Using the ICF framework in adult motor speech disorders

Question 1

What is activity? ICF

Answer 1

The execution of a task or action by an individual. Activity limitations are difficulties an individual may have in executing activities - eg. intelligibility

Question 2

What is participation? ICF

Answer 2

Involvement in a life situation. Participation restrictions are problems an individual may have in involvement in life situations - eg. talking on the phone

Question 3

How dysarthria intervention goals can depend on diagnosis (3)

Answer 3

• Eg. stroke/TBI: will somewhat resolve itself, can suggest therapies
• Eg. prog neuro: deteriorations is inevitable, focus on maintenance of function
• Eg. Friedrich’s ataxia: motility is most important thing, then comm as they lose speech, then basic needs

Question 4

Perspectives of living with dysarthria

Answer 4

• May avoid challenging situations
• Being treated differently, not being understood, assumptions of cognitive impairment
• Negative emotions
• Attitudinal barriers to communication, impatience, being talked down to
• Environmental barriers, noise, hearing

Question 5

Assessment of activity and participation with dysarthria (3)

Answer 5

1. Case history/interview
2. Standardised questionnaire, eg. Dysarthria Impact Scale, ASSIDS
3. Partner communication survey