Activity limitations in aphasia Hiroyo Yoshihata 1 Keyword: 国際生活機能分類(ICF) , 失語症 , 活動 , 実行状況 , 能力 , ICF , aphasia , activity , performance , capacity pp.63-72
Published Date 2010/3/15
DOI https://doi.org/10.11477/mf.6001100234
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 The aim of this article is to describe "activity limitations" in aphasia using the framework of the International Classification of Functioning, Disability and Health (ICF).

 First, the definition and overview of "activity" and "activity limitations" are introduced. Then the therapeutic approaches and outcome of two cases are examined in relation to the framework of the ICF: one with alexia with concomitant memory disorders and the other with Broca type aphasia. The two cases received interventions extending over a decade that focused on "activity limitations" as well as "impairments", in order to expand opportunities for "participation". By analyzing the course of recovery for the two cases over the years using the framework of the ICF, the following findings were derived: ①the need for considering all the components of functioning to gain integrated understanding of the life of people with aphasia; ②the importance of understanding interactions between the ICF's components; ③the importance of distinguishing "performance" and "capacity" constructs in "activities and participation"; ④the importance of the "environmental factors", particularly the attitude of people around the person with aphasia, such as volunteers and/or family members.

 The relative focus of therapeutic approaches may vary depending on changes in environmental factors during the course of the aphasia for each individual. Nonetheless, it is suggested that interventions that consider all the ICF's components of functioning and "contextual factors" are necessary to achieve an integrated understanding of people with aphasia and to provide adequate support for them.

Copyright © 2010, Japanese Association of Speech-Language-Hearing Therapists. All rights reserved.


電子版ISSN 印刷版ISSN 1349-5828 日本言語聴覚士協会