Cabinet Logopedic Interscolar Nr.

Nr fisa___9_______

Colegiul National J. Monnet , Ploiesti

Data. __7.10.2011__

FISA LOGOPEDICA DE EXAMINARE COMPLEXA

I.

Date personale :

Numele si prenumele: _______R.L.V._____________________

__06.09.2005______________

Data nasterii:

Domiciliul: ___Tatarani_________ Strada ______XXXX__________________________Nr._____XXX_____

Blocul _______ Scara ________Etaj________ Apart.________Telefon__________________
Gradinita / Scoala______XXXX__________ Grupa / Clasa___preg.____ Ed./ Inv.__P.R.__
Trimis de:____depistat de logoped_______________________________________________________
II. Date familiale :
Tatal : Vrsta :_46___Ocupatia :__manager________Locul de munca :___S.C.ALTIROM SRL________
Mama : Varsta : _40___ Ocupatia :__contabil_______Locul de munca :____ S.C.ALTIROM. SRL __
Numarul membrilor familiei :___4__, Al catelea copil este :____al treilea__________________________
Relatii in familie :______bune___________________________________________________________
Starea sanatatii membrilor familiei : ___________buna____________________________________
Tulburari de limbaj in familie :_______nu _______________________________________________
III. Evolutia copilului:
Sarcina:_____normala(R H negativ)___________Nasterea:__normala________________________
Mersul nesustinut:_10 luni____________Primele cuvinte:___10 luni____________ Vorbirea in
propozitii:___dupa 3,5 luni____________
IV. Examen medical:
___supraponderal, examen neuropsihiatric, consult psihologic_______________________________________
V. Examen psihologic:
Organizarea spatiala :_defectuoasa_________________________________________________________
Organizare temporala:_nu se poate orienta in timp________________________________________________
Lateralitatea :mana___dreapta___________picior_drept__________ochi__drept______ureche__stanga______
Lateralitate dominanta :___dreapta________________________________________________________
Comportamentul in familie : _______atasat de sora_______________________________________________
Comportamentul in colectivitate :___agitat, hiperkinetic___________________________________________
Trasaturi de personalitate :_____ADHD____________________________________________
VI. Traseul educational (scolar) parcurs :
Gradinita :_1 an la gradinita din localitate, apoi la gradinita nr 3______________________________________
Scoala :__________________________________________________________________________________

Logopedie :____CLI NR 2 ____________________________________________________

VII. Examen logopedic :
Aparitia tulburarilor de limbaj :_in ontogeneza limbajului________________________________________
Cauze posibile :_Tulburari endocrine, ADHD ________________________________________________
_____________________________________________________________________________________
Pronuntarea independenta a sunetelor :___defectuoasa________________________________
Pronuntarea dupa model a sunetelor:____defectuoasa______________________________
Pronuntarea silabelor:___nu articuleaza grupuri consonantice (s, , l, precedate, succedate
consoane)____________________________________________________________________

de

Sunete afectate:_s,z, interdentale, s, jz, ce-ci, t- , ge-gi, r-l ________________________________

Calitatea vocii:__usor nazala_________________________________________________________________
Motricitatea generala:____hiperkinezie_____________________________________________
Motricitatea faciala:___hipertona______________________________________________________________
Motricitatea linguala :____macroglosie, fren lingual scurt__________________________________________
Conformatia aparatului fono-articulator :___normala _____________________________________________
Valul palatin :___usor adancit________________________________________________________________
Dentitia :_in schimbare_____________________________________________________________________
Respiratia :_normala________________________________________________________________________
Auzul fonematic :_deficitar__________________________________________________________________
Ritmul si fluenta vorbirii :__normale __________________________________________________________
Scriere- Copiere : _____________________________________________________________________

- Dictare :__________________________________________________________________________
- Compunere :_______________________________________________________________________
Citire :___________________________________________________________________________________
Diagnostic logopedic :__dislalie periferica pe disfunctie psihica____________________________________
Indicatii privind activitatea de corectare :___consult neuropsihiatric______________________________
____terapie logopedica_____________________________________________________________________
VII. Alte date :
Durata terapiei logopedice : __4.10.2011- 18.06. 2012___________________________________________
Incadrarea in colectiv dupa corectare sau ameliorare :____nu mai este marginalizat______________________
Recomandari pentru familie :_sa lucreze cu copilul pe perioada vacantei______________________________
Prezentarea cazului la incheierea activitatii :_AMELIORAT_____________________________________
_________________________________________________________________________________________

SEMNATURA PROFESOR LOGOPED :

NUT CORINA