Reciprocal Influence of Mobility and Speech-Language: Advancing Physical Therapy and Speech Therapy Cotreatment and Collaboration for Adults With Neurological Conditions.
Reciprocal Influence of Mobility and Speech-Language: Advancing Physical Therapy and Speech Therapy Cotreatment and Collaboration for Adults With Neurological Conditions.
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活动能力和言语语言的相互影响：促进患有神经系统疾病的成人的物理治疗和言语治疗的共同治疗和协作。
DOI：
10.1093/ptj/pzab196
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发表时间：
2021
期刊：
影响因子：
3.2
通讯作者：
Riley,MichaelA
中科院分区：
文献类型：
--
作者：
Schwab,SarahM;Dugan,Sarah;Riley,MichaelA
患有神经系统疾病的成年人的移动性和言语语言障碍和限制并不表现在孤立的解剖学成分中，而是表现在个体环境系统中，并且是任务依赖性的。因此，功能的优化需要跨专业的护理，以促进在适当的任务和环境背景下参与有意义的生活领域。近20年前，物理治疗、职业治疗、语言和听力专业组织制定了联合治疗指南（即学科的同时干预），以促进无缝的跨专业护理。尽管如此，物理治疗和语言治疗之间的共同治疗仍然有限。这篇观点文章的目的是鼓励物理治疗师和语言病理学家通过共同治疗来增加专业间的合作，以管理患有神经系统疾病的成年人。来自儿科和基本运动控制文献的证据指出了言语-语言和运动之间的相互作用。我们为临床实践提供建议，强调每个学科可以提供其他学科的收益。这一观点植根于国际功能、残疾和健康分类模型和生态理论。影响言语治疗和物理治疗的目标是相辅相成的。在患有神经系统疾病的成年人的管理中，物理治疗师和语言病理学家之间加强共同治疗和更广泛的合作可以增加任务相关的条件，以改善功能。
Mobility and speech-language impairments and limitations in adults with neurological conditions manifest not in isolated anatomical components but instead in the individual-environment system and are task-dependent. Optimization of function thus requires interprofessional care to promote participation in meaningful life areas within appropriate task and environmental contexts. Cotreatment guidelines (ie, the concurrent intervention of disciplines) were established by the physical therapy, occupational therapy, and speech-language and hearing professional organizations nearly 2 decades ago to facilitate seamless interprofessional care. Despite this, cotreatment between physical therapy and speech therapy remains limited. The purpose of this Perspective article is to encourage physical therapists and speech-language pathologists to increase interprofessional collaboration through cotreatment in the management of adults with neurological conditions. Evidence from pediatrics and basic motor control literature points toward reciprocal interactions between speech-language and mobility. We provide recommendations for clinical practice with an emphasis on the gains each discipline can provide the other. This Perspective is rooted in the International Classification of Functioning, Disability and Health model and ecological theory.ImpactThe goals of speech therapy and physical therapy are complementary and mutually supportive. Enhanced cotreatment, and collaboration more generally, between physical therapists and speech-language pathologists in the management of adults with neurological conditions can augment task-relevant conditions to improve function.