Main differences between the 3ms and the mmse the modified minimental state 3ms test has been designed to enhance the usefulness of the popular minimental state examination mmse folstein, folstein, and mchugh, 1975. In fact, health care providers typically will look at a patients medical history, physical exam results, and sometimes neurological test results, including brain scans. Minimental parkinson subsections and scores orientation 10 visual registration 3 attentionmental control 5 twoset verbal fluency 3 visual recall 4 shifting 4 concept processing 3 maximal total score 32 by current bedside tests. The questions are grouped into seven categories, with each subscore representing a specific aspect of cognition. While the structure and scoring of the original 30point mmse remain, problematic items were replaced and several tasks were modified to adjust difficulty level. Therefore it is possible to switch from mmse to the mmse2. Minimental state examination mmse oxford medical education. The folstein minimental state examination mmse is an exam that tests an elderly persons cognitive ability. Reliability of a standardized mini mental state examination compared with the traditional mini mental state examination.
Each section of the test involves a related series of questions or commands. Mmse is best suited for screening purposes and is therefore at best a blunt instrument for staging alzheimers disease. The mini mental state examination mmse is a cognitive test that is commonly used as part of the evaluation for possible dementia. The mini mental state examination mmse or folstein test is a 30point questionnaire that is used extensively in clinical and research settings to measure cognitive impairment. The above minimental test score is based on the format taught to oxford university medical students 2. The mmse is a screening test for dementia it quantifies cognitive impairment yielding a single composite score that reflects disease severity it can be followed reliably to reflect disease progression over time. Scores less than 10 generally indicate severe impairment, while scores between 10 and 19 indicate moderate dementia. It is also used to estimate the severity and progression of cognitive impairment and to follow. Minimental status examination in the korean version of the cerad assessment packet created date. Assess the persons ability to hear and understand very simple conversation, e. Mini mental state examination mmse how to complete for. A comparison of scoring protocols on the clock drawing test in relation to ease of use, diagnostic group, and correlations with minimental state. Subjects whose education attainment level is some college or higher, a score on the mmse of 26 or below. Peter bowie and colleagues oct 30, p 15271 conclude that the mini mental state examination is inappropriate for assessing treatment response in alzheimers disease.
Mini mental state examination oxford medical education. Mmse2 pocket norms guide includes raw means and standard deviations by age and education level, age and educationbased. The modified mini mental state 3ms incorporates four added test items, more graded scoring, and some other minor changes. Validation of a 26point telephone version of the mini. D l r o w score d d 1 dl d l 2 dld d l 2 dldr d l r 3 dllor d l o 3 dllrw d l r w 4 dllw d l w 3 dlo d l o 3 dlod d l o 3.
According to folstein et al, it can be used to screen for cognitive impairment, to estimate the severity of cognitive impairment at a given point in time, to follow the course of cognitive changes in an individual over time, and to document an individuals response to treatment. It is also used to estimate the severity and progression of cognitive impairment and to follow the course of cognitive changes in an individual. I am going to say three words that i want you to repeat back to me now and try to remember. 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. The score for world reversal is 17 per cent of smmse score 5 of 30 points.
Scroll down for the calculated mmse score and interpretation. A practical method for grading the cognitive state of patients for the clinician. The education adjusted cutoff scores are calculated by data management. The modified mini mental state 3ms test retains the brevity, the ease of administration, and the objective scoring of the mms, but broadens the range of scores from 030 to 0100. Standardised minimental state examination smmse tool ihpa. Volume 66, issue 1, supplement, march 2014, pages 14. A score of 23 or lower is indicative of cognitive impairment. The mmse can be performed in standardized smmse and nonstandardized format.
It is an 11question measure that tests five areas of cognitive function. The mini mental state examination mmse is a tool that can be used to systematically and thoroughly assess mental status. Mini mental state examination score by age and educational level. This person may have alzheimers disease, which is the most common form of dementia. Standardized minimental state examination smmse 822221 nov 2911 page 1 of 4 directions for administration of the ssmse. The mini mental state mms examination is a widely used screening test for dementia. The saint louis university mental status slums examination for detecting mild cognitive impairment and dementia is more sensitive than the minimental status examination mmse a pilot study. Pdf the impact of visual impairment on minimental state.
A ore approximately comparable to that of the original mms score can be derived from the administration of the. Mini mental status exam mmse physical exam step 2 cs. The mini mental status examination offers a quick and simple way to quantify cognitive function and screen for cognitive loss. In general participant scoring below educationadjusted cutoff scores on the mmse may be cognitively impaired. Method score interpretation single cutoff 25 increased odds of dementia decreased odds of dementia education 21 score on the mmse of 25 or below d. The stated minimental test varies from the original by questioning about month when the original minimental test asked about. The mmse is far more sensitive in detecting cognitive impairment than the use of. Compared with the mmse, the 3ms has more standardized administration and more graded scoring. Minimental status examination in the korean version of. To ensure diagnostic accuracy, it should be performed in a standardized format for the questions asked, and the time allotted to complete the task. The persons score is the maximum number of lines that can be drawn, without crossing any. Minimental state examination mmse heart and stroke foundation.
The generalizability coefficient n 411 between the mmse and the mmse2. Standardised minimental state examination smmse ihpa. The minimental status examination offers a quick and simple way to quantify cognitive function and screen for cognitive loss. Standardised minimental state examination smmse tool. This tool crudely quantifies elements of the history and examination relevant to the risk of vascular dementia.
Describing the sequence of cognitive decline in alzheimer. Incorrect scoring of world reversal may result in incorrect assumptions of clinical change. Given that need, we have developed a short bedside test, the minimental par. Minimental state examination mmse for the detection of. Take the paper in your right hand, fold it in half and put it on the floor. This examination is not suitable for making a diagnosis but can be used to indicate the presence of cognitive impairment, such as in a person with suspected dementia or following a head injury. Because the overall difficulty and raw score range remain the same as in the original, mmse2. The minimental state examination mmse or folstein test is a 30point questionnaire that is used extensively in clinical and research settings to measure cognitive impairment. Par mmse2 minimental state examination, 2nd edition hindi.
Minimental state examination mmse free printable, downloadable, pdf version the mmse is a 30point test advantages relatively quick and easy to perform requires no additional equipment can provide a method of monitoring deterioration over time disadvantages biased against people with poor education due to elements of language and mathematical testing bias against visually impaired. All ten angles must be present and two must intersect to score one point. Median minimental state examination score by age and. The modified mini mental state 3ms examination evelyn lee teng, ph. Method score interpretation single cutoff 25 increased odds of dementia decreased odds of dementia education 21 mmse is a tool that can be used to systematically and thoroughly assess mental status. Instructions for administration of minimental status. Give the patient a piece of plain blank paper and ask him to follow your instructions. Minimental state examination mmse, 8 a widely used tool to assess cognitive function in ad patients in facetoface clinical settings.
Median minimental state examination score by age and educational l subject. Technically, the mmse is a ed neuropsychological test, and the user should pay a fee when it is used. A new edition of the mmse is now available the mmse is a brief, quantitative measure of cognitive status in adults. Standardized mini mental state examination smmse i am going to ask you some questions and give you same problems to solve. The telephone interview for cognitive status tics2 was developed to screen for cognitive impairment over the telephone and to facilitate followup of ad patients. Total score sh tariq, n tumosa, jt chibnall, hm perry iii, and je morley. The mini mental state examination mmse was first published in 1975 by m. The above mini mental test score is based on the format taught to oxford university medical students 2.
In smmse there are many different ways to score this task, but we have found this method to. The minimental state examination is one of the most commonly used and widely tested instrument for testing cognitive ability. Before the questionnaire is administered, try to get the person to sit down facing you. The validity of using the mini mental state examination in nice dementia guidelines. Scoring of the mini mental status exam mmse scores on the mini mental status exam range from 0 to 30, with scores of 25 or higher being traditionally considered normal. If the subject cannot spell world even with assistance, score 0. Download handout as pdf print and use to make mmse administration faster. There is not a form with just ev so cant add it on to the sv. Reliability of a standardized minimental state examination compared with the traditional minimental state examination. The mmse is a brief test consisting of 30 items that require only 510 min to administer and has a total score that ranges from normal 30 to severe impairment 0. The mini mental state exam mmse is a widely used test of cognitive function among the elderly. The four new items cover long term memory recall of date and place of birth, verbal. It can be used to screen for cognitive impairment, to estimate the severity of cognitive impairment at a given point in time, to follow the course of cognitive changes in an individual over time, and to document an individuals response to treatment.
The mini mental state examination mmse is a commonly used set of questions for screening cognitive function. It is commonly used in medicine and allied health to screen for dementia. The mmse is not the only test used to determine if someone has dementia. Domains measured by the mmse include orientation to time and place, registration, attention and calculation. Widely used tool for detecting cognitive impairment, assessing severity, and monitoring cognitive changes over time. Populationbased norms for the mini mental state examination by age and educational level. Is minimental score examination mmse scoring a new. The administration and scoring manual contains detailed information about administration, scoring, and choosing which version of the mmse2 to use. Please indicate with if the item has been attempted by. Differentiate aging and dementia exactly as it appears in the pdf available here without. The mmse2 has also been translated into german, dutch, french, russian, spanish for the us, simplified chinese, spanish for latin america, european spanish, and italian. A minimental state examination mmse is a set of 30 questions that doctors and other healthcare professionals commonly use to check for cognitive impairment problems with thinking, communication, understanding and memory.
The mmse has not been well validated for nonalzheimers dementias. The minimental state examination is used to measure cognitive impairment in older adults. All of these steps, along with the results of a mental status test like the the mmse, help a provider. When greater sensitivity is desired, a cut point of scoring 2 4 30. A practical method for grading the cognitive state of patients for the clinician study. Dementia refers to a decline in mental ability that is severe enough to affect daily life. The stated mini mental test varies from the original by questioning about month when the original mini mental test asked about. Populationbased norms for the minimental state examination by age and educational level. Feb 06, 2017 the mini mental state examination mmse is a commonly used set of questions for screening cognitive function. Since then it has been translated into many languages and has become the most widely used brief test of.
Is mini mental score examination mmse scoring a new predictor of. To determine the diagnostic accuracy of the minimental state examination mmse at various cut points for dementia in people aged 65 years and over in community and primary care settings who had not. The minimental state examination mmse is a test that health care professionals give to someone who may have dementia. Please see accompanying guidelines for administration and scoring instructions. Click the boxes corresponding to the patients responses. The modified mini mental state 3ms test has been designed to enhance the usefulness of the popular mini mental state examination mmse folstein, folstein, and mchugh, 1975. Three word recall scoring look directly at person and say, please listen carefully. We believe that their study does not address this issue fairly. The mini mental s introduction folstein and colleagues published the mini mental state examination mmse for brief quantitative assessment of cognitive function 30 years ago folstein et al. Example to show differences between mmse and smmse scoring mmse scores order. Mini mental state examination mmse how to complete for patients with sensory deficit if patient has sensory deficit eg visual hearing loss, paralysis of limbs the mmse score should be adjusted to adjust the mmse score. A score below 20 usually indicates cognitive impairment. It tests the individuals orientation, attention, calculation, recall, language and motor skills. Minimental state examination mmse general information.
Minimental state examination, 2nd edition mmse2 marshal f. Score one point for each correct response within each question or activity. For the purpose of the exam, the score indicates a failed performance, not necessarily a failed performance under all conceivable circumstances. The mmse was designed as a screening test for the purpose of evaluating cognitive impairment in older adults.