Evaluación neurokinésica adulto

Fecha de evaluación:

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Cuidador: ________________________________________________ Teléfonos de contacto: _______________________________________
Previsión: ________________________________________ Ocupación: _______________________________________________________

Genograma Ecomapa

Diagnóstico médico: Diagnóstico funcional:

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Clínica Integrada de Salud (CIS) – Unidad de Kinesiología

Universidad Autónoma de Chile, sede Temuco.
Porvenir #572, Fono: 45 2 895094
Evaluación neurokinésica adulto

I. Anamnesis
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Clínica Integrada de Salud (CIS) – Unidad de Kinesiología
Universidad Autónoma de Chile, sede Temuco.
Porvenir #572, Fono: 45 2 895094
Evaluación neurokinésica adulto
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Clínica Integrada de Salud (CIS) – Unidad de Kinesiología
Universidad Autónoma de Chile, sede Temuco.
Porvenir #572, Fono: 45 2 895094
II. Inspección general
Sistema Tegumentario: ____________________________________
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Patrón respiratorio: _______________________________________
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Comunicación:
ü Verbal
Habla: _____________________________________________
Lenguaje: ___________________________________________
ü No verbal
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Otros: ______________________________________________
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Evaluación neurokinésica adulto

III. Rangos articulares

Extremidad Derecha Izquierda Extremidad Derecha Izquierda

Superior Pasivo Activo Pasivo Activo Inferior Pasivo Activo Pasivo Activo

IV. Longitudes musculares (Si corresponde) V. Dolor (Si corresponde)

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VI. Perímetros (Si corresponde)
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Clínica Integrada de Salud (CIS) – Unidad de Kinesiología

Universidad Autónoma de Chile, sede Temuco.
Porvenir #572, Fono: 45 2 895094
Evaluación neurokinésica adulto

VII. Tono VIII. Fuerza muscular (Si corresponde)

Inspección: __________________________________________ Músculo o grupo muscular EESS Derecha Izquierda

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Palpación: ___________________________________________
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Movilización pasiva: ____________________________________

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Músculo o grupo muscular EEII Derecha Izquierda
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Evaluación de Espasticidad (Si corresponde)

Músculo o grupo muscular Derecha Izquierda

Clínica Integrada de Salud (CIS) – Unidad de Kinesiología

Universidad Autónoma de Chile, sede Temuco.
Porvenir #572, Fono: 45 2 895094
Evaluación neurokinésica adulto

IX. Sensibilidad XI. Coordinación (Si corresponde)

Superficial: __________________________________________
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Profunda: ___________________________________________ XII. Reacciones automáticas

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X. ROT (Si corresponde)
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Enderezamiento: ______________________________________
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Equilibrio: ___________________________________________
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Protección: __________________________________________
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Clínica Integrada de Salud (CIS) – Unidad de Kinesiología

Universidad Autónoma de Chile, sede Temuco.
Porvenir #572, Fono: 45 2 895094
Evaluación neurokinésica adulto

XIII. Análisis de Postura y movimiento

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Clínica Integrada de Salud (CIS) – Unidad de Kinesiología
Universidad Autónoma de Chile, sede Temuco.
Porvenir #572, Fono: 45 2 895094
Evaluación neurokinésica adulto

XIV. Evaluación de marcha XV. Pruebas funcionales

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Clínica Integrada de Salud (CIS) – Unidad de Kinesiología
Universidad Autónoma de Chile, sede Temuco.
Porvenir #572, Fono: 45 2 895094
Evaluación neurokinésica adulto
XVI. Evaluación cognitiva
Evaluación: __________________________________________
Observaciones: _______________________________________
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XVII. Funcionalidad
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Observaciones: _______________________________________
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Clínica Integrada de Salud (CIS) – Unidad de Kinesiología
Universidad Autónoma de Chile, sede Temuco.
Porvenir #572, Fono: 45 2 895094
Evaluación AVDi______________________________________
Observaciones: _______________________________________
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XVIII. Productos de apoyo
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Evaluación neurokinésica adulto

XIX. Objetivos Comentarios del terapeuta

Usuario: ____________________________________________ ___________________________________________________

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Familia: ____________________________________________
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Estudiante: ______________________________________________

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Kinesiólogo: _________________________________________

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Clínica Integrada de Salud (CIS) – Unidad de Kinesiología

Universidad Autónoma de Chile, sede Temuco.
Porvenir #572, Fono: 45 2 895094