The Aphasia Rapid Test: adaptation for Russian
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National Research University Higher School of Economics, Russia
The Aphasia Rapid Test (ART; Azuar et al., 2013) is a bedside test for patients in acute stroke period designed as 26-point scale estimating the severity of both speech comprehension and production less than in 5 minutes. This study shows a case of adaptation of the ART for Russian. It was necessary to develop a reliable measure for Russian because screening scale which was used before (Wasserman et al., 1987) is detailed, but effortful for patients in acute stroke period.
The adapted version of the ART was tested in a Russian-speaking clinical group in the acute stroke period (N=49, 20 females, mean age 69, range 40-88) and in a control group of healthy Russian speakers (N=18, 11 females, mean age 25.4, range 18-44). To test construct validity, the severity of patients’ language and speech disorders was scored using the traditional Wasserman scale (ranged from 0-6). Control group also performed the Russian e-version of the Token Test (Akinina et al., 2015), for validation of the ART results. Patients could not complete the Token Test due to their prevailing motor disabilities.
The Russian adaptation of the ART was made using an original set of stimuli relevant for Russian. As in English version, the first task examines patients’ ability to follow two simple and one complex instructions: to open and close the eyes, to give the left hand, put the left hand on the right ear. In the second task, patients are asked to repeat three single nouns with different numbers of articulatory switches (kit ‘whale’ - no switch, groza ‘thunderstorm’ - 1 switch, vorotnik ‘collar’ - 3 switches). The third task examines repetition of one sentence containing a subject, a verb in past tense and an object with two prenominal modifiers (Mama kupila dva zelehykh yabloka ‘Mom bought two green apples’). The fourth task tests the naming of three objects presented in the pictures (myach ‘ball’, zvezda ‘star’, kompas ‘compass’). The final task is 1-minute semantic fluency task (Azuar et al., 2013): recalling as many animals as it is possible. Dysarthria severity is also assessed. All tasks are scored in the same manner as in the original ART (26 points maximum).
Healthy controls preformed on the ART and the Token Test at ceiling (100% and 97% of correct responses, correspondingly). They obtained the maximum score on the ART and the average result on Token Test was 34.9 points (S = 1.25, range 32-36 points) – all above the aphasia threshold (> 28). The average result on the ART in the clinical group was 6.08 points (S = 5.26, range 0-21 points) and 3.14 on Wasserman scale (S = 2.03, range 0-6); the results of both tests correlated positively (ρ = 0.55, p <0.01).
The results showed that the Russian version of the ART is a valid and sensitive screening test for detecting and monitoring early aphasic changes in the acute stroke period. It could be recommended for integration into Russian clinical practice in acute hospital units for quick speech and language assessment.
References
Akinina, Yu., Dragoy, O., Raaijmakers, S., Satoer, D. &Bastiaanse, R. (2015). The e-Token Test: Russian version. Groningen (NL): Groningen Expert Center for Language and Communication Disorders.
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, 2110–2117. doi:10.1007/s00415-013-6943-x
Wasserman, L.I., Dorofeeva, S. A., Meerson Ya. A., Traugott N. N. (1987). Standartizirovannyj nabor diagnosticheskikh neiropsikhologicheskikh metodik [Standartized set of diagnostic neuropsychological assessments]. Leningrad: Metodicheskie rekomendatsii.
Keywords:
screening tests,
acute stroke care,
Neurorehabilitation,
Aphasiology,
aphasia rehabilitation
Conference:
Academy of Aphasia 56th Annual Meeting, Montreal, Canada, 21 Oct - 23 Oct, 2018.
Presentation Type:
poster presentation
Topic:
Eligible for a student award
Citation:
Buivolova
O and
Dragoy
O
(2019). The Aphasia Rapid Test: adaptation for Russian.
Conference Abstract:
Academy of Aphasia 56th Annual Meeting.
doi: 10.3389/conf.fnhum.2018.228.00031
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Received:
29 Apr 2018;
Published Online:
22 Jan 2019.
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Correspondence:
Ms. Olga Buivolova, National Research University Higher School of Economics, Moscow, Russia, bublixa@gmail.com