Update on the psychometric properties for the Italian version of the Aachen Aphasia Test (IT-AAT)

Luzzatti, Claudio; Bleser, Ria De; Scola, Ilaria; Frustaci, Mirella; Hinckeldey, Klaus Willmes-von

doi:10.1080/02687038.2022.2037501

Cited by 23 publications

(29 citation statements)

References 47 publications

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“…For this analysis, we used data from right-handed patients, with a right hemisphere lesion, for whom the TT [ 13 ], together with the digit span (forward and backward) [ 37 ], were available for this analysis. The exclusion criteria were the presence of aphasia at the onset evaluation by item n. 9 of the NHISS (NHISS item n. 9 score > 0), hemineglect at the Oxford Cognitive Screen (OCS), Italian version [ 38 ], and sensory/motor deficits that did not allow test administration and data collection.…”

Section: Methodsmentioning

confidence: 99%

“…Token Test (TT) [ 13 ]: The version used in this study is composed of a preliminary test, in which 5 square tokens of different colors are placed horizontally on the table. The patient must indicate the token corresponding to a certain color.…”

Section: Methodsmentioning

confidence: 99%

“…For this reason, the raw score does not need to be corrected. The participant’s performance is scored as “normal” when the global score lies within the highest 95% of the population, corresponding to less than 3 errors, while it is scored as “pathological” when the global score falls within the lowest 5%, corresponding to more than 11 errors, and as “borderline” if it falls between these two values [ 13 ].…”

Section: Methodsmentioning

confidence: 99%

“…TT is included in widespread batteries for Aphasia, such as the Aachener Aphasia Test, (AAT) [ 12 ], originally developed in German and later translated into many other languages, including Italian [ 13 ]. The Italian version is composed of five parts.…”

Section: Introductionmentioning

confidence: 99%

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Extra-Linguistic Cognitive Functions Involved in the Token Test: Results from a Cohort of Non-Aphasic Stroke Patients with Right Hemisphere Lesion

Basagni

Pancani

Pellicciari

et al. 2022

Behavioral Sciences

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Background: The Token Test (TT) is widely used to examine comprehension disorders in aphasic patients, but abilities other than language may affect a patient’s performance. This study aims to explore the correlation between the TT subtest performances and the performances in extra-linguistic cognitive areas in a cohort of patients from the Intensive Rehabilitation Post-Stroke (RIPS) study with a first, right hemisphere stroke and without aphasia, prospectively enrolled at admission to intensive inpatient post-acute rehabilitation. Methods: The patients were administered the TT (50-item version), the forward and backward digit span (DST), and the Montreal Cognitive Assessment (MoCA). Spearman’s partial correlations adjusted by age were used to evaluate the association between the number of errors in the TT and the other tests’ corrected scores. Results: Of the 37 patients enrolled in this study, 29.7% made 3–11 errors on the TT, 27.0% more than 11 errors, mostly in parts IV and V. The forward and backward digit span scores showed correlations with errors in part V of the TT (r = −0.408, p = 0.013; r = −0.307, p = 0.027). The errors in part IV of the TT presented a correlation with a forward digit span too (r = −0.394, p = 0.017). With respect to MoCA domains, executive functioning, and orientation were related to the TT part V errors (r = −0.468, p = 0.007; r = −0.499, p = 0.003). The orientation also correlated with the TT part III (r = −0.504, p = 0.002). Conclusion: Our findings show that the TT performances in patients with right hemisphere stroke and without aphasia are related to impairments in auditory–verbal span/auditory working memory mostly for TT scores on subpart V as measured by the DST and to executive function and orientation, as measured by the MoCA subtests.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Extra-Linguistic Cognitive Functions Involved in the Token Test: Results from a Cohort of Non-Aphasic Stroke Patients with Right Hemisphere Lesion

Basagni

Pancani

Pellicciari

et al. 2022

Behavioral Sciences

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show abstract

“…The patient began verbal communication, but it was frequently interrupted in correspondence with the first phonemes (consonants) with the inability to restart speech production and the physical manifestation of impatience. The naming task of the Aachener Aphasia Test [ 11 ] was also administered and did not highlight any lexical access impairments. Signs of depression were detected; an antidepressant therapy was prescribed.…”

Section: Case Reportmentioning

confidence: 99%

Progressive Unspecified Motor Speech Disorder: A Longitudinal Single Case Study of an Older Subject

et al. 2022

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Introduction: In a few cases, neurodegenerative diseases debut with a speech disorder whose differential diagnosis can be difficult. Case Report: We describe the case of a right-handed woman with a progressive speech impairment, which debuted when she was 80 years old. We report the results of neurological, neuropsychological, and imaging assessments with positron emission tomography (PET) over a period of nine years. Metabolic PET with 18F-FDG was performed at the age of 81 and repeated two years later due to the worsening of symptoms; amyloid PET with 18F-flutemetamol was performed at the age of 86. All PET results were quantitatively analyzed. A speech impairment remained the isolated neurological symptom for a long time, together with a mood disorder. Early FDG-PET showed hypometabolism in the left superior and inferior frontal areas, in the left superior temporal area, and in the right superior frontal area. Two years later, the hypometabolic area was more extensive. Amyloid PET was qualitatively and quantitatively normal. Nine years after the first symptoms, the speech production progressively worsened until complete anarthria, in association with writing impairment onset and signs of behavioral impairments. No signs of motor involvement were found. Conclusions: A progressive articulatory disorder without an evolution of motor disorders may be a distinct neurological degenerative entity, mainly affecting speech production for very a long time and with a specific early metabolic pattern in brain FDG-PET in the language production area. Monitoring patients with FDG-PET could predict the disease evolution years before a clinical deterioration.

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Success rates of intensive aphasia therapy: real-world data from 448 patients between 2003 and 2020

Peitz,

Schumann-Werner,

Hussmann

et al. 2024

J Neurol

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Background Aphasia is a devastating consequence after stroke, affecting millions of patients each year. Studies have shown that intensive speech and language therapy (SLT) is effective in the chronic phase of aphasia. Leveraging a large single-center cohort of persons with aphasia (PWA) including patients also in the subacute phase, we assessed treatment effects of intensive aphasia therapy in a real-world setting. Methods Data were collected at the Aachen aphasia ward in Germany between 2003 and 2020. Immediate treatment responses across different language domains were assessed with the Aachen Aphasia Test (AAT) using single-case psychometrics, conducted before and after 6–7 weeks of intensive SLT (10 h per week, median (IQR) dosage = 68 (61–76)). We adjusted for spontaneous recovery in subacute patients. Differential treatment effects between subgroups of chronicity and predictors of therapy response were investigated. Results A total of 448 PWA were included (29% female, median (IQR) age = 54 (46–62) years, median (IQR) time post-onset = 11 (6–20) months) with 12% in the early subacute, 15% in the late subacute and 74% in the chronic phase of aphasia. The immediate responder rate was 59%. Significant improvements in all AAT subtests und subscales were observed hinting at broad effectiveness across language domains. The degree of therapy-induced improvement did not differ between the chronicity groups. Time post-onset, dosage of therapy and aphasia severity at the beginning of treatment were predictors of immediate treatment response. Discussion Intensive therapy protocols for aphasia after stroke are yielding substantial responder rates in a routine clinical setting including a wide range of patients.

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Update on the psychometric properties for the Italian version of the Aachen Aphasia Test (IT-AAT)

Cited by 23 publications

References 47 publications

Extra-Linguistic Cognitive Functions Involved in the Token Test: Results from a Cohort of Non-Aphasic Stroke Patients with Right Hemisphere Lesion

Extra-Linguistic Cognitive Functions Involved in the Token Test: Results from a Cohort of Non-Aphasic Stroke Patients with Right Hemisphere Lesion

Progressive Unspecified Motor Speech Disorder: A Longitudinal Single Case Study of an Older Subject

Success rates of intensive aphasia therapy: real-world data from 448 patients between 2003 and 2020

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