Діагностика та стимуляційна терапія мовних порушень у дітей з церебральним паралічем: Автореф. дис… канд. мед. наук / О.О. Дубовцева, Київ. мед. ака

17

I?I?NOA?NOAI IOI?IIE CAeI?IA’ss OE?A?IE

EE?ANUeEA IAAeE*IA AEAAeAI?ss I?NEssAeEIEIIII? INA?OE

?I. I. E. OOIEEA

AeOAIAOeAAA IEUeAA IEAEN??AIA

OAeE 616.8-07-08:616-053.2

Ae?AAIINOEEA OA NOEIOEssOe?EIA OA?AI?ss IIAIEO

II?OOAIUe O Ae?OAE C OeA?AA?AEUeIEI IA?AE?*AI

Niaoe?aeuei?noue 14.01.15 – Ia?aia? oai?iae

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Aeiiaoeueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao?

?i. I.Ai?ueeiai IIC Oe?a?ie

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe, i?ioani? ?aoooaiei Noai?neaa
Einoyioeiiae/, Aeiiaoeueeee iaaee/iee oi?aa?neoao ?i. I.Ai?ueeiai IIC
Oe?a?ie, eaoaae?a aeeoy/i? oa caaaeueii? iaa?ieia?? c eo?nii
?aoeaenioa?ai?? oaeoeueoaoo i?neyaeeieiiii? ina?oe, caa?aeoaa/ eaoaae?e.

Io?oe?ei? iiiiaioe: — aeieoi? iaaee/ieo iaoe, /eai-ei?aniiiaeaio
Aeaaeai?? iaaee/ieo iaoe Oe?a?ie, i?ioani? Ia/a?ao ?aaai?y
Eaii?ae?aia, Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe ?i.
I.E. Ooieea IIC Oe?a?ie, eaoaae?a iaa?ieiai? oa ?aoeaenioa?ai??,
caa?aeoaa/ eaoaae?e.

— aeieoi? iaaee/ieo iaoe, i?ioani? Aeaiaiei Aaneeue Aeieo?iae/,
Oa?e?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe IIC Oe?a?ie,
eaoaae?a caaaeueii? oa aeeoy/i? iaa?ieia??, caa?aeoaa/ eaoaae?e.

I?ia?aeia onoaiiaa: Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo ee?i?/ii?
oa aenia?eiaioaeueii? iaa?ieia?? oa ineo?ao??? IIC Oe?a?ie, aiaeaeiee
aeeoy/i? iaa?ieia?? oa iaoieia?? aaaaoaoeaii? ia?aiai? nenoaie, i.
Oa?e?a.

Caoeno a?aeaoaeaoueny “ 17 ” eenoiiaaea 1999 ?. i 11-00 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.613.01 i?e Ee?anuee?e
iaaee/i?e aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I.E. Ooieea IIC Oe?a?ie
ca aae?anith: 254112, Ee?a, aoe. Aei?iaiaeeoeueea, 9, aoae. ?3.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Ee?anueei? iaaee/ii?
aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I.E. Ooieea IIC Oe?a?ie ca
aae?anith: 254112, Ee?a, aoe. Aei?iaiaeeoeueea, 9.

Aaoi?aoa?ao ?ic?neaiee “ 13 ” aeiaoiy 1999 ?.

A/aiee nae?aoa? niaoe?ae?ciaaii?

a/aii? ?aaee, aeioeaio
?iiaiaiei I.?.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. ?iceaaee iiaii? ooieoe?? – ii?ooaiiy, ui aeineoue
/anoi cono??/athoueny o aeeoy/iio a?oe?. A inoaii? ?iee ?a?no?o?oueny
ca?eueoaiiy e?eueeino? ae?oae c ineoiiaa?ieia?/ieie caoai?thaaiiyie,
iniaeeai c ineoi-iiaii-iioi?ieie ?iceaaeaie (Aaaeaeyi E.I., 1984, Aieaea
I.A., Ia?oeithe A.TH., 1996, Hind G.W., Semrud-Clikemman M., 1990,
MnRaa E.I., Vicar E., 1991, Bax M., 1994), aea /ano?oa aiie
cono??/athoueny o neeaae? oea?aa?aeueiiai ia?ae?/o, ia yeee i?eiaaea? a
eiai no?oeoo??, ca?aeii c aeaieie ??cieo aaoi??a, a?ae 45 aei 80%
(Naiaiiaa E.A., 1986, Ianotheiaa I.I., 1988, Aeaiaiei A.Ae., 1994). O
ae?oae c oea?aa?aeueiei ia?ae?/ai iiai? ii?ooaiiy oneeaaeiththoue
nioe?aeueio ?aaa?e?oaoe?th, iaiaaeothoue iiaeeea?noue iiaiioe?iiiai
ni?eeoaaiiy c ioi/oth/eie ethaeueie (?aoooaiei N.E., 1994). Ae?oe c
iane?aeeaie ia?eiaoaeueiiai o?aaeaiiy aieiaiiai iiceo o aeaeyae? aeae??,
aeeca?o???, cao?eiee iiaiiai ?icaeoeo /anoi ?icoe?iththoueny ye ?icoiiai
a?aenoae? ? ciaoiaeyoueny i?ae aeiaeyaeii ineo?ao?a. Eiaiiaaee/ia
ei?aeoe?y, ye i?aaeei, ii/eia?oueny c 4 – 5 ?ie?a.

Ia aeaeue, aeeoy/? iaa?ieiae oa ineo?ao?e ia aeineoue i???ioiaai? o oe?e
i?iaeai?, ? oiio iaa/anii anoaiiaeth?oueny ae?aaiic, ia ae?iaey?oueny
aeinoaoi?e ianya aeine?aeaeaiue oa ia i?iaiaeeoueny aaeaeaaoia
e?eoaaiiy. ?icoiiaa a?aenoae?noue /a?ac a?aenooi?noue iiaiiai eiioaeoo,
yeee iaiao?aeiee aeey ?icaeoeo, iineeth?oueny, ui i?ecaiaeeoue aei
iiaeaeueoeo iaiai?ioieo yaeu (Eiiiieyiei O.A., 1995).

Nueiaiaei? iaiao?aeiee a?eueo oi/iee ee?i?ei-?ino?oiaioaeueiee i?aeo?ae
aei ae?aaiinoeee iiaieo ?iceaae?a o ae?oae ?c canoinoaaiiyi aaeueii?
oeaee ioe?iee aaaeeino? iiaiiai aeaoaeoo. Eeaneo?eaoe?? iiaieo
?iceaae?a, ye? ? (I?oeinueea A.E., 1960, Ineiaiei O.I., 1996, Paucher
K., 1948, Allen D., Rapin I., 1988), a?ii?caee?, aaaee? a i?aeoe/iiio
aeei?enoaii? ? iaeaea ia a?aoiaothoue ao?ieia?th caoai?thaaiiy /e
oiiieia?th o?aaeaiiy (I?aeei?eoia A.N., Iaeeoei E.I., Aeieoaea I.I.,
1994).

O e?oa?aoo?? iienai? aeaye? iniaeeaino? a?iaeaeo?e/ii? aeoeaiino? iiceo
o ae?oae c caaaeueiei iaaei?icaeoeii iiae (Ayoeaaa I.A., 1991,
Io/einueea ?.I.,Noiao?iaa O.A.,1993,Hecaen H., Sanguet J., 1976, Sheth
R.D., 1998, Picard A., 1998). ?acii c oei, ia aeeaiei i?iaiae?ciaai?
aeaeo?iaioeaoaeia?ao?/i? iieacieee o aca?iica’yceo c oa?aeoa?ii oa
aaaee?noth iiaiiai ii?ooaiiy.

Aoee c?iaeai? ni?iae aeine?aeaeoaaoe ii?ooaiiy iiceiaiai e?iaioieo o
ae?oae c ??ciith iaa?ieia?/iith iaoieia??th ca aeaieie oeueo?acaoeiai?
aeiiea?ia?ao?? (Aeai?aeianueeee ?.A., Noaea?iaa I.A., 1990, Aaoie?i
E.A., Aa?aee I.A., 1996, Eouee O.A., 1996, Yoshida A., Yasuhara A., 1991
oa ?i.), aea aeaieo i?i oe? ci?ie o ae?oae c iiaiith iaoieia??th c
aiae?cii oa?aeoa?o ii?ooaiiy e?iaioieo i?e ??cieo aeaeao ?iceaae?a iiae
ye o ae?oae c oea?aa?aeueiei ia?ae?/ai, oae ? c ia?eiaoaeueiei
o?aaeaiiyi aieiaiiai iiceo, ye? i?iyaeythoueny iiaieie ii?ooaiiyie,
iaia?.

Nueiaiaei? ?niothoue ??ci? iaoiaeeee e?eoaaiiy iaa?ieia?/ieo
caoai?thaaiue, aeeth/ath/e canoinoaaiiy iaaeeeaiaioicieo cania?a ?
aeei?enoaiiy iaiaaeeeaiaioicieo iaoiae?a, oaeeo ye A?O, neaeueioa?ai?y,
/a?acoe??ia aeaeo?iioieoo?a, eaca?ioa?ai?y (Ii?oiia O.A., 1987,Ia/a?ao
?. E.,Naiinthe ?. C., 1989, Eoanai A., 1990, Aaa/ee TH.?., Naiaiiaa
E.A., 1992 oa ?i.). I?ioa ia ?ic?iaeai? iaoiaeeee oa?ai?? iiaieo
ii?ooaiue a aeeoy/iio a?oe?, iaaeinoaoiuei ?ioaineaii aeei?enoiaothoueny
eiiieaeni? i?aeoiaee a e?eoaaii? oe??? iaoieia??.

Oaeei /eiii, a?aoiaoth/e aeuaaeeeaaeaia, aeieeea iaiao?aei?noue a?eueo
oi/iiai i?aeoiaeo aei ae?aaiinoeee iiaieo ii?ooaiue o ae?oae ye
ee?i?/i?e, oae ? ?ino?oiaioaeuei?e, a?aoiaoth/e aeine?aeaeaiiy iiceiaiai
e?iaioieo oa a?iaeaeo?e/ii? aeoeaiino? iiceo, aei ?ic?iaee iiaeo
aoaeoeaieo eiiieaenieo iaoiae?a e?eoaaiiy.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?y
aeeiiaia ca?aeii c ieaiii IAe? Aeiiaoeueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo ?i. I.Ai?ueeiai: “?ic?iaeoe oa ai?iaaaeeoe caniae
aeeoa?aioe?eii? ae?aaiinoeee ?ooiaeo oa ineoiiiaieo ii?ooaiue o ae?oae c
ii/aoeiaeie i?iyaaie oea?aa?aeueiiai ia?ae?/o oa i?aai?/ieie
caoai?thaaiiyie ia?aiai? nenoaie ? cai?iiiioaaoe iia? iaoiaee e?eoaaiiy
? ?aaa?e?oaoe?? – 1994-1997 ??.” (Aea?ae?a?no?aoe?y 0195 V009646).

Iaoa aeine?aeaeaiiy. ?ic?iaeoe no/ani? ee?i?ei-?ino?oiaioaeuei? e?eoa???
ae?aaiinoeee iiaieo ii?ooaiue o ae?oae. Aeyaeoe iniaeeaino? iiceiaiai
e?iaioieo oa a?iaeaeo?e/ii? aeoeaiino? iiceo i?e oe?e iaoieia?? oa
?ic?iaeoe iia? aoaeoeai? noaie e?eoaaiiy.

Caaaeaiiy aeine?aeaeaiiy:

1.Oaeineiiaeeoe ee?i?/i? iae?ie?iaa?noe/i? noaie aeyaeaiiy oeio oa aeaeo
?iceaae?a iiae o ae?oae c oea?aa?aeueiei ia?ae?/ai oa iane?aeeaie
ia?eiaoaeueiiai o?aaeaiiy aieiaiiai iiceo.

2.Aeyaeoe ca?aeii c aeaieie oeueo?acaoeiai? aeiiea?ia?ao?? iniaeeaino?
e?iaioieo o noaeeiao aieiaiiai iiceo oa oe? o aca?iica’yceo c oa?aeoa?ii
oa aaaee?noth iiaiiai aeaoaeoo ? eiai ci?ie o i?ioean? e?eoaaiiy.

3.Aea/eoe iniaeeaino? a?iaeaeo?e/ii? aeoeaiino? iiceo o ae?oae c
aeae??th, ae?ca?o???th, cao?eieith iiaiiai ?icaeoeo oa ?? ci?ie o
i?ioean? e?eoaaiiy.

4.?ic?iaeoe iia? iaoiaee eiiieaeniiai noeioeyoe?eiiai aieeao a e?eoaaii?
aeyaeaieo iiaieo ii?ooaiue oa ai?iaaaeeoe a i?aeoeeo ioi?iie caei?ia’y.

5.Cai?iiiioaaoe e?eoa??? aoaeoeaiino? ?ic?iaeaii? oa?ai??.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a:

1.Aia?oa aeae?eaii aaceni? ?iceaaee iiae (aeeca?o??y, aeae?y, cao?eiea
iiaiiai ?icaeoeo) o ae?oae c oea?aa?aeueiei ia?ae?/ai oa iane?aeeaie
ia?eiaoaeueiiai o?aaeaiiy aieiaiiai iiceo o aca?iica’yceo c oii?/iith
ooieoe??th iiceo, ii?ooaiiyi iiceiaiai e?iaioieo oa eieaeueiei
ii?ooaiiyi a?iaeaeo?e/ii? aeoeaiino? iiceo.

2.Aia?oa aeyaeaia ci?ia e?iaioieo c i?enei?aiiyi oa aneiao???th a
iniiai?e oa o?aaaoieo a?oa??yo i?e aeeca?o??yo o ae?oae c oea?aa?aeueiei
ia?ae?/ai.

3.Aia?oa aeyaeaii aeao?oeeo e?iaioieo c aneiao???th o na?aaei?o iiceiaeo
a?oa??yo i?e aeae?yo oa cao?eioe? iiaiiai ?icaeoeo o ae?oae c
oea?aa?aeueiei ia?ae?/ai oa iane?aeeaie ia?eiaoaeueiiai o?aaeaiiy
aieiaiiai iiceo.

4.Ia i?aenoaa? c?noaaeaiiy eeane/ieo iae?io?c?ieia?/ieo ei?eiaeo iiaieo
cii oa noa?iaeaaiueieeoaenueeeo oyaeaiue ?ic?iaeaia iaoiaeeea
aeaeo?ie?ai?iioieoo?e ia oii? aaaaeaiiy aioo??oiueii’ycaai iaeneiaeueieo
oa?aiaaoe/ieo aeic i?eioeiiai? eeneioe c o?aooaaiiyi aeii?iaioii?
i?aeoe?.

5.Aia?oa ?ic?iaeaia iaoiaeeea eaca?ie?ai?iioieoo?e i?e aeeca?o??yo,
aeae?yo, cao?eioe? iiaiiai ?icaeoeo o ae?oae.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Aeae?eaii ?iceaaee iiae,
ye? iae/ano?oa cono??/athoueny o no?oeoo?? oea?aa?aeueiiai ia?ae?/o oa
iane?aee?a ia?eiaoaeueiiai o?aaeaiiy aieiaiiai iiceo (aeeca?o???,
aeae??, cao?eiee iiaiiai ?icaeoeo) ? ?ic?iaeaii e?eoa??? ioe?iee
aaaeeino? iiaiiai aeaoaeoo o ae?oae c i?aai?/iei o?aaeaiiyi aieiaiiai
iiceo.

Aeyaeaii iniaeeaino? ii?ooaiiy iiceiaiai e?iaioieo i?e aeeca?o??yo,
aeae?yo, cao?eioe? iiaiiai ?icaeoeo o ae?oae c oea?aa?aeueiei ia?ae?/ai
oa iane?aeeaie ia?eiaoaeueiiai o?aaeaiiy aieiaiiai iiceo. Aecia/aii
iniaeeaino? ii?ooaiiy a?iaeaeo?e/ii? aeoeaiino? aieiaiiai iiceo i?e oe?e
iaoieia??. ?ic?iaeaii oa ai?iaaaeaeaii iia? aoaeoeai? (iaaeeeaiaioici?
oa iaiaaeeeaiaioici?) noaie e?eoaaiiy.

?acoeueoaoe io?eiaieo aeine?aeaeaiue ai?iaaaeaeaii a ?iaioo
Aeiiaoeueeiai iaeaniiai iaoeiai-i?aeoe/iiai oeaio?o ?aaa?e?oaoe??
oea?aa?aeueiiai ia?ae?/o oa i?aai?/ieo caoai?thaaiue ia?aiai? nenoaie o
ae?oae, iaa?ieia?/iiai a?aeae?eaiiy Aeiiaoeueei? iaeanii? aeeoy/i?
ee?i?/ii? e?ea?i?, i?nueeiai oeaio?o ?aaa?e?oaoe?? ni?iaeueieo o?aai oa
oea?aa?aeueiiai ia?ae?/o i. Iae??aee, aeeoy/iai iaa?ieia?/iiai
a?aeae?eaiiy i?nueei? e?ea?i? ?3 i. Ia??oiiey, iaeaniiai
niaoe?ae?ciaaiiai aoaeeieo aeeoeie “Iaethe”, a o/aiaee i?ioean eaoaae?e
aeeoy/i? oa caaaeueii? iaa?ieia?? OII Aeiiaoeueeiai aea?aeaaiiai
iaaee/iiai oi?aa?neoaoo ?i. I.Ai?ueeiai IIC Oe?a?ie, ui
i?aeoaa?aeaeo?oueny aeoaie ai?iaaaeaeaiiy.

Iniaenoee aianie caeiaoaa/a. Aeena?oaoe?y ? naiino?eiei aeine?aeaeaiiyi
aaoi?a. Aeena?oaioii iniaenoi ?ic?iaeai? e?eoa??? ioe?iee aaaeeino?
iiaiiai aeaoaeoo i?e aeeca?o??yo, aeae?yo, cao?eioe? iiaiiai ?icaeoeo.
Aaoi? naiino?eii i?ia?a aiae?c io?eiaieo aeaieo ?ino?oiaioaeueieo
iaoiae?a ianoaaeaiiy: aeaeo?iaioeaoaeiea?ooaaiiy oa oeueo?acaoeiai?
aeiiea?ia?ao??. Ia i?aenoaa? cai?iiiiiaaiiai ?acii c i?io.
N.E.?aoooaieii iaoiaeo iie?iiaeaeueiiai noeioeyoe?eiiai aieeao
?ic?iaeaii noaie e?eoaaiiy ??cieo aeae?a iiaieo ii?ooaiue. Aeena?oaioii
iniaenoi i?iaaaeaii e?eoaaiiy eiaeiiai oai?iai ? cae?eniaia noaoenoe/ia
ia?iaea iaea?aeaieo ?acoeueoao?a.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. I?i ?acoeueoaoe ?iaioe
iia?aeiieaii ia Ia?oiio Oe?a?inueei-Aaaa?nueeiio neiiic?oi? ii aeeoy/?e
iaa?ieia?? oa iaiiaoieia?? “I?io?eaeoeea oa ?aaa?e?oaoe?y ae?oae c
i?aai?/ieie o?aaeaiiyie ia?aiai? nenoaie a iaiiaoaeueiiio ia??iae?”
(Oa?nii, 1995), I?aeia?iaei?e e?oi?e oeie? iieiaeeo a/aieo-iaa?ieia?a
(Aeiiaoeuee, 1995), Ia?o?e ?anioae?eainuee?e oeie?-nai?ia?? c
aeooaeueieo ieoaiue aooecio oa ?iaioe c ae?oueie-?iaae?aeaie (Ai?e?aea,
1996), I?aeia?iaei?e iaoeiai-i?aeoe/i?e eiioa?aioe?? “Aooeci: a/i?a,
nueiaiaei?, caao?a” ( Ai?e?aea, 1997 ), I?aeia?iaeiiio nai?ia??-oeie?
i?ioani?a N.E. ?aoooaiea “Iiaa o ae?aaiinoeoe?, e?eoaaii? oa
iaaeeei-nioe?aeuei?e ?aaa?e?oaoe?? caoai?thaaiue ia?aiai? nenoaie o
ae?oae ” (Aeiiaoeuee – Neia’yiia??nuee, 1997), I?aeia?iaei?e
iaoeiai-i?aeoe/i?e eiioa?aioe?? “N?i’y oa i?iaeaie aeeoy/i?
?iaae?aeiino?” (Aeiiaoeuee, 1997), I?aeaaeocaa?e iaoeiai-i?aeoe/i?e
eiioa?aioe?? “Aeooaeuei? ieoaiiy i?aeoe/ii? ineoieia?? oa eiaiiaae?? a
caeeaaeao ina?oe oa ioi?iie caei?ia’y Oe?a?ie” (Oa?e?a, 1998), iaeani?e
eiioa?aioe?? ?aoeaenioa?aiaao?a “Aeina?ae i?aeoe/iiai canoinoaaiiy
o?aaeeoe?eieo iaoiae?a e?eoaaiiy o i?aeoe/i?e ioi?ii? caei?ia’y”
(Aeiiaoeuee, 1998), I?aeia?iaeiiio iaoeiai-i?aeoe/iiio nai?ia??
“Aeooaeuei? ieoaiiy aia?iiaa?ieia??” (Aeiiaoeuee – Neia’yiia??nuee,
1999), Iiaeia?iaeiiio iaoeiai-i?aeoe/iiio nai?ia?? ”I?iaeaie ?aiiuei?
iaaeiei-nioeiaeueiii ?aaaieioaoe?? oa aaeaioaoe?? aeioae c i?aaii/ieie
o?aaeaiiyie ia?aiai? cenoaie” (Ee?a, 1999), iaeanieo ni?eeao aeeoy/eo
iaa?ieia?a.

Ioae?eaoe??. Ia oaio aeena?oaoe?? iaae?oeiaaii 9 i?aoeue, c ieo o
i?ia?aeieo iaoeiaeo aeo?iaeao — 4, o ca??ieeao iaoeiaeo i?aoeue – 1, o
iaoa??aeao i?aeia?iaeieo neiiic?oi?a, eiioa?aioe?e, eiia?an?a – 4 , o
oiio /ene? iaeia – naiino?eia.

Ianya oa no?oeoo?a aeena?oaoe??. Aeena?oaoe?eia ?iaioa neeaaea?oueny ?c
anooio, iaeyaeo e?oa?aoo?e, iieno iaoa??ae?a oa iaoiae?a aeine?aeaeaiiy,
2 ?icae?e?a aeanieo aeine?aeaeaiue, 1 ?icae?eo, aea aeeeaaeai? iaoiaee
e?eoaaiiy, aiae?co oa ocaaaeueiaiiy ?acoeueoao?a aeine?aeaeaiue,
aeniiae?a, nieneo aeei?enoaieo aeaea?ae, ui aeeth/a? 185 a?o/eciyieo ?
105 ca?oa?aeieo aeaea?ae. Iaoa??ae ?ethno?iaaiee 18 oaaeeoeyie, 15
iaethieaie. Ianya aeena?oaoe?? 115 ae?oeiaaieo noi??iie.

IAOA??AEE ? IAOIAeE AeINE?AeAEAIUe. CAAAEUeIA

OA?AEOA?ENOEEA NIINOA?AAEAIUe ?

IAOIAeIA AeINE?AeAEAIUe

A iniiao ?iaioe iieeaaeai? ?acoeueoaoe no/anieo
ee?i?ei-?ino?oiaioaeueieo aeine?aeaeaiue 125 oai?eo ae?oae c iiaieie
?iceaaeaie o aeaeyae? aeae??, aeeca?o???, cao?eiee iiaiiai ?icaeoeo o
a?oe? a?ae 3 aei 14 ?ie?a, ye? noi?iaiaeaeothoue oaeo iaoieia?th, ye
oea?aa?aeueiee ia?ae?/ oa iane?aeee ia?eiaoaeueiiai o?aaeaiiy aieiaiiai
iiceo, ui noi?iaiaeaeothoueny iiaieie ii?ooaiiyie oa i??ai?aeiith
iaaeinoaoi?noth, ?ooiaith ?icaaeueiiaai?noth, ii?ooaiiyi
aiioe?eii-aieueiai? noa?e.

Eiio?ieueio a?oio neeaaeaee 60 ae?oae. 20 c ieo — c oea?aa?aeueiei
ia?ae?/ai, 20- c iane?aeeaie ia?eiaoaeueiiai o?aaeaiiy aieiaiiai iiceo o
aeaeyae? iiaieo ii?ooaiue, ye? e?eoaaeeny o?aaeeoe?eieie iaoiaeaie
(canoinoaaiiy iiio?iiieo cania?a, eiaiiaaee/ieo i?eeii?a), oa 20
caei?iaeo ae?oae.

A iniiao ae?aaiinoeee aoei iieeaaeaii no/ani? iaa?ieia?/i? ?
iae?ie?iaa?noe/i? noaie aecia/aiiy aeaeo iiaieo ii?ooaiue ca?aeii c
ocaaaeueiaiith iaie eeaneo?eaoe??th ?iceaae?a iiae o ae?oae (I?aaae?ia
I.A., 1969, A?ia?nueea A.I., 1973, Eo??y A.?., 1974, Aaaeaeyi E.I.,
1984). Aeey aeyaeaiiy nooiaith aaaeeino? oa ee?i?/iiai eiio?ieth
aoaeoeaiino? oa?ai?? aeei?enoiaoaaeanue ?ic?iaeaia iaie aaeueia oeaea
ioe?iee aaaeeino? ?iceaae?a iiae, ca?aeii c yeith ioe?ithaaeenue
ii?ooaiiy oiiono a?oeeoeyoe?eii? ioneoeaoo?e, ianya aeoeaieo ?oo?a o
yceeo, nooi?iue i?iyae a?ia?e?iac?a, ?aoeaen?a i?aeueiiai aaoiiaoecio,
nooi?iue c?icoi?eino? iiae aeey ioi/oth/eo, ??aaiue caaaeueiiai
iaaei?icaeoeo iiae oa ?ioa. Iae?iineoieia?/ia aeine?aeaeaiiy aeeth/aei
canoinoaaiiy e?euee?nieo iaoiae?a aecia/aiiy ?ioaeaeooaeueiiai ?icaeoeo
aeeoeie ca oanoaie ?aaaia, Aaenea?a oa aeyaeaiiy aeii?iaioii? i?aeoe?
iiceo.

Aeey aeyaeaiiy ii?ooaiue e?iaioieo o iiceiaeo oa o?aaaoieo a?oa??yo
aeei?enoiaoaaany iaoiae oeueo?acaoeiai? aeiiea?ia?ao?? (Logidop-4 o??ie
Kranzbuehler, I?ia//eia) c eiio?ieai io?eiaieo aeaieo i?ney i?iaaaeaiiai
e?eoaaiiy.

Aeaeo?iaioeaoaeia?ao?/iee iii?oi?eia cae?enithaaany ca aeiiiiiaith
aia?aoii-i?ia?aiieo eiiieaen?a “AeO – 4000 Practic” oa “DXNT-32
Professional” (Oe?a?ia).

Aeey aeyaeaiiy oa?aeoa?o o?aaeaiiy aieiaiiai iiceo cae?enithaaeanue
I?-oiiia?ao?y ia aia?ao? “Brueker” ( I?ia//eia ) ia aac? iaoeiai —
i?aeoe/iiai oeaio?o iaaee/ieo aeineiaeaeaiue “?aciiain” (i. Eoaainuee ).

Aeoioieoo?iee aieea ai?iaaaeaeoaaany ca aeiiiiiaith aeoioieoo?ieo
noaeueieo aieie, ye? aaiaeeee ye o iiai? ciie neaeueio, oae ? o
oii?coth/? oi/ee aai oi/ee-iin?aieee ia?eae?ai?a, ui eaeooue /a?ac
aieiaiee iicie. O aeiaaeeo aeaeo?ie?ai?iioieoo?e aei aieie i?aeeeth/aee
aeaeo?e/iee no?oi iino?eiiai iai?oaeaiiy ?iioeueniiai ?aaeeio ca
aeiiiiiaith aia?aoo “Lasper” (ssiii?y).*a?acoe??iee aieea ia a?ieia?/ii
aeoeai? oi/ee iaee//y oa oe? aeey iie?auaiiy noaio oiiono
a?oeeoeyoe?eii? ioneoeaoo?e cae?enithaaee ca aeiiiiiaith oiai ae aia?aoo
“Lasper” (ssiii?y). Aieea iecueei?ioaineaiei eaca?iei aei?ii?ithaaiiyi
?io?a/a?aiiiai niaeo?o cae?enithaaee aia?aoii eaca?iei oa?aiaaoe/iei ia
a?nai?ae?-aae?y AEO + “Oci?” – Aeaeo?ii?ea (?in?y). E??i oiai,
i?iaiaeeany oi/eiaee ianaae oa i?e?iaeoioieoo?iee i?ieiiaiaaiee aieea ia
oi/ee aooa.

Iaea?aeai? aeai? i?aeeyaaee noaoenoe/i?e ia?iaoe? caaaeueiii?eeiyoeie
noaoenoe/ieie iaoiaeeeaie ca aeiiiiiaith i?ia?aie Microsoft Excel ia
eiii’thoa?? ?AI – 486 (I?eey?a A., 1997).

?ic?aoiaoaaee na?aaei? a?eoiaoe/ia, noaiaea?oio iiieeeo na?aaeiueiai
a?eoiaoe/iiai, na?aaei? eaaae?aoe/ia a?aeoeeaiiy. Iieacieee ?nioth/i?
??cieoe? ioe?ithaaee ca aeiiiiiaith e?eoa??th No’thaeaioa (Aoaea? ?.A.,
Aaie?i A.A., 1975, Eia?einueeee A.A., 1996).

?acoeueoaoe aeine?aeaeaiiy. Ia i?aenoaa? eiiieaeniiai ee?i?/iiai
ianoaaeaiiy aoee aeae?eai? oae? ?iceaaee iiae: aeae??, aeeca?o???,
cao?eiee iiaiiai ?icaeoeo, – na?aae ieo 75 ae?oae, oai?eo ia
oea?aa?aeueiee ia?ae?/, oa 50 c iane?aeeaie ia?eiaoaeueiiai o?aaeaiiy
aieiaiiai iiceo, c ieo 66 oeii/ee?a (52,5%) oa 59 ae?a/aoie (47,5%).
Ae?oae c aeae?yie aoei 46, c ieo 20 cono??/aeenue o a?oi? ae?oae c
oea?aa?aeueiei ia?ae?/ai, oa 26 – c iane?aeeaie ia?eiaoaeueiiai
o?aaeaiiy aieiaiiai iiceo, cao?eiea iiaiiai ?icaeoeo aoea aeyaeaia o 44
oai?eo, c ieo o 20 – c oea?aa?aeueiei ia?ae?/ai oa o 24 – a ?io?e
a?oi?. 35 ae?oae c i?iyaaie aeeca?o??e cono??/aeenue eeoa o a?oi?
oea?aa?aeueiiai ia?ae?/o.

A?eiaee neeaae oai?eo ae?oae aoa oaeei:3 – 6 ?ie?a – 86 iaoe??io?a, 7
– 10 ?ie?a – 33 aeeoeie oa 11 – 14 ?ie?a – 6 ae?oae.

Uiaei oyaeeino? caoai?thaaiiy iaie aeyaeaii, ui 10 ae?oae iaee eaaeee
nooi?iue aaaeeino? caoai?thaaiiy, 50 – na?aaeiueiaaaeeee, a 65 – aaaeeee
nooi?iue caoai?thaaiiy. I?e oeueiio na?aae ae?oae c oea?aa?aeueiei
ia?ae?/ai oa aeeca?o???th aaaeeee nooi?iue cono??/aany o 9 iaoe??io?a
(18,71,76 aae?a), na?aaeiueiaaaeeee – o 16 (10,60,96 aae?a), eaaeee – o
10 ae?oae (6,20,59). A no?oeoo?? aeae?e na?aae ae?oae c oea?aa?aeueiei
ia?ae?/ai aaaeeee nooi?iue a?aei?/aany o 14 oai?eo (15,81,46 aae?a),
na?aaeiueiaaaeeee – o 8 (10,40,96 aae?a), eaaeee – i? o aeiaeiiai c
iaoe??io?a. Cao?eiea iiaiiai ?icaeoeo o ae?oae c oea?aa?aeueiei
ia?ae?/ai cono??/aeanue o 15 aeiaaeeao (13,71,41 aaea),
na?aaeiueiaaaeeee – o 5 (8,20,78), eaaeiai nooiaith ia a?aei?/aeinue.

O ae?oae c ia?eiaoaeueiei o?aaeaiiyi aieiaiiai iiceo: i?e aeae?? ???
(aaaeeee) nooi?iue aoa o 16 ae?oae (16,11,58 aae?a), ??
(na?aaeiueiaaaeeee) – o 10 (10,10,92 aaee), ? (eaaeiai) — ia aoei. I?e
iayaiino? cao?eiee iiaiiai ?icaeoeo ??? nooi?iue — o 12 ae?oae
(12,41,18 aae?a), ?? — o 12 (7,80,81), ? nooi?iue ia cono??/aany.

C iaoith aeyaeaiiy nooiaith cieaeaiiy ?ioaeaeoo 30 ae?oyi (c ieo 15 — c
oea?aa?aeueiei ia?ae?/ai oa 15 — c iane?aeeaie ia?eiaoaeueiiai o?aaeaiiy
aieiaiiai iiceo) i?iaaaeaia iae?iineoieia?/ia oanooaaiiy ca?aeii c
iaoiaeeeaie Aaenea?a oa ?aaaia, ? o a?eueoino? ae?oae a?aecia/aeinue
cieaeaiiy ?ioaeaeoo, ia?aaaaeii aa?aaeueiiai. I?e oeueiio ca?aeii c
oanoii Aaenea?o o 66,6% ae?oae a?aei?/aeinue cieaeaiiy ?ioaeaeoo, a
ca?aeii c oanoii ?aaaia — eeoa o 46,7% ae?oae. Na?aae ianoaaeaieo ae?oae
aoei 62 c aeii?iaioiith i?aaith i?aeoeath aieiaiiai iiceo ? 42 – c
oaeith ae e?aith, o 21 iaoe??io?a aeyaeaiiy aeii?iaioii? i?aeoe? aoei
iaiiaeeeaei o ca’yceo c aaaeeeie ia?acaie aa?oi?o e?ioe?aie aai c
iaeiaeiaith e?euee?noth i?aai- /e e?aia?/ii aeeiiaieo i?ia.

Aeey ooi/iaiiy oa?aeoa?o o?aaeaiiy aieiaiiai iiceo 57 iaoe??ioai aoea
i?iaaaeaia EO aai I?O aieiaiiai iiceo. Aoei aeyaeaii ?icoe?aiiy aieiaeo
oeoii/e?a o 14 iaoe??io?a, ae??aiiina?aaeeiaa o?aaeaiiy
ia?eaaio?eeoey?ieo cii – o 14 aeiaaeeao, ao?io?y ei?e aieiaiiai iiceo– o
9 ae?oae, ?icoe?aiiy noaa?aoii?aeaeueieo i?inoi??a – ia?aaaaeii o
eiaii-o?i’yii-ne?iiaaeo a?aeae?eao o 9 ae?oae, e?noe iaeiinoi?iiiuei?
eieae?caoe?? – o 5 oai?eo, iciaee o?aaeaiiy iici/eo – o 1, iiiaeeii?
ii?iee ?icaeoeo iiceo – o 1.

Oeueo?acaoeiaa aeiiea?ia?ao?y aeyaeea i?enei?aiiy e?iaioieo (c
aneiao?i?th a ia?ieo a?oa?iyo) a iniiai?e o 82,9% oa a o?aaaoieo
a?oa??yo o 87,7% ae?oae c ae?ca?o??yie (eiaoioei?io aneiao?i? a oeeo
a?oa?iyo aoa 48%), ii na?aaei?e iiceia?e – o 87,3 % ae?oae c aeae?yie
(eiaoioei?io aneiao?i? — 39%) oa o 83% iaoe??io?a – c i?iyaaie cao?eiee
iiaiiai ?icaeoeo (eiaoioei?io aneiao?i? e?iaioieo — 37,5%).

Ca?aeii c aeaieie aeaeo?iaioeaoaeiea?ooaaiiy o a?eueoino? oai?eo c
oea?aa?aeueiei ia?ae?/ai /ano?oa cono??/aeanue aeeoocia aeaci?aai?caoe?y
a?iaeaeo?e/ii? aeoeaiino? iiceo, a cieaeaiiy na?aaeiuei? /anoioe -?eoio
— o ae?oae c i?iyaaie aeae?e oa cao?eiee iiaiiai ?icaeoeo a iaio a?oiao.

E?eoaaiiy i?iaiaeeeinue ca?aeii c iaoiaeii iie?iiaeaeueiiai
noeioeyoe?eiiai aieeao, ?ic?iaeaiiai ?acii c i?ioani?ii N.E. ?aoooaieii.
Aiia caniiaaia ia iiaeeeaino? aieeao ia anioe?aoeai? ca’ycee ie?aieo
iie?a ei?e c iaoith iine?aeiaiiai aeiyiiy ia o? iiey ei?e, ye?
i?eeiathoue eii?aeeiaoe?eio o/anoue o iiaiooai?aii?.

Iaoiaeeea aeeth/a? iaeii/ania aeei?enoaiiy aeae?eueeio cania?a aieeao.
Oea aieea aeoioieoo?ieie aieeaie ia iiai? ciie neaeueio (Ia/a?ao ?.E.,
Naiinthe ?.C., 1989, G.Stu, Jayasinria A.,1982, Jamamoto T., 1985) oa
oii?coth/? oi/ee aai oi/ee-iin?aieee ia?eae?ai?a, ui eaeooue nai?i
aioo??oi?i /e ciai?oi?i oiaeii /a?ac aieiaiee iicie aai aia?aaoe/ii
eiio?ieththoue eiai(C, F, T, R, V), ui noaei iaoith iiaeciith, ia
ao??eoey?i? oi/ee — aieiaiee iicie, noiaao? iiceo, ycee, oaiue-iaiue oa
?i. (Ianeeia ss. N., ?eaaeei N. ss., 1990); aieea iecueei?ioaineaiei
eaca?iei aei?ii?ithaaiiyi ?io?a/a?aiiiai ae?aiaciio ia iiai? ciie ei?e
aieiaiiai iiceo. O aeayeeo aeiaaeeao, eiee aoei aeyaeaii cieaeaiiy
?ioaeaeoo, canoiniaoaaeinue i?ecia/aiiy eia?ooio (Duyche J., Lemair C.,
1989). Eiaiiaaee/i? i?eeiie aeeth/aee aeei?enoaiiy o?aaeeoe?eieo
iaoiae?a oa aieeao ca i?eioeeiii a?ieia?/iiai cai?ioiiai ca’yceo:
ia?aaeyae iaa/aeueieo eiaiiaaee/ieo a?aeaii?ia?ai oa i?ineooiaoaaiiy
cae??iethth/eo eiaiiaaee/ieo aoae?ii?ia?ai. A oe? ae aei? i?iaiaeeany
niaoe?aeueiee oi/eiaee ianaae.

36 ae?oyi, ye? iaee iiai? ii?ooaiiy aaaeeiai nooiaith, ?acenoaioiei aei
?ai?oa i?iaaaeaii? oa?ai?? aai a yeeo aoei aeyaeaii cia/ia i?aeaeuaiiy
oaeaeeino? e?iaioieo o iiceiaeo a?oa??yo c ae?aaeaiith aneiao???th, aoa
canoiniaaiee ?ic?iaeaiee iaie can?a aeaeo?ie?ai?iioieoo?e ia oii?
aaaaeaiiy aioo??oiueii’ycaai iaeneiaeueieo oa?aiaaoe/ieo aeic
i?eioeiiai? eeneioe, yea aeeeeea? cia/ia iie?auaiiy iiceiaiai e?iaioieo
(*aeiai ?.N., 1987, *a?iie A.I., 1997), ia?aae i?iaaaeaiiyi
aeoioieoo?iiai aieeao.

Noaio e?eoaaiiy i?aeae?aee ?iaeea?aeoaeueii a caeaaeiino? a?ae oeio
iiaiiai ii?ooaiiy, nooiaith aaaeeino?, ?acoeueoao?a io?eiaii? ?ai?oa
oa?ai??, aeaieo ?ino?oiaioaeueieo iaoiae?a aeine?aeaeaiiy oa aiioe?eieo
iniaeeainoae aeeoeie.

sse iane?aeie i?iaaaeaiiai e?eoaaiiy iiceoeaiee ?acoeueoao aoa
aeinyaiooee o 104 aeioae (83,2 % aeiaaee?a). C ieo o 61 aeeoeie c AeOeI
(81,3 % ) oa o 43 — c iane?aeeaie ia?eiaoaeueiiai o?aaeaiiy aieiaiiai
iiceo (86%). O eiio?ieueiie a?oii iieiioaiiy aoei aiaeii/aiii o 20
iaoei?ioia ( 50%), c ieo o 9 aeioae c AeOeI (22,5%) oa o 11 — c
iane?aeeaie ia?eiaoaeueiiai o?aaeaiiy aieiaiiai iiceo (27,5%). Oea
i?iyaeyeiny o aeaeyae? iie?auaiiy noaio a?oeeoeyoe?eieo i’yc?a o 30
aeioae (24%), a a eiio?ieueiie a?oii eeoa o 4 ae?oae (10%), iie?ioaiiy
caoeiaeiiae — o 100 oai?eo ( 80%), o oie /an ye o eiio?ieueiie a?oii oea
aoei aiaeii/aii o 15 oai?eo (37,5%), iiyae ia?oeo ne?a – o 18 aeioae
(14,4%), a eiio?ieueiie a?oii o 2 iaoei?ioia (5%), oi?ioaaii? o?aciai?
iiae – o 27 aeioae (21,6%), a eiio?ieueiie a?oii o 5 (12,5%).
Ca?eueoaiiy neiaieeiaiai caiano aoei aiaeii/aii – o 89 oai?eo (69,6%),
a oie /an ye o eiio?ieueiie a?oii — eeoa o 15 iaoei?ioia (37,5%), ui
noi?iaiaeaeoaaeiny iie?auaiiyi iieaciee?a ?ioaeaeooaeueieo oa iianoe/ieo
i?ioean?a – o 56 ae?oae (44,8%), a a eiio?ieueiie a?oii o 9 ae?oae
(22,5%). Oea ni?eyei cieaeaiith iieaciee?a aaeueii? ioe?iee aaaeeino?
noaio oa aeicaieeei ia?aaanoe 22 aeeoeie c a?oie aaaeeiai nooiaith o
na?aaeiueiaaaeeo, c na?aaeiueiaaaeei? a?oie o a?oio c eaaeeie i?iyaaie –
17 ae?oae, i?e oeueiio aoaeoeai?noue aoea aeua o aeiaaeeao aeei?enoaiiy
aeaeo?ie?ai?iioieoo?e ia oii? aaaaeaiiy i?eioeiiai? eeneioe (?
0,05).

Iie?auaiiy noaio i?aeoaa?aeaeoaaeiny iaoiaeaie ?ino?oiaioaeueii?
ae?aaiinoeee. Aoei a?aei?/aii cieaeaiiy oaeaeeino? e?iaioieo a na?aaei?o
iiceiaeo a?oa??yo o ae?oae c aeae?yie ?c cieaeaiiyi eiao?oe??ioo
aneiao??? o oeeo a?oa??yo c 39% aei 18%, o a?oi? ae?oae c cao?eieith
iiaiiai ?icaeoeo — c 37,5% aei 12%, oa a o?aaaoieo a?oa??yo o aeiaaeeao
aeeca?o??e – c 48% aei 28%. Aoei a?aei?/aii oaeiae iie?auaiiy iieaciee?a
a?iaeaeo?e/ii? aeoeaiino? aieiaiiai iiceo o aeaeyae? c?inoaiiy
?eoi?/iino? oa iaae?aii? /anoioe niaeo?o, i?aeaeuaiiy ?iaeaen?a -?eoio
aoei a?eueo ae?aaeaiei o ae?oae c aeae??th ye a no?oeoo??
oea?aa?aeueiiai ia?ae?/o, oae ? iane?aee?a ia?eiaoaeueiiai o?aaeaiiy
aieiaiiai iiceo (? 0,05). I?e oeueiio iaea?eueo ae?aaeai? ci?ie
aoee a?aei?/ai? o ae?oae, ye? io?eioaaee e?eoaaiiy ia oii?
aaaaeaiiy i?eioeiiai? eeneioe (? 0,03).

Oaeei /eiii, ia iniia? ii??aiyeueiiai aiae?co aoei aeyaeaii aenieo
aoaeoeai?noue canoinoaaiiy iaoiaeo iie?iiaeaeueiiai aieeao a e?eoaaii?
ae?oae c iiaiith iaoieia??th a no?oeoo?? oea?aa?aeueiiai ia?ae?/o oa
iane?aee?a ia?eiaoaeueiiai o?aaeaiiy aieiaiiai iiceo, yea iiaea aooe
ai?iaaaeaeaia o i?aeoeeo caeeaae?a ioi?iie caei?ia’y.

Aeniiaee:

1. Iniiaieie ?iceaaeaie iiae o ae?oae c oea?aa?aeueiei ia?ae?/ai oa
iane?aeeaie ia?eiaoaeueiiai o?aaeaiiy aieiaiiai iiceo o ae?oae ? aeae?y,
aeeca?o??y, cao?eiea iiaiiai ?icaeoeo, ye? nooo?ai iaoyaeothoue oa/?th
aeaieo caoai?thaaiue, ni?eythoue c?inoaiith ineoi-iaa?ieia?/ii?
iaoieia?? ? ca?eueoaiith aeeoy/i? ?iaae?aeiino?.

2. I?iaiic oa aea?? aeai?eoio e?eoaaiiy iiaieo ?iceaae?a o ae?oae
caeaaeeoue a?ae a?eo aeeoeie, nooiaith aaaeeino? iiaiiai ii?ooaiiy, a
oaeiae aeaieo iae?iineoieia?/iiai oanooaaiiy, aeeiai?ee oeueo?acaoeiai?
aeiiea?ia?ao?? noaeei aieiaiiai iiceo oa eiii’thoa?iiai
aeaeo?iaioeaoaeiea?ooaaiiy.

3. Aeae?y oa cao?eiea iiaiiai ?icaeoeo o ae?oae c oea?aa?aeueiei
ia?ae?/ai ? iane?aeeaie ia?eiaoaeueiiai o?aaeaiiy aieiaiiai iiceo
ca?aeii c aeaieie iae?iineoieia?/iiai oanooaaiiy oa?aeoa?ecothoueny
ia?aaaaeiei cieaeaiiyi aa?aaeueiiai ?ioaeaeoo.

4. Ao?io?y ei?e aieiaiiai iiceo oa ?icoe?aiiy noaa?aoii?aeaeueieo
i?inoi??a, ia?aaaaeii o eiaii-o?i’yii-ne?iiaaeo a?aeae?eao, yea aoei
aeyaeaii iaoiaeaie eiii’thoa?ii? oa iaai?oii-?aciiainii? oiiia?ao??, ?
/anoith iciaeith, yea noi?iaiaeaeo? ee?i?/io ea?oeio aeae?e oa cao?eiee
iiaiiai ?icaeoeo o ae?oae c iane?aeeaie ia?eiaoaeueiiai o?aaeaiiy
aieiaiiai iiceo.

5. Canoinoaaiiy eo?niaeo iaeneiaeueieo oa?aiaaoe/ieo aeic i?eioeiiai?
eeneioe o eiiieaen? ?aaa?e?oaoe?eieo caoiae?a i?ecaiaeeoue aei
noaa?e?caoe?? iiceiaiai e?iaioieo ? ciaioaiiy eiao?oe??ioa aneiao???
i?e aeae?yo oa cao?eioe? iiaiiai ?icaeoeo o ae?oae c oea?aa?aeueiei
ia?ae?/ai oa iane?aeeaie ia?eiaoaeueiiai o?aaeaiiy aieiaiiai iiceo.

6. Ee?i?/i? i?iyae aaaeeeo oi?i aeae?? o ae?oae c oea?aa?aeueiei
ia?ae?/ai oa iane?aeeaie ia?eiaoaeueiiai o?aaeaiiy aieiaiiai iiceo
noi?iaiaeaeothoueny ia?aaaaeiei cieaeaiiyi oiiiai? a?iaeaeo?e/ii?
aeoeaiino? iiceo o aeaeyae? ciaioaiiy na?aaeiuei? /anoioe -oaeeueiai?
aeoeaiino?.

7. I?iaaaeaiiy /a?acoe??ii? aeaeo?iioieoo?e a?ieia?/ii aeoeaieo oi/ie
iaee//y oa oe? ni?ey? ii?iae?caoe?? oiiono a?oeeoeyoe?eii? ioneoeaoo?e o
ae?oae c i?iyaaie aeeca?o??e, ye? noi?iaiaeaeothoue oea?aa?aeueiee
ia?ae?/.

8. Aeae?eai? e?eoa??? aaaeeino? iiaieo ii?ooaiue, ci?ie iieaciee?a
iiceiaiai e?iaioieo oa a?iaeao?e/ii? aeoeaiino? iiceo o ae?aaiinoeoe?
iiaieo ii?ooaiue o ae?oae iiaeooue aooe iieacaiiyie uiaei iaoeiai
iaa?oioiaaiiai a?aeai?o aeey aoaeoeaii? ?aaa?e?oaoe?? ? ai?iaaaeaeai? a
i?aeoeeo ioi?iie caei?ia’y.

9. Aieea iecueei?ioaineaiei eaca?iei aei?ii?ithaaiiyi ia iiai? ciie
ei?e aieiaiiai iiceo o eiiieaeniiio e?eoaaii? iiaii? iaoieia?? ni?ey?
cieaeaiith aaaeeino? noaio i?e iiaieo ii?ooaiiyo o ae?oae.

10. Canoinoaaiiy ?ic?iaeaiiai iaoiaeo iie?iiaeaeueiiai aieeao ni?ey?
iiceoeai?e aeeiai?oe? o noai? ae?oae c iiaiith iaoieia??th, ui
i?iyaey?oueny ii?iae?caoe??th oiiono a?oeeoeyoe?eii? ioneoeaoo?e,
iie?ioaiiyi caoeiaeiiae, ca?eueoaiiyi iiaii? i?iaeoeoe??, iieaciee?a
iianoe/ieo oa eiaieoeaieo i?ioean?a oa iiceoeaieie ci?iaie iieaciee?a
a?iaeaeo?e/ii? aeoeaiino? iiceo oa noaio iiceiaiai e?iaioieo o ae?oae c
iiaieie ?iceaaeaie.

I?aeoe/ii ?aeiiaiaeaoei?:

1. Aeey aeyaeaiiy nooiaith aaaeeinoi iiaiiai aeaoaeoo o ae?oae c
oea?aa?aeueiei ia?ae?/ai oa iane?aeeaie ia?eiaoaeueiiai o?aaeaiiy
aieiaiiai iiceo iaiaoiaeii ia oieueee aecia/eoe oei ?iceaaeo iiae
(aeaeiy, aeeca?o?iy, cao?eiea iiaiiai ?icaeoeo), aea i canoiniaoaaoe
?ic?iaeaio oeaeo aaeueii? ioeiiee nooiaith aaaeeinoi iiaieo ii?ooaiue.

2. Aeioyi c oea?aa?aeueiei ia?ae?/ai oa iane?aeeaie ia?eiaoaeueiiai
o?aaeaiiy aieiaiiai iiceo c eaaeei noaiaiai iiaieo ii?ooaiue
?aeiiaiaeo?oueny canoinoaaiiy eaca?ie?aiiiioieoo?e, /a?acoei?ii?
aeaeo?iioieoo?e, ao?ieoeiaeoioieoo?e, yei ii?aeiothoueny c iaeii/aniei
i?ecia/aiiyi niaoeiaeueieo eiaiiaaee/ieo iaoiaeia.

3. I?e na?aaeiueiaaaeeiio oa aaaeeiio nooiaiyo aaaeeinoi iiaieo
ii?ooaiue o ae?oae c oea?aa?aeueiei ia?ae?/ai oa iane?aeeaie
ia?eiaoaeueiiai o?aaeaiiy aieiaiiai iiceo, yei ii?aeiothoueny ic cia/iei
ii?ooaiiyi e?iaioieo a iiceiaeo oa o?aaaoieo a?oa?iyo (o aeaeyaei eiai
i?enei?aiiy oa aneiao?i?, ui aeyaeaii iaoiaeii oeueo?acaoeiai?
aeiiea?ia?aoi?) oa ic cieaeaiiyi na?aaeiuei? /anoioe -?eoio
aiiaeaeo?e/ii? aeoeaiinoi iiceo (caiaeii c aeaieie
aeaeo?iaioeaoaeiea?ooaaiiy), ?aeiiaiaeo?oueny canoinoaaoe iaoiaeeeo
iieiiiaeaeueiiai noeioeyoeieiiai aieeao c i?ecia/aiiyi
aeaeo?ie?aiiiioieoo?e (c /anoioith iiioeuenia aeaeo?e/iiai no?oio, yeee
aiaeiiaiaea? ii?iaeueiiio -?eoio) ia oiii aioo?ioiueii’ycaaiai aaaaeaiiy
iaeneiaeueieo oa?aiaaoe/ieo aeic iieioeiiai? eeneioe c eo?niaei
i?ecia/aiiyi eaca?ie?aiiiioieoo?e, aeoioieoo?e oi/ie ia?eaeiaiia (yei
eaeooue nai?i aioo?ioiii /e ciaiioiii oiaeii /a?ac aieiaiee iicie) ic
canoinoaaiiyi niaoeiaeueieo eiaiiaaee/ieo iaoiaeia oa iaa/aeueieo
aiaeai- oa aoaeiii?ia?ai.

4. Aeioyi c ?icieie nooiaiyie aaaeeicoi iiaiiai aeaoaeoo i?e cieaeaiii
?iaiy ?icoiiaiai ?icaeoeo, yeee aeyaeaii ia iniiai iae?iineoieiai/iiai
oanooaaiiy, a ia?iiae eieoaaiiy iaeaieueo aoaeoeaiei ? i?ecia/aiiy
eiaiooio o aieiaeo aeice?iaeao c ianooiiei eo?niaei iiaoi?thaaiiyi.

Nienie ?ia?o, iioae?eiaaieo ca oaiith aeena?oaoe??:

1.Aeoaiaoeaaa I.I., ?aoooaiei I.N., Iiaeaeoaia I.I., ?aoooaiei N.E.,
Naaei?aa ?.A. Canoinoaaiiy iiaeo noeioeyoe?eieo iaoiaeee i?e e?eoaaii?
cao?eiee oa ii?ooaiue iiae o ae?oae // Oe?a?inueeee a?niee
ineoiiaa?ieia??. – 1996.-o.4.-aei.4(11).-n.287-289.

2.Aeoaiaoeaaa I.A. Iieeiiaeaeueiia noeioeyoeeiiiia aicaeaenoaea ii
iaoiaeeea N.E. Aaoooaiei i?e ea/aiee ?anno?ienoa ?a/e o aeaoae n
oea?aa?aeueiui ia?aee/ii // Oe?a?inueeee a?niee ineoiiaa?ieia??. –
1997.-o.5.-aei.3(15).-n.188-190.

3.Aeoaiaoeaaa I.A., Naaeiaaa E.A., Iiaeueyiaiei A.A. ?ieue
yeaeo?iyioeaoaeiea?oe?iaaiey e oeueo?acaoeiaie aeiiiea?ia?aoee a
aeeaaiinoeea e oa?aiee ?anno?ienoa e caaea?aeee ?a/e o aeaoae //
Oe?a?inueeee a?niee ineoiiaa?ieia??. – 1997.-o.5.-aei.3(15).-n.53-54.

4.Aeoaiaoeaaa I.A., Aaoooaiei N.E., Iiaeueyiaiei A.A., Naaeiaaa E.A.
Iiaua iiaeoiaeu a oa?aiee ?a/aauo ia?ooaiee o aeaoae n i?aaie/aneei
ii?aaeaieai aieiaiiai iicaa // A?a/aaiia aeaei.- 1999.-?3.- n.121-124.

5.Aaoooaiei N.E., Aeoaiaoeaaa I.A., Aaoooaiei I.N. Nia?aiaiiua iiaeoiaeu
a aeeaaiinoeea e ea/aiee ?a/aauo ?anno?ienoa o aeaoae n
ineoiiaa?ieiae/aneie iaoieiaeae // Aeooaeuei? ieoaiiy aeeoy/i?
ineo?ao??? a Oe?a?i?. — Oa?e?a,1999-aei.2- n.95-99.

6.Dubovtseva O. A., Evtushenko S.K.,Vovchenko I.V., Poddubnaya N.N.,
Evtushenko O. S., Starodubtsev E.G. Scalptherapy, electropuncture and
logopaedic methods in treatment of speech delay of children with
cerebral palsy // New technologies in rehabilitation of cerebral palsy.
Proceeding of international congress.- Donetsk, May 9-12, 1994 -p.26.

7.Poddubnaya N.N., Dubovtseva O. A., Vovchenko I.V., Logopaedic and
reflex- therapeutic methods in correction of speech disturbances while
the atonic- astatic form of cerebral palsy // New technologies in
rehabilitation of cerebral palsy. Proceeding of international congress.
— Donetsk, May 9-12, 1994 — p.86.

8. Sadecov I.A., Evtushenko O.S., Dubovtseva O. A., Syndrome of cerebral
palsy as clinical mask of neurodegenerative disease onset // New
technologies in rehabilitation of cerebral palsy. Proceeding of
international congress. — Donetsk, May 9-12, 1994 — p.97.

9. Ewtuchenko S., Dubowzewa I., Ewtuchenko I., Aleschnikowa L. Die
MacBnahmen zur Anregung der Sprach- und Intelligenzstorungen bei den
patienten mit organischen Erkrankungen des nervensystems // Bayerisch –
ukrainsches symposium fur kinderarzte, kingerneurologen, neonatologen. –
Muenchen, 25-29 november 1998.-p.68.

A i i o a oe ? y

Aeoaiaoeaaa I.I. Ae?aaiinoeea oa noeioeyoe?eia oa?ai?y iiaieo ii?ooaiue
o ae?oae c oea?aa?aeueiei ia?ae?/ai. – ?oeiien.

Aeena?oaoe?y ia caeiaoooy a/aiiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca
niaoe?aeuei?noth 14.01.15 – ia?aia? oai?iae. – Ee?anueea iaaee/ia
aeaaeai?y i?neyaeeieiiii? ina?oe ?i. I.E. Ooieea IIC Oe?a?ie, Ee?a,
1999.

Aeena?oaoe?y i?enay/aia oaeineiiaeaiith ?nioth/eo oa ?ic?iaoe? iiaeo
ee?i?ei-?ino?oiaioaeueieo e?eoa???a ae?aaiinoeee iiaieo ii?ooaiue o
ae?oae c oea?aa?aeueiei ia?ae?/ai. Ia i?aenoaa? ianoaaeaiiy 125 ae?oae c
iiaieie ii?ooaiiyie, ye? noi?iaiaeaeothoue oea?aa?aeueiee ia?ae?/ ?
iane?aeee ia?eiaoaeueiiai o?aaeaiiy aieiaiiai iiceo, aoea aeieacaia
aeioe?euei?noue canoinoaaiiy eiiieaenieo noeioeyoe?eieo iaoiaeee a
e?eoaaii? oe??? iaoieia??. ?ic?iaeai? iia? iaoiaee iie?iiaeaeueiiai
aieeao ? aeaeo?ie?ai?iioieoo?e ia oii? aaaaeaiiy aioo??oiueii’ycaai
iaeneiaeueieo oa?aiaaoe/ieo aeic i?eioeiiai? eeneioe ?c canoinoaaiiyi
?iaeea?aeoaeueieo noai e?eoaaiiy i?e ??cieo aeaeao ?iceaae?a iiae o
ae?oae c o?aooaaiiyi aeyaeaieo ii?ooaiue e?iaioieo o iiceiaeo oa
o?aaaoieo a?oa??yo oa ci?i a?iaeaeo?e/ii? aeoeaiino? iiceo. Ia i?aenoaa?
ii??aiyeueiiai aiae?co aoea aeiaaaeaia aoaeoeai?noue oeeo iaoiae?a
e?eoaaiiy.

Eeth/ia? neiaa: iiai? ii?ooaiiy, aeae?y, aeeca?o??y, cao?eiea iiaiiai
?icaeoeo, oea?aa?aeueiee ia?ae?/.

A n n o t a t i o n

Dubovtseva O. A. Diagnostics and stimulating therapy of speech
disorders in nhildren with cerebral palsy. – Manuscript.

The dissertation submitted for a candidate of scienties (medicine)
degree in speciality 14.01.15 – nervous diseases. – Kyiv Medical Academy
of Post-Graduate Education named after P. Shupyk, Health Ministry of
Ukraine, Kyiv, 1999.

The dissertation is devoted to the improvement of the existing
clinico-instrumental criteria and development of new ones in the
diagnosis of speech disorders in children with cerebral palsy. The
advisability of using complex stimulating methods in treatment of the
given pathology has been proved on the basis of studing 125 children
with speech disorders accompaning cerebral palsy and effects of
perinatal cerebral impairments. New methods of polimodal influence and
electrocraniopuncture against the background of intramuscular injections
of maximum therapeutic doses of nicotine acid with the use of individual
therapeutic schemes in various speech disorders in children have been
developed with due regard for the diagnosed bloodflow impairments in
cerebral and vertebral arteries and for changes of bioelectric cerebral
activity.

The efficacy of these therapeutic modalities has been proved of the
basis of a comparative analysis.

Key words: speech disorders, alalia, dysarthria, retardation of speech
development, cerebral palsy.

A i i i o a oe e y

Aeoaiaoeaaa I.A. Aeeaaiinoeea e noeioeyoeeiiiay oa?aiey ?a/aauo
ia?ooaiee o aeaoae n oea?aa?aeueiui ia?aee/ii. – ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.01.15 – ia?aiua aieacie. – Eeaaneay iaaeeoeeineay
aeaaeaiey iineaaeeieiiiiai ia?aciaaiey ei. I.E. Ooieea IC Oe?aeiu, Eeaa,
1999.

Aeenna?oaoeey iinayuaia oniaa?oainoaiaaieth nouanoaothueo e ?ac?aaioea
iiauo eeeieei-eino?oiaioaeueiuo e?eoa?eaa aeeaaiinoeee ?a/aauo ia?ooaiee
o aeaoae n oea?aa?aeueiui ia?aee/ii.

Ia iniiaaiee enneaaeiaaiey 125 aeaoae a aic?anoa io 3 aei 14 eao
auaeaeaiu aaceniua ?anno?ienoaa ?a/e a aeaea aeaeee, aeeca?o?ee,
caaea?aeee ?a/aaiai ?acaeoey nii?iaiaeaeathueie oea?aa?aeueiue ia?aee/
e iineaaenoaey ia?eiaoaeueiiai ii?aaeaiey aieiaiiai iicaa.

Ia iniiaaiee aeaiiuo oeueo?acaoeiaie aeiiiea?ia?aoee auei auyaeaii
onei?aiea e?iaioiea n aai aneiiao?eae a iniiaiie e iicaiii/iuo a?oa?eyo
i?e aeeca?o?eyo o aeaoae n oea?aa?aeueiui ia?aee/ii e a n?aaeieo
iicaiauo a?oa?eyo i?e aeaeeyo e caaea?aeea ?a/aaiai ?acaeoey o aeaoae
n oea?aa?aeueiui ia?aee/ii e iineaaenoaeyie ia?eiaoaeueiiai ii?aaeaiey
aieiaiiai iicaa. ?acoeueoaou yeaeo?iyioeaoaeiea?oe?iaaiey iieacaee
nieaeaiea n?aaeiae /anoiou -?eoia o aeaoae n aeaeeyie e
caaea?aeeie ?a/aaiai ?acaeoey a iaaeo a?oiiao. ?ac?aaioaia aaeueiay
oeaea ioeaiee oyaeanoe ?a/aaiai ia?ooaiey o aieueiuo n aeaiiie
iaoieiaeae. Aeey ooi/iaiey oa?aeoa?a ii?aaeaiey aieiaiiai iicaa
i?iaiaeeeanue iaaieoii-?aciiainiay oiiia?aoey.

?ac?aaioai iiaue iaoiae iieeiiaeaeueiiai aicaeaenoaey, aeeth/athuee
i?eiaiaiea iaaeeeaiaioiciuo n?aaenoa (eiaeooi, ne?aeaeoae) e
iaiaaeeeaiaioiciuo iaoiaeia (e?aieiioieoo?a, ei?ii?aeueiay e
ao?eeoey?iay aeoioieoo?a, /?aceiaeiay yeaeo?iioieoo?a, eaca?ioa?aiey,
o?aaeeoeeiiiua eiaiiaaee/aneea ia?ii?eyoey e i?eiaiaiea i?eioeeia
aeieiae/aneie ia?aoiie nayce a aeaea i?iniio?a iao/athueo
aeaeaii?ia?aii e i?ineooeaaiey cae?aieythueo aoaeeii?ia?aii,
iaaeaaiae/aneea ei??aeoeeiiiua caiyoey) n eniieueciaaieai
eiaeeaeaeoaeueiuo noai ea/aiey i?e ?acee/iuo aeaeao ?anno?ienoa
?a/e n o/aoii auyaeaiiuo ia?ooaiee e?iaioiea a iicaiauo e
iicaiii/iuo a?oa?eyo e eciaiaiee aeiyeaeo?e/aneie aeoeaiinoe iicaa,
aeaiiuo ineoieiae/aneiai ianeaaeiaaiey, aeeth/athuaa ii?aaeaeaiea o?iaiy
oinoaaiiiai ?acaeoey ?aaaiea e auaeaeaiea aeiieiaioiiai iieooa?ey
aieiaiiai iicaa.

I?aaeeiaeai iaoiae yeaeo?ie?aieiioieoo?u ia oiia aaaaeaiey aioo?eiuoa/ii
iaeneiaeueiuo oa?aiaaoe/aneeo aeic ieeioeiiaie eeneiou, ioee/athueeny
aunieie yooaeoeaiinoueth.

Iieiaeeoaeueiue yooaeo aue aeinoeaioo a 83,2% neo/aaa, /oi i?iyaeyeinue
a aeaea oeo/oaiey ninoiyiey a?oeeoeyoeeiiiuo iuooe, oeo/oaiey
caoeii?ieciioaiey, iiyaeaiey ia?auo neia, oi?ie?iaaiey o?aciaie ?a/e,
oaaee/aiey neiaa?iiai caiana, oeo/oaiey iieacaoaeae eioaeeaeooaeueiuo e
iianoe/aneeo i?ioeannia, a oi a?aiy eae a eiio?ieueiie a?oiia aeaoae,
iieo/aaoeo o?aaeeoeeiiiia ea/aiea a aeaea i?eaia aioo?ue
iiio?iiiuo i?aia?aoia e i?eiaiaiey eiaiiaaee/aneeo iaoiaeee,
yooaeoeaiinoue ninoaaeea 50%. Iiceoeaiua eeeie/aneea ?acoeueoaou auee
iiaeoaa?aeaeaiu aeaiiuie eino?oiaioaeueiuo iaoiaeia ianeaaeiaaiey.
Ioia/aii oeo/oaiea e?iaioiea a iicaiauo e iicaiii/iuo a?oa?eyo e
nieaeaiea eiyooeoeeaioia aneiiao?ee a iaeiieiaiiuo a?oa?eyo, oeo/oaiea
iieacaoaeae aeiyeaeo?e/aneie aeoeaiinoe iicaa.

Oaeei ia?acii, ia iniiaaiee n?aaieoaeueiiai aiaeeca aeieacaia
yooaeoeaiinoue e oeaeaniia?aciinoue i?eiaiaiey eiiieaeniuo
noeioeyoeeiiiuo iaoiaeee a ea/aiee aeaiiie iaoieiaee.

Eeth/aaua neiaa: ?a/aaua ia?ooaiey, aeaeey, aeeca?o?ey, caaea?aeea
?a/aaiai ?acaeoey, oea?aa?aeueiue ia?aee/.

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