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Functional outcome assessment in dysarthria

K C Hustad1, D R Beukelman, K M Yorkston

  • 1Department of Special Education and Communication Disorders, University of Nebraska-Lincoln, USA.

Seminars in Speech and Language
|August 28, 1998
PubMed
Summary
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This study explores functional assessment for dysarthria communication disorders using Nagi's Chronic Disabilities Model. It measures outcomes across five levels, from tissue to societal impact, aiding treatment evaluation.

Area of Science:

  • Speech-Language Pathology
  • Rehabilitation Medicine
  • Disability Studies

Background:

  • Dysarthria presents communication challenges impacting daily life.
  • Existing assessment strategies for dysarthria can be enhanced.
  • Nagi's Chronic Disabilities Model offers a comprehensive framework for understanding disability.

Purpose of the Study:

  • To propose functional assessment strategies for dysarthria based on Nagi's Chronic Disabilities Model.
  • To illustrate how outcomes can be measured across different levels of the model.
  • To focus on assessing speech and its use in functional situations over time or post-treatment.

Main Methods:

  • Application of Nagi's Chronic Disabilities Model (pathophysiology to societal levels).
  • Measurement of outcomes at multiple levels: tissue, disability, and societal.

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  • Focus on functional assessment of speech production and communication effectiveness.

    • Main Results:

    • The model allows for comprehensive outcome measurement in dysarthria.
    • Functional assessment can evaluate speech adequacy in communicative contexts.
    • Societal level outcomes reflect real-world speaking success.

    Conclusions:

    • Nagi's model provides a robust framework for functional assessment of dysarthria.
    • Measuring outcomes across multiple levels offers a holistic view of communication abilities.
    • Functional assessment is crucial for evaluating treatment efficacy in real-world settings.