It assesses different cognitive domains: attention and concentration, executive functions, memory, language, visuoconstructional skills, conceptual thinking, calculations, and orientation. “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) was designed as a rapid screening instrument for mild cognitive dysfunction. The Montreal test is not a routine screening test in the same way a colonoscopy or a mammogram are, Honig said. Only 65.1 and 25.7 healthy controls and 45.2 and 19.0 patients scored above the conventional cutoff scores of 21/22 and 25/26 on the MoCA. Of the 630 participants, 385 were classified as cognitively normal (CN) and were included in the normative data set, 110 individuals were diagnosed with dementia and 135 were classified as having cognitive impairment no dementia (CIND). “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. The norms for the Hong Kong version of the MoCA total and domain scores and the total score of the MoCA 5-minute protocol are described. The Brazilian MoCA test was applied as part of the cognitive assessment in all participants. 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.
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