Tetiana Dehtiarenko, Natalia Pavlova. Relevance of Interdisciplinary and Neuropsychological Approaches to Diagnostics of Severe Speech Disorders in Young Children.
(2016) Science and education, 8, 30-37. Odessa.
Tetiana Dehtiarenko,
Doctor of Medicine, professor, Department of Biology and Health Care,
Natalia Pavlova,
post-graduate student, Department of Biology and Health Care,
South Ukrainian National Pedagogical University named after K. D. Ushynsky,
4, Fontanska Doroha Str., Odesa, Ukraine
RELEVANCE OF INTERDISCIPLINARY AND NEUROPSYCHOLOGICAL APPROACHES TO DIAGNOSTICS OF SEVERE SPEECH DISORDERS IN YOUNG CHILDREN
SUMMARY:
The implementation of interdisciplinary and neuropsychological approaches with account of individual peculiarities of encephalic asymmetry (EA) makes it possible to determine a valid logopedic diagnosis and to develop pathogenetically targeted measures for psycho-pedagogical correction aimed at speech activity initiation in children with severe speech disorders (SSD). The concept of “neurological speech therapy” is defined by us as neurophysiological developmental mechanisms in case of SSD in terms of neuro-ontogeny pathology and speech development disorder aimed at identifying pathogenetically targeted direction of logopedic correctional intervention. Determining a valid logopedic diagnosis in case of SSD is impossible without implementing modern examination techniques into speech therapy. For this reason, specialists who conduct correctional work with children having organic lesion of the central nervous system and verbal functions disorders should consider the data concerning the peculiarities of the individual profile of EA and can be qualified as neuro-speech therapists. Neurologopedic approach to severe speech disorders diagnostics in young children provides an opportunity to abstract from negative trends of classical speech therapy, such as shift in priorities of special education teachers towards coping with phonetic and phonemic as well as lexical and grammatical disorders, which limits the range of techniques of diagnostic and therapeutic processes in speech therapy with speech impaired children of preschool age. The developed method of comprehensive neurologopedic diagnostics of severe speech disorders in preschool children includes assessment of children’s verbal status and at the same time instrumental neurophysiological examination aimed at objective evaluation of disorders of perception of acoustic signal’s sensor component. According to the proposed new method of neurologopedic diagnostics of SSD, velocity of conducting auditory information in the structures of the central nervous system in children is estimated, and in case there are three or more abnormal changes in the structure of the sensor component of speech perception and the latent time of the 4th peak of brainstem auditory evoked potential is 0.18 ms longer, severe speech disorders are diagnosed.
KEYWORDS:
neuropsychology, severe speech disorders, preliminary diagnostics.
FULL TEXT:
REFERENCES:
1. Degtyarenko, T. V. (2011). Psikhofiziologiya rannego ontogeneza [Psychophysiology of early ontogenesis]. Kyiv: UAYP «Rada» [in Russian].
2. Degtyarenko, T. V. (2011). Psikhofiziologicheskaya paradigma v reshenii aktualnykh problem rekreatsionnoy psikhologii [Psychophysiological paradigm in solving topical problems of recreational psychology]. Nauka i osvita – Science and education, 11, 42-46 [in Russian].
3. Dehtiarenko, T. V. (2014). Mizhdystsyplinarnyi ta neiroontohenetychnyi pidkhody do psykholohopedahohichnoho suprovodu ditey z dyzontohenetychnym syndromom rozvytku [Interdisciplinary and neurogenetical approaches to psycho-pedagogical support of children with a dysontogenetic development syndrome]. Intehratsiia u nauky i praktyky v umovakh modernizatsii korektsiinoi osvity Ukrayiny – Integration into science and practice under conditions of modernization of correctional education in Ukraine: Proceedings of the All-Ukraine research and practice conference. (pp. 57-67). Kherson [in Ukrainian].
4. Dehtiarenko, T. V. (2012). Stanovlennya mizhpivkulevoi vzaiemodii v ontohenezi vyshchykh psykhichnykh funktsii dytyny ta znachennia ii otsinky dlia diahnostyky porushen intelektualnoho rozvytku [The formation of cerebral hemispheres interaction in ontogeny of higher mental functions of a child and the importance of its evaluation for the diagnostics of intellectual development disorders]. Nauka i osvita – Science and education, 6, 63-67 [in Ukrainian].
5. Dehtiarenko, T. V. (2012). Rol epihenomnykh faktoriv v patohenezi prenatalnoho urazhennia spetsializovanykh system mozku [Epigenetic factors’ influence on pathogenesis of prenatal lesions of specialized brain system]. Medobory-2006: zbirnyk naukovykh prats Kamianets-Podilskoho universytetu imeni Ivana Ohiienka – Medobory-2006: collection of scientific papers of Kamianets-Podilskyi University named after Ivan Ohiienko. (Vols. 1). (pp. 69-77) [in Ukrainian].
6. Dehtiarenko, T. V., Kovylina, V. H. (2013). Kompleksne psykhofiziolohichne obstezhennya ditei z naslidkamy perynatalnoho urazhennia mozku [Psychophysiological comprehensive survey of children with perinatal brain injury consequences]. Nauka i osvita – Science and education, 4, 112-115. [in Ukrainian].
7. Dehtiarenko, T. V., Pavlova, N. V. (2016). Neyrolohopedychnyy pidkhid do diahnostyky tiazhkykh porushen u ditey [Neurologopaedic approach to diagnostics of sever disorders in children]. Osoblyva dytyna: navchannya i vykhovannya – A special child: training and education, 1, 38-46 [in Ukrainian].
8. Yefimov, O. I., Yefimova V. L., Rozhkov, V. P. (2014). Narusheniye skorosti provedeniya slukhovoy informatsii v strukturakh stvola mozga u detey s rasstroystvami razvitiya rechi i trudnostyami v obuchenii [Violation of the hearing information speed in the brain stem structures in children with speech development disorders and learning difficulties]. Sensornyye sistemy: nauchnyy zhurnal VAK – Sensory systems: academic journal of HAC, 3, 36-44. (Vols. 28). Moscow [in Russian].
9. Pavlova, N. V. (2016). Differentsialnaya diagnostika tyazhelykh narusheniy rechi u detey mladshego doshkolnogo vozrasta [Differential diagnostics of severe speech disorders in preschool age children]. Odessa: Bondarenko M. A. [in Russian].
10. Pavlova, N. V., & Degtyarenko, T. V. (2015). Neyrologopedicheskiy podkhod k diagnostike tyazhelykh narusheniy rechi u detey [Neurologopaedic approach to thediagnostics of severe speech disorders in children]. Pedahohichni nauky: teoriia, istoriia, innovatsiyni tekhnolohii – Pedagogіcal sciences: theory, history, innovative technologies, 6 (50), 36-145. Sumy: Vydavnytstvo Sumskoho derzhavnoho pedahohichnoho universytety imeni A. S. Makarenka [in Russian].