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The Value of Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment (MoCA) in the Prediction of Fitness to Drive in Patients with Mild Cognitive Impairment (MCI) and Mild Alzheimer’s Disease (mAD)
| Content Provider | Semantic Scholar |
|---|---|
| Author | Beratis, Ion Stanitsa, Evangelia Kontaxopoulou, Dionysia Fragkiadaki, Stella Kontari, Panagiota Pavlou, Dimosthenis Papantoniou, Panagiotis Economou, Alexandra Yannis, George Papageorgiou, Sokratis G. |
| Copyright Year | 2018 |
| Abstract | 1 Montreal Cognitive Assessment (MoCA) and Mini Mental Examination (MMSE) are commonly 2 used cognitive screening instruments. Although MMSE has been previously associated with 3 driving fitness, MoCA has not been widely explored in that perspective. The aim of the study was 4 to explore whether significant correlations would be present between the aforementioned tests and 5 specific driving indexes in patients with amnestic Mild Cognitive Impairment (aMCI), mild 6 Alzheimer’s disease (mAD) and healthy individuals. Forty-four aMCI patients (69.1±8.9 years), 7 23 mAD patients (73.7±6.8 years), and 30 healthy individuals (65.9±5.7 years) were assessed in 8 rural and urban areas through the use of a driving simulator. Both tests were significantly 9 associated with accident probability and reaction time in both driving conditions in aMCI patients, 10 while MoCA was also significantly correlated with speed limit violations in the rural area. In mAD 11 patients, both tests indicated a significant correlation with headway distance in the rural area and 12 accident probability in the urban area. MoCA also showed a significant correlation with average 13 speed in rural area. No association with any of the driving indexes was reported for the healthy 14 individuals. Both measures of general cognitive functioning, with a relative advantage of the 15 MoCA, appear to be associated with crucial indexes related to driving fitness in patients with aMCI 16 and mild AD. Nonetheless, it is recommended that these measures should not be used 17 independently but instead as elements of a broader evaluation when taking decisions related to 18 driving fitness in drivers belonging to the specific clinical groups. 19 |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.nrso.ntua.gr/geyannis/wp-content/uploads/geyannis-pc286.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
