《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (6): 630-636.doi: 10.3969/j.issn.1006-9771.2022.06.002

• 专题 ICF在康复疗法中的应用 • 上一篇    下一篇

基于WHO-FICs构建言语流畅性障碍的诊断、评估和整体康复方案

尹敏敏1(),凌星1,杨亚茹2,戴蘅钰1,葛胜男3,黄昭鸣3   

  1. 1.杭州师范大学,浙江杭州市 310036
    2.北京体育大学中国残疾人体育研究中心,北京市 100084
    3.华东师范大学,上海市 200062
  • 收稿日期:2022-05-09 修回日期:2022-06-06 出版日期:2022-06-25 发布日期:2022-07-05
  • 通讯作者: 尹敏敏 E-mail:yinminmin622@163.com
  • 作者简介:尹敏敏(1986-),女,汉族,山东济宁市人,博士,讲师,主要研究方向:言语、语言、听觉康复。
  • 基金资助:
    国家社会科学基金重点项目(20AZD125)

Development of diagnosis, assessment and intervention solution for speech fluency disorder using WHO-FICs

YIN Minmin1(),LING Xing1,YANG Yaru2,DAI Hengyu1,GE Shengnan3,HUANG Zhaoming3   

  1. 1. Hangzhou Normal University, Hangzhou, Zhejiang 310036, China
    2. China Research Center on the Sports of Persons with Disability, Beijing Sport University, Beijing 100084, China
    3. East China Normal University, Shanghai 200062, China
  • 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:
    National Social Science Foundation (Key)(20AZD125)

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》(ICF)和《国际健康干预分类》(ICHIβ-3),探讨言语流畅性障碍的诊断标准和功能评估,分析言语流畅性障碍的主要评估内容,构建整体康复干预方案。方法 基于ICD-11和ICF分析言语流畅性障碍相关疾病及功能诊断标准;根据ICF的理论,分析言语流畅性障碍评估的主要内容和评估指标;依据ICF和ICHIβ-3构建言语流畅性障碍整体化与结构化康复干预方案。结果 根据ICD-11,言语流畅性障碍属6A01.1发育性言语流畅性障碍,相关疾病涉及6A01.0发育性语音障碍、6A01.2发育性语言障碍、脑性瘫痪等,以及MA80.0失语、MA80.1语言困难和失语、MA80.2构音障碍等。根据ICF,言语流畅性障碍主要涉及s3涉及发声和言语的结构,b3发声和言语功能,特别是b330言语的流畅和节奏功能,以及d1学习和应用知识,d3交流,d7人际交往和人际关系,d9社区、社会和公民生活,特别是d330说、d350交谈、d355讨论和d360使用交流设备与技术等。结构化的言语流畅性障碍康复干预方案主要涉及身体结构和功能、活动和参与以及环境因素三个方面,方法包括评估类、训练治疗类、教育咨询和社会与心理支持类等。结论 构建了言语流畅性障碍的诊断、评估和康复理论架构。

关键词: 言语流畅性障碍, 诊断, 评估, 康复, 世界卫生组织国际健康分类家族

Abstract:

Objective To explore the diagnoses of diseases and functioning of speech fluency disorder, analyze the main assessment content, and construct framework of intervention solution based on International Classification of Diseases 11th Revision (ICD-11), International Classification of Functioning, Disability and Health (ICF) and International Classification of Health Interventions (ICHIβ-3). Methods The diagnoses of diseases and functioning was discussed with ICD-11 and ICF. The assessment tools were analyzed with ICF. A holistic intervention solution was constructed with ICF and ICHIβ-3. Results Speech fluency disorder is classified as 6A01.1 developmental speech fluency disorder for ICD-11. The related diseases include 6A01.0 developmental speech sound disorder, 6A01.2 developmental language disorder, cerebral palsy, MA80.0 aphasia, MA80.1 dysphasia and MA80.2 dysarthria, etc. For ICF, the categories related to speech fluency disorder might be s3 structures invovled in voice and speech; b3 voice and speech functions, especially b330 fluency and rhythm of speech functions; d1 learning and applying knowledge, d3 communication, especially d330 speaking and d355 discussion, d7 interpersonal interactions and relationships, and d9 community, social and civic life. A holistic intervention solution for speech fluency disorder was 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, etc. Conclusion A framework of diagnosis, assessment and rehabilitation has been constructed for speech fluency disorder.

Key words: speech fluency disorder, diagnosis, assessment, rehabilitation, World Health Organization Family of International Classifications

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