• Title, Summary, Keyword: Mini-Mental State Examination (MMSE)

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A Correlation Between the Mini Mental State Examination-Korean Version and the Neuro-behavioral Cognitive Status Examination in Stroke Patients (뇌졸중 환자에서 한국판 간이 정신상태 판별검사(Mini Mental State Examination-Korean Version; MMSE-K)와 신경행동학적 인지상태검사(Neuro-behavioral Cognitive Status Examination; NCSE)의 상관관계)

  • Kim, Da-Hye;Kang, You-Il;Yun, Jin;Lee, Kyoung-Rok;Han, Ki-Chan;Chung, Hyun-Ae
    • PNF and Movement
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    • v.10 no.3
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    • pp.45-52
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    • 2012
  • Purpose : This study examines the relationship between the Mini Mental State Examination-Korean Version(MMSE-K) and the Neuro-behavioral Cognitive Status Examination(NCSE) in Stroke Patients. Methods : We studied sixteen people with stroke(7 males, 9 females) who were admitted to occupational therapy a participants were tested with the MMSE-K, the NCSE. Results : Correlation between the NCSE and the MMSE-K was significant in p<.05, p<.01. The result was orientation r=.652, memory r=.514, attention r=.417, calculation r=.839, comprehension r=.676, repetition r=.960, naming r=.683, construction r=.961, judgement r=.616. Conclusion : The MMSE-K and the NCSE are valid and useful measurement tools evaluating cognitive function of persons with stroke in Korea.

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Influence of denture wearing on a mini-mental state examination(MMSE-K) in the elderly (노인들의 의치 사용이 MMSE-K 점수에 미치는 영향)

  • Cho, Min Jeong;Park, Dong-Ok;Song, Keun-Bae
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.2
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    • pp.295-301
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    • 2016
  • Objectives: The purpose of the study was to investigate the association between denture wearing and dementia using a Mini-Mental State Examination (MMSE-K) in the community dwelling elderly. Methods: The study subjects were 184 community dwelling elderly using Korean version of mini-mental state examination(MMSE-K). The variables included the general characteristics of the subjects, denture earing, number of mastication tooth, subjective mastication ability, and MMSE(dementia). Denture wearing was divided into two groups of the natural dentition including the fixed prosthesis and removable denture including the complete and/or partial denture. The data were analyzed by ${\chi}^2$ test, t-test, and binary logistic regression using SPSS version 22.0 program. Logistic regression was used to analyze the association of MMSE-K score and denture wearing, and 95% confidence interval was calculated. The subjective mastication ability was measured by Likert 5 points scale. Dementia was measured by MMSE-K. Results: There was a significant association between MMSE-K score and denture wearing. The odds ratio(OR) of denture waering was 6.01(95% CI: 2.824-12.784). After adjusting the age, gender, residence and education, OR was 5.53(95% CI: 2.364-12.935). Conclusions: This study showed a significant association between MMSE-K score and denture wearing in the Korean elderly.

Usefulness of the Clock Drawing Test as a Cognitive Screening Instrument for Mild Cognitive Impairment and Mild Dementia: an Evaluation Using Three Scoring Systems

  • Kim, Sangsoon;Jahng, Seungmin;Yu, Kyung-Ho;Lee, Byung-Chul;Kang, Yeonwook
    • Dementia and Neurocognitive Disorders
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    • v.17 no.3
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    • pp.100-109
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    • 2018
  • Background and Purpose: Although the clock drawing test (CDT) is a widely used cognitive screening instrument, there have been inconsistent findings regarding its utility with various scoring systems in patients with mild cognitive impairment (MCI) or dementia. The present study aimed to identify whether patients with MCI or dementia exhibited impairment on the CDT using three different scoring systems, and to determine which scoring system is more useful for detecting MCI and mild dementia. Methods: Patients with amnestic mild cognitive impairment (aMCI), vascular mild cognitive impairment (VaMCI), mild Alzheimer's disease (AD), mild vascular dementia (VaD), and cognitively normal older adults (CN) were included. All participants were administered the CDT, the Korean-Mini Mental State Examination (K-MMSE), and the Clinical Dementia Rating scale. The CDT was scored using the 3-, 5-, and 15-point scoring systems. Results: On all three scoring systems, all patient groups demonstrated significantly lower scores than the CN. However, while there were no significant differences among patients with aMCI, VaMCI, and AD, those with VaD exhibited the lowest scores. Area under the Receiver Operating Characteristic curves revealed that the three CDT scoring systems were comparable with the K-MMSE in differentiating aMCI, VaMCI, and VaD from CN. In differentiating AD from CN, however, the CDT using the 15-point scoring system demonstrated the most comparable discriminability with K-MMSE. Conclusions: The results demonstrated that the CDT is a useful cognitive screening tool that is comparable with the Mini-Mental State Examination, and that simple CDT scoring systems are sufficient for differentiating patients with MCI and mild dementia from CN.

Validation of MoCA-MMSE Conversion Scales in Korean Patients with Cognitive Impairments

  • Jung, Young Ik;Jeong, Eun Hye;Lee, Heejin;Seo, Junghee;Yu, Hyun-Jeong;Hong, Jin Y.;Sunwoo, Mun Kyung
    • Dementia and Neurocognitive Disorders
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    • v.17 no.4
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    • pp.148-155
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    • 2018
  • Background and Purpose: Two conversion scales between the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) have been validated for Korean patients with Parkinson's disease. The aim of the present study was to validate these conversion scales for all patients with cognitive impairments regardless of dementia subtype. Methods: Medical records of 323 subjects who completed both MMSE and MoCA on the same day were retrospectively reviewed. Mean, median, and root mean squared error (RMSE) of the difference between true and equivalent MMSE scores were calculated. Intraclass correlation coefficients (ICCs) between true and equivalent MMSE scores were also calculated. The validity of MoCA-MMSE conversion scales was evaluated according to educational level (low educated: ${\leq}6$ years; high educated: ${\geq}7$ years) and subtypes of cognitive impairment. Results: The difference between true and equivalent MMSE scores had a median value of 0, a mean value of 0.19 according to the van Steenoven scale, a mean value of 0.57 according to the Lawton scale, RMSE value of 2.2 according to the van Steenoven scale, and RMSE value of 0.42 according to the Lawton scale. Additionally, ICCs between true and equivalent MMSE scores were 0.92 and 0.90 on van Steenovan and Lawton conversion scales, respectively. These results were maintained in subgroup analyses. Conclusions: Findings of the present study suggest that both van Steenovan and Lawton MoCA-MMSE conversion scales are applicable to transforming MoCA scores into MMSE scores in patients with cognitive impairments regardless of dementia subtype or educational level.

The Cognitive performance in relation to motor functio recovery in stroke patients (뇌졸중 환자에 있어서 Mini-Mental State Examination과 Motor Assessment Scale을 통한 인지기능과 기능적 회복의 상관관계 연구)

  • Park, Chang-Ju;Hong, Do-Sun;Choi, Kyoung-Wook
    • Journal of Korean Physical Therapy Science
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    • v.7 no.1
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    • pp.333-352
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    • 2000
  • The objective of this study was to identify the effects of the cognitive performance of stroke patients on their motor function recovery after comprehensive rehabilitation management. The subjects of this study were 41 stroke in-patients of the Rehabilitation Hospital, College of Medicine, Yonsei University, hospitalized during the period from September 1, 1997 to May 5, 1998. The cognitive performance was measured using a Mini-Mental State Examination(MMSE) and the motor function recovery using Motor Assessment Scale(MAS). The data were analyzed by the paired t-test, independent t-test, a one way ANOVA, and Pearson's correlation coefficiency. The findings were as follows: 1. There was a significant difference found in the motor function recovery level after the comprehensive rehabilitation management. 2. There was no significant difference found in relation to sex, age, cause of stroke, laterality of paralysis and the level of spasticity. However, there was a big difference between pre- and post-treatment regarding the treatment period. 3. In line with the cognitive performance level, there was a significant difference found in the motor function recovery level after the comprehensive rehabilitation management. 4. The correlation between the elements of the cognitive performance and the motor recovery was found to be high in orientation, attention, calculation, and language. Those elements were expected to give larger effects on motor recovery after the comprehensive rehabilitation management. Based on this study, the cognitive performance level was found to play an important role in bringing effects on motor recovery after the comprehensive rehabilitation management of stroke patients. And the evaluation on the motor recovery based on quality would be also expected to be examined, as well as the cognitive performance level test accompanied by Intelligence Quality(IQ) test.

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A case with Delirium caused by Cranial Contusiom with Herbal medication (두부타박으로 유발된 첨망(瞻妄)환자 치험례)

  • Shin, Hyun-Kwon;Kim, Joo-Won;Kim, Hyo-Ju;Cha, Hye-Jin;Park, Se-Jin;Lee, Ho-Tsai
    • Journal of Oriental Neuropsychiatry
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    • v.18 no.3
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    • pp.289-298
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    • 2007
  • Delirium is a acute syndrome of disorientation caused by disfunction of brain tissue and has a variety of symptomes. It is characterized by disturbance of consciousness and attention, cognition, and perception for a brief period of time and tends to fluctuate during the course of the day. We experienced a 56 year-old woman who had a hypertension as well as Delirium caused by cranial contusion and whose condition was improved by Oriental medical treatment. this case study illustrates what the manifestation of Delirium caused by cranial contusion. This study shows more objective mecical pregress by grading Korean version of Delirium Rating Scale(K-DRS) and Korean version of Mini-Mental State Examination(K-MMSE). After our treatments, Delirium and some other symptoms were improved.

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Relations of Cognitive Function and Visuospatial Function in Patient with Stroke (뇌졸중 환자의 인지 기능과 시공간 지각의 관계)

  • Roh, Hyo-Lyun;Na, Nun-Byeol;Kim, Jung-Yoon;Kim, Eun-Jin;Jo, Won-Jae;Kang, Shin-Wook
    • Journal of Korean Clinical Health Science
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    • v.1 no.1
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    • pp.75-82
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    • 2013
  • Purpose : The aim of this study was to identify the relation of cognition and visuospatial perception in stoke patients. Methods : A total of 16 stroke patients recruited from two hospital located in Donghae, Kang-won participated in this study(Right hemiplegia : twelve, Left hemiplegia : four). All participants scored higher than 20 point on the MMSE-K. To assess the cognitive function, we performed the Korean version of Mini Mental State Examination(MMSE-K), spatial perception domain of Lowenstein Occupational Therapy Cognition Assessment(LOTCA), Figure Color Copy(FCC), Linebisection Test(LBT) and Albert's test in stoke patients. Results: The Korean version of Mini Mental State Examination and spatial perception domain of Lowenstein Occupational Therapy Cognition Assessment were the highest points in sixty ages, Figure Color Copy is difference between Right hemiplegia and Left hemiplegia. Linebisection Test(LBT) and Albert's test had much relation, visuospatial perception had not relationship. Conclusion: Aging was cognition function and visuospatial perception had an interrelationship. visuospatial perception according to affected side in brain had an interrelationship but cognition function and visuospatial perception had not any interrelationship.

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Incidence and Features of Cognitive Dysfunction Identified by Using Mini-mental State Examination at the Emergency Department among Carbon Monoxide-poisoned Patients with an Alert Mental Status (의식이 명료한 일산화탄소 중독환자를 대상으로 응급실에서 시행한 간이정신상태검사의 임상적 의의)

  • Youk, Hyun;Cha, Yong Sung;Kim, Hyun;Kim, Sung Hoon;Kim, Ji Hyun;Kim, Oh Hyun;Kim, Hyung Il;Cha, Kyoung Chul;Lee, Kang Hyun;Hwang, Sung Oh
    • Journal of The Korean Society of Clinical Toxicology
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    • v.14 no.2
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    • pp.115-121
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    • 2016
  • Purpose: Because carbon monoxide (CO)-intoxicated patients with an alert mental status and only mild cognitive dysfunction may be inadequately assessed by traditional bedside neurologic examination in the emergency department (ED), they may not receive appropriate treatment. Methods: We retrospectively investigated the incidence and features of cognitive dysfunction using the Korean version of the Mini-Mental State Examination (MMSE-K) in ED patients with CO poisoning with alert mental status. We conducted a retrospective review of 43 consecutive mild CO poisoned patients with a Glasgow Coma Scale score of 15 based on documentation by the treating emergency physician in the ED between July 2014 and August 2015. Results: Cognitive dysfunction, defined as a score of less than 24 in the MMSE-K, was diagnosed in six patients (14%) in the ED. In the MMSE-K, orientation to time, memory recall, and concentration/calculation showed greater impairments. The mean age was significantly older in the cognitive dysfunction group than the non-cognitive dysfunction group (45.3 yrs vs. 66.5 yrs, p<0.001). Among the initial symptoms, experience of a transient change in mental status before ED arrival was significantly more common in the cognitive dysfunction group (32.4% vs. 100%, p=0.003). Conclusion: Patients with CO poisoning and an alert mental status may experience cognitive dysfunction as assessed using the MMSE-K during the early stages of evaluation in the ED. In the MMSE-K, orientation to time, memory recall, and concentration/calculation showed the greatest impairment.

Correlations between Cognitive Function and Functional Ability in Strokes using MMSE and FIM

  • Kim, Eun-Joo
    • International Journal of Contents
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    • v.5 no.3
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    • pp.86-90
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    • 2009
  • The Purpose of this study was to investigate correlations between the Mini-Mental State Examination (MMSE) and the Functional Independence Measure (FIM) in strokes. The data collected retrospectively from fifty-five stroke rehabilitation patients. The MMSE and FIM at the time of admission and discharge were obtained from patients' medical records. Firstly, Pearson correlation coefficients of the MMSE score at the time of admission revealed $0.286{\sim}0.747$ with FIM at the time of discharge (p<0.05). Also, the change of MMSE score significantly correlated with the change of total FIM scores in strokes (r=0.409, p<0.05). Because the MMSE scores at the time of admission and FIM at the time of discharge are correlated, the MMSE scores can be used to predict the FIM at the time of discharge and establish a rehabilitation program.

Association between nutritional status and cognitive functions of the Korean elderly

  • Chung, Hae Kyung;Shin, Dayeon;Kim, Mi-Hye
    • CELLMED
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    • v.7 no.3
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    • pp.13.1-13.10
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    • 2017
  • Nutrition is one of the factors influencing cognitive functions. But, the role of nutrition on cognitive functions within the elderly is recognized to a lesser degree. The aim of this academic endeavor was to analyze the affiliation between nutritional status and cognitive functions of the elderly in Korea. 316 subjects, of 114 male and 201 female aged above 65 years, were gathered from university hospital clinics, Elderly Welfare Centers, and Health Welfare Centers located in the district of Seoul, Gyeonggi province, and Incheon in Korea. The cognitive function was tested by the Korean-Mini Mental State Examination (K-MMSE) questionnaire. Nutrition intake was assessed by a 24-hour recall, a food frequency questionnaire (FFQ). Nutrition adequacy and quality were assessed by the Nutrition Screening Initiative (NSI) checklist, the nutritional adequacy ratio (NAR), and the mean adequacy ratio (MAR). The elderly with normal cognitive function status displayed significantly higher levels of calcium, riboflavin, thiamin, folate, vitamin C, vitamin E, vitamin B6, phosphorous, potassium, iron, niacin, zinc, animal fat, animal protein, polyunsaturated fatty acids, total protein, vegetable oil, vegetable protein, fiber than levels of the elderly with moderate cognitive impairment. The K-MMSE score positively correlated with of high consumption of pork, white radish, sea mustard, tomato, tangerine, grape, apple, and ice cream, and K-MMSE was negatively associated with high intake of potato, anchovy, fish cake, and mushroom. The findings suggest that nutritional status is affiliated with cognitive function within the elderly of Korea. The consumption of variety of foods and nutrients ensures adequate cognitive function in the Korean elderly.