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

Cognitive impairment is frequent in cerebral palsy (CP) and there is a lack of multiprofessional screening instruments. 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...

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Published inDementia & neuropsychologia Vol. 11; no. 3; pp. 287 - 296
Main Authors Moura, Ricardo, Andrade, Peterson Marco Oliveira, Fontes, Patrícia Lemos Bueno, Ferreira, Fernanda Oliveira, Salvador, Larissa de Souza, Carvalho, Maria Raquel Santos, Haase, Vitor Geraldi
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil Associação de Neurologia Cognitiva e do Comportamento 01.07.2017
Associação Neurologia Cognitiva e do Comportamento
Subjects
cerebral palsy
CLINICAL NEUROLOGY
cognitive impairment
GERIATRICS & GERONTOLOGY
HEALTH CARE SCIENCES & SERVICES
MEDICINE, GENERAL & INTERNAL
Mini-Mental State Exam
NURSING
Original
PSYCHIATRY
PSYCHOLOGY
screening
cerebral palsy
screening
cognitive impairment
Mini-Mental State Exam
Paralisia cerebral
comprometimento cognitivo
triagem
Mini-exame do estado mental
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Summary:Cognitive impairment is frequent in cerebral palsy (CP) and there is a lack of multiprofessional screening instruments. 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. 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. 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. 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.
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Disclosure: The authors report no conflicts of interest.
Moura, R. worked on study planning, data analysis and paper writing; Andrade, P. M. O. worked on instrument design, data collection and analysis; Fontes, P. L. B. worked on data collection and analysis; Ferreira, F. O. worked on instrument design, data collection and analysis; Salvador, L. S. worked on data collection and analysis and paper writing; Carvalho, M. R. S. worked on study planning and paper writing; Haase, V. G. worked on study planning, instrument design and paper writing.
Author contribution.
ISSN:1980-5764
1980-5764
DOI:10.1590/1980-57642016dn11-030011