《中国康复理论与实践》

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (1): 28-36.doi: 10.3969/j.issn.1006-9771.2020.01.005

• 专题 基于ICF言语康复研究 • 上一篇    下一篇

运用世界卫生组织国际分类家族构建儿童构音障碍诊断、评估和整体康复方案

尹敏敏1,2,3,葛胜男1,2,邱卓英4,5,6,7,Lancy HUANG8,黄昭鸣1,2(),万勤2()   

  1. 1.华东师范大学中国言语听觉康复科学与ICF应用研究院,上海市 200333
    2.华东师范大学教育学部教育康复学系,上海市 200333
    3.菏泽学院教师教育学院,山东菏泽市 274000
    4.世界卫生组织国际分类家族中国合作中心,北京市 100068
    5.中国 ICF研究院,山东潍坊市 261053
    6.中国康复研究中心康复信息研究所,北京市 100068
    7.中国康复科学所康复信息研究所,北京市 100068
    8.Bright Speech International, Inc., Seattle, WA 90876, USA
  • 收稿日期:2019-12-12 修回日期:2019-12-23 出版日期:2020-01-25 发布日期:2020-02-07
  • 通讯作者: 黄昭鸣,万勤 E-mail:yantingecnu@126.com;qwan@spe.ecnu.edu.cn
  • 作者简介:尹敏敏(1986-),女,汉族,山东济宁市人,博士研究生,讲师,主要研究方向：言语、语言、听觉康复。
  • 基金资助:
    1.国家社会科学基金项目(19BYY093);2.中央级公益性科研院所基本科研业务费专项资金项目(重大科学研究引导基金项目)(2017CZ-7);2.中央级公益性科研院所基本科研业务费专项资金项目(重大科学研究引导基金项目)(2018CZ-4)

Development of Diagnosis, Assessment and Rehabilitation Solution of Articulation Disorders for Children Using WHO Family International Classifications

YIN Min-min1,2,3,GE Sheng-nan1,2,QIU Zhuo-ying4,5,6,7,Lancy HUANG8,HUANG Zhao-min1,2(),WAN Qin2()   

  1. 1. Chinese Academy of Speech and Hearing Rehabilitation Science and ICF Application, East China Normal University, Shanghai 200333, China
    2. Department of Education and Rehabilitation, East China Normal University, Shanghai 200333, China
    3. Heze University School of Teacher Education, Heze, Shandong 274000, China
    4. WHO-FIC Collaborating Center in China, Beijing 100068, China
    5. China Academy of ICF, Weifang, Shandong 261053, China
    6. Research Institute of Rehabilitation Information, China Rehabilitation Research Center, Beijing 100068, China
    7. Research Institute of Rehabilitation Information, China Rehabilitation Sciences Institute, Beijing 100068, China
    8. Bright Speech International, Inc., Seattle, WA 90876, USA
  • Received:2019-12-12 Revised:2019-12-23 Published:2020-01-25 Online:2020-02-07
  • Contact: HUANG Zhao-min,WAN Qin E-mail:yantingecnu@126.com;qwan@spe.ecnu.edu.cn
  • Supported by:
    National Social Science Foundation(19BYY093);National Special Fund Projects of Basic Research of Public Benefits for Institutes at Central Governmental Level (Leading Project of Major Scientific Research)(2017CZ-7);National Special Fund Projects of Basic Research of Public Benefits for Institutes at Central Governmental Level (Leading Project of Major Scientific Research)(2018CZ-4)

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摘要：

目的 基于《国际疾病分类》第11次修订本(ICD-11)、《国际功能、残疾和健康分类(儿童和青少年版)》(ICF-CY)和《国际健康干预分类》(ICHI)分析儿童构音功能障碍的诊断标准和评估工具内容,构建整体康复方案。
方法 基于ICD-11和ICF-CY分析儿童构音障碍及其相关疾病的诊断标准;基于ICF-CY对汉语普通话构音评估工具的内容进行分析;基于ICF-CY和ICHI设计儿童构音整体康复方案。
结果和结论 儿童构音障碍诊断为“发育性语音障碍”(6A01.0)。在身体结构层面,涉及眼、耳和相关结构(s2)和涉及发声和言语的结构(s3)等,主要包括外耳的结构(s240)、中耳的结构(s250)、内耳的结构(s260)和口腔的结构(s320);在身体功能层面,主要涉及发声和言语功能(b3)等,主要包括构音功能(b320);在活动和参与层面,主要涉及交流(d3),学习和应用知识(d1),人际交往和人际关系(d7),社区、社会和公民生活(d9)等,主要包括说(d330)、交谈(d350)、使用交流设备与技术(d360)、学习阅读(d140)等。儿童构音障碍评估工具包含构音准确性和构音运动功能两个领域。儿童构音障碍整体康复方案涉及身体结构和功能、活动和参与、环境因素等方面,由评估类、训练治疗类、教育咨询类和社会与心理支持类构成。

关键词: 构音障碍, 儿童, 诊断, 评估, 康复, 国际功能、残疾和健康分类(儿童和青少年版)

Abstract:

Objective To explore the diagnosis of diseases and functioning of articulation function and conduct content analysis of assessment tools in Chinese, and to construct framework of rehabilitation solution based on International Classification of Diseases 11th Revision (ICD-11), International Classification of Functioning, Disability and Health (Children and Youth version) (ICF-CY) and International Classification of Health Interventions (ICHI).
Methods The diagnosis of disease and functioning was discussed with ICD-11 and ICF. The assessment tools were analyzed with ICF. A holistic rehabilitation solution was constructed with ICF and ICHI.
Results and Conclusion Articulation disorder for children is classified to Developmental Speech Sound Disorder (6A01.0). It involves in the eye, ear and related structures (s2), structures involved in voice and speech (s3), especially structure of external ear (s240), structure of middle ear (s250) and structure of inner ear (s260); voice and speech functions (b3), especially articulation functions (b320); communication (d3), learning and applying knowledge (d1), interpersonal interactions and relationships (d7), and community, social and civic life (d9), especially speaking (d330), conversation (d350), using communication devices and techniques (d360) and acquiring language (d133). The assessment of articulation disorder should be covered articulation accuracy and motor function of articulation. A holistic rehabilitation solution for children with articulation disorder has been developed, involving in body structure, body function, activities and participation, and environmental factors, including assessment, training and treatment, educational counseling, and psychological and social support.

Key words: articulation disorder, children, diagnosis, assessment, rehabilitation, International Classification of Functioning, Disability and Health (Children and Youth version)

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