Abstract
Language problems in the elderly with AD are due to the fact that deterioration occurs not only in semantic memory, but in a group of cognitive factors, evidenced by a deficiency in search strategies for linguistic information.ObjectivesTo evaluate phrase repetition in two cognitive tests, the MMSE and MoCA, in a group of Alzheimer disease patients (AD) and normal controls.MethodsA Cross-sectional study was conducted involving 20 patients who sought medical assistance at a geriatric institute in Jundiaí, São Paulo. The subjects underwent a detailed clinical examination and neuropsychometric evaluation. All subjects with AD met DSM-IV and NINCDS-ADRDA criteria. Ten patients received a diagnosis of AD and 10 were healthy subjects, forming the control group (CG).ResultsAll participants correctly answered the phrase from the MMSE (phrase 1). The MoCA phrases (phrases 2 and 3) were correct in 80% and 90%, respectively in the CG and in 40% and 50%, respectively in the AD group.ConclusionsThe MoCA test proved more effective in evaluating the echoic behavior in AD patients compared to the MMSE. The simpler phrase repetition task in the MMSE was found to be less sensitive in detecting mild language decline in AD patients.
Highlights
Language problems in the elderly with Alzheimer disease patients (AD) are due to the fact that deterioration occurs in semantic memory, but in a group of cognitive factors, evidenced by a deficiency in search strategies for linguistic information
The language problems in the elderly with AD are due to the fact that deterioration occurs in semantic memory, but in a group of cognitive factors
AD patients with severe cognitive decline (Clinical Dementia Rating ≥3), major depression, plegia or paresis, important tremor, functional impairment in both hands, severe visual or auditory impairment, and patients who refused to complete any of the tests, were excluded
Summary
Abstract – Language problems in the elderly with AD are due to the fact that deterioration occurs in semantic memory, but in a group of cognitive factors, evidenced by a deficiency in search strategies for linguistic information. Objectives: To evaluate phrase repetition in two cognitive tests, the MMSE and MoCA, in a group of Alzheimer disease patients (AD) and normal controls. Conclusions: The MoCA test proved more effective in evaluating the echoic behavior in AD patients compared to the MMSE. Objetivos: Avaliar a repetição de frases em dois testes cognitivos (MEEM e MoCA), em um grupo de participantes normais e outro com o diagnóstico de DA. O grupo de participantes com diagnóstico de DA foi feito pelos critérios do DSM-IV e NINCDS-ADRDA. Conclusões: O teste MoCA mostrou ser mais eficiente em avaliar o comportamento verbal ecóico em pacientes com DA quando comparados ao MEEM. A simples repetição de frase no MEEM mostrou ser menos sensível para detectar declínio leve de linguagem em pacientes com DA. Its effects directly change human behavior through the relationship with other subjects.[1,2,3,4]
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