CJRTP

《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2020, Vol. 26 ›› Issue (1): 28-36.doi: 10.3969/j.issn.1006-9771.2020.01.005

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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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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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