A comprehensive description of functioning and disability in children with velopharyngeal insufficiency

作者：Dzioba Agnieszka^*; Skarakis Doyle Elizabeth; Doyle Philip C; Campbell Wenonah; Dykstra Allyson D

来源：Journal of Communication Disorders, 2013, 46(4): 388-400.

DOI：10.1016/j.jcomdis.2013.05.002

• International Classification of Functioning
• Disability and Health for Children and Youth
• Velopharyngeal insufficiency
• Cleft lip and/or palate

Children with velopharyngeal insufficiency (VPI) experience functional impairments in a variety of areas that extend beyond the primary physical impairment associated with this disorder. At present, the physical deficits associated with VPI have been studied extensively; however, a comprehensive description of social and communicative participation in this population is needed. Therefore, a biopsychosocial framework such as the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY), may offer an enhanced understanding of the daily experiences of children with WI. Specifically, the ICF-CY framework is intended to model complex nonlinear systems, and as such, to describe functioning as the interaction of multiple components from which a limitation in communicative participation may emerge. This paper describes how the ICF-CY framework can be utilized to comprehensively describe functioning and disability in children with VPI by describing the interaction of components of this framework. %26lt;br%26gt;Learning outcomes: As a result of this activity, the reader will be able to: (1) discuss the utility of the ICF-CY in describing the multi-dimensional nature of velopharyngeal insufficiency (VPI); (2) describe interrelationships between functioning and disability in children with VPI; and (3) identify how limitations in communicative participation may emerge from the interaction of components of the ICF-CY in children with VPI.

• 出版日期2013-8