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An ICF model-based retrospective analysis of the treatment for a case of severe dysarthria with attentional disorders Noriko Yokoyama 1 , Shinya Fukunaga 2 1Department of Rehabilitation, Kashiihara Hospital 2Department of Communication Disorders, Himeji Dokkyo University Keyword: 重度ディサースリア , 注意障害 , 実用的コミュニケーション , 国際生活機能分類 , severe dysarthria , attentional disorders , practical communication measure , ICF (International Classification of Functioning and Health) pp.160-167
Published Date 2008/11/25
DOI https://doi.org/10.11477/mf.6001100173
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 The present study is a retrospective analysis based on the ICF model of our experience in treating a 58-year-old male with severe dysarthria and attentional disorders. The patient suffered his third episode of cerebral hemorrhage in 2005. At the beginning of the training, he could not speak at all. In addition, he could not use any alternative communication methods, because of the impaired upper limbs, clouding of consciousness, and attentional disorders. As a result of the training, although he showed little improvement in his speech impairments, his activity limitations were improved by learning to use writing as a practical communication measure. Limitations in social participation were relieved by increased communication partners, including not only his wife and nurses, but also visitors. In conclusion, it was important to address impairments and activity limitations of dysarthria as well as higher brain dysfunction and to provide appropriate treatment based on the ICF model in patients with severe dysarthria complicated by attentional disorders.


Copyright © 2008, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会

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