《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2022, Vol. 28 ›› Issue (6): 630-636.doi: 10.3969/j.issn.1006-9771.2022.06.002
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YIN Minmin1(),LING Xing1,YANG Yaru2,DAI Hengyu1,GE Shengnan3,HUANG Zhaoming3
Received:
2022-05-09
Revised:
2022-06-06
Published:
2022-06-25
Online:
2022-07-05
Contact:
YIN Minmin
E-mail:yinminmin622@163.com
Supported by:
CLC Number:
YIN Minmin,LING Xing,YANG Yaru,DAI Hengyu,GE Shengnan,HUANG Zhaoming. Development of diagnosis, assessment and intervention solution for speech fluency disorder using WHO-FICs[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(6): 630-636.
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一级 | 二级 | 三级 | 四级 |
---|---|---|---|
06 精神、行为和神经发育障碍 | 神经发育障碍 | 6A01 发育性言语或语言障碍 | 6A01.1发育性言语流畅障碍 6A01.0发育性语音障碍 6A01.2发育性语言障碍 6A01.Y其他特指的发育性言语或语言障碍 6A01.Z未特指的发育性言语或语言障碍 |
08神经系统疾病 | 脑性瘫痪 不包含遗传性痉挛性截瘫(8b44.0) | 8D20痉挛型脑瘫 8D21不随意运动型脑瘫 8D22共济失调性脑瘫 8D23 Worster-Drought综合征 8D2Y 其他指定脑瘫 8D2Z脑瘫,未特指 | |
21症状、体征或临床所见,不可归类在他处者 | 涉及言语或发声的 症状及体征 | MA80言语障碍 | MA80.0失语 MA80.1语言困难和失语 MA80.2构音障碍 MA80.Y其他特指的言语障碍 MA80.Z未特指的言语障碍 |
MA81言语障碍 | |||
MA82语音障碍 | MA82.1发音困难 | ||
MA8Y其他未特指的涉及言语和语音的症状或体征 |
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ICF类目 | 评估参数 | 参数含义 |
---|---|---|
b3300言语流畅 | 音节时长 | 产生音节语音片段或语音事件(一个音节)所花费的平均时间 |
停顿时长 | 在给定言语样本的平均停顿(发音间隔)持续时间 | |
浊音时长 | 给定言语样本的所用浊音段的总时长 | |
b3301言语节奏 | 强度标准差 | 产生言语样本的连续语流强度的偏差值,可以反映连续语音的强度变化,包括缺乏言语节律和言语节律变化过大 |
重音音节总时长 | 重音是一个心理感知量,是听起来比周围音节更凸显的音,在句子或词语中气流相对较强。重音音节总时长是指句子中出现重音音节的总时长 | |
重音出现频率 | 言语样本(句子)中出现重音音节的频率,表示为重音音节数与言语样本(句子)的总音节数之比 | |
b3302语速 | 言语速率 | 言语样本(句子)的音节总数和产生该言语样本(句子)所需的(包括停顿在内)时间总长之比 |
构音速率 | 用于发出所有音节的总时间内平均每秒所发出的音节数,表示为言语样本(句子)的音节总数与用于发出这些音节所需的(除停顿以外的)时间总长之比 | |
浊音速率 | 言语样本所用浊音段的总时长内平均每秒所发出的音节数,表示为言语样本(句子)的音节总数与用于发出这些浊音所需时间总长之比 | |
b3303语调 | 言语基频标准差 | 产生言语样本的连续语流基频的偏差值 |
言语基频动态范围 | 产生言语样本的连续语流基频的变化范围 | |
基频突变出现率 | 基频突变是指产生言语样本的连续语流基频突然发生变化。基频突变率是指言语样本(句子)中出现基频突变的频率,表示为基频突变数与言语样本(句子)的总音节数之比 |
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ICF | ICHIβ-3 | |
---|---|---|
b330言语的流畅和节奏功能:言语流畅异常、言语节奏异常、语速异常、语调异常 | JUF.AA.ZZ言语流畅性和节奏性评估 | 评价语言节奏的产生和表达功能 |
JUF.AC.ZZ言语流畅性和节奏性测试 | 使用调查问卷、评分表或其他工具来测试语流和节奏的产生功能 | |
JUF.AM.ZZ言语流畅性和节奏性观察 | 通过非连续性观察评估语流和节奏的产生功能 | |
JUF.PH.ZZ言语流畅性和节奏性训练 | 通过练习,教授、提高或发展语流和节奏的产生功能 | |
JUF.PH.ZZ言语流畅性和节奏性辅导 | 提供与语流和节奏产生有关的治疗性或支持性的交流 | |
JUF.PM.ZZ言语流畅性和节奏性教育 | 提供信息以提高对语流和节奏产生的功能的认识 | |
UF.PN.ZZ言语流畅性和节奏性建议 | 提供建议,鼓励改变或保持与健康(或风险)有关的语流和节奏产生 | |
JUF.RB.ZZ言语流畅性和节奏性支持 | 提供与语流和节奏产生的功能有关的实际帮助或指导 | |
JUF.RC.ZZ言语流畅性和节奏性的情感支持 JUF.PG.ZZ协助和带领练习言语流畅性和节奏性对话 | 为当事人提供与语流和节奏的产生功能有关的安慰、同情或激励性支持 | |
d135复述 | 复述的评估(SBF.AA.ZZ)、测试(SBF.AC.ZZ)、观察(SBF.AM.ZZ)、训练(SBF.PH.ZZ)、教育(SBF.PM.ZZ)、建议(SBF.PN.ZZ) | 支持性或指导性的练习,重点是语流和节奏的产生功能 |
d350交谈 | 交谈的评估(SGA.AA.ZZ)、观察(SGA.AM.ZZ)、训练(SGA.PH.ZZ)、建议(SGA.PN.ZZ)、社会支持(SGA.RB.ZZ)、心理支持(SGA.RC.ZZ) | 为当事人提高交流过程的评估、训练以及心理支持等 |
d360使用交流设备与技术 | 使用交流设备与技术的评估(SGG.AA.ZZ)、观察(SGG.AM.ZZ)、训练(SGG.PH.ZZ)、教育(SGG.PM.ZZ)、建议(SGG.PN.ZZ)、社会支持(SGG.RB.ZZ)、心理支持(SGG.RC.ZZ) | 在使用交流设备与技术时是提供评估、观察、训练等 |
d710基本人际交往 | 人际交往和人际关系的评估(SR1.AA.ZZ)、测试(SR1.AC.ZZ)、观察(SR1.AM.ZZ)、训练(SR1.PH.ZZ)、教育(SR1.PM.ZZ)、建议(SR1.PN.ZZ)、咨询(SR1.PP.ZZ),具有互动和人际关系的心理治疗(SR1.PQ.ZZ)、社会支持(SR1.RB.ZZ)、鼓励(SR1.TA.ZZ)、其他干预(SR1.ZY.ZZ)、心理支持(SR1.RC.ZZ),提供同伴支持,以进行互动和人际关系(SR1.RE.ZZ) | 在一般的人际交往中提高评估、训练、教育和社会支持等 |
e1产品和技术 e2自然环境和对环境的人为改变 e3支持和相互联系 e4态度 e5服务、体制和政策 | 22-UA对环境的干预:产品和技术 2-UB包括人类变化在内的对自然环境的干预 24-UC对环境的干预:支持与协助 25-UD对环境的干预:态度 26-UE环境干预:服务、系统、政策 | 在环境、支持、体制和政策上提供相关的服务 |
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