FIŞA DE EXAMINARE COMPLEXĂ

Nr. fişei_______________________
ŞI EVOLUŢIE LOGOPEDICĂ
Întocmit de____________________

Data emiterii___________________

I. Date generale
Numele şi prenumele____________________________
data naşterii____________________
_______vârsta___________
locul naşterii__________________________________________
adresa_________________________________________________şcoala______
__________ clasa___________învăţător_______________________________.
II. Date familiale
Numeletatălui___________________________vârsta_____________studii________
______ ______________________
locul de muncă__________________funcţia_________________
Numelemamei__________________________vârsta______________studii________
______ ______________________
locul de muncă__________________funcţia_________________ starea
materială_________.
Starea locuinţei________________________________________ numărul
fraţilor_____ al câtelea copil este______________. Relaţiile între
părinţi__________________________________Atitudinea familiei faţă de
logopat_______________________________________________________________
_____________________________________________________________________
____________
Tulburările de limbaj existente în famillie
_____________________________________________________________________
_____________________________________________________________________
____________
III. Examen psihofizic
Sarcina___________________________________naşterea________________________
___
greutatea________________________alimentaţia_______________________________
____ Antecedente pre-peri şi
postnatale________________________________________________
________________________________________________________________________
________________________________________________________________________
______ Antecedente
colaterale_________________________________________________________
________________________________________________________________________
________________________________________________________________________
______
Inteligenţa_______________________________________________________________
____
Memoria________________________________________________________________
____
Imaginaţia_______________________________________________________________
____
Atenţia__________________________________________________________________
___
Afectivitatea_____________________________________________________________
____
Voinţa__________________________________________________________________
____
Lateralitatea______________________________________________________________
___
Comportamentul__________________________________________________________
____ -în
familie__________________________________________________________________
_ -în
colectiv_________________________________________________________________
_ Trăsături de personalitate (pozitive,
negative)_______________________________________
________________________________________________________________________
________________________________________________________________________
______

IV Examen logopedic :
 a. Integritatea anatomo-funcţională a aparatului fonoarticulator
aparatul respirator_________________________________________________________
-particularităţi fonatorii (voce, mutaţie vocală, puritatea
vocii)___________________________________________________________________
___________________
-aparatul
articulator___________________________________________________________
b.Sistemul labio-comisural
Aparatuldental____________________________________________________________
__ -
maxilarele_______________________________________________________________
__ -
limba___________________________________________________________________
__ -palatul
dur__________________________________________________________________
-omuşorul_______________________________________________________________
____ -cavitatea
nazală_____________________________________________________________
c. Funcţia auditivă de ansamblu:
acuitatea
auditivă____________________________________________________________ -
controlul auditiv al
vorbirii____________________________________________________ - autocontrolul
auditiv al vorbirii_________________________________________________
d. Apariţia tulburărilor de limbaj_________________________________________
________________________________________________________________________
______________________________________________________________
cauze___________________________________________________________________
__ _________________________________________________________
- pronunţarea reflectată a sunetului______________________________________ - -
pronunţarea independentă a sunetului___________________________________
- sunete afectate______________________________________________________ e.
Înţelegerea cuvintelor
cuvinte
denumiri____________________________________________________________
cuvinte
însuşiri______________________________________________________________
- cuvinte de
relaţie____________________________________________________________
-cuvinte
acţiuni_______________________________________________________________
f. Formularea şi înţelegerea propoziţiilor
cu conţinut
familiar__________________________________________________________
- cu conţinut
nou_____________________________________________________________
g. Vocabularul şi structura
gramaticală____________________________________________
________________________________________________________________________
___
h. Particularităţi
narative_______________________________________________________
________________________________________________________________________
___
i. Elemente prozodice ale vorbiriii
spontane________________________________________
________________________________________________________________________
________________________________________________________________________
______
1. Citirea
raportul fonem-grafem______________________________________________ citirea
pe silabe_____________________________________________________ citirea pe text
cunoscut_______________________________________________ citirea pe text
nou___________________________________________________ ritmul
citirii_________________________________________________________
dislexia____________________________________________________________
2.Scrierea
analiza literelor separate______________________________________________ sinteza
în silabe şi cuvinte (omisiuni, înlocuiri, inversiuni)___________________
________________________________________________________________________
________________________________________________________________________
______
acordul cuvintelor____________________________________________________
dificultăţi ortografice_________________________________________________
dizortografii_________________________________________________________
discaligrafii_____________________________________________________
V. Concluzii diagnostice şi prognostice___________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_________________
VI. Evoluţia copilului pe parcursul terapiei logopedice
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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