Cognitive Evaluation Of Patients With PD By LOTCA

Objective:Application for LOTCA scale preliminary discussion the cognitive dysfunction of patients with Parkinson's and influence of patients with Parkinson's disease cognitive impairment relative factors.Methods:Application for Loewenstein Occupational Therapy Cognitive Assessment Second happen LOTCA(Second Edition) from directional force, perceptions, depending on the visual movement organization such and the operation of thinking the aspects such as research object operation evaluation of cognition. the cases of set group and control group into and exclusion standard, selected from January2011to October in the First Affiliated Hospital of Kunming Medical University of Neurology, outpatient and inpatient department visits, new diagnosis of Parkinson's disease patients.40cases as case group, With40cases without Parkinson's disease patients, patients' family members or accompanying persons for the control group. According to age, education level, course will study object group evaluation, results use SPSS17.0statistical software for statistical treatment.Results:1. the mean differences of two sample is t test showed that the control group and the case group in the visual perception, spatial perception, visual movement organization, operation of thinking, attention with concentration5is the project and geometrical shape identification, copy geometric forms, reproduction of a two-dimensin model, pegboard construction, colored block-design, plain block-design, reproduction of a puzzle, drawing a clock, pictorial sequence, logic question10sub-project with the statistically significant differences (P<0.05);2. Compare two sample mean differences between groups of t test and analysis of variance comparison shows, different age groups and different education degree groups of control group and the case group between and different cases of course between groups, all have one or two or more cognitive functions are statistically significant difference (P<0.05).3. In different age groups, the control group and patient group mainly for the operation of thinking, visual movement organization, attention and concentration are statistically significant differences(P<0.05); different education degree group, the control group and the case group mainly for the visual perception, visual movement organization, the operation of thinking, attention with concentration of a statistically significant difference(P<0.05); different course of cognitive dysfunction in patients mainly for action application, visual movement organization(P<0.05).4. The case group, between different degree of education group and and between different course of disease group, difference has statistics difference(P<0.05), between the different age groups, no clear statistical significance(P>0.05). The control group, statistically significant difference between the different degree of education group(P<0.05), no clear statistically significant difference between the different age groups(P>0.05).5. The control group and the case group's visual movement organization and operation of thinking with high correlation (r=0.773, P<0.001), between the rest of sub-projects are low.Conclusion:1. Parkinson's cognitive dysfunction mainly displays in the visual perception, spatial perception, visual movement organization, the operation of thinking, attention with concentration. Among them with visual movement organization, the operation of thinking, attention with concentration aspects mainly cognitive damage.2. Parkinson's patients cognitive dysfunction by education degree, course by the influence of the factors, and there exists a certain rule:the cultural level of the lower level, the longer the more obvious cognitive impairment. Conversely, the higher level of education, the shorter the relatively light cognitive impairment. However, the statistical results of this study, there is no obvious relationship between age and cognitive impairment in patients.3. The control group and the case group, visual movement organization and operation of thinking with high correlation.