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Stroke Communication Scale based on the International Classification of Functioning, Disability and Health (ICF -

Graziella Batista Dallaqua1, Mariana Mendes Bahia2, Li Min Li3,4

  • 1Department of Human Development and Rehabilitation, School of Medical Sciences, University of Campinas, Campinas, Brazil.

Disability and Rehabilitation
|October 16, 2019
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Summary

A new Stroke Communication Scale, based on the International Classification of Functioning, Disability, and Health, effectively assesses speech and language needs post-stroke. This valid and reliable tool supports individualized, patient-centered rehabilitation plans.

Keywords:
ICFStrokehealth carelanguagerehabilitation

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Area of Science:

  • Speech-language pathology
  • Rehabilitation medicine
  • Health sciences

Background:

  • Stroke often leads to communication disorders, impacting participation and quality of life.
  • Existing assessments may not fully capture the biopsychosocial aspects of post-stroke communication impairments.
  • The International Classification of Functioning, Disability, and Health (ICF) provides a framework for understanding health and disability holistically.

Purpose of the Study:

  • To develop and validate an instrument for evaluating speech-language needs, participation, and functioning in post-stroke individuals.
  • To create an assessment tool grounded in the ICF framework.
  • To enhance the clinical evaluation and management of communication disorders after stroke.

Main Methods:

  • Methodological research involving the development of a new assessment instrument.
  • Selection of relevant ICF domains for speech-language pathology.
  • Development of guiding questions, qualification criteria, and instructions.
  • Content validity, pilot testing, and inter-observer reliability assessments were conducted.

Main Results:

  • The Stroke Communication Scale is a 35-question clinical assessment in Brazilian Portuguese.
  • The instrument integrates language, environmental, and personal factors, demonstrating good validity and reliability.
  • It allows for the use of multiple information sources (patient, caregiver, clinician) and is applicable in various clinical settings.

Conclusions:

  • The Stroke Communication Scale provides a comprehensive, biopsychosocial evaluation of communication and functioning post-stroke.
  • It facilitates the development of individualized treatment programs, promoting patient participation.
  • This holistic instrument assesses functional communication beyond the disorder, supporting social reintegration.