Deriving the total score add the number of correct responses. The main goal of this study was to assess performance on the copy intersecting pentagon. The standardised copy of pentagons test annals of general. Scroll down for the calculated mmse score and interpretation. Cognitive testing involved examination of the various cognitive domains cognitive domains as examined on the minimental status examination mmse and the montreal cognitive assessment moca. May 28, 2008 permission is granted to copy, distribute andor modify this document under the terms of the gnu free documentation license, version 1. The minimental state examination mmse is probably the best known. However, impairment in the copying of the intersecting pentagon task in the mmse, but not. Show the subject the drawing of the copies pentagons 1. Standardised minimental state examination smmse guidelines for administration and scoring instructions. The new qualitative scoring mmse pentagon test qspt as a.
Scoring the overlapping pentagons question 11 give the person the pencil, with the eraser, and a clean piece of paper. Teng minimental state examination health abc operations manual vol. Apr 11, 2011 the doublediamond copy task is a simple paper and pencil test part of the bendergestalt test and the mini mental state examination mmse. The smmse takes less time to administer and has significantly reduced the variability of the mmse. Participant and exam room preparation the 3ms should be administered in a quiet place, with minimal distractions, at a. Pdf minimental state examination mmse sm r academia. Do not provide a ruler or any writing reinforcement even if requested by the subject. Give 1 point if the subject was able to draw 2 pentagons with their intersection forming a diamond like shape. Intersecting pentagons, minimental state examination mmse.
Scores on the mmse have not been shown to be predictive of driving risk16,17 or motor vehicle crashes16 in drivers. Minimental state examination mmse answer sheet score points orientation 1. Sv without compromising longitudinal data and without any change in the normal range of scores. A slightly different version doublepentagon copy with a different overlapping shape is included also in the mini mental state examination mmse 10, 11. The generalizability coefficient n 411 between the mmse and the mmse 2. Informed consent to participate in the present investigation was obtained at the point of entry into the longitudinal study from all patients or. Although decline in performance on the mmse may re.
If you do know the answers, the questions may seem obvious, but just give me your answers. Pdf intersecting pentagons as surrogate for identifying. We identified 17 cases of dlb and 27 of ad for which we had mmses with copies of the interlocking pentagons. Technically, the mmse is a ed neuropsychological test, and the user should pay a fee when it is used. Permission is granted to copy, distribute andor modify this document under the terms of the gnu free documentation license, version 1.
The mmse is the most widely used brief test of cognition in clinical and. Sensitivity, specificity, positive predictive value ppv and negative predictive value npv of a minimental state examination mmse mmse answer sheet. The mmse tests orientation, immediate and shortterm memory, concentration, arithmetic ability, language, and praxis. One component of the mmse is the intersecting pentagon copying ipc test. Intersecting pentagons, minimental state examination mmse, surrogate, use how to cite this article. All 10 angles must be present and 2 must intersect to score 1 point.
Intersecting pentagon copying and clock drawing test in mild and moderate alzheimers disease. Intersecting pentagons as surrogate for identifying the use of mini mental state examination in assessment of dementia in a largely illiterate population. Score if it is sensible and has a subject and a verb. Ask the patient to copy a pair of intersecting pentagons 1 1 1.
The mmse can be performed in standardized smmse and nonstandardized format. Pentagon copying is more impaired in dementia with lewy. Folstein minimental state exam learning about electronics. The aim of the present study was to develop a sensitive and reliable method of administration and scoring. Intersecting pentagons, minimental state examination mmse, surrogate, use introduction dementia is defined as an acquired deterioration in the cognitive abilities that impairs the successful performance of the activities of daily living adl. Intersecting pentagons as surrogate for identifying the. Tremors and rotation of figures are not considered for scoring. Cumulative pattern for intersecting pentagon copying scores by severity of dementia classified by the clinical dementia rating cdr scale and minimental state examination mmse. Score degree of impairment formal psychometric assessment daytoday functioning 2530 questionably significant if clinical signs of cognitive impairment are present, formal assessment of cognition may be valuable. The poppelreuter figure visual perceptual function test. The standardised minimental state examination was developed to provide clear unequivocal guidelines for administration and scoring. Pentagon 1 pentagon 2 5 approx equal sides 4 g 4 g 5 unequal 2.
However, impairment in the copying of the intersecting pentagon task in the mmse, but not the mmse score itself, has been associated with driving. Cognitive testing involved examination of the various. Although it is a widely used test, its method of scoring is crude and its psychometric properties are not adequately known. All ten angles must be present and two must intersect to score one point. The demographic characteristics of the patients are presented in table 2. Ask himher to draw the pentagons about one inch each side on the. Minimental state examination mmse general information. Orientation registration attention and calculation recall language copying year month day date time country town district hospital ward examiner names 3 objects eg apple, table, penny patient asked to repeat 1 point for each correct. Populationbased norms for the minimental state examination by age and educational level. Pdf intersecting pentagon copying and clock drawing test in mild. Intersecting pentagons as surrogate for identifying the use of mini.
Khan phd, in biomarkers in alzheimers disease, 2016. If you do know the answers, the questions may seem. A copy of the license is included in the section entitled gnu free documentation license. Pdf intersecting pentagons as surrogate for identifying the. The minimental status exam mmse is a cognitive screening tool that provides a brief, objective measure of cognitive function. Visualconstructional apraxia is a prominent feature of dementia with lewy bodies dlb that might help to clinically distinguish it from alzheimers disease ad. Ask the patient to copy a pair of intersecting pentagons. Show the patient the picture of two intersecting pentagons and ask the patient to. Intersecting pentagons as surrogate for identifying the use. Click the boxes corresponding to the patients responses. Unacceptable copying of the intersecting pentagons. Intersecting pentagons drawing from the minimental sta.
The english version of the mmse and its modifications have been used in the past across populations with the intersecting pentagon capturing one of the domains of cognition. Pdf intersecting pentagon copying and clock drawing test. Mmse2 pocket norms guide includes raw means and standard deviations by age and education level, age and educationbased. Intersecting pentagon copying and clock drawing test in. Cumulative pattern for intersecting pentagon copying scores by severity of dementia classified by the clinical dementia rating cdr scale and mini mental state examination mmse. Ask himher to draw the pentagons about one inch each side on the paper provided. Folstein mini mental examination task instructions scoring. In patients with ad, ipc is influenced by multiple cognitive functions as measured by folsteins minimental state examination mmse. It manifested symptomatically by decreased psychomotor speed, flexibility, spontaneity, and concentration, as well as attention deficits and disinhibition see figure 1 for the intersecting pentagons drawing from the minimental state examination mmse. After the mmse, clock drawing test cdt is the second most widely used test for grading cognitive states. The remaining moderate correlations presented in table 3 range from 0.
Show the patient the picture of two intersecting pentagons and ask the patient to copy the figure exactly as it is. Therefore it is possible to switch from mmse to the mmse 2. In many cases the clinical differentiation of dementia with lewy bodies dlb from alzheimers disease ad has been difficult. Instructions for administration of minimental status. Download handout as pdf print and use to make mmse administration faster what is the year season day of the week month. Differentiate aging and dementia exactly as it appears in the pdf available here without. The validity of using the mini mental state examination in nice dementia guidelines. Background and purposethe minimental state examination mmse is insensitive to mild cognitive impairment and executive function.
The more recently developed montreal cognitive assessment moca, an alternative, brief 30point. Participant and exam room preparation the 3ms should be administered in a quiet place, with minimal distractions, at a desk or table the participant can use to write on. If you do not know the answers to some of the next questions, thats okay. Pdf intersecting pentagon copying and clock drawing test in. The modified mini mental state examination 7 excerpt from ian mcdowell, measuring health. Download handout as pdf print and use to make mmse administration faster. Sv is equivalent to the mmse, the same cut score is suggested. Underestimation of cognitive impairment by minimental. Two figures intersecting with one a pentagon, or additional lines joining two. The study aims to describe a scoring mechanism of the intersecting pentagon copying ipc task based on the degree of drawing failure and pitted against the mini mental state examination. Mini mental state examination oxford medical education. Education with increasing educational level, the mmse scores tend to in.
Intersecting pentagon copying and clock drawing test in mild. Errors produced on the minimental state examination and. Intersecting pentagon copying and clock drawing test in mild and. The minimental state examination mmse 1 is the most frequently administered brief cognitive screening measure for the identification of dementia. Cognitive testing involved examination of the various cognitive domains cognitive domains as examined on the minimental status examination mmse and the montreal cognitive assessment moca cognitive domain mmse moca orientation yes yes memory learningdelayed recall yes yes attention yes yes language yes yes visuospatial yes yes. There were no significant differences between the two groups for sex, years of education, or overall scores on the mmse. To ensure diagnostic accuracy, it should be performed in a standardized format for the questions asked, and the time allotted to complete the task. Correlations were calculated between the scores for the poppelreuter figure and total mmse score range 030, mmse intersecting pentagons 01, ace.
Clock drawing test an overview sciencedirect topics. Traditionally, a summary score at or below 23 is the point where actual cognitive impairment might be present. On a clean piece of paper, draw two intersecting pentagons, each side about 1 inch, and ask him to copy it exactly as it is. If ten angles are present and two intersect, check the box at right. Inability to draw intersecting pentagons as a predictor of. The more recently developed montreal cognitive assessment moca, an alternative, brief 30point global cognitive screen, might pick up more cognitive abnormalities in patients with cerebrovascular disease. The cognitive capacity screening examination ccse tests orientation, serial subtraction, memory, and similarities. Estimate the patients level of sensorium along a continuum, from alert on the left to coma on the.
Score 1 point if the drawing consists of two 5sided figures that. Underestimation of cognitive impairment by minimental state. It is composed of two overlapping pentagons, with the overlapping shape being a rhombus. It can be used to screen for cognitive impairment, to estimate the severity of the impairment, and to document cognitive change over time. Intersecting pentagons drawing from the minimental sta openi. The doublediamond copy task is a well known, simple paper and pencil test included in the bendergestalt test 19. Minimental state examination mmse heart and stroke foundation. The ipc item of the mmse is an acceptable and simple test of visuospatial function used as part of mmse for assessment of dementia. The interpretation of the pentagon drawing test pdt is usually binary, with 1. The test includes questions in a number of areas including attention, calculation, comprehension, construction, naming, orientation, recall, registration, repetition, spelling, and writing.
894 554 797 538 271 642 1365 581 679 1104 685 1522 594 169 32 476 871 393 462 1386 1181 850 769 1366 455 1044 61 526 958 932 639 1377 1305 1168 636 499 457 40 544 216 902 1074 752