Physical and Psychical Conditions Decline of Older People With Age, Measured by Functional Reach Test and by Mini Mental State Examination

2008 ◽  
Author(s):  
Marianna Costarella ◽  
Lucilla Monteleone ◽  
Roberto Steindler ◽  
Stefano Maria Zuccaro
Keyword(s):  
Older People ◽  
Mental State ◽  
Cognitive Abilities ◽  
Mini Mental State Examination ◽  
Short Term Memory ◽  
Temporal Orientation ◽  
Functional Reach ◽  
Functional Reach Test ◽  
Physical Performances ◽  
State Examination

There are several tests to value the psychophysical characteristics of older people and, among all, the most suitable to this aim are here considered the Functional Reach (FR) test, as an index of the aptitude to maintain balance in upright position, and the Mini Mental State Examination (MMSE), as a global index of cognitive abilities. The sample of older people we have analysed concerns 50 healthy subjects divided into three groups according to the age (15 from 55 to 64 years old, 19 from 65 to 74 years old, and 16 more than 75 years old); they underwent a FR test, which consists first in the measurement of the anthropometric characteristics, then in the execution of the test itself, and finally in the study of the upright posture carried out analysing the Centre of Pressure (COP) trend; they underwent as well a MMSE to value the main areas of the cognitive function concerning the space-temporal orientation, the short-term memory, the attention ability, the calculus ability and the praxis-constructive ability. The results of these tests show, according to the age, a loss both of the physical performances (FR, FR related to height, and COP displacement), and of the cognitive abilities (MMSE); however, in all cases, the only significant changes are those between the first and the other two groups of age. A comparison between the results of male and female subjects inside the three groups, although the results of the males are generally superior to the female ones, is never significant; moreover, the differences of the FR tests, in particular, are completely not significant if compared to the height of the subjects. Finally, a comparison between FR and MMSE shows a quicker decline of the physical performances with regard to the cognitive ones.

scholarly journals Cognitive Abilities Screening: Instrument-Short Form, Mini-Mental State Examination and Functional Activities Questionnaire in the illiterate elderly

2013 ◽  
Vol 7 (4) ◽  
pp. 410-415 ◽  
Author(s):  
Gabriela Pravatta Rezende ◽  
Juliana Cecato ◽  
José Eduardo Martinelli
Keyword(s):  
Correlation Coefficient ◽  
Mental State ◽  
Cognitive Abilities ◽  
Mini Mental State Examination ◽  
Short Form ◽  
Screening Instrument ◽  
Functional Activities ◽  
Brazilian Version ◽  
Diagnosis Of Dementia ◽  
State Examination

ABSTRACT Dementia prevalence is increasing in developing countries due to population aging. Brief tests for assessing cognition and activities of daily living are very useful for the diagnosis of dementia by the clinician. Low education, particularly illiteracy, is a hindrance to the diagnosis of dementia in several regions of the world. Objectives: To compare the Brazilian version of the Cognitive Abilities Screening Instrument-Short Form (CASI-S) with the Mini-Mental State Examination (MMSE) and Pfeffer Functional Activities Questionnaire (PFAQ) for the diagnosis of dementia in illiterate elderly. Methods: A cross-sectional study with illiterate elderly of both genders seen at the outpatient clinics of the Institute of Gerontology and Geriatrics Jundiaí, São Paulo state was performed. Spearman's correlation coefficient was used to correlate CASI-S, MMSE and PFAQ scores. Results: The sample comprised 29 elderly over 57 years old whose mean scores on the CASI-S (scores ranging from 3 to 23) and the MMSE (scores ranging from 2 to 23) were 11.69 and 12.83, respectively. There was a strong significant correlation between the CASI-S and MMSE (r=0.75, p<0.001) and a moderate correlation coefficient that was significant and negative between the PFAQ and CASI-S (r= -0.53 p=0.003),similar to that between the MMSE and PFAQ (r= -0.41 p=0.025). Conclusion: The Brazilian version of the CASI-S demonstrates ease of application and correction in the illiterate elderly, and warrants further studies regarding its applicability for the diagnosis of dementia in populations with a heterogeneous educational background.

scholarly journals Mini- Mental State Examination among lower educationl levels and illiterates: transcultural evaluation

2010 ◽  
Vol 4 (2) ◽  
pp. 120-125 ◽  
Author(s):  
Sonia Maria Dozzi Brucki ◽  
Ricardo Nitrini
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
Northern Region ◽  
Screening Tests ◽  
Temporal Orientation ◽  
Cultural Backgrounds ◽  
Two Samples ◽  
Urban Sample ◽  
Rural Sample ◽  
State Examination

Abstract Cognitive performance among illiterates and low educational levels is poorer than that observed in individuals with greater schooling. This difference can be a confounding factor in reaching an accurate diagnosis of cognitive impairment. In addition, there is great heterogeneity in performance among illiterates, probably due to different environmental demands and sociocultural backgrounds. Many reports have described the influence of education on neuropsychological measures and screening tests such as the Mini-Mental State Examination (MMSE). Objectives: To analyze performance in two samples with the same educational level, but different social and cultural backgrounds. Methods: Subjects from two different locations in Brazil (rural sample from Northern region and urban sample residing in the largest city of the Southeastern region) were matched for age and education, and submitted to the MMSE. Results: Significant differences between the groups were found in total scores on the MMSE and in temporal orientation and serial-sevens sub-items for which the urban sample performed best but analysis of illiterates alone yielded the same results, except for the copying pentagons task which was performed better by the rural sample. Conclusions: Cultural and social backgrounds, as well as demands from the environment, influence results of screening tests. Factors other than education must be taken into account when analyzing tests.

scholarly journals Mini-Mental State Examination as a Predictor of Mortality among Older People Referred to Secondary Mental Healthcare

PLoS ONE ◽  
2014 ◽  
Vol 9 (9) ◽  
pp. e105312 ◽  
Author(s):  
Yu-Ping Su ◽  
Chin-Kuo Chang ◽  
Richard D. Hayes ◽  
Gayan Perera ◽  
Matthew Broadbent ◽  
...  
Keyword(s):  
Older People ◽  
Mental State ◽  
Mini Mental State Examination ◽  
Mental Healthcare ◽  
State Examination

scholarly journals Efficacy of an Integrated Training Device in Improving Muscle Strength, Balance, and Cognitive Ability in Older Adults

2021 ◽  
Vol 45 (4) ◽  
pp. 314-324
Author(s):  
Choong-Hee Roh ◽  
Da-Sol Kim ◽  
Gi-Wook Kim ◽  
Yu-Hui Won ◽  
Sung-Hee Park ◽  
...  
Keyword(s):  
Older Adults ◽  
Muscle Strength ◽  
Mini Mental State Examination ◽  
Berg Balance Scale ◽  
Training Device ◽  
Timed Up And Go ◽  
Functional Reach ◽  
Functional Reach Test ◽  
State Examination ◽  
Healthy Participants

Objective To determine the effects of an integrated training device for strength and balance on extremity muscle strength, postural balance, and cognition in older adults using a combination with various rehabilitation training games, in which balance, strength, and cognitive training were configured in a single device.Methods This prospective study included 20 healthy participants aged 65–85 years. Participants trained for 30 minutes daily, 3 days weekly, for 6 weeks with an integrated training device for strength and balance (SBT-120; Man&Tel Inc., Gumi, Korea). Main outcomes were measured using the Korean Mini-Mental State Examination (K-MMSE), Korean version of the Montreal Cognitive Assessment (K-MoCA), Timed Up and Go Test (TUG), Functional Reach Test (FRT), Berg Balance Scale (BBS), and Manual Muscle Test. Measurements were taken at three time points: T0 (pretreatment), T1 (immediately after treatment), and T2 (4 weeks after treatment).Results All 20 patients completed the training, and TUG, FRT, and BBS scores significantly improved at T1 and T2 compared to T0. Mean TUG scores decreased by 0.99±2.00 at T1 and 1.05±1.55 at T2 compared to T0. Mean FRT scores increased by 6.13±4.26 at T1 and 6.75±4.79 at T2 compared to T0. BBS scores increased by 0.60±0.94 at T1 and 0.45±1.15 at T2 compared to T0. Moreover, muscle strength and cognition (K-MMSE and K-MoCA scores) increased after training.Conclusion Our findings suggest that an integrated training device for strength and balance can be a safe and useful tool for older adults.

scholarly journals COMPARISON OF PROPENSITY TO FALLS IN MALE AND FEMALE ELDERLY AND ITS CORRELATION BETWEEN THE BALANCE AND COGNITION LEVEL

2020 ◽  
pp. 1-6
Author(s):  
Élcio Alves Guimarães ◽  
Kennedy Rodrigues Lima ◽  
Flávia Fernandes Oliveira ◽  
Renato Mota da Silva ◽  
Lucas Resende Sousa ◽  
...  
Keyword(s):  
Mental State ◽  
Mini Mental State Examination ◽  
The Elderly ◽  
The Other ◽  
Timed Up And Go ◽  
Functional Changes ◽  
Functional Reach ◽  
Increased Risk ◽  
Risk Of Fall ◽  
State Examination

Background: Aging is a dynamic, progressive and physiological process, accompanied by morphological and functional changes, as well as biochemical and psychological changes, resulting in a decrease in the functional reserve of organs and system. With aging, functional losses occur, so the elderly have a greater predisposition to falls. Objective: To compare the propensity to falls between elderly men and women correlating with the level of cognition and balance. Methods: The sample consisted of 60 elderly people, of which 30 were male and 30 were female both aged 65 to 80 years. The propensity to falls was assessed using the “Timed Up and Go” and “Functional Reach” tests, and the state of cognition was assessed by the test “Mini-Mental State Examination”. Results: The results obtained with Time Up and Go, Functional Reach and the Mini-Mental State Examination, indicated that, as the values of one of the variables increase, the values of the other variable increase too; as the values of one of the variables decrease, the values of the other variable increase too. Conclusions: It can be concluded that there was no increased risk of fall when compared the genders; but the female presented altered cognitive deficit.

scholarly journals Mini-mental state exam for children (MMC) in children with hemiplegic cerebral palsy

2017 ◽  
Vol 11 (3) ◽  
pp. 287-296 ◽  
Author(s):  
Ricardo Moura ◽  
Peterson Marco Oliveira Andrade ◽  
Patrícia Lemos Bueno Fontes ◽  
Fernanda Oliveira Ferreira ◽  
Larissa de Souza Salvador ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Cognitive Impairment ◽  
Mental State ◽  
Cognitive Abilities ◽  
Mini Mental State Examination ◽  
Cognitive Impairments ◽  
Typical Development ◽  
Moderate Correlation ◽  
Hemiplegic Cerebral Palsy ◽  
State Examination

ABSTRACT Cognitive impairment is frequent in cerebral palsy (CP) and there is a lack of multiprofessional screening instruments. OBJECTIVE: The aim of this study was to investigate the utility of the Mini-Mental State Examination for Children (MMC), an adapted version of the Mini-Mental State Examination, in screening for cognitive impairments in children with CP. METHODS: We assessed 397 Brazilian children, 310 with typical development and 87 with CP (hemiplegic and quadriplegic forms), aged 5-16 years. Association between the MMC and general intelligence was assessed by the Colored Progressive Matrices instrument. RESULTS: Psychometric indexes for the MMC were adequate. ROC analyses revealed effective diagnostic accuracy in all ages assessed. Cut-off values are reported. Major difficulties on the MMC were observed in children with CP, particularly individuals with the quadriplegic form. Moreover, the MMC showed moderate correlation with the intelligence test, and was reliable in discriminating, among clinical cases, those with poorer cognitive abilities. CONCLUSION: The MMC could be useful as a multiprofessional screening instrument for cognitive impairment in children with hemiplegic CP. Results of the MMC in quadriplegic CP children should be interpreted with caution. Diagnosis should be confirmed by further psychological testing.

scholarly journals Post-hoc principal component analysis on a largely illiterate elderly population from North-west India to identify important elements of mini-mental state examination

2016 ◽  
Vol 7 (01) ◽  
pp. 44-47
Author(s):  
Sunil Kumar Raina ◽  
Vishav Chander ◽  
Sujeet Raina ◽  
Ashoo Grover
Keyword(s):  
Principal Component Analysis ◽  
Mental State ◽  
Elderly Population ◽  
Mini Mental State Examination ◽  
Principal Component ◽  
Component Analysis ◽  
Temporal Orientation ◽  
North West ◽  
Post Hoc ◽  
State Examination

ABSTRACT Background: Mini-mental state examination (MMSE) scale measures cognition using specific elements that can be isolated, defined, and subsequently measured. This study was conducted with the aim to analyze the factorial structure of MMSE in a largely, illiterate, elderly population in India and to reduce the number of variables to a few meaningful and interpretable combinations. Methodology: Principal component analysis (PCA) was performed post-hoc on the data generated by a research project conducted to estimate the prevalence of dementia in four geographically defined habitations in Himachal Pradesh state of India. Results: Questions on orientation and registration account for high percentage of cumulative variance in comparison to other questions. Discussion: The PCA conducted on the data derived from a largely, illiterate population reveals that the most important components to consider for the estimation of cognitive impairment in illiterate Indian population are temporal orientation, spatial orientation, and immediate memory.

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