Overall, Hochstetler and colleagues characterized the MoCA as more challenging than the MMSE (hence the lower scores in each category). The MoCA also puts more weight on recall and attention-calculation performance, while de-emphasizing language skill.Īmong the three groups in the study, mean MMSE and MoCA scores were as follows: Another use for which the MoCA may be better suited than the MMSE is in detecting the earliest stages of impairment. The researchers said that, combined with a functional test, the MoCA could be helpful in classifying patients in the borderline area between mild impairment and dementia. "These data suggest that the MoCA, using a cutoff of ≥17, may be more useful than the MMSE to detect a range of mild cognitive impairment cases," Hochstetler and colleagues concluded in the poster. Those classifications would be considered more reliable than results from any single test, but may not be practical in many clinical and research settings. (Citing Lilly company policy, Hochstetler declined to speak on the record with MedPage Today.)Ī similar spread of MoCA scores, ranging from 17 to 30, was seen in 283 individuals identified as healthy controls in ADNI, which uses multiple tests to classify participants. Must be administered and graded by a healthcare professional, so an appointment with a nurse, doctor, or therapist is required-as opposed to the SAGE and other tests that can be taken at home.ĭoes not provide a diagnosis, so it must be paired with other tests including brain scans and a neurological testing before a diagnosis can be made.Among the 422 patients classified as mildly impaired, MMSE scores started at 21, whereas MoCA scores ranged from 13 to 30, according to a poster Hochstetler presented at the American Neurological Association annual meeting. Is relatively quick, taking between 10 and 15 minutes to complete.
The MoCA is also better than the MMSE at indicating if people with Parkinson’s disease are showing signs of Parkinson’s disease dementia. MoCA has been proven effective for showing early-stage dementia, or mild cognitive impairment (MCI).īetter for Parkinson’s dementia. People who are in the early or mild stages of dementia might be able to score high enough on other tests (including the Mini-Mental State Exam) that the score would indicate no dementia is present. Studies have shown MoCA correctly identifies dementia about 94 percent of the time.īetter for early stages. The MoCA test and instructions are only to be accessed through the MoCA website ( It is therefore prohibited to post the MoCA test and/or instructions on a website. To request permission, please fill out the form below.
#Moca test for dementia free#
The test should be made available free of charge to patients. MoCA© may be used, reproduced, and distributed, WITH prior written permission and Licensing Agreement. MoCA© may be used, reproduced, and distributed WITHOUT permission.
Ziad Nasreddine in Montreal, Canada, 1996Ĭopyright : Ziad Nasreddine MD, FRCP(C) Neurologist, MoCA Copyright OwnerĬlinical Use : Universities/Foundations/Health Professionals/Hospitals/Clinics/Public Health Institutes: Translated to 36 languages and dialectsĪuthor : Dr. Purpose : Rapid screening instrument for mild cognitive dysfunction.Ĭontent : One-page 30-point test.
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