Assessment Of Afasia in Stroke Patients: Case Study


  • Dwi Febryanto Universitas Diponegoro
  • Retnaningsih Universitas Diponegoro
  • Fitria Handayani Universitas Diponegoro



Stroke phenomenon, Aphasia, Assessment


Introduction: Aphasia is understood as difficulty in understanding or producing language caused by disorders involving the brain hemispheres. Early assessment of aphasia is very important to prevent the emergence of telegraphic speech styles, improve welfare, independence, social participation, quality of life, reduce length of stay and care costs, but there is little literature on this subject, especially in stroke patients. 
Purpose: This study is to provide an overview of the assessment of aphasia in stroke patients. 
Methods: The design of a case study involving 6 participants and data collection was carried out by conducting an assessment using the Language Aphasia Screening Test (LAST) instrument which was monitored for 3 days, including monitoring errors for naming images, monitoring mismatches repeating words and sentences, monitoring spontaneous pronunciation, monitoring image comprehension, monitoring comprehension of verbal instructions.
Results: A total of 6 ischemic stroke patients were found wrong in repeating words and sentences. 
Conclusion: In aphasic stroke patients all language modalities are impaired, ranging from spontaneous speech, repetition, naming, language comprehension, reading and writing


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Al-Khawaja, I., Wade, D. T., & Collin, C. F. (1996). Bedside screening for aphasia: a comparison of two methods. Journal of Neurology, 243(2), 201-204. Article | Crossref

Berthier, M. L. (2005). Poststroke aphasia. Drugs & aging, 22(2), 163-182. Article | Crossref

Chang, T., Gajasinghe, S., & Arambepola, C. (2015). Prevalence of stroke and its risk factors in urban Sri Lanka: population-based study. Stroke, 46(10), 2965-2968. Article | Crossref

Corallo, F., Bonanno, L., Buono, V. L., De Salvo, S., Rifici, C., Pollicino, P., ... & Bramanti, A. (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, 26(9), 1929-1933. Article | Crossref

Dronkers, N., & Baldo, J. V. (2010). Language: Aphasia. In Encyclopedia of Neuroscience (pp. 343-348). Elsevier Ltd. Article | Crossref

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

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. International rehabilitation medicine, 8(4), 166-170. Article | Crossref

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. Article | Crossref

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. Article | Crossref

Flowers, H. L., Flamand-Roze, C., Denier, C., Roze, E., Silver, F. L., Rochon, E., ... & Langdon, C. (2015). English adaptation, international harmonisation, and normative validation of the Language Screening Test (LAST). Aphasiology, 29(2), 214-236. Article | Crossref

Indonesia, P. P. N. (2016). Standar Intervensi Keperawatan Indonesia. Jakarta: PPNI. Book

Kemenkes, R. I. (2014). Situasi kesehatan jantung. Pusat Data Dan Informasi Kementerian Kesehatan RI. Article

Kertesz, A. (2007). Is there a need for standardized aphasia tests? Why, how, what and when to test aphasics. Journal Aphasiology. 313-317. Article | Crossref

Koenig-Bruhin, M., Vanbellingen, T., Schumacher, R., Pflugshaupt, T., Annoni, J. M., Müri, R. M., ... & Nyffeler, T. (2016). Screening for language disorders in stroke: German validation of the language screening test (LAST). Cerebrovascular diseases extra, 6(1), 27-31. Article | Crossref

Lumbantobing, S. M. (2000). Neurologi klinik pemeriksaan fisik dan mental. Jakarta: Balai Penerbit FK UL. Book

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

Pinzon, R., & Asanti, L. (2010). Awas stroke! pengertian, gejala, tindakan, perawatan dan pencegahan. Penerbit Andi. Book

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. Article | Crossref

Prins, R., & Maas, W. (2002). Afasia Deskripsi Pemeriksaan Penanganan. Jakarta: Fakultas Kedokteran Universitas Indonesia. Article

Shehata, G. A., El Mistikawi, T., Al Sayed, K. R., & Hassan, H. S. (2015). The effect of aphasia upon personality traits, depression and anxiety among stroke patients. Journal of affective disorders, 172, 312-314. Article | Crossref

Silbernagl, S., & Lang, F. (2007). Teks & atlas berwarna patofisiologi. Jakarta: EGC. Book

Suwardianto, H. (2018). Level Of Perception Emergency Skills In Youth Red Cross. Journal Of Nursing Practice, 2(1), 17-24. Article | Crossref

Suwardianto, H., & Rimawati, R. (2018). Explicit Instruction Model (EIM): Daily Training Emergencies Preparedness (DTEP) Toward Skills of Participants the Youth Red Cross. In The 2nd Joint International Conferences (Vol. 2, No. 2, pp. 403-410). Article

Suwardianto, H., Richard, S. D., Prasetyo, A., & Utami, R. S. (2017). PHYSICAL FUNCTION–TARDIVE DYSKINESIA (PFTD) ON CRITICAL PATIENTS IN INTENSIVE CARE UNIT. Jurnal Ners, 12(2), 196-204. Article | Crossref

Venketasubramanian, N., Tan, L. C., Sahadevan, S., Chin, J. J., Krishnamoorthy, E. S., Hong, C. Y., & Saw, S. M. (2005). Prevalence of stroke among Chinese, Malay, and Indian Singaporeans: a community-based tri-racial cross-sectional survey. Stroke, 36(3), 551-556. Article | Crossref

Wang, W., Jiang, B., Sun, H., Ru, X., Sun, D., Wang, L., ... & Chen, Z. (2017). Prevalence, incidence, and mortality of stroke in China: results from a nationwide population-based survey of 480 687 adults. Circulation, 135(8), 759-771. Article | Crossref

Weiner, H., & Levitt, L. P. (2000). Buku saku neurologi. Jakarta. EGC. Book

Yusiana, M. A & Suwardianto, H. (2014). The Effectiveness Of Deep Breathing and Slow Stroke Back Massage to Decrease The Blood Pressure On A Patient With Hypertension. Indonesian Nursing Journal of Education and Clinic (INJEC). 1(1). 31-39. Article | Crossref



How to Cite

Febryanto, D., Retnaningsih, & Handayani, F. (2020). Assessment Of Afasia in Stroke Patients: Case Study. Journal Of Nursing Practice, 3(2), 210-219.