Volume 3, 2021

 

APPLICATION OF THE WHO’s ICF FRAMEWORK IN APHASIA

Dobrinka Georgieva, Scott Yaruss, Gregory Spray, Dimitar Delyiski, Dobrinka Kalpachka
Pages: 1-8


ABSTRACT:Last two decade there has been increased interest in the application of the ICF health classification to Speech-Language Pathology. The WHO’s multifunctional health framework, known as the International Classification of Functioning, Disability, and Health (ICF), guides the provision of speech and language services to patients with aphasia, addressing their physical and functional disabilities as well as their participation in daily life activities. Purpose: To present a conceptual, contemporary and evidence-based model of aphasia within the context of Medical Speech-Language Pathology (MSLP). Method: Theoretical and comparative analysis of the ICF model in aphasia, applied regarding 85 meta-analysis articles published in Web of Science journals. Results and discussion: MSLP includes reliable evidence-based clinical instruments for health management of aphasia cases after stroke. The review of meta-analysis articles provides a description of (i) assessment and differential diagnostics instruments for functional communication in aphasia; (ii) interventions regarding the planning process (including the level of the body function); (iii) interventions regarding the limitation of activities and participation in daily life; (iv) interventions focused on reducing the existing barriers and stimulating communicative support, and (v) quality of life measurement in aphasia patients. Conclusion: The WHO ICF model provides a valuable conceptual and adaptive framework in MSLP, which seeks to clarify the dependence of the patients with aphasia on different contextual factors. ICF model is providing an effective scientific-based therapies in aphasia cases.

 

Keywords: aphasia, ICF, WHO, Medical Speech-Language Pathology

 

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