Frenchay Aphasia Screening Test

Frenchay Aphasia Screening Test Administration Form Materials required: Picture card with attached reading cards, pencil and paper, stop watch, or watch with second hand. Check: Patient is wearing spectacles, if needed. Patient can hear you adequately (raise voice if necessary). Comprehension Show patient card with river scene: 'Look at the picture. Listen carefully to what is said and point to the things I tell you to.' Score 1 for each correctly performed. If instructions require repeating, score as error. Unprompted self-correction may be scored as correct. Score range 0-10. Instructions (a)River scene Practice item: "Point to the river". Do not score this item. Repeat until patient understands what is required. 1 Point to a boat 2 Point to the tallest tree 3 Point to the man and point to the dog 4 Point to the man's left leg and then to the canoe 5 Before pointing to a duck near the bridge, show me the middle hill (b)Shapes Practice item: "Point to the circle". Repeat until patient understands task 1 Point to the square 2 Point to the cone 3 Point to the oblong and the square 4 Point to the square, the cone and the semicircle 5 Point to the one that looks like a pyramid and the one that looks like a segment of orange Expression * show patient the river scene and say: 'Tell me as much about the picture as you can.' If the patient does not appear to understand, say: 'Name anything you can see in the picture.' Score range 0-5. Score * unable to name any objects intelligibly * names 1 - 2 objects * names 3 - 4 objects * names 5 - 7 objects * names 8 or 9 objects or uses phrases and sentences, but performance not normal (e.g. hesitations, inappropriate comments, etc.) * Normal - uses phrases and sentences, naming 10 items (b) Remove picture card from view and inform patient that you are now going to attempt something a little different. Then ask him to name as many animals as he can think of in 1 minute. If patient appears doubtful, explain that you want the names of any kind of animal, wild or domestic, and not just those which may have been seen in the picture. Commence timing as soon as patient names first animal and allow 60 seconds. Score range 0-5. Score * None named * Names 1 - 2 * Names 3 - 5 * Names 6 - 9 * Names 10 - 14 * Names 15 or more Reading Check that the patient is wearing correct spectacles for reading purposes. Show patient river scene and first reading card. Ask him to read the sentence to himself, not aloud, and do whatever it instructs him to do. Proceed in the same manner with the remaining four reading cards. Score range 0-5. Score 1 for each correct. Writing Show patient river scene and say: 'Please write as much as you can about what is happening in the picture.' If he does not appear to understand say: 'Write anything that you can see in the picture.' If dominant hand is affected ask patient to attempt with non-dominant hand. Encourage if he stops prematurely. Allow a MAXIMUM of 5 minutes. Score range 0-5. Score * Able to attempt task but does not write any intelligible or appropriate words * Writes 1 or 2 appropriate words * Writes down names of 3 objects or a phrase including 2 or 3 objects * Writes down names of 4 objects (correctly spelled), or 2 or 3 phrases including names of 4 items * Uses phrases and sentences, including names of 5 items, but not considered 'normal' performance, e.g. sentence is not integrating people and actions * Definitely normal performance, e.g. sentence integrating people and actions. Interpretation The presence of aphasia is indicated if the patient scores below the following cut-off points. (Referral to speech therapy for full assessment is suggested.) Age Raw Score Up to 60 27 61 + 25