“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. Healthcare professionals can interpret the level of impairment based on. The Montreal test is not a routine screening test in the same way a colonoscopy or a mammogram are, Honig said. Summary The Montreal Cognitive Assessment (MoCA) test can detect mild cognitive impairment or early signs of dementia. “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. MoCA has good internal consistency (Cronbachs alpha 0.82). MoCA has high test-retest reliability (ICC 0.92, p < 0.001). For a detailed description of MoCA, kindly refer the official brochure found here (Login required, Registration is free). A person with a a high school education in the United States should be able to get 26 to 30, Honig said. A cut-off score of 26 signifies mild cognitive impairment. 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. The Montreal Cognitive Assessment (MoCA) was designed as a rapid screening instrument for mild cognitive dysfunction. What are the severity levels for the MoCA The following ranges may be used to grade severity: 18-25 mild cognitive impairment, 10-17 moderate cognitive impairment and less than 10 severe cognitive impairment. 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.
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