| Title: |
Hammersmith Infant Neurological Examination Clinical Use to Recommend Therapist Assessment of Functional Hand Asymmetries |
| Authors: |
Pietruszewski, Lindsay; Nelin, Mary Ann; Batterson, Nancy; Less, Julia; Moore-Clingenpeel, Melissa; Lewandowski, Dennis; Levengood, Katelyn; Maitre, Nathalie L. |
| Source: |
Pediatric Physical Therapy ; volume 33, issue 4, page 200-206 ; ISSN 0898-5669 |
| Publisher Information: |
Ovid Technologies (Wolters Kluwer Health) |
| Publication Year: |
2021 |
| Description: |
Purpose: To determine whether asymmetry scores derived from the Hammersmith Infant Neurological Examination (HINE) can provide cutoff scores for recommending in-depth assessment of upper extremity functional deficits by therapists using the Hand Assessment for Infants (HAI). Methods: Observational study in a clinical laboratory with the HINE and the HAI administered concurrently to 101 infants 3 to 12 months corrected age developing typically or atypically. Predictive value of HINE asymmetry scores for atypical HAI was determined. Results: Total HINE asymmetry scores of 4 or greater had 100% sensitivity and 88% or greater specificity for identifying infants with an asymmetric HAI score of 3 or greater point difference between hands. Conclusions: For infants receiving a total HINE asymmetry score of 4 or greater, referral to therapists for HAI assessment may be beneficial to precisely evaluate function and determine the need for targeted upper extremity interventions. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1097/pep.0000000000000822 |
| DOI: |
10.1097/PEP.0000000000000822 |
| Availability: |
https://doi.org/10.1097/pep.0000000000000822; https://journals.lww.com/10.1097/PEP.0000000000000822 |
| Accession Number: |
edsbas.D9D5A27 |
| Database: |
BASE |