Cognitive-linguistic conditions of children using augmentative and alternative communication according to components of the ICF

Abstract

Introduction: This research analyses cognitive-linguistic conditions of children using Augmentative and Alternative Communication (AAC) using the International Classification of Functioning, Disability and Health (ICF) of the World Health Organization (WHO). The objective is the investigation of language issues, participation and performance/functionality of children using AAC in cognitive-linguistic activities by means of components of the ICF. Material and method: This is a longitudinal study approved by the Research Ethics Committee, under n. 728/2008, comprising three not oralized children using AAC, under Speech and Language Pathology (SLP) follow-up in the Center for Studies and Research on Rehabilitation/ Faculty of Medical Sciences/University of Campinas (CEPRE/FCM/UNICAMP). The collection involved two sources: analysis of the records for characterization of profiles of the children and video records of SLP sessions; both of them used for classification of cognitive-linguistic performance according to the ICF. Adequate ICF qualifiers, expressed numerically, were used for children. Results: All subjects presented changes in cognitive-linguistic conditions, participation and performance/functionality. It was verified over time a decrease in the severity degree or in the barrier that the problems represented for the children. Conclusion: The use of the ICF allowed analysis of performance/functionality particularities and children participation in different times, situations and contexts, showing that the functionality of an individual in a specific field is resulting from the interaction between health condition and contextual factors.