Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

A Reliability the Montreal Cognitive Assessment on Cognitive impairment Following Stroke

뇌졸중 환자의 인지손상을 위한 몬트리올인지평가의 신뢰도

  • Song, Chiang-Soon (Dept. of Occupational Therapy, Chungnam Provincial Cheongyang College)
  • 송창순 (충남도립청양대학, 작업치료과)
  • Received : 2013.01.23
  • Accepted : 2013.03.07
  • Published : 2013.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purposes of this study were to assess the reliability of the Korean version of Montreal Cognitive Assessment (MoCA-K) and Korean version of Mini-Mental State Examination (MMSE-K) and correlation between MoCA-K and MMSE-K to detect cognitive impairment following stroke determined by a neuropsychological battery. Fifty-two chronic stroke patients participated in this study. They divided two group, normal cognitive group (20 patients) with stroke and cognitive impairment group with stroke (32 patients), and research period was from October 2th. to November 30th., 2013. The subjects were measured K-MoCA and K-MMSE. Normal cognitive group showed the moderate reliability in K-MoCA and K-MMSE. Cognitive group showed the more moderate relaibility in K-MoCA and K-MMSE. There was positive correlation as the more score of K-MoCA gain, the more score of K-MMSE showed in both group. The results suggest that both clinical measures are moderately sensitive and proper feasibility to chronic post-stroke cognitive impairment. The both clinical tools suggest to use in research and clinical settings by a neuropshchological battery.

본 연구는 한국판 만성 뇌졸중 환자의 신경심리학적 평가도구를 결정하기 위하여 한국판 몬트리올인지평가 및 한국판 간이정신상태검사의 신뢰도를 알아보고, 두 평가도구의 상관관계를 알아보았다. 연구대상자는 만성뇌졸중환자 52명을 대상으로 하였으며, 인지손상 진단 여부에 따라서 정상인지 뇌졸중군(20명)과 인지손상 뇌졸중군(32명)으로 구분하였다. 연구대상자는 한국판 몬트리올인지평가 및 한국판 간이정신상태검사를 평가받았으며, 연구기간은 2012년 10월 2일부터 2012년 11월 30일까지 이었다. 연구결과 정상인지 뇌졸중군은 한국판 몬트리올인지평가에서 중등도 이상의 신뢰도를 보여주었으며, 한국판 간이정신상태검사에서 중등도의 신뢰도를 보여주었다. 인지손상 뇌졸중군은 한국판 몬트리올인지평가 및 한국판 간이정신상태검사에서 모두 중등도 이상의 신뢰도를 보여주었다. 또한 정상인지 뇌졸중군과 인지손상 뇌졸중군은 한국판 몬트리올인지평가의 점수가 높을수록 한국판 간이정신상태검사의 점수도 높은 양의 상관관계를 보여주었다. 본 연구의 결과는 한국판 몬트리올인지평가 및 한국판 간이정신상태검사 모두 뇌졸중으로 인한 인지손상을 진단하는데 적합하다고 사료되어, 연구 및 임상환경에서 신경심리학적 평가도구로 사용할 것을 제언한다.

Keywords

References

  1. G. M. Nys, M. J. van Zandvoort, P. L. de Kort, et al, "Cognitive disorders in acute stroke: prevalence and clinical determinants", Cerebrovasc Dis, 23(5-6), 408-416, 2007. DOI: http://dx.doi.org/10.1159/000101464
  2. V. Teoh, J. Sims, J. Milgrom, "Psychosocial predictors of quality of life in a sample of comminity-dwelling stroke survivors: a lingitudinal study", Top Stroke Rehabil, 16(2), 157-166, 2009. DOI: http://dx.doi.org/10.1310/tsr1602-157
  3. G. M. Nys, M. J. Zandvoort, P. L. de Kort, et al, "Restrictions of the mini-mental state examination in acute stroke", Arch Clin Neuropsychol, 20(5), 623-629, 2005. DOI: http://dx.doi.org/10.1016/j.acn.2005.04.001
  4. A. Jaillard, B. Naegele, S. Trabucco-Miguel, et al, "Hidden dysfunctioning in subacute stroke", Stroke, 40(), 2473-2479, 2009. https://doi.org/10.1161/STROKEAHA.108.541144
  5. N. E. Mayo, S. Wood-dauphinee, L. Durcan, et al, "Activity, participation, and quality of life 6 months poststroke", Arch Phys Med Rehab, 83(8), 1035-1042, 2002. DOI: http://dx.doi.org/10.1053/apmr.2002.33984
  6. A. W. Wind, F. G. Schellevis, G. Staveren, et al, "Limitations of the mini-mental state examination in diagnosing dementia in general practice", Int J Geriatr Psychiatry, 12(1), 101-108, 1997. DOI: http://dx.doi.org/10.1002/(SICI)1099-1166(199701)12:1<101::AID-GPS469>3.0.CO;2-R
  7. O. Godefroy, A. Fickl, M. Roussel, et al, "Is the Montreal cognitive assessment superior to the mini-mental state examination to detect poststroke cognitive impairment: a stroke with neuropsychological evaluation", Stroke, 42(6), 1712-1716, 2011. DOI: http://dx.doi.org/10.1161/STROKEAHA.110.606277
  8. J. Toglia, K. A. Fitzgerald, M. W. O'Dell, et al, "The mini-mental state examination and Montreal cognitive assessment in persons with mild subacute stroke: relationship to functional outcome", Arch Phys Med Rehabil, 92(5), 792-798, 2011. DOI: http://dx.doi.org/10.1016/j.apmr.2010.12.034
  9. Z. S. Nasreddine, N. A. Phillips, V. Bedirian, et al, "The Montreal cognitive assessment, MoCA: a brief screening tool for mild cognitive impairment", J Am Geriatr Soc, 53(4), 695-699, 2005. DOI: http://dx.doi.org/10.1111/j.1532-5415.2005.53221.x
  10. T. B. Cumming, J. Bernhardt, T. Linden, "The Montreal cognitive assessment: short cognitive evaluation in a large stroke trial", Stroke, 42(9), 2642-2644, 2011. DOI: http://dx.doi.org/10.1161/STROKEAHA.111.619486
  11. Z. S. Nasreddine, J. Y. Lee, "Korean version of the Montreal cognitive assessment", March 1, 2006, Available from: http://www.mocatest.org.
  12. Y. K. Kwon, J. H. Park, "Korean version of the mini-mental state examination", Kor Neurol Psychol Med, 28, 125-135, 1989.
  13. S. E. Mcewen, M. P. J. Huijbregts, J. D. Ryan, et al, "Cognitive strategy use to enhance motor skill acquisition", Brain Injury, 23(4), 263-277, 2009. DOI: http://dx.doi.org/10.1080/02699050902788493
  14. K. Schultz-Larsen, S. Kreiner, R. K. Lomholt, "Mini-mental status examination: mixed Rasch model item analysis derived two different cognitive dimensions of the MMSE", J Clin Epidemiol, 60)3), 268-279, 2007. https://doi.org/10.1016/j.jclinepi.2006.06.007