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just googled it. http://www.mocatest.org/ ----- Original Message ----- From: "kbachn" <[log in to unmask]> To: "Parkinson's Information Exchange Network" <[log in to unmask]> Sent: Sunday, September 28, 2008 3:19 AM Subject: Re: Montreal Cognitive Assessment More Sensitive to Cognitive Deficits > any idea on how to get this test? > > > ----- Original Message ----- > From: "schild.m" <[log in to unmask]> > To: <[log in to unmask]> > Sent: Thursday, September 25, 2008 2:13 AM > Subject: Montreal Cognitive Assessment More Sensitive to Cognitive > Deficits > > >> Montreal Cognitive Assessment More Sensitive to Cognitive Deficits Than >> Mini-Mental Status Examination for Parkinson's Disease: Presented at ANA >> By Andrew N. Wilner, MD >> >> SALT LAKE CITY, Utah -- September 24, 2008 -- The Montreal Cognitive >> Assessment (MoCA) is more sensitive to subtle cognitive deficits in >> patients >> with Parkinson's disease compared with the conventional Mini-Mental >> Status >> Examination (MMSE), according to a comparative study presented here at >> the >> American Neurological Association (ANA) 133rd Annual Meeting. >> >> The MMSE is the most commonly used screening instrument to detect >> cognitive >> dysfunction in Parkinson's disease, according to lead author Stephanie >> Lessig, MD, University of California, San Diego Medical Center, San >> Diego, >> California. >> >> While it has the advantage of brevity, taking only 7 to 8 minutes to >> administer, the sensitivity of the MMSE to early cognitive impairment has >> been questioned. More complete neuropsychological testing requires >> several >> hours. >> >> The MoCA, a relatively new cognitive screening test takes 10 to 12 >> minutes to >> administer. Both tests are scored from 0 to 30, with lower scores >> representing cognitive dysfunction. >> >> In their study, Dr. Lessig and colleagues administered the MMSE and the >> MoCA >> to 61 patients with Parkinson's disease and 68 age-matched controls. All >> patients had approximately 15 years of education. >> >> Parkinson's patients were divided into those who scored >=28 or greater >> on >> the MMSE (n = 39, mean age 69.1) and those who scored <28 (n = 22, mean >> age >> 72.2). >> >> Results show that patients with Parkinson's disease scored lower on the >> MoCA >> and had a greater range in their scores compared with their results on >> the >> MMSE. For example, Parkinson's patients who scored <28 on the MMSE lost >> 20% >> of possible points for memory. However, on the MoCA, the same group lost >> more >> than 60% of possible points for memory. >> >> The MoCA was also more sensitive than the MMSE in detecting cognitive >> impairment in the group with MMSE scores >=28. This group lost less than >> 20% >> of points for memory on the MMSE, but more than 50% of points for memory >> on >> the MoCA. In addition, patients with MMSE scores showing normal cognitive >> function did not always have MoCA scores showing normal cognitive >> function. >> >> One explanation for the MoCA's greater sensitivity for cognitive >> dysfunction >> in Parkinson's disease is its specific executive function >> tests -- "Trails," "Fluency," "Abstraction," "Target," and "Digit Span." >> The >> MMSE does not contain similar tests. >> >> "We now use the MoCA in our research and clinic because it is more >> sensitive >> than the MMSE to early cognitive deficits in Parkinson's disease," Dr. >> Lessig >> concluded. >> >> >> [Presentation title: Examination of the Montreal Cognitive Assessment >> (MoCA) >> and MMSE in Parkinson's disease (PD). Abstract T-82] >> >> ---------------------------------------------------------------------- >> To sign-off Parkinsn send a message to: >> mailto:[log in to unmask] >> In the body of the message put: signoff parkinsn >> > ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn