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Semin Speech Lang 2007; 28(4): 244-253
DOI: 10.1055/s-2007-986521
© Thieme Medical Publishers

Application of the ICF in Aphasia

Nina Simmons-Mackie1 , Aura Kagan2
  • 1Professor and Scholar in Residence, Department of Communication Sciences & Disorders, Southeastern Louisiana University, Hammond, Louisiana
  • 2Executive Director and Director of Education and Applied Research, Aphasia Institute, Toronto, Ontario, Canada
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Publication History

Publication Date:
12 October 2007 (online)

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ABSTRACT

The aim of this article is to describe aphasia using the framework provided by the World Health Organization's International Classification of Functioning, Disability and Health (ICF). The key constructs of ICF are described in relation to the ultimate goal of intervention in aphasia-maximizing quality of life. Aphasic impairments as well as activity limitations and participation restrictions are discussed. In addition, the impact of contextual factors on the experience of aphasia and participation in life are addressed. Finally, a case example is presented to depict the use of the ICF as an organizational framework for approaching management of impairments and consequences of aphasia.

KEYWORDS

Aphasia - ICF - assessment - intervention - outcome

REFERENCES

  • 1 National Institute on Deafness and Other Communication Disorders (NIDCD) .Facts Sheet: Aphasia (NIH Pub. No. 97-4257). Bethesda, MD; NIDCD 1997
    Search in Google Scholar
  • 2 World Health Organization (WHO) .International Classification of Functioning, Disability and Health (ICF). Geneva, Switzerland; World Health Organization 2001
    Search in Google Scholar
  • 3 Kagan A, Simmons-Mackie N, Rowland A et al.. Counting what counts: a framework for capturing real-life outcomes of aphasia intervention.  Aphasiology. 2007;  , In press
    PubMedSearch in Google Scholar
  • 4 Darley F. Aphasia. Philadelphia, PA; W.B. Saunders 1982: 42
    Search in Google Scholar
  • 5 Davidson B, Worrall L, Hickson L. Identifying the communication activities of older people with aphasia: evidence from naturalistic observation.  Aphasiology. 2003;  17 243-264
    CrossrefPubMedSearch in Google Scholar
  • 6 Davidson B, Worrall L. The assessment of activity limitation in functional communication: challenges and choices. In: Worrall L, Frattali C Neurogenic Communication Disorders: A Functional Approach. New York; Thieme 2000: 19-34
    Search in Google Scholar
  • 7 Parr S, Byng S, Gilpin S, Ireland C. Talking about Aphasia. Buckingham, United Kingdom; Open University Press 1997
    Search in Google Scholar
  • 8 Pound C, Parr S, Lindsay J, Woolf C. Beyond Aphasia: Therapies for Living with Communication Disability. Bicester, United Kingdom; Speechmark 2000
    Search in Google Scholar
  • 9 Ross K, Wertz T. Quality of life with and without aphasia.  Aphasiology. 2003;  17 335-364
    PubMedSearch in Google Scholar
  • 10 Threats T. Access for persons with neurogenic communication disorders: influences of personal environmental factors of the ICF.  Aphasiology. 2007;  21 67-80
    CrossrefPubMedSearch in Google Scholar
  • 11 Cruice M. Editorial: issues of access and inclusion with aphasia.  Aphasiology. 2007;  21 3-8
    CrossrefPubMedSearch in Google Scholar
  • 12 Howe T, Worrall L, Hickson L. What is an aphasia-friendly environment?.  Aphasiology. 2004;  18 1015-1037
    CrossrefPubMedSearch in Google Scholar
  • 13 Worrall L, Rose T, Howe T, McKenna K, Hickson L. Developing an evidence-base for accessibility for people with aphasia.  Aphasiology. 2007;  21 124-136
    CrossrefPubMedSearch in Google Scholar
  • 14 Kagan A, Black S, Duchan J, Simmons-Mackie N, Square P. Training volunteers as conversation partners using “supported conversation for adults with aphasia” (SCA): a controlled trial.  J Speech Lang Hear Res. 2001;  44 624-638
    CrossrefPubMedSearch in Google Scholar
  • 15 Pound C, Duchan J, Penman T, Hewitt A, Parr S. Communication access to organizations: inclusionary practices for people with aphasia.  Aphasiology. 2007;  21 23-38
    CrossrefPubMedSearch in Google Scholar
  • 16 Simmons-Mackie N, Kagan A, O'Neill Christie C, Huijbregts M, McEwen S, Willems J. Communicative access and decision making for people with aphasia: Implementing sustainable health care systems change.  Aphasiology. 2007;  21 39-66
    CrossrefPubMedSearch in Google Scholar
  • 17 Brumfitt S. Losing your sense of self.  Aphasiology. 1993;  7 569-575
    CrossrefPubMedSearch in Google Scholar
  • 18 Sarno M. Aphasia therapies: historical perspectives and moral imperatives. In: Duchan J, Byng S Challenging Aphasia Therapies. Hove, United Kingdom; Psychology Press 2004: 17-31
    Search in Google Scholar
  • 19 Shadden B. Aphasia as identity theft: theory and practice.  Aphasiology. 2005;  19 211-223
    CrossrefPubMedSearch in Google Scholar
  • 20 Simmons-Mackie N, Threats T, Kagan A. Outcome assessment in aphasia: a survey.  J Commun Disord. 2005;  38 1-27
    CrossrefPubMedSearch in Google Scholar
  • 21 Kertesz A. Western Aphasia Battery. New York; Grune & Stratton 1982
    Search in Google Scholar
  • 22 Kay J, Lesser R, Coltheart M. Psycholinguistic Assessments of Language Processing in Aphasia (PALPA). Hove, East Sussex, United Kingdom; Psychology Press 1997
    Search in Google Scholar
  • 23 Frattali C, Thompson C, Holland A, Wohl C, Ferketic M. The American Speech-Language-Hearing Association Functional Assessment of Communication Skills for Adults (ASHA FACS). Rockville, MD; American Speech-Language-Hearing Association 1995
    Search in Google Scholar
  • 24 Eadie T, Yorkston K, Klasner E et al.. Measuring communicative participation: a review of self-report instruments in speech-language pathology.  Am J Speech Lang Pathol. 2006;  15 307-320
    CrossrefPubMedSearch in Google Scholar
  • 25 Simmons-Mackie N, Damico J. Intervention outcomes: a clinical application of qualitative methods.  Top Lang Disord. 2001;  22 21-36
    PubMedSearch in Google Scholar
  • 26 Brumfitt S, Sheeran P. The Visual Assessment of Self-Esteem Scale. Bicester, Oxford, UK; Winslow Press 1999
    Search in Google Scholar
  • 27 Doyle P, McNeil M, Hula W, Mikolic J. The Burden of Stroke Scale (BOSS): validating patient-reported communication difficulty and associated psychological distress in stroke survivors.  Aphasiology. 2003;  7 291-304
    PubMedSearch in Google Scholar
  • 28 Doyle P, Mikolic J, Prieto L et al.. The Burden of Stroke Scale (BOSS) provided valid and reliable score estimates of functioning and well-being in stroke survivors with and without communication disorders.  J Clin Epidemiol. 2004;  57 997-1007
    CrossrefPubMedSearch in Google Scholar
  • 29 Hilari K, Byng S, Lamping D, Smith S. Stroke and Aphasia Quality of Life Scale-39: evaluation of acceptability, reliability and validity.  Stroke. 2003;  34 1944-1950
    CrossrefPubMedSearch in Google Scholar
  • 30 Kagan A, Simmons-Mackie N, Rowland A, Huijbregts M, Shumway E, McEwen S. The Assessment for Living with Aphasia. Toronto, CA; Aphasia Institute 2007
    Search in Google Scholar
  • 31 Elman R, Bernstein-Ellis E. The efficacy of group communication treatment in adults with chronic aphasia.  J Speech Lang Hear Res. 1999;  42 411-419
    PubMedSearch in Google Scholar
  • 32 Raymer A, Beeson P, Holland A et al.. Translational research in aphasia: From neuroscience to neurorehabilitation.  J Speech Lang Hear Res. 2007;  , In press
    PubMedSearch in Google Scholar
  • 33 Robey R. The efficacy of treatment for aphasic persons: a meta-analysis.  Brain Lang. 1994;  47 582-608
    CrossrefPubMedSearch in Google Scholar
  • 34 Duffy J, Coelho C. Schuell's stimulation approach to rehabilitation. In: Chapey R Language Intervention Strategies in Aphasia. 4th ed. Philadelphia, PA; Lippincott Williams & Wilkins 2001: 341-382
    Search in Google Scholar
  • 35 Beeson P, Hillis A. Comprehension and production of written words. In: Chapey R Language Intervention Strategies in Aphasia. 4th ed. Philadelphia, PA; Lippincott Williams & Wilkins 2001: 574-604
    Search in Google Scholar
  • 36 Raymer A, Rothi L. Cognitive neuropsychological approaches to assessment and treatment: impairments of lexical comprehension and production. In: Chapey R Language Intervention Strategies in Aphasia. 4th ed. Philadelphia, PA; Lippincott Williams & Wilkins 2001: 524-550
    Search in Google Scholar
  • 37 Petheram B Computers and Aphasia: Aphasiology. Hove, United Kingdom; Psychology Press 2004
    Search in Google Scholar
  • 38 Basso A. How intensive/prolonged should an intensive/prolonged treatment be?.  Aphasiology. 2005;  19 975-984
    CrossrefPubMedSearch in Google Scholar
  • 39 Sarno M. Functional Communication Profile. New York; Institute for Rehabilitation Medicine, New York University Medical Center 1969
    Search in Google Scholar
  • 40 Holland A. Observing functional communication of aphasic adults.  J Speech Hear Disord. 1982;  47 50-56
    PubMedSearch in Google Scholar
  • 41 Simmons-Mackie N. Social approaches to the management of aphasia. In: Worrall L, Frattali C Neurogenic Communication Disorders: A Functional Approach. New York; Thieme 2000
    Search in Google Scholar
  • 42 Simmons-Mackie N. Social approaches to aphasia intervention. In: Chapey R Language Intervention Strategies in Aphasia. 4th ed. Philadelphia; Lippincott William & Wilkins 2001: 246-268
    Search in Google Scholar
  • 43 LPAA Project Group . Life participation approach to aphasia: looking to the future.  ASHA Leader. 2000;  5 4-6
    PubMedSearch in Google Scholar
  • 44 Lasker J, LaPointe L, Kodras J. Helping a professor with aphasia resume teaching through multimodal approaches.  Aphasiology. 2005;  19 399-410
    CrossrefPubMedSearch in Google Scholar
  • 45 Holland A. Counseling in Communication Disorders: A Wellness Perspective. San Diego, CA; Plural Publishing 2007
    Search in Google Scholar
  • 46 Elman R, Bernstein-Ellis E. Psychosocial aspects of group communication treatment.  Semin Speech Lang. 1999;  20 65-72
    Thieme ConnectPubMedSearch in Google Scholar
  • 47 Nickels L. Therapy for naming disorders. Revisiting, revising, and reviewing.  Aphasiology. 2002;  16 935-979
    CrossrefPubMedSearch in Google Scholar
  • 48 Boyle M. Semantic feature analysis treatment for anomia in two fluent aphasia syndromes.  Am J Speech Lang Pathol. 2004;  13 236-249
    CrossrefPubMedSearch in Google Scholar
  • 49 Martin N, Fink R, Laine M. Treatment of word retrieval with contextual priming.  Aphasiology. 2004;  18 457-471
    CrossrefPubMedSearch in Google Scholar
  • 50 Kiran S. Complexity in the treatment of naming deficits in aphasia.  Am J Speech Lang Pathol. 2007;  16 18-29
    CrossrefPubMedSearch in Google Scholar
  • 51 Raymer A, Ellsworth T. Response to contrasting verb retrieval treatments: a case study.  Aphasiology. 2002;  16 1031-1045
    CrossrefPubMedSearch in Google Scholar
  • 52 Thompson C, Shapiro L. Complexity in the treatment of syntactic deficits.  Am J Speech Lang Pathol. 2007;  16 30-42
    CrossrefPubMedSearch in Google Scholar
  • 53 Schwartz M, Saffran E, Fink R, Myers J, Martin N. Mapping therapy: a treatment programme for agrammatism.  Aphasiology. 1994;  8 19-54
    CrossrefPubMedSearch in Google Scholar
  • 54 Sparks R. Melodic intonation therapy. In: Chapey R Language Intervention Strategies in Aphasia. 4th ed. Philadelphia; Lippincott Williams & Wilkins 2001: 703-717
    Search in Google Scholar
  • 55 Maher L, Kendall D, Swearengin J, Pingle K, Holland A, Rothi L. Constraint induced language therapy for chronic aphasia: preliminary findings.  J Int Neuropsychol Soc. 2003;  9 192-196
    PubMedSearch in Google Scholar
  • 56 Kagan A. Supported conversation for adults with aphasia: methods and resources for training conversation partners.  Aphasiology. 1998;  12 816-830
    CrossrefPubMedSearch in Google Scholar
  • 57 Boles L. Conducting conversation: a case study using the spouse in aphasia treatment. ASHA Special Interest Division 2; Neurophysiology and neurogenic speech and language disorders. ASHA 1998: 24-31
    Search in Google Scholar
  • 58 Garrett K, Staltari C, Moir L. Contextual group communication therapy for persons with aphasia: a scaffolded discourse approach. In: Elman R Group Treatment of Neurogenic Communication Disorders. 2nd ed. San Diego, CA; Plural Publishing 2007: 159-191
    Search in Google Scholar
  • 59 Hinckley J, Carr T. Comparing outcomes of intensive and non-intensive context-based aphasia treatment.  Aphasiology. 2005;  19 965-974
    CrossrefPubMedSearch in Google Scholar
  • 60 Hopper T, Holland A, Rewega M. Conversational coaching: treatment outcomes and future directions.  Aphasiology. 2002;  16 745-762
    CrossrefPubMedSearch in Google Scholar
  • 61 Avent J, Austermann S. Reciprocal scaffolding: a context for communication treatment in aphasia.  Aphasiology. 2003;  17 397-404
    CrossrefPubMedSearch in Google Scholar
  • 62 Bernstein-Ellis E, Elman R. The Book Connection: A life participation book club for individuals with acquired reading impairment. Oakland, CA; Aphasia Center of California 2006
    Search in Google Scholar
  • 63 Garrett K, Lasker J. AAC for adults with severe aphasia. In: Beukelman D, Mirenda P Augmentative and Alternative Communication for Supporting Children and Adults with Complex Communication Needs. Baltimore, MD; Paul H. Brookes 2005: 467-504
    Search in Google Scholar

Nina N MackiePh.D. 

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Email: nmackie@selu.edu