Objective
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Hammersmith Neonatal Neurological Examination (HNNE)
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Purpose
Neurological assessment of the preterm infant and early identification of infants at risk of neurodevelopmental disability
Preterm to 2 months corrected age
Assesment Type
Patient Group
Cerebral Palsy
Age Group
Infants (0-2 years)
ICF domain
Body Structure & Function
Area of assessment
Gross Motor
Key description
34 items administered to asses
tone,
motor patterns,
observation of spontaneous movements,
reflexes,
visual and auditory attention
behaviour
Each item scored and compared against norm values for corrected age.
“Cut off” score predict likelihood of cerebral palsy.
90% reliable in early predictor of cerebral palsy,
Cost
Free
Equipment required
N/A
Training required
Online support
Considerations & references
Video tutorial support
Some false negatives and some false positives cited in research.
Free download proformas in multiple languages from link below, register on the website for increased support and access to teaching materials.
https://hammersmith-neuro-exam.com
https://onlinelibrary.wiley.com/doi/full/10.1111/dmcn.12876
https://bpna.org.uk/userfiles/HINE%20proforma_07_07_17.pdf
Time to complete
10-15 minutes depending on experience
Comments
Hammersmith Infant Neurological Examination (HINE) is based on the same principles looking at 26 items in full term infants.
Available in French, German, Greek,Italian, Portuguese and others
If you spot any errors or wish to suggest any amendments to this summary, please contact paediatricmeasures@apcp.org.uk