ANÁLISIS DE LA ACTIVIDAD

1. Nombre de la actividad: _______________________________________________2. Breve descripción de la actividad: _______________________________________

____________________________________________________________________3. Herramientas/equipo:_________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________

4. Materiales: __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. Espacio/requerimientos del medio ambiente:__________________________________________________________________________________________________

6. Secuencia de pasos principales: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. Precauciones: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. Consideraciones especiales (año apropiado, requerimientos educacionales, importancia cultural, identificación de sexo, otros):____________________________________________________________________________________________

9. Criterio aceptable para completar la actividad: ___________________________________________________________________________________________________________________________________________________________________

10. Áreas de desempeñoA. Actividades de la Vida Diaria

a) Cuidado personal: _________________________________________________________________________________________________________________b) Higiene oral: __________________________________________________________________________________________________________________c) Baño / Ducha: _____________________________________________________________________________________________________________________d) Higiene personal: __________________________________________________________________________________________________________________e) Cuidado de artículos personales: _____________________________________________________________________________________________________f) Vestido: _______________________________________________________________________________________________________________________g) Alimentación: _____________________________________________________________________________________________________________________h) Rutina de medicación: ______________________________________________________________________________________________________________i) Cuidado de la salud: ______________________________________________________________________________________________________________j) Socialización: _____________________________________________________________________________________________________________________k) Comunicación funcional: ___________________________________________________________________________________________________________l) Movilidad funcional: ______________________________________________________________________________________________________________m) Movilidad en la comunidad: _____________________________________________________________________________________________________n) Respuesta ante emergencias: ________________________________________________________________________________________________________o) Expresión sexual: __________________________________________________________________________________________________________________

B. Actividades laborales1. Manejo del hogar

a) Cuidado de la ropa: ___________________________________________________________________________________________________________b) Limpieza: ___________________________________________________________________________________________________________________c) Preparación de la comida y limpieza: _____________________________________________________________________________________e) Compras: ___________________________________________________________________________________________________________________

f) Manejo del dinero: ___________________________________________________________________________________________________________g) Mantenimiento del hogar: _____________________________________________________________________________________________________h) Normas de seguridad: ____________________________________________________________________________________________________

2. Cuidado de otros: _____________________________________________________________________________________________________________3. Actividades educativas: _____________________________________________________________________________________________________________4. Actividades vocacionales

a) Exploración vocacional: __________________________________________________________________________________________________b) Adquisición de un trabajo: ___________________________________________________________________________________________________c) Desempeño laboral: ________________________________________________________________________________________________________d) Planificación de retiro: ________________________________________________________________________________________________________e) Participación voluntaria: ______________________________________________________________________________________________________

C. Juego o Actividades de ocio1. Exploración de juego o actividades de tiempo libre: __________________

________________________________________________________________2. Desempeño en juego o actividades de tiempo libre: ____________________

________________________________________________________________11. Componentes de ejecución

A. Componente sensoriomotora. Integración Sensorial

1. Conocimiento sensorial: _______________________________________________________________________________________________________2. Procesamiento sensorial

(1) Táctil: _________________________________________________________________________________________________________________(2) Propioceptivo: __________________________________________________________________________________________________________(3) Vestibular: _____________________________________________________________________________________________________________(4) Visual: ________________________________________________________________________________________________________________(5) Auditivo: ______________________________________________________________________________________________________________

(6) Gustativo: ______________________________________________________________________________________________________________(7) Olfativo: _______________________________________________________________________________________________________________

3. Destrezas perceptivas(1) Esterognosia:___________________________________________________________________________________________________________(2) Kinestesia: _____________________________________________________________________________________________________________(3) Respuesta al dolor: ______________________________________________________________________________________________________(4) Esquema corporal:_______________________________________________________________________________________________________(5) Discriminación derecha - izquierda: ________________________________________________________________________________________(6) Constancia de forma: ____________________________________________________________________________________________________(7) Posición en el espacio: ____________________________________________________________________________________________________(8) Oclusión visual: _________________________________________________________________________________________________________(9) Figura-fondo: ___________________________________________________________________________________________________________(10) Percepción de profundidad: ______________________________________________________________________________________________(11) Relaciones espaciales: ___________________________________________________________________________________________________(12) Orientación topográfica: ________________________________________________________________________________________________

b. Neuromuscular1. Reflejos: ____________________________________________________________________________________________________________________2. Rango de movimiento: ________________________________________________________________________________________________________3. Tono muscular: ______________________________________________________________________________________________________________4. Fuerza: _____________________________________________________________________________________________________________________5. Resistencia: __________________________________________________________________________________________________________________6. Control postural: _____________________________________________________________________________________________________________7. Alineación postural: __________________________________________________________________________________________________________

8. Integridad de tejidos blandos: __________________________________________________________________________________________________

c. Motor1. Coordinación motora gruesa: ___________________________________________________________________________________________________2. Cruce de la línea media: _______________________________________________________________________________________________________3. Lateralidad: _________________________________________________________________________________________________________________4. Integración bilateral: __________________________________________________________________________________________________________5. Control motor: __________________________________________________________________________________________________________6. Praxias: ___________________________________________________________________________________________________________________7. Coordinación motora fina / Destreza: ________________________________________________________________________________________8. Integración visomotora: _______________________________________________________________________________________________________9. Control motor oral: __________________________________________________________________________________________________________

B. Integración cognitiva y Componentes cognitivos1. Nivel de alerta: ____________________________________________________________________________________________________________________2. Orientación: ______________________________________________________________________________________________________________________3. Reconocimiento: _________________________________________________________________________________________________________________4. Tiempo de atención: _____________________________________________________________________________________________________________5. Iniciación de la actividad: ___________________________________________________________________________________________________________6. Terminación de la actividad: _________________________________________________________________________________________________________7. Memoria: ________________________________________________________________________________________________________________________8. Secuenciación: ____________________________________________________________________________________________________________________9. Categorización: ____________________________________________________________________________________________________________________10. Formación de conceptos: ___________________________________________________________________________________________________________11. Operaciones espaciales: ____________________________________________________________________________________________________________

12. Resolución de problemas: __________________________________________________________________________________________________________13. Aprendizaje: _____________________________________________________________________________________________________________________14. Generalización : __________________________________________________________________________________________________________________

C. Habilidades psicosociales y componentes psicológicosa. Psicológicos

1. Valores: _____________________________________________________________________________________________________________________2. Intereses: ___________________________________________________________________________________________________________________3. Autoconcepto: _______________________________________________________________________________________________________________

b. Sociales1. Desempeño del rol: ___________________________________________________________________________________________________________2. Conducta social: _____________________________________________________________________________________________________________3. Habilidades interpersonales: ___________________________________________________________________________________________________4. Autoexpresión: _______________________________________________________________________________________________________________

c. Manejo personal1. Habilidad de resolución: _______________________________________________________________________________________________________2. Manejo del tiempo: ___________________________________________________________________________________________________________3. Autocontrol: _________________________________________________________________________________________________________________

12. Contexto del desempeñoA. Aspectos temporales

1. Cronológico: ____________________________________________________2. Etapa del desarrollo: _____________________________________________3. Ciclo vital: ______________________________________________________4. Estado de la discapacidad: ________________________________________

B. Aspectos ambientales1. Físico: ___________________________________________________________________________________________________________________________2. Social: ___________________________________________________________________________________________________________________________3. Cultural: _________________________________________________________________________________________________________________________