Escalas de avaliação cognitiva utilizadas por terapeutas ocupacionais: uma revisão da literatura
DOI:
https://doi.org/10.34024/rnc.2024.v32.16155Palavras-chave:
Idoso, Testes de Estado Mental e Demência, Cognição, Terapia OcupacionalResumo
Introdução. A demência é definida como alterações que acarretam prejuízos que acometem o desempenho ocupacional do idoso. É importante que haja uma boa avaliação para um diagnóstico precoce, possibilitando a redução de danos futuros na qualidade de vida do idoso. Objetivo. Identificar os instrumentos de avaliação cognitiva que foram mais utilizados pelos terapeutas ocupacionais com idosos demenciados no ano de 2010 a 2020. Método. Realizou-se uma revisão integrativa com um recorte temporal de 11 anos onde foram selecionados artigos escritos por terapeutas ocupacionais. Resultados. A amostra foi composta por 27 artigos contendo uma variedade de instrumentos de avaliação cognitiva, sendo mais utilizado o Mini Exame do Estado Mental, seguido do Clinical Dementia Rating e Montreal Cognitive Assessment. Conclusão. Observou-se a utilização de diversos instrumentos de avaliação cognitiva de idosos, entretanto, poucos eram específicos da Terapia Ocupacional.
Métricas
Referências
Falcão DVS, Bucher-Maluschke, JSNF. Cuidar de familiares idosos com a doença de alzheimer: Uma reflexão sobre aspectos psicossociais. Psicol Estud 2009;14:777-86. https://doi.org/10.1590/S1413-73722009000400018
Alzheimer’s Disease International. World Alzheimer Report 2015: The global impact of dementia: An analysis of prevalence, incidence, cost and trends. London: Alzheimer’s Disease International (Acessado em: 16/07/2022). Disponível em: https://www.alzint.org/resource/world-alzheimer-report-2015/
Fornari LHT, Garcia LP, Hilbig A, Fernandez LL. As diversas faces da síndrome demencial: Como diagnosticar clinicamente? Sci Med 2010;20:185-93. https://revistaseletronicas.pucrs.br/ojs/index.php/scientiamedica/article/view/5824
Parmera JB, Nitrini R. Demências: Da investigação ao diagnóstico. Rev Med 2015;94:179-84. https://doi.org/10.11606/issn.1679-9836.v94i3p179-184
American Psychiatric Association. Diagnostic and statistical manual of mental disorders DSM-5. American Psychiatric Publ.; 2013. https://doi.org/10.1176/appi.books.9780890425596
Alzheimer’s Disease International. World Alzheimer Report 2019: Attitudes to dementia. London: Alzheimer’s Disease International (Acessado em: 02/08/2022). Disponível em: https://www.alzint.org/resource/world-alzheimer-report-2019/
Bernardo LD. Intervenções cognitivas em idosos com doença de Alzheimer: uma revisão integrativa da atuação da Terapia Ocupacional. Estud Interdiscipl Envelhec 2017;22:29-46. https://doi.org/10.22456/2316-2171.74557
Lins VS, Gomes MQC. Terapia Ocupacional no cuidado ao idoso com demência: Uma revisão integrativa. Rev Interinst Bra Ter Ocup 2019;3:117-32. https://doi.org/10.47222/2526-3544.rbto13996
Canon MBF, Couto TV. Uma proposta de atuação da Terapia Ocupacional junto a idosos hospitalizados. Cad Ter Ocup UFSCar 2014;22:374-82. https://doi.org/10.4322/cto.2014.057
Giles GM, Radomski MV, Wolf TJ. Cognition, Cognitive Rehabilitation, and Occupational Performance. Am J Occup Ther 2019;73:25. https://doi.org/10.5014/ajot.2019.73S201
Martins NIM, Caldas PR, Cabral ED, Lins CCDSA, Coriolano MGWS. Cognitive assessment instruments used in elderly Brazilians in the last five years. Ciênc Saude Colet 2019;24:2513-30. https://doi.org/10.1590/1413-81232018247.20862017
Loureiro APL, Lima AA, Silva RCG, Najjar ECA. Reabilitação cognitiva em idosos institucionalizados: um estudo piloto. Rev Ter Ocup 2011;22:136-44. https://doi.org/10.11606/issn.2238-6149.v22i2p136-144
Lee M-T, Chang W-Y, Jang Y. Psychometric and diagnostic properties of the Taiwan version of the Quick Mild Cognitive Impairment screen. PloS One 2018;13:e0207851. https://doi.org/10.1371/journal.pone.0207851
O’Connor CM, Clemson L, Brodaty H, Jeon YH, Mioshi E, Gitlin LN. Use of the Tailored Activities Program to reduce neuropsychiatric behaviors in dementia: An Australian protocol for a randomized trial to evaluate its effectiveness. Int Psychogeriatr 2014;26:857-69. https://doi.org/10.1017/S1041610214000040
Hsu T-J, Tsai H-T, Hwang A-C, Chen L-Y, Chen L-K. Predictors of non-pharmacological intervention effect on cognitive function and behavioral and psychological symptoms of older people with dementia. Geriatr Gerontol Int 2017;17(Suppl 1):28-35. https://doi.org/10.1111/ggi.13037
Mao H-F, Chang L-H, Tsai AY-J, Huang W-NW, Tang L-Y, Lee H-J, et al. Diagnostic accuracy of Instrumental Activities of Daily Living for dementia in community-dwelling older adults. Age Ageing 2018;47:551-7. https://doi.org/10.1093/ageing/afy021
Ferrero-Arias J, Goñi-Imízcoz M, González-Bernal J, Lara-Ortega F, Silva-González A, Díez-Lopez M. The efficacy of nonpharmacological treatment for dementia-related apathy. Alzheimer Dis Assoc Disord 2011;25:213-9. https://doi.org/10.1097/WAD.0b013e3182087dbc
Clemmensen FK, Hoffmann K, Siersma V, Sobol N, Beyer N, Andersen B, et al. The role of physical and cognitive function in performance of activities of daily living in patients with mild-to-moderate Alzheimer’s disease – a cross-sectional study. BMC Geriatrics 2020;20:513. https://doi.org/10.1186/s12877-020-01926-9
Cornelis E, Gorus E, Van Schelvergem N, Vriendt P. The relationship between basic, instrumental, and advanced activities of daily living and executive functioning in geriatric patients with neurocognitive disorders. Inter J Geriatri Psychiatr 2019;34:889-99. https://doi.org/10.1002/gps.5087
Kim K-U, Kim S-H, Oh H-W. The effects of occupation-centered activity program on fall-related factors and quality of life in patients with dementia. J Phys Ther Sci 2017;29:1188-91. https://doi.org/10.1589/jpts.29.1188
Lai FH-Y, Yan EW-H, Yu KK-Y, Tsui W-S, Chan DT-H, Yee BK. The Protective Impact of Telemedicine on Persons With Dementia and Their Caregivers During the COVID-19 Pandemic. Am J Geriatr Psychiatr 2020;28:1175-84. https://doi.org/10.1016/j.jagp.2020.07.019
Harper KJ, Riley V, Petta A, Jacques A, Spendier N, Ingram K. Occupational therapist use of the “Timed Up and Go” test in a Memory Clinic to compare performance between cognitive diagnoses and screen for falls risk. Aust Occup Ther J 2020;67:13-21. https://doi.org/10.1111/1440-1630.12617
Otaki M, Moriguchi K, Lebowitz A, Asada T. Memories of falling in elderly patients with dementia: Response concordance rate and reproducibility. Psychogeriatrics 2014;15:138-43. https://doi.org/10.1111/psyg.12102
Poynter L, Kwan J, Vassallo M. How does cognitive impairment impact on functional improvement following the rehabilitation of elderly patients? Inter J Clin Pract 2013;67:811-5. https://doi.org/10.1111/ijcp.12161
Lee GY, Yip CCK, Yu ECS, Man DWK. Evaluation of a computer-assisted errorless learning-based memory training program for patients with early Alzheimer’s disease in Hong Kong: A pilot study. Clin Interv Aging 2013;8:623-33. https://doi.org/10.2147/CIA.S45726
Tokuchi R, Hishikawa N, Matsuzono K, Takao Y, Wakutani Y, Sato K, et al. Cognitive and affective benefits of combination therapy with galantamine plus cognitive rehabilitation for Alzheimer’s disease. Geriatr Gerontol Inter 2016;16:440-5. https://doi.org/10.1111/ggi.12488
Liang C-K, Chou M-Y, Chen L-Y, Wang K-Y, Lin S-Y, Chen L-K, et al. Delaying cognitive and physical decline through multidomain interventions for residents with mild-to-moderate dementia in dementia care units in Taiwan: A prospective cohort study. Geriatr Gerontol Inter 2017;17(Suppl 1):36-43. https://doi.org/10.1111/ggi.13035
Kim H-H. Effects of experience-based group therapy on cognitive and physical functions and psychological symptoms of elderly people with mild dementia. J Phys Ther Sci 2015;27:2069-71. https://doi.org/10.1589/jpts.27.2069
Ingber AP, Hassenstab J, Fagan AM, Benzinger TLS, Grant EA, Holtzman DM, et al. Cerebrospinal Fluid Biomarkers and Reserve Variables as Predictors of Future “Non-Cognitive” Outcomes of Alzheimer’s Disease. J Alzheimers Dis 2016;52:1055-64. https://doi.org/10.3233/JAD-150478
Lee M-T, Jang Y, Chang W-Y. How do impairments in cognitive functions affect activities of daily living functions in older adults? PloS One 2019;14:e0218112. https://doi.org/10.1371/journal.pone.0218112
Stout SH, Babulal GM, Ma C, Carr DB, Cabeça DM, Grant EA, et al. Driving cessation over a 24-year period: Dementia severity and cerebrospinal fluid biomarkers. Alzheimers Dem 2018;14:610-6. https://doi.org/10.1016/j.jalz.2017.11.011
Tokuchi R, Hishikawa N, Sato K, Hatanaka N, Fukui Y, Takemoto M, et al. Age-dependent cognitive and affective differences in Alzheimer’s and Parkinson’s diseases in relation to MRI findings. J Neurol Sci 2016;365:3-8. https://doi.org/10.1016/j.jns.2016.03.031
Matsuzono K, Hishikawa N, Takao Y, Wakutani Y, Yamashita T, Deguchi K, et al. Combination benefit of cognitive rehabilitation plus donepezil for Alzheimer’s disease patients. Geriatr Gerontol Inter 2016;16:200-4. https://doi.org/10.1111/ggi.12455
Tokuchi R, Hishikawa N, Sato K, Hatanaka N, Fukui Y, Takemoto M, et al. Differences between the behavioral and psychological symptoms of Alzheimer’s disease and Parkinson’s disease. J Neurol Sci 2016;369:278-82. https://doi.org/10.1016/j.jns.2016.08.053
Sobol NA, Hoffman K, Vogel A, Lolk A, Gottrup H, Hogh P, et al. Associations between physical function, dual-task performance and cognition in patients with mild Alzheimer's disease. Aging Ment Healt 2016;20:1139-46. https://doi.org/10.1080/13607863.2015.1063108
Harper KJ, Riley V, Jacques A, MacDonald K, Spendier N. Australian modified Lawton’s Instrumental Activities of Daily Living Scale contributes to diagnosing older adults with cognitive impairment. Aus J Ageing 2019;38:199-205. https://doi.org/10.1111/ajag.12629
Chan IW-P, Chu L-W, Lee PWH, Li S-W, Yu K-K. Effects of cognitive function and depressive mood on the quality of life in Chinese Alzheimer’s disease patients in Hong Kong. Geriatr Gerontol Inter 2011;11:69-76. https://doi.org/10.1111/j.1447-0594.2010.00643.x
Son B-Y, Bang Y-S, Hwang M-J, Oh E-J. Effect of task-oriented activities on hand functions, cognitive functions and self-expression of elderly patients with dementia. J Phys Ther Sci 2017;29:1357-62. https://doi.org/10.1589/jpts.29.1357
Carvalho CRA, Rebellato C, Bernardo LD, Ferreira MSM, Poltronieri BC. Grupo de pesquisa “Envelhecimento humano, saúde, cultura e sociedade”: Ensaio sobre as ações da terapia ocupacional em pesquisa e extensão universitária. RechTO 2020;20:61-71. https://doi.org/10.5354/0719-5346.2020.51057
Santana I, Duro D, Lemos R, Costa V, Pereira M, Simões MR, et al. Mini-Mental State Examination: Screening and Diagnosis of Cognitive Decline, Using New Normative Data. Acta Med Port 2016;29:240-8. https://doi.org/10.20344/amp.6889
Andrade SKDRS, Melo MCS, Lima BF, Porto FHG, Peixoto VGMNP, Gazzola JM. Loss of functional capacity in elderly individuals with Alzheimer disease. Dement. Neuropsychol 2020;14:387-93. https://doi.org/10.1590/1980-57642020dn14-040009
Guerzoni VPD, Barbosa AP, Borges ACC, Chagas PSC, Gontijo APB, Eterovick F, et al. Análise das intervenções de terapia ocupacional no desempenho das atividades de vida diária em crianças com paralisia cerebral: Uma revisão sistemática da literatura. Rev Bras Saude Mater Infant 2008;8:17-25. https://doi.org/10.1590/S1519-38292008000100003
American Occupational Therapy Association. Estrutura da prática da Terapia Ocupacional: domínio & processo. 3ª ed. São Paulo: AOTA; 2015. https://www.revistas.usp.br/rto/article/view/97496
Horton DK, Hynan LS, Lacritz LH, Rossetti HC, Weiner MF, Cullum CM. An Abbreviated Montreal Cognitive Assessment (MoCA) for Dementia Screening. Clin Neuropsychol 2015;29:413-25. https://doi.org/10.1080/13854046.2015.1043349
Kang JM, Cho YS, Park S, Lee BH, Sohn BK, Choi CH, et al. Montreal cognitive assessment reflects cognitive reserve. BMC Geriatr 2018;18:2-8. https://doi.org/10.1186/s12877-018-0951-8
Almomani F, Avi-itzhak T, Demeter N, Josman N, Al-momani MO. Construct validity and internal consistency reliability of the Loewenstein occupational therapy cognitive assessment (LOTCA). BMC Psychiatr 2018;18:2-9. https://doi.org/10.1186/s12888-018-1776-x
Novelli MMPC, Marques NCF, Mendes RS, Matteuci M, Medeiros AS, Kuga J, et al. Adaptação transcultural da bateria DLOTCA-G (Dynamic Lowenstein Occupational Therapy Cognitive Assessment – for Geriatric Population) para a língua portuguesa. Cad Bra Ter Ocup UFSCar 2015;23:251-60. https://doi.org/10.4322/0104-4931.ctoAO0490
Manee FS, Nadar MS, Alotaibi NM, Rassafiani M. Cognitive Assessments Used in Occupational Therapy Practice: A Global Perspective. Occup Ther Int 2020;20:2-8. https://doi.org/10.1155/2020/8914372
Silva MLT, Santana APS, Zagmignan EV, Melo NMN, Nolêto BC. Avaliação cognitiva de Montreal (MoCA) na prática da Terapia ocupacional: Uma revisão integrativa. Rev Casos Consult 2021;12:19. https://periodicos.ufrn.br/casoseconsultoria/article/view/27327
Conti J. Avaliação cognitiva: Um desafio para os terapeutas ocupacionais no Brasil. Dement Neuropsychol 2017;11:121-8. https://doi.org/10.1590/1980-57642016dn11-020004
Gardona RGB, Barbosa DA. Importância da prática clínica sustentada por instrumentos de avaliação em saúde. Rev Bras Enferm 2018;71:1921-2. http://doi.org/10.1590/0034-7167-2018710401
Sousa MJ, Marques ACAS, Pereira ML. Acurácia diagnóstica dos instrumentos de avaliação da cognição na atenção primária à saúde. Braz J Health Rev 2021;4:6735-47. https://doi.org/10.34119/bjhrv4n2-223
Dutra HS, Reis VN. Desenhos de estudos experimentais e quase-experimentais: Definições e desafios na pesquisa em enfermagem. Rev Enferm UFPE 2016;10:2230-41. https://doi.org/10.5205/reuol.9199-80250-1-SM1006201639
Cruz DMC, Rodrigues DS, Wertheimer LG. Reflexões sobre o uso de instrumentos de avaliação na Terapia Ocupacional no Brasil. Rev Interinst Bras Ter Ocup 2021;5:2-7. https://doi.org/10.47222/2526-3544.rbto35973
Ferro AO, Lins AES, Filho EMT. Comprometimento cognitivo e funcional em pacientes acometidos de acidente vascular encefálico: Importância da avaliação cognitiva para intervenção na Terapia Ocupacional. Cad Ter Ocup UFSCar 2013;21:522-7. https://doi.org/10.4322/cto.2013.054
Araujo EAT, Lima BF, Silva ACM, Melo MCS, Gazzola JM, Cavalcanti FAC. A utilização do Índice de Barthel em idosos brasileiros: uma revisão de literatura. Rev Kairos 2020;23:217-31. https://doi.org/10.23925/2176-901X.2020v23i2p217-231
Bretan O, Silva J, José E, Ribeiro OR, Corrente JE. Risco de queda em idosos da comunidade: avaliação com o teste Timed up and go. Braz J Otorhinolaryngol 2013;79:18-21. https://doi.org/10.5935/1808-8694.20130004
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2024 Ana Vitória Almeida Ribeiro, Daniella Ramos Nunes, Ana Paula Rosa do Nascimento, Jamily Cristina Alfaia da Serra, Marcelo Marques Cardoso, Kátia Maki Omura
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Como Citar
Aprovado 2024-05-07
Publicado 2024-06-06
