Neuromotor development in infants with cerebral palsy investigated by the Hammersmith Infant Neurological Examination during the first year of age

Abstract Background The Hammersmith Infant Neurological Examination (HINE) is a simple and scorable method for assessing infants between 2 and 24 months of age. Aims The purpose of this retrospective study was firstly, to evaluate the neuromotor development of infants with cerebral palsy (CP) by the...

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Bibliographic Details
Published in:European journal of paediatric neurology 2008-01, Vol.12 (1), p.24-31
Main Authors: Romeo, Domenico M.M, Cioni, Matteo, Scoto, Mariacristina, Mazzone, Luigi, Palermo, Filippo, Romeo, Mario G
Format: Article
Language:English
Subjects:
Anthropometry - methods
Cerebral palsy
Cerebral Palsy - classification
Cerebral Palsy - physiopathology
Cohort Studies
Developmental Disabilities
Disability Evaluation
Female
Humans
Infant
Male
Movement - physiology
Neurologic Examination - methods
Neurological examination
Neurology
NICU
Outcome
Pediatrics
Posture - physiology
Severity of Illness Index
Time Factors
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Summary:Abstract Background The Hammersmith Infant Neurological Examination (HINE) is a simple and scorable method for assessing infants between 2 and 24 months of age. Aims The purpose of this retrospective study was firstly, to evaluate the neuromotor development of infants with cerebral palsy (CP) by the HINE, during the first year of age; secondly, to correlate the scoring of this neurological tool with levels of the Gross Motor Function Classification System (GMFCS). Methods A cohort of 70 infants with a diagnosis of CP at 2 years of age was evaluated by the HINE at 3, 6, 9 and 12 months of corrected age and by GMFCS at 2 years of age. Results The main results indicate that at 3–6 months, infants with quadriplegia (IV and V levels of GMFCS) and those with severe diplegia (III level) scored below 40, whereas those with mild or moderate diplegia (I–II level) and hemiplegia (I–II level) mainly scored between 40–60. Interestingly, the 26% of infants with hemiplegia scored ⩾67 at 12 months. We observed a strong ( r =−0.82) and significant ( p
ISSN:1090-3798
1532-2130
DOI:10.1016/j.ejpn.2007.05.006