The mini mental parkinson derives from the mini mental state examination of folstein. We have developed a brief screening test aimed at identifying cognitive disorders in parkinson s disease. Prevalence of anxiety and diagnostic accuracy measures including sensitivity. Traditionally, a summary score at or below 23 is the point where actual cognitive impairment might be present. Population or f testing though the test was designed with elderly individuals in mind, it has. Pd is a complex neurodegenerative disorder leading to motor, cognitive, and visual impairments, all of which can affect fitness to drive. Testosterone therapy in men with parkinson disease. The mini mental status exam mmse is one of the most widely used screening instruments for dementia. This aim of this study was to assess the clinical utility of the montreal cognitive assessment moca as a screening instrument for cognitive impairment in patients referred to a memory clinic, alone and in combination with the mini mental state examination mmse. Conversion between minimental state examination, montreal cognitive assessment, and dementia rating scale2 scores in parkinsons disease inger van steenoven, bsc,1 dag aarsland, md, phd,1,2,3 howard hurtig, md,4 alice chenplotkin, md,4 john e.
We have developed a brief screening test aimed at identifying cognitive disorders in parkinsons disease. Each of the parkinsons disease patients was assessed with the unified parkinsons disease rating scale 18 and was taking antiparkinsonian medication at the time of neuropsychological testing. Detecting anxiety in individuals with parkinson disease. Pdf validity and metric of minimental parkinson and minimental. Thus, routine screening of global cognitive abilities is important for the optimal management of pd patients. The mini mental parkinson mmp is a test built to overcome the limits of the mini mental state examination mmse in the shorttime screening of cognitive. Several studies have compared mmse test performance between patients with alzheimers disease ad. A minimental state examination, or mmse, is a brief test to detect cognitive impairment associated with medical conditions such as dementia, alzheimers disease, stroke, tumors or parkinsons disease, according to the alzheimers association. Pdf validity and metric of minimental parkinson and. Score one point for each correct response within each question or activity. In fact, in this scale, items tapping executive functioning are included to better capture pdrelated cognitive changes.
The mmse test can be used by clinicians to help diagnose dementia and to help assess its progression and severity. Cognitive disorders and retinal degeneration may occur during the early stages of the disease. Minimental parkinson mmp as a dementia screening test. Parkinsons disease pd is a chronic neurodegenerative disorder that causes cognitive impairment and dementia in. Available formats pdf please select a format to send. It is not known whether testosterone therapy tt in men with borderline hypogonadism and neurodegenerative diseases will. As populations age, screening instruments for cognitive impairment and dementia will become of increasing importance in clinical practice. The minimental parkinson mmp examination is a cognitive screening tool designed in french specifically for pd. Cog scales for rating cognitive deterioration in parkinsons disease. Mapping modified minimental state examination mmse scores to dementia stages in a multiethnic asian population volume 31 issue 1 xin ying chua, robin wai munn choo, ngoc huong lien ha, chin yee cheong, shiou liang wee, philip lin kiat yap. Validation of the conversion between the minimental state.
The m odified m ini m ental s tate 3ms test has incorporated. Minimental state examination mmse oxford medical education. Three commonly used instruments are the mini mental state examination mmse, montreal cognitive assessment moca, and parkinson neuropsychometric dementia assessment panda. The examiner names three unrelated objects clearly and slowly, then asks the patient to name all three of them.
If you suspect that a loved one is developing cognitive impairment beyond normal memory issues associated with aging, the next step is to have them evaluated by a psychiatrist or neurologist. The mini mental state examination mmse is the most commonly used test for complaints of problems with memory or other mental abilities. The mini mental parkinson mmp examination is a cognitive screening tool designed in french specifically for pd. There is evidence that it is both valid and reliable in various community settings 2,3. Metric properties of the minimental parkinson and scopa. Parkinsonism causes parkinsons disease antidopaminergic drugs e. Errors produced on the minimental state examination and. The minimental parkinsons mmp as a cognitive screening tool in. If a subject must use an assistive device for an item, score that item one category lower. Maximum score patients score questions 5 what is the year. Parkinsons toolkit instructions for administration and scoring of the mmse. Three commonly used instruments are the minimental state examination mmse, montreal cognitive assessment moca, and parkinson neuropsychometric dementia assessment panda. Mmt stands for mini mental test how to abbreviate mini mental test. Minimental state examination rehabmeasures database.
The test was developed around 1975, and has been used to track an individuals mental deterioration over time. Montreal cognitive assessment performance in patients with parkinsons disease with normal global cognition according to mini. Metric properties of the minimental parkinson and scopacog. Montreal cognitive assessment scale in patients with parkinson. Poor performance in the minimental state examination due to. Determining cognitive function in parkinsons disease using a. The mini mental status exam is a brief test given to patients at risk or suspected of developing dementia. Minimental parkinson mmp, a derivative of the minimental state examination mmse, was originally described as a cognitive screening instrument for use in.
Assessment of neurodegeneration by optical coherence. Cognitive decline is common in parkinson s disease pd but may not be adequately identified by the mini mental state examination mmse, which is better suited to alzheimers disease. Few global cognitive screening instruments have been developed for or validated in pd patients. Points total memory naming visuospatial executive attention language abstraction delayed recall orientation read list of words, subject must repeat them. A pilot study was conducted in 50 communitydwelling parkinsonian patients, in order to establish its metrological qualities.
The mini mental state examination mmse and the montreal cognitive assessment moca are the most commonly used scales to test cognitive impairment in lewy body disease lbd, but there is no consensus on which is best suited to assess cognition in clinical practice and most sensitive to cognitive decline. Minimental parkinson mmp, a derivative of the minimental state examination mmse, was originally described as a cognitive screening instrument for use in parkinsons disease. One of the meanings of mmt is mini mental test what is the abbreviation for mini mental test. The mini mental status exam mmse is one of these tests, and is administered to patients at risk for or suspected of developing dementia. Patients were selected using the minimental state examination mmse and the moca was then administered. The minimental state examination mmse or folstein test is a 30point questionnaire that is used extensively in clinical and research settings to measure cognitive impairment. Determining cognitive function in parkinsons disease. Pdf the minimental parkinson mmp has been derived from the minimental state examination mmse for the screening of cognitive impairment in. To compare the performance of two scales, minimental parkinson mmp and the minimental state examination mmse, as cognitive screening instruments for dementia in a memory clinic population. To compare the performance of two scales, mini mental parkinson mmp and the mini mental state examination mmse, as cognitive screening instruments for dementia in a memory clinic population. Parkinsons toolkit minimental state examination mmse. Minimental state examination mmse free printable, downloadable, pdf version the mmse is a 30point test advantages relatively quick and easy to perform requires no additional equipment can provide a method of monitoring deterioration over time disadvantages biased against people with poor education due to elements of language and mathematical testing bias against visually impaired. The mini mental state examination mmse is currently the most commonly used brief screening tool however the montreal cognitive assessment moca is argued to be a more suitable measure of cognitive impairment in patients with parkinsons disease. Mapping modified minimental state examination mmse.
Results poor test performance due to causes other than dementia ismo. The minimental state examination mmse has been recommended as a screening tool for pdd, with values below 26 indicative of possible dementia. It is also used to estimate the severity and progression of cognitive impairment and to follow. The growing literature on driving in parkinson disease pd has shown that driving is impaired in pd compared to healthy comparison drivers. The minimental state examination mmse is a proprietary instrument for detecting dementia, but many other tests are also available. The minimental parkinson derives from the minimental state examination of folstein.
The validity of each subtest of the minimental parkinson was adequate except for one, based on a word choice, which requires a modification in french before definitive use. Poor performance in the minimental state examination due. This is the second in a 4 part series of presentations on how to use the mini mental state examination and is intended as a guide and learning resource for minimental state examination the minimental state examination mmse or folstein test is a brief 30point questionnaire test that is used to screen for cognitive impairment. People with parkinson disease and normal mmse score have a. Montreal cognitive assessment and minimental state examination performance in patients with mildtomoderate dementia with lewy bodies. Aug 01, 2002 the mini mental state examination mmse 1 is the most frequently administered brief cognitive screening measure for the identification of dementia. The mini mental state examination mmse or folstein test is a 30point questionnaire that is used extensively in clinical and research settings to measure cognitive impairment. It includes seven ordered subsections, with a total score of 32. Errors produced on the mini mental state examination and neuropsychological test performance in alzheimers disease, ischemic vascular dementia, and parkinson s disease angela l. The minimental parkinsons mmp as a cognitive screening. A total of 56 pd outpatients from 10 primary health care facilities in almaty underwent clinico. It is also used to estimate the severity and progression of cognitive impairment and to follow the course of cognitive changes in an individual. Background testosterone deficiency has been reported in patients with parkinson disease pd, alzheimer disease, and huntington disease.
Screening utility of the montreal cognitive assessment. A total of 56 pd outpatients from 10 primary health care facilities in. Errors produced on the minimental state examination and neuropsychological test performance in alzheimers disease, ischemic vascular dementia, and parkinsons disease angela l. Mar 12, 20 the mini mental parkinson mmp is a test built to overcome the limits of the mini mental state examination mmse in the shorttime screening of cognitive disorders in individuals with parkinsons disease pd.
The test has a maximum score of 28 points from 14 items that are each scored from 02. We aimed to establish the validity and reliability of the english language version of the mmp compared with the mmse. Cognitive impairment, including dementia, is common in parkinson disease pd. Objective to examine diagnostic accuracy of anxiety detection tools compared with a gold standard in outpatient settings among adults with parkinson disease pd. Prevalence of anxiety and diagnostic accuracy measures including. Mini mental state examination oxford medical education. Some data sustain the sensitivity and validity of the mmp in. Concordance of minimental state examination, montreal. The mini mental parkinson mmp is a test built to overcome the limits of the mini mental state examination mmse in the shorttime screening of cognitive disorders in individuals with parkinson.
Retinal degeneration and cognitive findings can be assessed easily with optical coherence tomography and minimental test, respectively. Jan 22, 20 montreal cognitive assessment performance in patients with parkinsons disease with normal global cognition according to mini. Subject should be tested with flatheeled shoes or shoes and socks off. The minimental state examination mmse, montreal cognitive assessment moca, and. To evaluate the diagnostic performance of all cognitive tests. A mini mental state examination, or mmse, is a brief test to detect cognitive impairment associated with medical conditions such as dementia, alzheimers disease, stroke, tumors or parkinson s disease, according to the alzheimers association. Minimental state examination mmse 224 51 minimental state examination mmse. Errors produced on the minimental status examination and neuropsychological test performance in alzheimers disease, ischemic vascular dementia, and parkinsons. The journal of neuropsychiatry and clinical neurosciences. The minimental state examination mmse and the montreal cognitive assessment moca are the most commonly used scales to test cognitive impairment in lewy body disease lbd, but there is no consensus on which is best suited to assess cognition in clinical practice and most sensitive to cognitive decline. The mini mental parkinson mmp is a test built to overcome the limits of the mini mental state examination mmse in the shorttime screening of cognitive disorders in individuals with parkinsons disease pd.
Although the mmse has high sensitivity 2, speci city. Mamikonyan e, moberg pj, siderowf a, duda je, have tt, et al. It is commonly used in medicine and allied health to screen for dementia. The mini mental state examination mmse has been recommended as a screening tool for pdd, with values below 26 indicative of possible dementia. It consists of a series of questions and tests, each of which scores points if answered. Nov, 2012 the growing literature on driving in parkinson disease pd has shown that driving is impaired in pd compared to healthy comparison drivers. Assessing cognitive function could benefit patients through enabling diseasestage appropriate interventions, such as mental exercises. Because different preferences regarding test selection exist between clinics, this study aims to provide evidence about the concordance of these tests.