Diagnosis, assessment and rehabilitation of speech disorders after cerebral palsy using WHO-FICs
10.3969/j.issn.1006-9771.2022.06.003
- VernacularTitle:脑性瘫痪并发言语障碍的诊断、评估与康复：基于WHO-FICs研究
- Author:
Shengnan GE
1
;
Yongli WANG
1
;
Minmin YIN
2
;
Qin WAN
1
;
Yaru YANG
3
;
Lancy Lantin HUANG
4
;
Zhaoming HUANG
1
Author Information
1. East China Normal University, Shanghai 200062, China
2. Hangzhou Normal University, Hangzhou, Zhejiang 310036, China
3. China Research Center on the Sports of Persons with Disability, Beijing Sport University, Beijing 100084, China
4. Bright Speech International, Inc., Seattle, Washington 98175, USA
- Publication Type:Journal Article
- Keywords:
cerebral palsy;
speech disorders;
World Health Organization Family International Classifications;
diagnosis;
assessment;
rehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2022;28(6):637-645
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo discuss the diagnosis, assessment and rehabilitation for children with cerebral palsy complicated with speech disorder based on the tools of World Health Organization Family of International Classifications (WHO-FICs). MethodsThe diagnosis of speech disorder after cerebral palsy was classified using International Classification of Diseases, 11th Revision (ICD-11). The disorders of speech function were classified using International Classification of Functioning, Disability and Health (ICF). A structured speech function rehabilitation solution was developed based on the International Classification of Health Interventions (ICHIβ-3). ResultsAccording to ICD-11, cerebral palsy was classified as 08 Neurological Disorder, which was further classified as 8D20.0 Spastic Unilateral Cerebral Palsy and 8D20.1 Spastic Bilateral Cerebral Palsy (8D20.10 Spastic Quadriplegic Cerebral Palsy and 8D20.11 Spastic Bilateral Cerebral Palsy), with the speech disorders involving 6A00 Disorders of Intellectual Development, 6A01 Developmental Speech or Language Disorders, MA80 Speech Disturbances, MA81 Speech Dysfluency and MA82 Voice Disturbances. For ICF, the speech disorders mainly involved s1 structures of the nervous system, s3 structures invoved in voice and speech, b3 voice and speech functions, d1 learning and applying knowledge, and environment and individual factors; and could be further classified as b310 voice functions, b320 articulation functions, and b330 fluency and rhythm of speech functions. Based on ICHIβ-3, a rehabilitation solution was developed, involving the areas of body structure and function, activity and participation, and environmental factors. ConclusionBased on ICD-11, ICF and ICHIβ-3, a methodological system of assessment and interventions for speech disorders after cerebral palsy has been systematically constructed, including diagnosis of disease, assessment, intervention and coding of speech disorder.
