慢性疾患の障害モデルに基づいたＤｙｓａｒｔｈｒｉａのスピーチ・リハビリテーション

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  • Speech Rehabilitation for Dysarthric Speaker Based on Model of Chronic Disorders.

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A severely dysarthric speaker (speech intelligibility=0%) was given speech rehabilitation at the levels of impairment, disability and handicap as based on the model of chronic disorders. At the level of impairment, a physiological approach was applied as the treatment procedure. Major results included the following.<BR>1) Physiological treatment directed at the impairment resulted in a marked reduction in degree of disability-speech intelligibility and articulatory adequacy.<BR>2) Approaches aimed at disability likewise resulted in an improvement in articulatory adequacy as well as dysprosody. As a result, the patient's single word intelligibility score increased to 97.5% at the time of discharge from speech treatment.<BR>3) There was a marked discrepancy in severity between the disability and handicap levels; therefore reducing the handicap became an important task in the final stage of the clinical course.<BR>These results indicated both the effectiveness of the physiological approach and the clinical need for a broad perspective as shown in the model of chronic disorders.

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