Lindsay Pietruszewski1, Mary Ann Nelin, Nancy Batterson, Julia Less, Melissa Moore-Clingenpeel, Dennis Lewandowski, Katelyn Levengood, Nathalie L Maitre. 1. Center for Perinatal Research at the Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio (Drs Pietruszewski, Nelin, Lewandowski, Levengood, and Maitre and Mss Batterson and Less); Department of Pediatrics (Drs Nelin and Maitre), Nationwide Children's Hospital, Columbus, Ohio; Biostatistics Core at the Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio (Ms Moore-Clingenpeel).
Abstract
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.
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.
Authors: Linda Ek; Ann-Christin Eliasson; Elisa Sicola; Lena Sjöstrand; Andrea Guzzetta; Giuseppina Sgandurra; Giovanni Cioni; Lena Krumlinde-Sundholm Journal: Dev Med Child Neurol Date: 2019-02-04 Impact factor: 5.449
Authors: Julia Mazzarella; Mike McNally; Ajit M W Chaudhari; Xueliang Pan; Jill C Heathcock Journal: Clin Biomech (Bristol, Avon) Date: 2020-01-07 Impact factor: 2.063