Ajokyvyn arviointi MoCA-menetelmällä Alzheimerin taudin varhaisvaiheessa

6533b7defe1ef96bd12759e6

RESEARCH PRODUCT

Ajokyvyn arviointi MoCA-menetelmällä Alzheimerin taudin varhaisvaiheessa

Hanna Pyykönen Heidi Parantainen Tuomo Kujala Jan Wikgren

subject

kognitio Memory Disorders Automobile Driving muistisairaudet päätöksenteko ajokyky lääketiede päätökset Mental Status and Dementia Tests Alzheimerin tauti sairaudentunto harkintakyky Alzheimer Disease havainnointi Cognitive Dysfunction liikenneturvallisuus valinnat Cognition Disorders Montreal Cognitive Assessment (MoCA)diagnoosi 3112 Neurotieteet terveys tunnistaminen 3124 Neurologia ja psykiatria

description

Vertaisarvioitu Lähtökohdat Tutkimme Montreal Cognitive Assessment (MoCA) -menetelmän soveltuvuutta varhaista Alzheimerin tautia sairastavien potilaiden ajokyvyn arviointiin. Selvitimme myös menetelmän herkkyyttä tunnistaa kognitiomuutoksia. Menetelmät Tutkimus sisälsi haastattelun, kognitiivisen arvioinnin (MoCA), ajon simulaattorilla ja oman ajamisen arvioinnin. Siihen osallistui 7 potilasta ja 17 tervettä ikätoveria. Tulokset Potilaat suoriutuivat verrokkeja heikommin MoCA-testissä ja simulaattoriajossa. Arvio omasta suoriutumisesta ajossa oli heillä merkitsevästi parempi kuin verrokeilla. Potilaat saivat testipisteitä keskimäärin 18,6 ja verrokit 27,4. Simulaattoriajossa potilaat tekivät lähes kaksi kertaa enemmän virheitä kuin verrokit. Päätelmät Testi näyttää tunnistavan varhaisia kognition muutoksia hyvin. Oireiden tiedostamisen ja kognitiivisen suoriutumisen heikentyminen näyttää suurentavan liikenneturvallisuusriskiä. Ajokyvystä on syytä huolestua, kun MoCA-pistemäärä on alle 20. Peer reviewed

year	journal	country	edition	language
2019-01-01

http://urn.fi/URN:NBN:fi:jyu-201903211928

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