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

Domenico M M Romeo, Matteo Cioni, Mariacristina Scoto, Luigi Mazzone, Filippo Palermo, Mario G. Romeo

Research output: Contribution to journalArticlepeer-review

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

Original languageEnglish
Pages (from-to)24-31
Number of pages8
JournalEuropean Journal of Paediatric Neurology
Volume12
Issue number1
DOIs
Publication statusPublished - Jan 2008

Keywords

  • Cerebral palsy
  • Neurological examination
  • NICU
  • Outcome

ASJC Scopus subject areas

  • Clinical Neurology
  • Pediatrics, Perinatology, and Child Health
  • Neurology

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