Optimality score for the neurologic examination of he infant at 12 and 18 months of age

被引:270
作者
Haataja, L [1 ]
Mercuri, E [1 ]
Regev, R [1 ]
Cowan, F [1 ]
Rutherford, M [1 ]
Dubowitz, V [1 ]
Dubowitz, L [1 ]
机构
[1] Hammersmith Hosp, Imperial Coll, Sch Med, Dept Pediat, London W12 0NN, England
关键词
D O I
10.1016/S0022-3476(99)70016-8
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The aim of this study was to develop and validate a simple, quantifiable, neurologic examination for infants between 2 and 24 months of age. The assessment consists of 37 items, divided into 3 sections. The first section includes 26 items assessing cranial nerve function, posture, movements, tone, and reflexes; the second section of 8 items documents the development of motor function, and the third section of 3 items evaluates the state of behavior. We applied this assessment to a cohort of ninety-two 12-month-old infants and forty-three 18-month-old infants, with no known perinatal risk factors. The proforma presented has been designed according to the frequency distribution of the neurologic findings in this cohort. Each item is scored individually, and a global score is the sum of all individual scores. The quantitative score enhances the value of this examination, both in clinical practice and in research settings.
引用
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页码:153 / 161
页数:9
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