Application of the ICF in Reduced Speech Intelligibility in Dysarthria

Allyson D. Dykstra; Mark E. Hakel; Scott G. Adams

doi:10.1055/s-2007-986527

Seminars in Speech and Language, Inhaltsverzeichnis

Semin Speech Lang 2007; 28(4): 301-311
DOI: 10.1055/s-2007-986527

Application of the ICF in Reduced Speech Intelligibility in Dysarthria

Allyson D. Dykstra¹ , Mark E. Hakel² , Scott G. Adams³

¹Research Associate, School of Communication Sciences and Disorders, University of Western Ontario, London, Ontario, Canada
²Director, Education and Staff Development, Institute for Rehabilitation Science & Engineering, Madonna Rehabilitation Hospital, Lincoln, Nebraska
³Associate Professor, School of Communication Sciences and Disorders, University of Western Ontario London, Ontario, Canada

Abstract

ABSTRACT

Regardless of the underlying neuromotor impairment, an almost universal consequence of dysarthria is a reduction in speech intelligibility. The purpose of this article is to examine critically and to discuss issues related directly to speech intelligibility in speakers with dysarthria. Reduced speech intelligibility resulting from dysarthria is examined using the World Health Organization's International Classification of Functioning, Disability and Health (ICF) conceptual framework. We propose that the ICF conceptual framework facilitates an awareness of the multidimensional nature of disablement. Furthermore, the ICF facilitates a broad understanding of the complex nature of dysarthria, ranging from the neuroanatomical and physiological substrates contributing to reduced speech intelligibility, to the effects of this type of communication disorder on an individual's functioning in society and beyond. Finally, a case example is presented that describes how the ICF can be applied to an individual with dysarthria and reduced speech intelligibility.

KEYWORDS

Dysarthria - motor speech disorders - speech intelligibility - ICF

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Referenzen

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Allyson DykstraPh.D.

Research Associate, School of Communication Sciences and Disorders, Elborn College, University of Western Ontario, London, Ontario

N6G 1H1 Canada

eMail: apage2@uwo.ca