Eadie Tanya L
Department of Speech and Hearing Sciences, University of Washington, Seattle, Washington 98105, USA.
Semin Speech Lang. 2007 Nov;28(4):291-300. doi: 10.1055/s-2007-986526.
The World Health Organization's International Classification of Functioning, Disability and Health (ICF) provides a conceptual framework for assessing and treating individuals with communication disorders. This article provides an explanation and application of the ICF to communication after total laryngectomy. To evaluate outcomes associated with total laryngectomy, common assessment tools used in speech-language pathology are described in relation to communication at the levels of Body Functions and Structures, and Activities and Participation. Assessments for Contextual Factors also are discussed. Post-laryngectomy outcomes, including those related to quality of life, also are described relative to the ICF framework. In particular, the role of Environmental and Personal Factors is summarized, and implications are presented for approaches to assessment and treatment of this clinical population. A concluding case example illustrates how all of these concepts can be applied by speech-language pathologists who provide post-laryngectomy rehabilitation.
世界卫生组织的《国际功能、残疾和健康分类》（ICF）为评估和治疗有沟通障碍的个体提供了一个概念框架。本文对ICF在全喉切除术后沟通方面的应用进行了解释。为评估与全喉切除术相关的结果，阐述了言语病理学中常用的评估工具在身体功能和结构、活动与参与层面与沟通的关系。还讨论了情境因素的评估。全喉切除术后的结果，包括与生活质量相关的结果，也依据ICF框架进行了描述。特别是，总结了环境因素和个人因素的作用，并针对该临床人群的评估和治疗方法提出了启示。最后给出的一个病例示例说明了提供全喉切除术后康复服务的言语病理学家如何应用所有这些概念。
