Hine registration pdf 2026

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The primary objective of the HINE is to identify early signs of neuromotor disorders in infants, including CP. For example, in an infant who is 3 months corrected age, a global HINE score of 67 is considered optimal, and a score below 56 has a 96% predictive validity for CP.
The examination lasts 10-15 minutes on average. The test includes neurological examination (positions, cranial nerve functions, reflexes, tone, movements), assessment of motor functions (head control, sitting, walking, crawling, turning, grasping) and behaviour (consciousness, social orientation, emotional state).
Passive shoulder elevation Lift arm up alongside infants head. Note resistance at shoulder and elbow. Pronation/supination Steady the upper arm while pronating and supinating forearm, note resistance Adductors With both the infants legs extended, abduct them as far as possible.
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People also ask

A score of 3 is generally optimal but the typical infant may not score 3 for every item and for some tone and reflex items scores
months scores 73 are optimal. Scores above 66 (infants born at term) and 64 (infants born preterm) are associated with independent walking and scores above 40 (infants born at term) and 52 (infants born preterm) are associated with independent sitting.
The HINE, developed by Dr. Lilly Dubowitz and Professor Victor Dubowitz, is a simple and scorable standardized neurological examination that can be used to help identify infants between 3 and 24 months of age who have a high probability of all types of CP.
Documentation of a basic, normal neuro exam should look something along the lines of the following: The patient is alert and oriented to person, place, and time with normal speech. No motor deficits are noted, with muscle strength 5/5 bilaterally. Sensation is intact bilaterally.

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