CJRTP

Chinese Journal of Rehabilitation Theory and Practice >

2020 , Vol. 26 >Issue 1: 37 - 44

DOI: https://doi.org/10.3969/j.issn.1006-9771.2020.01.006

Construction of System of Diagnosis, Assessment and Rehabilitation Interventions for Impairment of Speech and Voice Function Using WHO Family International Classificiations

  • Yi-wen ZHANG ,
  • HUANG Lancy ,
  • Zhuo-ying QIU ,
  • Zhao-ming HUANG
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  • 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. Bright Speech International, Inc., Seattle 90876, WA, USA
    4. WHO-FIC Collaborating Center in China, Beijing 100068, China
    5. Research Institute of Rehabilitation Information, China Rehabilitation Research Center, Beijing 100068, China
    6. Research Institute of Rehabilitation Information, China Rehabilitation Sciences Institute, Beijing 100068, China

Received date: 2019-12-12

  Revised date: 2019-12-23

  Online published: 2020-02-07

Supported by

National Social Science Fundation(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 diagnosis and assessment of voice function and develop a framework of rehabilitation for it based on International Classification of Diseases 11th Revision (ICD-11), International Classification of Functioning, Disability and Health (ICF) and International Classification of Health Interventions (ICHI).
Methods The diagnostic criteria of voice disorders and its complications were discussed with ICD-11 and ICF. The tools of assessment were analysed with ICF. A comprehensive intervention system was developed for the rehabilitation of voice function based on the joint use of ICF and ICHI.
Results and Conclusion Voice disorders are classified to Voice Disturbance (MA82), within the category of Symptoms or Signs Involving Speech or Voice. Voice disorders may be symptoms or signs of Speech Disturbance (MA80), Malignant Neoplasms of Larynx (2C23), Intracerebral Haemorrhage (8B00), Oedema of Larynx (CA0H.3), and the others. Voice disorder is impairment at body function, and influence activity and participation (d3, d7, d8 and d9), which may involve in environmental and personal factors. The evaluation of voice function involes in production of voice (b3100) and quality of voice (b3101). A structured rehabilitation solution has been developed with the interventions at body structure, body function, activities and participation, environmental factors and personal factors, including assessment (assessment, test, observation), training and treatment (training, assisting), educational counseling (education, advicing, counseling), and support (psychological and social).

Key words： voice disorder; production of voice; quality of voice; voice rehabilitation; International Classification of Functioning; Disability and Health

Cite this article

Yi-wen ZHANG , HUANG Lancy , Zhuo-ying QIU , Zhao-ming HUANG . Construction of System of Diagnosis, Assessment and Rehabilitation Interventions for Impairment of Speech and Voice Function Using WHO Family International Classificiations[J]. Chinese Journal of Rehabilitation Theory and Practice, 2020 , 26(1) : 37 -44 . DOI: 10.3969/j.issn.1006-9771.2020.01.006

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