Hammersmith Infant Neurological Examination Clinical Use to Recommend Therapist Assessment of Functional Hand Asymmetries.
Hammersmith Infant Neurological Examination Clinical Use to Recommend Therapist Assessment of Functional Hand Asymmetries.
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Hammersmith 婴儿神经学检查临床用于推荐治疗师评估手部功能不对称。
DOI：
10.1097/pep.0000000000000822
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发表时间：
2021-10-01
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确定 Hammersmith 婴儿神经学检查 (HINE) 得出的不对称评分是否可以提供截止分数，以推荐治疗师使用婴儿手部评估 (HAI) 对上肢功能缺陷进行深入评估。在临床实验室中对 101 名 3-12 个月婴儿同时施用 HINE 和 HAI 进行的观察性研究纠正了正常或非典型发育的年龄。确定了 HINE 不对称评分对非典型 HAI 的预测价值。总 HINE 不对称评分≥4 对于识别双手之间不对称 HAI 评分≥3 分差的婴儿具有 100% 的敏感性和 ≥88% 的特异性。对于 HINE 不对称性总分达到 4 分或更高的婴儿，转诊治疗师进行 HAI 评估可能有助于精确评估功能并确定是否需要有针对性的上肢干预措施。
To determine whether asymmetry scores derived from the Hammersmith Infant Neurological Examination (HINE) can provide cut-off scores for recommending in-depth assessment of upper extremity functional deficits by therapists using the Hand Assessment for Infants (HAI). Observational study in a clinical laboratory with the HINE and the HAI administered concurrently to 101 infants 3-12 months corrected age developing typically or atypically. Predictive value of HINE asymmetry scores for atypical HAI was determined. Total HINE asymmetry score ≥4 had 100% sensitivity and ≥88% specificity for identifying infants with an asymmetric HAI score of ≥3 point difference between hands. 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.