This area is currently lacking in systematic reviews that describe the best practice of assessment. Body Functions and Structure: Impairment-based tools Below is a description of these aphasia assessments. Aphasia assessments and the ICFĪ number of known and commonly used aphasia assessments can be classified within the ICF structure. 12).įigure 1 - The WHO International Classification of Functioning, Disability and Health. The framework encourages a broad view of aphasia as it describes‘‘conditions in terms of body function and structure, performance of activities, participation in relevant life situations, and the influence on functioning of environmental and personal factors’’ (Simmons-Mackie, Threats, & Kagan, 2005, p. The ICF is not an assessment tool, but the framework can help guide the selection of assessment methods.
The International Classification of Functioning, Disability and Health (ICF WHO, 2001) (see Figure 1) has been used as a framework for defining aphasia (Cruice, Worrall, Hickson, & Murison, 2003 Davidson, Worrall, & Hickson, 2003 Howe, Worrall, & Hickson, 2004 Threats & Worrall, 2004). International classification of Functioning, Disability and Health The International Classification of Functioning and Disability can be used as a framework to guide assessment selection to ensure that the purposes for assessing are being fulfilled. For some people, this may mean assessing impairments of body structures and functions, but for others it may mean identifying participation restrictions (Bruce, 2005). Ideally the assessments should be selected based on hypotheses generated by the clinician regarding the key factors that prevent the person from participating in the areas of life most important to them. No single assessment can hope to measure such a complex and multidimensional process rather a variety of assessments and protocols are needed to evaluate the different domains. and the time and resources available (Kerr, 1993).
the characteristics of the person with aphasia.The decision to use a particular assessment depends on: These range from functional measures of communication to tests of linguistic ability, and from single tests to comprehensive language batteries. The ICF (WHO, 2001) can be used as a framework to ensure all key aspects of health have been considered.Īs discussed by Bruce and Edmundson (2010), many tests can be used to assess people with aphasia. Rationale: Assessment of a person with aphasia and their family/carers needs to be flexible and holistic, considering whatever aspects are important or relevant to his or her situation.
All domains of functioning and disability should be considered for assessment.
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