مورد إلكتروني

Neurological assessment tool for screening infants during the first year after birth: The Brief-Hammersmith Infant Neurological Examination

التفاصيل البيبلوغرافية
العنوان: Neurological assessment tool for screening infants during the first year after birth: The Brief-Hammersmith Infant Neurological Examination
المؤلفون: Romeo, Domenico Marco Maurizio, Velli, Chiara, Sini, Francesca, Pede, Elisa, Cicala, Graziamaria, Cowan, France, Ricci, Daniela, Brogna, Claudia, Mercuri, Eugenio Maria, Romeo Domenico Marco (ORCID:0000-0002-6229-1208), Velli chiara, Sini Francesca, Pede elisa, Cicala Graziamaria, Ricci Daniela, Brogna Claudia, Mercuri Eugenio (ORCID:0000-0002-9851-5365)
بيانات النشر: 2024
نوع الوثيقة: Electronic Resource
مستخلص: Aim: To develop a short version of the original Hammersmith Infant Neurological Examination (HINE) to be used as a screening tool (Brief-HINE) and to establish if the short examination maintains good accuracy and predictive power for detecting infants with cerebral palsy (CP). Method: Eleven items were selected from the original HINE ('visual response'; 'trunk posture'; 'movement quantity'; 'movement quality'; 'scarf sign'; 'hip adductor angles'; 'popliteal angle'; 'pull to sit'; 'lateral tilting'; 'forward parachute reaction'; 'tendon reflexes') identifying those items previously found to be more predictive of CP in both low- and high-risk infants. In order to establish the sensitivity of the new module, the selected items were applied to existing data, previously obtained using the full HINE at 3, 6, 9, and 12 months, in 228 infants with typical development at 2 years and in 82 infants who developed CP. Results: Brief-HINE scores showed good sensitivity and specificity, at each age of assessment, for detecting infants with CP. At 3 months, a score of less than 22 was associated with CP with a sensitivity of 0.88 and a specificity of 0.92; at 6, 9, and 12 months, the cut-off scores were less than 25 (sensitivity 0.93; specificity 0.87), less than 27 (sensitivity 0.95; specificity 0.81), and less than 27 (sensitivity 1; specificity 0.86) respectively. The presence of more than one warning sign, or items that are not optimal for the age of assessment, imply the need for a full examination reassessment. Interpretation: These findings support the validity of the Brief-HINE as a routine screening method and the possibility of its use in clinical practice.
مصطلحات الفهرس: neurological, Settore MED/39 - NEUROPSICHIATRIA INFANTILE, info:eu-repo/semantics/article
URL: https://hdl.handle.net/10807/272627
info:eu-repo/semantics/altIdentifier/wos/WOS:001153396400001
volume:2024
issue:1
firstpage:1
lastpage:10
numberofpages:10
issueyear:2024
journal:DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY
الإتاحة: Open access content. Open access content
ملاحظة: English
أرقام أخرى: SYC oai:publicatt.unicatt.it:10807/272627
info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85183839776
1439662670
المصدر المساهم: UNIV CATTOLICA DEL SACRO CUORE
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رقم الأكسشن: edsoai.on1439662670
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