementia. Previous studies have indicated that the MoCA exhibits high sensitivity and specificity in other languages as well. MoCA has shown higher sensitivity in detecting cognitive decline than the Mini-Mental State Examination (MMSE), another common clinical screening tool for Alzheimer’s disease (AD). The Montreal Cognitive Assessment (MoCA) is known to distinguish patients with Mild Cognitive Impairment (MCI) from the normal population. Therefore, the development and standardization of effective screening tools are required. This increase emphasizes the importance of early detection and treatment of dementia. In recent years, the number of patients with dementia has increased worldwide. Therefore, we suggest that MoCA can be used to assess CR and early cognitive decline. In this study, we show that the MoCA score reflects CR more sensitively than the MMSE score. The MoCA differed from the MMSE in the reflection of total CRI ( Z = 2.30). Correlation and regression analyses of the MoCA, MMSE and CRIq scores were performed, and the MoCA score was compared with the MMSE score to evaluate the degree to which the MoCA reflected CR. Normative data and associated factors of the MoCA were identified. MoCA, MMSE, and the Cognitive Reserve Index questionnaire (CRIq) were administered to 221 healthy participants. Furthermore, we assessed whether there were any differences in the efficacy between the MoCA and the Mini-Mental State Examination (MMSE) in reflecting CR. We aimed to assess whether the MoCA reflects CR. Recently Cognitive Reserve (CR) has been introduced as a factor that compensates cognitive decline. “There's no broad consensus that we should be giving MoCA's to people as part of their wellness examination or general annual physical,” he said.The Montreal Cognitive Assessment (MoCA) is known to have discriminative power for patients with Mild Cognitive Impairment (MCI). The Montreal test is not a routine screening test in the same way a colonoscopy or a mammogram are, Honig said. “If you're looking for Alzheimer's, then you'd be reassured to say that there's no signs of that disease,” Nasreddine said, referring to a perfect score on the test. A person with a a high school education in the United States should be able to get 26 to 30, Honig said. This is because there are often confounding factors such as the level of education and whether the test is being given in the person’s native language. He has seen patients with dementia score greater than 26 and he has seen patients without dementia score below 26. Lawrence Honig, a neurologist and one of the directors of the Alzheimer's Disease Research Center at Columbia University, said while the test is a pretty good indicator, it’s not perfect.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |