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Pauta Evaluacin Fonoaudiolgica

Nombre: Fecha de Nacimiento:Fecha de Evaluacin: Diagnstico Mdico:

Evaluacin de rganos Fonoarticulatorios:

Presencia Reflejos rcaicos: Si _____ No _____ Cuales _______________________________Observaciones ____________________________________________________________________________

E!amen "ral #ensoriomotor:Respuesta a Estimulacin DigitalExtraoral: Normal _____ Hipersensible _____ Hiposensible _____Intraoral: Normal _____ Hipersensible _____ Hiposensible _____

rganos Fonoarticulatorios:letas Nasales

Forma: ____________________________ Simetra: ____________________________!ama"o: ____________________________

MejillasSimetra: ____________________________ !onici#a#: ____________________________

$abiosComisuras: Simetra ______________________________ Desviacin $D%I& ______________________'abio superior Corto _____ Normal _____ 'argo _____ Fisura#o _____ Fisura#o Opera#o _____'abio In(erior ______________________________________Frenillo labial Corto _____ Normal _____ 'argo _____ )usente _____

$engua!ama"o: ____________________________ !onici#a#: ____________________________Frenillo Sublingual: Normal _____ Corto _____ Corto Funcional _____ Opera#o _____*osicin en reposo: ________________________________

Denticin!ipo: !emporal _____ +ixta _____ De(initiva _____*ie,as )usentes: ____________________________________________________________________!ipo +or#i#a: ____________________________________________________________________

Paladar seoForma ____________________Coloracin ___________________ Fisura%!ipo ______________________

Paladar %lando-vula: _____________________________________ Desviacin $D%I& ______________________

&elo del Paladar '(&F)Emisin nasal: ___________________________ Resonancia #e la vo,: _______________________Compensaciones articulatorias: _______________________ Fonacin %a%: ___________________________

m*gdalas: +++++++++++++++++++++++++++ Mand*bula: +++++++++++++++++++++++++++++

Funciones Preling,*sticas:Respiracin: ___________________________________________________________________________Soplo: ___________________________________________________________________________

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Succin: ___________________________________________________________________________Deglucin: ___________________________________________________________________________)u#icin: ___________________________________________________________________________

Pra!ias "rofaciales:$ingualesObservaciones____________________________________________________________________________$abialesObservaciones ____________________________________________________________________________FacialesObservaciones____________________________________________________________________________

Evaluacin del -abla:Fonacin: Cali#a# __________ Intensi#a# __________ !ono __________ Resonancia _____________)rticulacin: _________________________ Inteligibili#a#: ______________________________.eloci#a#: _________________________ Flui#e,: ______________________________Ritmo: _________________________ *roso#ia: ______________________________

Evaluacin del $enguaje:Nivel FonolgicoConciencia Sil/bicaSegmentacin sil/bica ______________________________________________________________________Reconocimiento #e Slaba Inicial _____________________________________________________________Reconocimiento #e Slaba Final _____________________________________________________________Conciencia FonolgicaReconocimiento #e Soni#os #e las 'etras _______________________________________________________Sntesis Fon0mica #e las *alabras _____________________________________________________________Discriminacin )u#itiva #e *alabras __________________________________________________________+emoria )u#itiva _________________________________________________________________________

*rocesos #e Simpli(icacin Fonolgicas ________________________________________________________

Nivel #em.nticoSinnimos: ___________________________________________________________________________)ntnimos: ___________________________________________________________________________Nominacin #e t0rminos por:1so ____________________________________________________________________________________Nombre _________________________________________________________________________________Categora ________________________________________________________________________________I#enti(icacin #e t0rminos por:1so ____________________________________________________________________________________Nombre _________________________________________________________________________________

Categora ________________________________________________________________________________Seme2an,as .erbales _______________________________________________________________________Comprensin #e 'engua2e Figura#o ___________________________________________________________Resolucin #e )bsur#os .erbales ____________________________________________________________Conocimiento #e *alabras #e Conteni#o%Funcionales _____________________________________________

Nivel Pragm.tico:$ing,*sticoContacto Ocular __________________________________________________________________________Intencin Comunicativa ____________________________________________________________________+ane2o #e !pico _________________________________________________________________________!urnos #e Habla __________________________________________________________________________Paraling,*stico

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3in0sica _________________________________________________________________________________*rox0mica _______________________________________________________________________________*ostura Corporal __________________________________________________________________________+ovimientos #e Extremi#a#es _______________________________________________________________Expresin Facial __________________________________________________________________________

Nivel Morfosint.ctico+or(emas: 40nero ______________ N5mero ________________ !iempos .erbales __________________+ane2o #e )rtculos: De(ini#os ______________________ In#e(ini#os ___________________________+ane2o #e *reposiciones ___________________________________________________________________+ane2o #e *ronombres _____________________________________________________________________+ane2o #e )#2etivos _______________________________________________________________________+ane2o #e )#verbios ______________________________________________________________________+ane2o #e *artculas Interrogativas%Exclamativas _______________________________________________Sintagma Nominal%.erbal ___________________________________________________________________Coor#inacin _____________________________________________________________________________Subor#inacin ____________________________________________________________________________

Oraciones Simples%Comple2as _______________________________________________________________1so #e *alabras #e Conteni#o%Funcionales _____________________________________________________Relacin Sintagma%*ara#igma _______________________________________________________________

/or0us $ing,*stico________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Discurso Narrativo:Presentacin E0isodio FinalI#enti(ica *ersona2e central +eta Solucin: )brupta _____ Normal _____

)tributos )cciones1bicacin !emporo6espacial Obst/culos*roblema Resulta#osCo7erencia 8 Co7esin __________________________________________________________________

"bservaciones:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

++++++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++++++(nterno Fonoaudiolog*a Fonoaudilogo 1utor