However, the MMSE and MoCA seemed similar in the acute phase post-stroke for predicting the cognitive status on the medium term. the MMSE, especially for executive functions, memory and attention disorders in terms of sensitivity and specificity. Better results were in fact reported for the MoCA vs. Among the scales best suited to these patients, one can find the R-CAMCOG (Rotterdam-CAMCOG, modified version of the Cambridge Cognitive Examination) and the MoCA (Montreal Cognitive Assessment). Even though certain MMSE items require some verbal answers and are thus incompatible to patients with severe language impairments, it remains the most commonly used scale in France for stroke patients. The best known battery of tests is the Mini Mental State Examination (MMSE), recommended by the Higher Health Authority in France to screen for dementia and very much used by young medical residents. ![]() ![]() To this day, screening tests for quantifying cognitive disorders, generic or dedicated to stroke patients, are not suited to aphasic patients, because they include items that require language-based answers. Therefore, it is not easy to analyze the spatiotemporal orientation or screen for memory disorders without using language. The presence of language disorders makes it more difficult to evaluate and manage the other cognitive disorders. Their screening leads to early management by a specialized therapist (speech and language therapist, neuropsychologist, occupational therapist) repeating this evaluation over time enables to refine the prognosis on the medium term, especially in the perspective of returning home or back to work. Les temps de passation étaient était plus longs pour le CASP (13 ± 4 min) que pour le MMSE (8 ± 3 min, p < 10 −6 ) et la MoCA (11 ± 5 min, p = 0,23, NS).Įn termes de faisabilité, le CASP est mieux adapté aux patients aphasiques que le MMSE et la MoCA.Īll cognitive functions can be affected post-stroke (language, attention, memory, praxis, gnosis, executive functions) and their evaluation is important on many levels. Tous les patients avec troubles isolés de l’expression ont pu bénéficier du CASP, aucun des autres batteries. Nous avons estimé le pourcentage de patients chez qui la passation d’au moins un item de ces échelles était impossible et comparé leur temps de passation. Tous les patients hospitalisés sur une période de quatre mois dans sept services de rééducation français pour premier AVC hémisphérique gauche récent avec aphasie ont été évalués grâce aux trois batteries. Nous avons comparé les faisabilités du CASP, du Mini Mental State Examination (MMSE) et de la Montreal Cognitive Assessment (MoCA) chez des patients cérébro-lésés gauches vasculaires aphasiques. ![]() Nous avons élaboré le CASP qui peut être passé sans utiliser le langage. L’aphasie post-AVC rend difficile l’évaluation des autres fonctions cognitives. The CASP is more feasible than the MMSE and the MoCA in aphasic stroke patients. Administration times were longer for the CASP (13 ± 4 min) than for the MMSE (8 ± 3 min, P < 10 −6 ) and the MoCA (11 ± 5 min, P = 0.23, NS). It was possible to administer the CASP in all of the patients with expressive aphasia, whereas the MMSE and the MoCA could not be administered. The CASP was impossible to administer in eight of them (18%), compared with 16 for the MMSE (36%, P = 0.05) and 13 for the MoCA (30%, P = 0.21, NS). We determined the proportion of patients in whom it was impossible to administer at least one item from these 3 scales, and compared their administration times.įorty-four patients were included (age 64 ± 15, 26 males). Our objective was to compare the feasibility of the CASP, the Mini Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) in aphasic stroke patients.Īll aphasic patients consecutively admitted to seven French rehabilitation units during a 4-month period after a recent first left hemispheric stroke were assessed with CASP, MMSE and MoCA. We thus developed the CASP, which can be administered without using language. Post-stroke aphasia makes it difficult to assess cognitive deficiencies.
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