FIŞĂ LOGOPEDICĂ

DATA INTRĂRII ÎN GRĂDINIŢĂ: _______________________________

DATA ÎNCEPERII CORECTĂRII: _______________________________

I.DATE GENERALE:

Numele şi prenumele____________________________data naşterii__________

domiciliul_____________str.__________________nr.___et.____ap.___tel.___________

II.ANAMNEZA FAMILIALĂ:
TATA_____________________vârsta___________studii_________________________
locul de muncă_______________________________funcţia_______________________
MAMA____________________vârsta___________studii_________________________
locul de muncă_______________________________funcţia_______________________
TIPUL DE FAMILIE______________________________________________________
STRUCTURA FAMILIEI_____________________________RANGUL_____________
BOLI___________________________________________________________________
________________________________________________________________________
________________________________________________________________________
ATITUDINEA PĂRINŢILOR FAŢĂ DE LIMBAJUL COPIILOR__________________
________________________________________________________________________
STIMULAREA SOCIALĂ ŞI LINGVISTICĂ__________________________________
________________________________________________________________________

III.ANAMNEZA PERSONALĂ

Sarcina____________________naştere___________________apgar_____greutate_____
boli____________________________________________________________________
________________________________________________________________________
tratamente_______________________________________________________________
alimentaţia_______________________________ridică capul_______merge susţinut____
_________merge independent_____________controlul sfincterian__________________

IV.EXAMENE MEDICALE

PEDIATRIE_____________________________________________________________
O.R.L.FONIATRIE_______________________________________________________
OFTALMOLOGIE________________________________________________________
STOMATOLOGIE________________________________________________________
NEURO-PSIHIATRIE_____________________________________________________
ENDOCRINOLOGIE______________________________________________________

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 V. EXAMENE PSIHOLOGICE

INTELECT______________________________________________________________
MEMORIA______________________________________________________________
ATENŢIA_______________________________________________________________
AFECTIVITATEA________________________________________________________
SCHEMA CORPORALĂ___________________________________________________
ORGANIZAREA SPAŢIALĂ_______________________________________________
ORGANIZAREA TEMPORALĂ____________________________________________
LATERALITATEA:mâna___________picior__________ochi_______ureche_________
COMPORTAMENTUL____________________________________________________
________________________________________________________________________

VI. ALTE PARTICULARITĂŢI

________________________________________________________________________

VII. EVOLUŢIA VORBIRII

Gânguritul________lalaţiunea__________primul cuvânt___________prima propozitie__

______ritmul vorbirii_________limba maternă___________________limba mediului
înconjurător_________________________________atitudinea copilului faţă de voirbire_
________________________________________________________________________

VIII. EXAMEN ANATOMO-FUNCŢIONAL AL APARATULUI FONO-

ARTICULAR

1.Malformaţii____________________________________________________________
2.Sistemul labio-comisural__________________________________________________
3.Maxilar________________________________________________________________
4.Limba_________________________________________________________________
5.Palatul dur_____________________________________________________________
6.Palatul moale___________________________________________________________
7.Uvula_________________________________________________________________
8.Sistemul nazal__________________________________________________________
9.Deglutiţia______________________________________________________________
10.Respiraţia_____________________________________________________________
11.Înţelegerea vorbirii interlocutorului-acuitatea auditivă__________________________
________________________________________________________________________
12.Recunoaşterea şi reproducerea sunetelor perechi______________________________
sunete izolate________________silabe ,cuvinte_________________________________
13.Autocontrolul auditiv_______________________confuzii______________________
________________________________________________________________________

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 IX. EXAMENUL VORBIRII ARTICULATE

PROFILUL LOGOPEDIC AL VOCALELOR

I.EMISE________________________________________________________________
II.NECONSOLIDATE_____________________________________________________
III.ÎNLOCUITE__________________________________________________________
IV.OMISE_______________________________________________________________
V.DEFORMATE_________________________________________________________
VI.NEEMISE____________________________________________________________

X. EXAMENUL LIMBAJULUI

VÂRSTA PSIHOLOGICĂ A LIMBAJULUI-VPL_______________________________

VORBIREA REFLECTATĂ________________________________________________
VORBIREA INDEPENDENTĂ_____________________________________________
SUNETELE AFECTATE___________________________________________________
STRUCTURA GRAMATICALĂ____________________________________________

XI. DIAGNOSTIC LOGOPEDIC INIŢIAL____________________________

ACTUAL___________________________
FINAL_____________________________

XII. PROGNOZA__________________________________________________

XIII.OBIECTIVELE TERAPIEI LOGOPEDICE_______________________

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