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Updated: Aug 5, 2026

Assessment and Communication for People with Disorders of Consciousness
Published on: August 1, 2017
Development and validation of a Comprehensive Level-Based Framework for Neurogenic communication disorders (CLFN)
Nikita M Subudhi1, Malavika Anakkathil Anil2, Megha Mohan1
1Department of Audiology and Speech Language Pathology, Kasturba Medical College Mangalore, Manipal Academy of Higher Education, Karnataka, Manipal.
This study developed the Comprehensive Level-based Framework for Neurogenic communication disorders (CLFN) to assess individuals with these conditions. The CLFN effectively tracked improvements in communication and cognitive-linguistic skills after intervention.
Area of Science:
- Neurology
- Speech-Language Pathology
- Rehabilitation Medicine
Background:
- Acquired neurogenic communication disorders are frequent consequences of neurological conditions.
- Assessing communication profiles aids in personalized management strategies to enhance patient quality of life.
Purpose of the Study:
- To develop and validate the Comprehensive Level-based Framework for Neurogenic communication disorders (CLFN).
- To profile communication characteristics in individuals with acquired neurogenic communication disorders within a tertiary care setting.
Main Methods:
- A cross-sectional design with convenient sampling included 76 participants.
- The CLFN was administered before and after 7 days of intervention (10 sessions).
- Pre- and post-intervention levels were compared for various communication domains.
Main Results:
- Males and middle-aged individuals showed a higher incidence of these disorders.
- Statistically significant improvements were observed in speech intelligibility, cognitive-communication, language expression and comprehension, naming, and writing post-intervention.
- The CLFN demonstrated effectiveness in tracking progress across multiple domains.
Conclusions:
- The CLFN provides a holistic assessment tool for neurogenic communication disorders in tertiary care.
- It facilitates progress monitoring and intervention planning to improve patient quality of life.
- Early intervention planning based on CLFN assessment can mitigate significant neurogenic impairment impacts.
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