Screening for Language Disorders in Stroke: German Validation of the Language Screening Test (LAST)

Koenig-Bruhin, M; Vanbellingen, Tim; Schumacher, Rahel; Pflugshaupt, Tobias; Annoni, J M; Müri, René Martin; Bohlhalter, Stephan; Nyffeler, Thomas (2016). Screening for Language Disorders in Stroke: German Validation of the Language Screening Test (LAST). Cerebrovascular Diseases extra, 6(1), pp. 27-31. Karger 10.1159/000445778

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BACKGROUND Screening of aphasia in acute stroke is crucial for directing patients to early language therapy. The Language Screening Test (LAST), originally developed in French, is a validated language screening test that allows detection of a language deficit within a few minutes. The aim of the present study was to develop and validate two parallel German versions of the LAST. METHODS The LAST includes subtests for naming, repetition, automatic speech, and comprehension. For the translation into German, task constructs and psycholinguistic criteria for item selection were identical to the French LAST. A cohort of 101 stroke patients were tested, all of whom were native German speakers. Validation of the LAST was based on (1) analysis of equivalence of the German versions, which was established by administering both versions successively in a subset of patients, (2) internal validity by means of internal consistency analysis, and (3) external validity by comparison with the short version of the Token Test in another subset of patients. RESULTS The two German versions were equivalent as demonstrated by a high intraclass correlation coefficient of 0.91. Furthermore, an acceptable internal structure of the LAST was found (Cronbach's α = 0.74). A highly significant correlation (r = 0.74, p < 0.0001) between the LAST and the short version of the Token Test indicated good external validity of the scale. CONCLUSION The German version of the LAST, available in two parallel versions, is a new and valid language screening test in stroke.

Item Type:

Journal Article (Original Article)


10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research
04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > DCR Unit Sahli Building > Forschungsgruppe Neurologie
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Vanbellingen, Tim; Schumacher, Rahel; Müri, René Martin; Bohlhalter, Stephan and Nyffeler, Thomas


500 Science > 570 Life sciences; biology
600 Technology > 610 Medicine & health








Stefanie Hetzenecker

Date Deposited:

18 Jul 2016 15:22

Last Modified:

25 Jan 2017 11:32

Publisher DOI:


PubMed ID:


Uncontrolled Keywords:

Aphasia; Language; Screening; Stroke




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