Correlation between Language Screening Test and Frenchay Aphasia Screening Test for Aphasia Screening in Ischemic Stroke


  • Dwi Febryanto STIKes St. Elisabeth Semarang, Semarang, Central Java, Indonesia
  • Muh. Firman Yudiatma STIKes Widya Dharma Husada, South Tangerang, Banten, Indonesia
  • Noni Widiawatie Universitas An Nuur Purwodadi, Grobogan, Central Java, Indonesia
  • Retnaningsih Retnaningsih Department of Neurology, Karyadi Hospital, Semarang, Central Java, Indonesia
  • Fitria Handayani Neurology Nursing Division, Diponegoro University, Semarang, Central Java, Indonesia
  • Ria Anggraini Suryah Khairuddin Hospital, Tanjung Jabung Barat, Jambi, Indonesia



Aphasia, Language Aphasia Screening Test, Frenchay Aphasia Screening Test, Ischemic Stroke


Aphasia is a communication disorder that occurs after brain damage. Delays in diagnosing aphasia can lead to depression, decrease quality of life, and raise hospital stays and costs. Ischemic stroke aphasia screening instruments have been widely developed but are still difficult to interpret.  Nowadays, the Language Screening Test (LAST) is reportedly quick, easy to understand, straightforward, and suitable for use by nurses. However, the LAST subtests are different from the Frenchay Aphasia Screening Test (FAST), which has been used in the past to evaluate aphasia. This study aims to determine the relationship between LAST and FAST in ischemic stroke aphasic patients for aphasia screening. The study used an analytic observational method with a cross-sectional approach. The population in this study were stroke patients at Tugurejo Semarang Hospital who had their CT Scan checked. The sample was taken using a purposive sampling technique. Bivariate data analysis with Spearman Rank Correlation test. We obtained 50 samples 19 male patients and 31 female patients with the highest age range of 51-60 years as many as 26 patients. The highest Education and profession is primary school and housewife. Patients who experienced aphasia with LAST and FAST scored as many as 27 and 29 people, while the rest not have aphasia. The Spearman's Rank test obtained p-values of 0,000 and < 0,05 respectively. Meanwhile, the correlation coefficients of LAST and FAST on aphasia were 0,678 and 0,678 respectively. There is a positive correlation between the LAST and FAST in ischemic stroke aphasic patients for aphasia screening. Nurses can use the LAST instrument to collect data and establish nursing diagnoses of verbal communication disorders.


Download data is not yet available.


Al-Khawaja, I., Wade, D., & Collin, C. F. (1996). Bedside screening for aphasia : A comparison of two methods Bedside screening for aphasia : a comparison of two methods. (October 2017).

Amila. (2012). Pengaruh Pemberian Augmentative and Alternative Communication (AAC) Terhadap Kemampuan Fungsional Komunikasi Dan Depresi Pasien Stroke Dengan Afasia Motorik Di RSUD Garut, Tasikmalaya Dan Banjar. Universitas Indonesia.

Amila, Sitorus, R., & Herawati, T. (2015). Pengaruh Pemberian Augmentative and Alternative Communication ( AAC ) Terhadap Kemampuan Funfsional. 18(2), 95–101.

Azuar, C., Leger, A., Arbizu, C., Henry-Amar, F., Chomel-Guillaume, S., & Samson, Y. (2013). The Aphasia Rapid Test: An NIHSS-like aphasia test. Journal of Neurology, 260(8), 2110–2117.

Azwar, S. (2012). Reliabilitas dan Validitas (Edisi 4). Yogyakarta.

Berthier, M. L. (2005). Poststroke Aphasia Epidemiology, Pathophysiology and Treatment. 22(2), 163–182.

Bonilha, H. S., Simpson, A. N., Ellis, C., Mauldin, P., Martin-Harris, B., & Simpson, K. (2014). The one-year attributable cost of post-stroke dysphagia. Dysphagia, 29(5), 545–552.

Bruun, B. (2007). Aphasia in acute stroke. In Stroke (Vol. 7).

Campbell, S., & Marshall, R. (2013). Treatment of Aphasia In The Acute Care Setting : Getting Off on the Right Foot.

Chang, T., Gajasinghe, S., & Arambepola, C. (2015). Prevalence of Stroke and Its Risk Factors in Urban Sri Lanka. Stroke, 46(10), 2965–2968.

Corallo, F., Bonanno, L., Buono, V. Lo, Salvo, S. De, Rifici, C., Pollicino, P., … Marino, S. (2017). Augmentative and Alternative Communication Effects on Quality of Life in Patients with Locked-in Syndrome and Their Caregivers. Journal of Stroke and Cerebrovascular Diseases, 1–5.

El Hachioui, H., Visch-Brink, E. G., de Lau, L. M. L., van de Sandt-Koenderman, M. W. M. E., Nouwens, F., Koudstaal, P. J., & Dippel, D. W. J. (2017). Screening tests for aphasia in patients with stroke: a systematic review. Journal of Neurology, 264(2), 211–220.

Enderby, P., & Crow, E. (1996). Frenchay Aphasia Screening Test : validity and Comparability. 18(5), 238–240.

Enderby, P. M., Wood, V. A., Wade, D. T., & Hewer, R. L. (1986). The frenchay aphasia screening test: A short, simple test for aphasia appropriate for non-specialists. Disability and Rehabilitation, 8(4), 166–170.

Erdodi, L., & Roth, R. (2017). Low scores on BDAE Complex Ideational Material are associated with invalid performance in adults without aphasia. Applied Neuropsychology:Adult,24(3),264–274.

Flamand-Roze, C., Falissard, B., Roze, E., Maintigneux, L., Beziz, J., Chacon, A., … Denier, C. (2011). Validation of a new language screening tool for patients with acute stroke: The language screening test (LAST). Stroke, 42(5), 1224–1229.

Flowers, H. L., Flamand-roze, C., Denier, C., & Roze, E. (2015). English adaptation , international harmonisation , and normative validation of the Language Screening Test ( LAST ). 29(2), 214–236.

Iqbal, A. (2011). The ‘ Golden Hour ’ Treatment of Acute Ischemic Stroke. Medicine & Health, 94, 378–379.

Ivanova, M. V, & Hallowell, B. (2013). Aphasiology A tutorial on aphasia test development in any language : Key substantive and psychometric considerations. (December 2014), 37–41.

Kemenkes RI. (2018). Hasil Utama RISKESDAS 2018. Jakarta.

Kertesz, A. (2015). Aphasiology Is there a need for standardized aphasia tests ? Why , how , what and when to test aphasics Is there a need for standardized aphasia tests ? Why , how , what and when to test aphasics. (January), 37–41.

Lumbantobing, S. . (2015). Neurologi Klinik Pemeriksaan Fisik dan Mental.

Morris, R., Eccles, A., Ryan, B., Kneebone, I. I., Morris, R., Eccles, A., … Kneebone, I. I. (2017). Prevalence of anxiety in people with aphasia after stroke. Aphasiology, 31(12), 1410–1415.

Neill, P. A. O., Cheadle, B., & Wyatt, R. (n.d.). The value of the Frenchay Aphasia Screening Test in screening for dysphasia : better than the clinician ? 123–128.

O’neill, P., Cheadle, B., Wyatt, R., McGuffog, J., & Fullerton, K. (1990). The value of the Frenchay Aphasia Screening Test in screening for dysphasia: Better than the clinician? Clinical Rehabilitation, 4(2), 123–128.

Pinzon, R. (2016). Awas Stoke. Yogyakarta: Betha Grafika.

Plowman, E., Hentz, B., & Ellis, C. (2012). Post-stroke aphasia prognosis: A review of patient-related and stroke-related factors. Journal of Evaluation in Clinical Practice, 18(3), 689–694.

Poslawsky, I. E., Schuurmans, M. J., Lindeman, E., & Hafsteinsdóttir, T. B. (2010). A systematic review of nursing rehabilitation of stroke patients with aphasia. Journal of Clinical Nursing, 19(1–2), 17–32.

PPNI. (2016). Standar Diagnosis Keperawatan Indonesia: Definisi dan Indikator Diagnostik (Edisi 1). Retrieved from DPP PPNI

PPNI. (2018). Standar Intervensi Keperawatan Indonesia : Definisi dan Tindakan Keperawatan (Edisi 1). Jakarta.

Prins, R., & Maas, W. (2002). Afasia Deskripsi Pemeriksaan Penanganan.

Putra, E., Sutarga, M., Kardiwinata, M., Suariyani, P., Septarini, W., & Subrata, M. (2016). Modul Penelitian Uji Diagnostik dan Skrining. Fakultas Kedokteran Universitas Udayana.

Salter, K., Jutai, J., Foley, N., Hellings, C., & Teasell, R. (2006). Identification of aphasia post stroke : A review of screening assessment tools. 20(June), 559–568.

Shehata, G. (2018). The effect of aphasia upon personality traits , depression and anxiety among stroke patients. (October 2014).

Sopiyudin. (2014). Statistik untuk kedokteran dan Kesehatan.Seri 1 Edisi 6.

Sujarweni, W. (2014). Panduan Penelitian Keperawatan dengan SPSS. Yogyakarta: Pustaka Baru Press.

Thommessen, B., Thoresen, G. E. V. A., Bautz-holter, E., Bautz-holter, E., & Laake, K. (2017). Screening by nurses for aphasia in stroke- the Ullevaal Aphasia Screening ( UAS ) test Screening by nurses for aphasia in stroke Ð Ullevaal Aphasia Screening ( UAS ) test. 8288(July).

Vanbellingen, T., Schumacher, R., Pflugshaupt, T., Annoni, J. M., Bohlhalter, S., & Nyffeler, T. (2016). Screening for Language Disorders in Stroke : German Validation of the Language Screening Test ( LAST ). 27–31.

Wang, W., Jiang, B., Sun, H., Ru, X., Sun, D., Wang, L., … Feigin, V. L. (2017). Prevalence, Incidence, and Mortality of Stroke in China. Circulation, 135(8), 759–771.

Yang, H., Tian, S., Flamand-roze, C., Gao, L., Zhang, W., Li, Y., … Liang, Z. (2018). A Chinese version of the Language Screening Test ( CLAST ) for early-stage stroke patients. 902, 1–14.




How to Cite

Febryanto, D., Yudiatma, M. F., Widiawatie, N., Retnaningsih, R., Handayani, F., & Anggraini, R. (2024). Correlation between Language Screening Test and Frenchay Aphasia Screening Test for Aphasia Screening in Ischemic Stroke. JURNAL INFO KESEHATAN, 22(1), 136–145.



Original Articles

Similar Articles

1 2 3 4 5 6 7 8 9 10 > >> 

You may also start an advanced similarity search for this article.