Browse > Article
http://dx.doi.org/10.22683/tsnr.2022.11.2.053

Correlation Between Cognitive Impairment Screening Test (CIST), Korean-Mini Mental State Examination, 2nd Edition (K-MMSE~2) and Clinical Dementia Rating (CDR) of Patients with Stroke  

Hwang, Do-Yeon (Dept. of Occupational Therapy, Cheonan Soonchunhyang University Hospital)
Ryu, Sung-Hyun (Dept. of Occupational Therapy, Cheonan Soonchunhyang University Hospital)
Kwon, Ki-Hyun (Dept. of Occupational Therapy, Cheonan Soonchunhyang University Hospital)
Choi, Cho-Rong (Dept. of Occupational Therapy, Cheonan Soonchunhyang University Hospital)
Kim, Soo-A (Dept. of Physical Medicine and Rehabilitation, Cheonan Soonchunhyang University Hospital)
Publication Information
Therapeutic Science for Rehabilitation / v.11, no.2, 2022 , pp. 53-62 More about this Journal
Abstract
Objective : This study aimed to present basic data that could help in selecting or using evaluation tools in clinical settings. Methods : This study included 51 patients with stroke. The Cognitive Impairment Screening Test (CIST), Korean-Mini Mental State Examination, 2nd Edition (K-MMSE~2), and Clinical Dementia Rating (CDR) were used as evaluation tools. The correlation between evaluation tool scores was analyzed using Spearman's rank correlation coefficient, and the comparison of total scores between the CIST and K-MMSE~2 according to global CDR scores was analyzed using the Wilcoxon signed-rank test. Results : The correlation between the total CIST and K-MMSE~2 scores and global CDR scores was statistically significant (p<.01). The correlation between the sub-scores of the CIST and K-MMSE~2 showed a statistically significant correlation for all sub-scores (p<.01). The comparison of total scores between the CIST and K-MMSE~2 according to global CDR scores showed no statistically significant differences in all global CDR scores. Conclusion : This study showed that there was a correlation between CIST, K-MMSE~2, and CDR in patients with stroke. In the future, we hope that the results of this study will help to select or use cognitive function evaluation tools in clinical settings.
Keywords
Clinical dementia rating; Cognitive function; Cognitive impairment screening test; Mini mental state examination; Stroke;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Kwon, Y. C., & Park, J. H. (1989). Korean version of Mini-Mental State Examination (MMSE-K) part I: Developement of the test for the elderly. Journal of Korean Neuropsychiatric Association, 28(1), 125-135. https://scholar.dkyobobook.co.kr/searchDetail.laf?barcode=4050026226610
2 Hughes, C. P., Berg, L., Danziger, W., Coben, L. A., & Martin, R. L. (1982). A new clinical scale for the staging of dementia. The British Journal of Psychiatry, 140(6), 566-572. https://doi.org/10.1192/bjp.140.6.566   DOI
3 Kang, Y. W., Jahng, S. M., Kim, S. Y., & Korean Dementia Association. (2020). Korean-Mini Mental State Examination, 2nd Edition (K-MMSE~2) user's guide. Inpsyt.
4 Kim, T. H., Jhoo, J. H., Park, J. H., Kim, J. L., Ryu, S. H., Moon, S. W., Choo, I. H., Lee, D. W., Yoon, J. C., Do, Y. J., Lee, S. B., Kim, M. D., & Kim, K. W. (2010). Korean version of Mini Mental Status Examination for Dementia Screening and its' short form. Psychiatry Investigation, 7(2), 102-108. https://doi.org/10.4306/pi.2010.7.2.102   DOI
5 Kim, Y. H., Han, T. R., Jung, H. Y., Chun, M. H., Lee, J., Kim, D. Y., Paik, N. J., Park, S. W., Kim, M. W., Pyun, S. B., Yoo, W. K., Shin, Y. I., Kim, I. S., Han, S. J., Kim, D. Y., Ohn, S. H., Chang, W. H., Lee, K. H., Kwon, S. U., & Yoon, B. W. (2009). Clinical practice guideline for stroke rehabilitation in Korea. Brain & NeuroRehabilitation, 2(1), 1-38. https://doi.org/10.12786/bn.2009.2.1.1   DOI
6 Lundy-Ekman, L. (2007). Cerebrum. In L. Lundy-Ekman (Ed.), Neuroscience: Fundamentals for rehabilitation (3rd ed., pp. 431-455). Elsevier Saunders.
7 Morris, J. C. (1993). The Clinical Dementia Rating (CDR): Current version and scoring rules. Neurology, 43(11), 2412-2414. https://doi.org/10.1212/WNL.43.11.2412-a   DOI
8 Burke, W. J., Miller, J. P., Rubin, E. H., Morris, J. C., Coben, L. A., Duchek, J., Wittels, I. G., & Berg, L. (1988). Reliability of the Washington university Clinical Dementia Rating. Archives of Neurology, 45(1), 31-32. https://doi.org/10.1001/archneur.1988.00520250037015   DOI
9 Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). "Mini-mental state": A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12(3), 189-198. https://doi.org/10.1016/0022-3956(75)90026-6   DOI
10 Choi, S. H., Na, D. L., Lee, B. H., Hahm, D. S., Jeong, J. H., Yoon, S. J., Yoo, K. H., Ha, C. K., Han, I. W. (2001). Estimating the validity of the Korean version of expanded Clinical Dementia Rating (CDR) scale. Journal of the Korean Neurological Association, 19(6), 585-591. https://www.jkna.org/journal/view.php?number=4771
11 Min, K. C., Kim, J. R., & Jung, M. Y. (2005). A correlation between the Allen Cognitive Level Screen and the Mini Mental State Examination-Korean version. Journal of Korean Society of Occupational Therapy, 13(3), 15-22. https://www.earticle.net/Article/A16995
12 Royal Geographical Society. (2018). A guide to spearman's rank. https://www.rgs.org/CMSPages/GetFile.aspx?nodeguid=882169d2-8f96-4c55-84f5-fbb7614870e9&lang=en-GB
13 Jung, J. H., & Ham, M. J. (2020). Usefulness of COSAS test for mild Alzheimer type dementia and mild cognitive impairment. The Journal of Korean Society of Assistive Technology, 12(1), 41-51. https://db.koreascholar.com/Article?code=402680
14 Kang, S. H. (2020). A study of correlation among MMSE-K, CDR and neurocognitive test (LICA) in patients with stroke (Master's thesis). Gachon University.
15 Kang, Y. W., Na, D. L., & Hahn, S. H. (1997). A validity study on the Korean Mini-Mental State Examination (K-MMSE) in dementia patients. Journal of the Korean Neurological Association, 15(2), 300-308. https://www.jkna.org/journal/view.php?number=4088
16 Kim, J. M., Shin, I. S., Yoon, J. S., & Lee, H. Y. (2003a). Comparison of diagnostic validities between MMSE-K and K-MMSE for screening of dementia. Journal of Korean Neuropsychiatric Association, 42(1), 124-130. https://koreamed.org/SearchBasic.php?RID=2196865
17 Kim, T. Y., Kwon, O. Y., Kim, S. Y., Choi, N. C., & Lim, B. H. (2003b). The relationship between the degree of activity of daily living and clinical features in Alzheimer's disease. Journal of the Korean Neurological Association, 21(4), 357-363. https://www.jkna.org/journal/view.php?number=4985
18 Kovic, M., & Schultz-Krohn, W. (2013). Performance skills: Definitions and evaluation in the context of the occupational therapy practice framework. In H. M. Pendleton, & W. Schultz-Krohn (Eds.), Pedretti's occupational therapy: Practice skills for physical dysfunction (7th ed., pp. 450-460). Elsevier.
19 Kwon, J. S. (2008). Cognitive rehabilitation program for patients with brain damage. In J. S. Kwon, Y. G. Kim, J. Y. Kim, J. S. Yuk, H. J. Jo, & S. P. Hong (Eds.), Cognitive rehabilitation for occupational therapists (pp. 269-310). Pacific Books.
20 Lee, H. S., & Jung, M. Y. (2020). A study on the use of rehabilitation treatment for stroke patients. Korea Journal of Geriatric Occupational Therapy, 2(2), 17-29. https://scholar.dkyobobook.co.kr/searchDetail.laf?barcode=4050028015197
21 Ministry of Health and Welfare. (2021). Cognitive Impairment Screening Test (CIST) manual. National Institute of Dementia. https://www.mohw.go.kr
22 World Health Organization. (2014). Health topics: Stroke, cerebrovascular accident. https://www.emro.who.int/health-topics/stroke-cerebrovascular-accident/index.html
23 Woodson, A. M. (2008). Stroke. In M. V. Radomski, & C. A. Trombly Latham (Eds.), Occupational therapy for physical dysfunction (6th ed., pp. 1001-1041). Lippincott Williams & Wilkins.
24 Na, H. R., Lee, J. W., Ko, S. B., Park, S. M., Lee, S. H., Yang, D. W., Han, I. W., Kim, D. H., Baek, M. J., Lee, J. S., Kim, J. S., & Kim, S. Y. (2006). The validity and reliability of the Korean version of Severe Impairment Battery. Dementia and Neurocognitive Disorders, 5(2), 70-76. https://www.dementia.or.kr/journal/view.php?sid=120&year=2006&vol=5&no=2
25 Riva, D., Taddei, M., & Bulgheroni, S. (2018). The neuropsychology of basal ganglia. European Journal of Paediatric Neurology, 22(2), 321-326. https://doi.org/10.1016/j.ejpn.2018.01.009   DOI
26 Song, C. S. (2013). A reliability the Montreal Cognitive Assessment on cognitive impairment following stroke. Journal of the Korea Academia-Industrial Cooperation Society, 14(3), 1228-1233. https://doi.org/10.5762/KAIS.2013.14.3.1228   DOI
27 Statistics Korea. (2020). Statistics of causes of death in 2019. https://kostat.go.kr/portal/korea/index.action
28 Yoo, E. Y., Jung, M. Y., Park, S. Y., & Choi, E. H. (2006). Current trends of occupational therapy assessment tool by Korean occupational therapist. Journal of Korean Society of Occupational Therapy, 14(3), 27-37. https://www.earticle.net/Article/A32081
29 Lee, D. Y., Lee, K. U., Lee, J. H., Kim, K. W., Jhoo, J. H., Youn, J. C., Kim, S. Y., Woo, S. I., & Woo, J. I. (2002). A normative study of the Mini-Mental State Examination in the Korean elderly. Journal of Korean Neuropsychiatric Association, 41(3), 508-525. https://koreamed.org/SearchBasic.php?RID=2340680
30 Kim, Y. G. (2008). What is cognition? In J. S. Kwon, Y. G. Kim, J. Y. Kim, J. S. Yuk, H. J. Jo, & S. P. Hong (Eds.), Cognitive rehabilitation for occupational therapists (pp. 7-40). Pacific Books.