Construction of System of Diagnosis, Assessment and Rehabilitation Interventions for Impairment of Speech and Voice Function Using WHO Family International Classificiations
10.3969/j.issn.1006-9771.2020.01.006
- VernacularTitle:基于世界卫生组织国际分类家族构建言语嗓音功能障碍的诊断、评估和康复体系
- Author:
Yi-wen ZHANG
1
;
Lancy HUANG
;
Zhuo-ying QIU
2
;
Zhao-ming HUANG
1
Author Information
1. Chinese Academy of Speech and Hearing Rehabilitation Science and ICF Application, East China Normal University, Shanghai, 200333, China
2. , USA
- Publication Type:Research Article
- Keywords:
voice disorder;
production of voice;
quality of voice;
voice rehabilitation;
International Classification of Functioning, Disability and Health
- From:
Chinese Journal of Rehabilitation Theory and Practice
2020;26(1):37-44
- CountryChina
- Language:Chinese
-
Abstract:
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). 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.