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Developing a clinician-friendly aphasia test.

Robert C Marshall1, Heather Harris Wright

  • 1Department of Rehabilitation Sciences, University of Kentucky, Lexington, KY 40536-0200, USA. rcmarsh@uky.edu

American Journal of Speech-Language Pathology
|November 1, 2007
PubMed
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The Kentucky Aphasia Test (KAT) provides an objective measure of language function in individuals with aphasia. Pilot study results show the KAT effectively differentiates language performance between those with and without aphasia.

Area of Science:

  • Neurolinguistics
  • Clinical Assessment
  • Speech-Language Pathology

Background:

  • Aphasia assessment requires objective measures of language functioning.
  • Existing tools may not always be clinician-friendly or capture early changes effectively.

Purpose of the Study:

  • To describe the Kentucky Aphasia Test (KAT), an objective measure for aphasia.
  • To present the rationale, development, and pilot study findings of the KAT.
  • To discuss the KAT's utility in comprehensive aphasia assessment.

Main Methods:

  • The KAT comprises 3 parallel batteries (KAT-1, KAT-2, KAT-3) with increasing difficulty.
  • Each battery includes an orientation test and 6 subtests assessing expressive and receptive language.
  • The test was administered to 38 participants with aphasia and 31 non-brain-damaged (NBD) participants.

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Main Results:

  • The KAT successfully differentiated language performance between individuals with and without aphasia.
  • NBD participants exhibited minimal errors, with aphasia group scores typically outside the NBD group's standard deviation.
  • Performance across KAT-1, KAT-2, and KAT-3 indicated a clear hierarchy of difficulty.

Conclusions:

  • The Kentucky Aphasia Test (KAT) is a promising, clinician-friendly tool for aphasia assessment.
  • It offers a rapid and convenient method for obtaining objective language function scores.
  • The KAT is valuable for tracking language changes in the early post-onset period of aphasia.