Drawing a clock by hand is one of easiest to administer and one of the most popular screening tools that can help to detect mild cognitive impairment dementia or Alzheimers among new patients. The test can be done anytime anywhere and can be self-administered as well.
Instruct patient to draw numbers in the circle to make the circle look like the face.

Clock drawing test for dementia. The effectiveness of the Clock Drawing Test CDT for dementia detection was compared with that of the Mini-Mental State Examination MMSE and the Cognitive Abilities Screening Instrument CASI in community-dwelling elders of diverse linguistic ethnic and educational backgrounds. 4 How the Clock-Drawing Test Works. 10 12 At least 13 scoring systems have been introduced over the years.
This tip sheet provides advice about administering the clock drawing test CDT a measure of dementia severity. Instructions for the Clock Drawing Test. They can be used to give a quick and simple early diagnosis that there could be a problem that warrants further investigation into the individuals memory.
A cut point of dementia screening but many individuals with. It is a quick easy test that jus. There are numerous versions of the clock-drawing test.
The clock drawing test has also been advocated over the MMSE as an office screening test for dementia in community clinics and in acute hospital settings. There are more in-depth cognitive tests that take longer 15 minutes and these include the Consortium to Establish a Registry for Alzheimers Disease Neuropsychological Battery CERAD-NP. The Clock Drawing Test CDT is a nonverbal screening tool in which the patient is asked to draw a clock.
Furthermore the clock drawing test is suitable for non-English speaking populations whereas the MMSE does have some language bias. The clock drawing test should be done on a blank piece of paper. This readily administered test is as effective in screening for dementia as the longer six-item SBT.
Give patient a sheet of paper with a large relative to the size of handwritten numbers predrawn circle on it. Placement of the numbers around the circle requires visual-spatial numerical sequencing and planning abilities47 The patient is then asked to draw the hands on the clock to. The clock drawing test can be used to test patients you suspect might have mild cognitive impairment or Alzheimers disease.
The effectiveness of the Clock Drawing Test CDT for dementia detection was compared with that of the Mini-Mental State Examination MMSE and the Cognitive Abilities Screening Instrument CASI in community-dwelling elders of diverse linguistic ethnic and educational backgrounds. The clock drawing test CDT has been proposed as a quick screening test for cognitive dysfunction secondary to dementia delirium or a range of neurological and psychiatric illnesses Cucinotta D 2004. There are variations in the administration of the test including using a pre-drawn circle and a clock copying task.
A simple completely objective scoring system for a clock completion test has been developed which involves only the number of digits placed in the fourth quadrant of a pre-drawn circle. Someone who may have dementia is asked to draw a clock. The CDK can be effectively administered to resistant and.
For example recent studies have reported the use of a clock-drawing test for diagnosing and grading the severity of hepatic encephalopathy predicting rehabilitation outcomes after traumatic brain injury TBI and assessing functional status in veterans with deployment-related mild TBI. The Mini-Cog can be administered in about 3 minutes requires no special equipment and is relatively uninfluenced by level of education or language variations. Another popular test is the Mini-Cog which includes remembering three unrelated words told to the patient in addition to the clock drawing test.
It requires less time to administer and to score. Total score Word Recall score Clock Draw score. This study assessed five scoring methods of the Clock-Drawing test CDT.
The Mini-Cog Assessment Instrument for Dementia The Mini-Cog assessment instrument combines an uncued 3-item recall test with a clock-drawing test CDT. Provided by the Department of Health Human Services Victoria. A total of 72 out-patients and 29 healthy controls were assessed three times.
The clock drawing test is also widely used by GPs and dementia specialists. Indicate the top of the page.
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