Evaluation of the floppy infant

Sender, Paul; Jayawant, Sandeep

doi:10.1016/s0957-5839(03)00064-2

Cited by 6 publications

(3 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In order to focus on studies relevant to this umbrella review question, articles on neonates were excluded, as well as articles that only briefly mentioned characteristics of hypotonia in their introductory paragraphs. Howle 1999 [45] Pilon 2000 [61] Carboni 2002 [52] Sender 2003 [96] Duplicate of Gowda 2007 VanToorn 2004 [97] Leyenaar 2005 [98] Martin 2005 [17] Gowda 2007 [99] Jan 2007 [100] Martin 2007 [19] Bodensteiner [5] Harris 2008 [6] Peredo 2009 [4] Jain 2011 [101] Duplicate of Gowda 2007…”

Section: Comparison Of Studies Characteristics and Tools Across Revie...mentioning

confidence: 99%

Identifying and Evaluating Young Children with Developmental Central Hypotonia: An Overview of Systematic Reviews and Tools

Hidalgo Robles,

Paleg,

Livingstone

2024

Healthcare

View full text Add to dashboard Cite

Children with developmental central hypotonia have reduced muscle tone secondary to non-progressive damage to the brain or brainstem. Children may have transient delays, mild or global functional impairments, and the lack of a clear understanding of this diagnosis makes evaluating appropriate interventions challenging. This overview aimed to systematically describe the best available evidence for tools to identify and evaluate children with developmental central hypotonia aged 2 months to 6 years. A systematic review of systematic reviews or syntheses was conducted with electronic searches in PubMed, Medline, CINAHL, Scopus, Cochrane Database of Systematic Reviews, Google Scholar, and PEDro and supplemented with hand-searching. Methodological quality and risk-of-bias were evaluated, and included reviews and tools were compared and contrasted. Three systematic reviews, an evidence-based clinical assessment algorithm, three measurement protocols, and two additional measurement tools were identified. For children aged 2 months to 2 years, the Hammersmith Infant Neurological Examination has the strongest measurement properties and contains a subset of items that may be useful for quantifying the severity of hypotonia. For children aged 2–6 years, a clinical algorithm and individual tools provide guidance. Further research is required to develop and validate all evaluative tools for children with developmental central hypotonia.

show abstract

Section: Comparison Of Studies Characteristics and Tools Across Revie...mentioning

confidence: 99%

Identifying and Evaluating Young Children with Developmental Central Hypotonia: An Overview of Systematic Reviews and Tools

Hidalgo Robles,

Paleg,

Livingstone

2024

Healthcare

View full text Add to dashboard Cite

show abstract

“…Although there can be considerable overlap of clinical signs between infants with hypotonia of central versus peripheral origin, Table I outlines some common differences or distinctions based on information from review articles, 15,19 as well as original research 2 or case reports 7 . Furthermore, Vasta et al 2 examined the sensitivity and specificity of various clinical parameters in the 39 infants in their sample with neuromuscular disorders (hypotonia of peripheral origin).…”

Section: Differential Diagnosis Of Hypotonia Of Central Versus Periphmentioning

confidence: 99%

“…Although several review articles, 10,12,15,17,19,26–32 texts, 6 and chapters 33,34 have been written over the past 20 years about evaluation of the infant with congenital hypotonia, there are few data‐based studies to help clinicians in determining what assessment strategies are most reliable and valid in differentiating the underlying cause of the hypotonia. Although those few studies provide valuable information, 1–3,5,9,16–18 all but two 3,17 were retrospective.…”

Section: Suggestions For Future Researchmentioning

confidence: 99%

Congenital hypotonia: clinical and developmental assessment

Harris

2008

Develop Med Child Neuro

View full text Add to dashboard Cite

Identifying the underlying cause of congenital hypotonia remains difficult, despite advances in diagnostic laboratory and imaging techniques. Clinical evaluation strategies and standardized developmental tests can assist in differentiating hypotonia resulting from primary involvement of the upper motoneuron (central hypotonia) versus that involving the lower motoneuron and motor unit (peripheral hypotonia). This is especially important in infants with idiopathic hypotonia. This review outlines and describes the components of the clinical assessment: detailed infant and family history, clinical techniques and characteristics for differentiating hypotonia of central versus peripheral origin, and clinical evaluation (muscle tone, primitive reflexes, deep tendon reflexes, etc). Recent research that has contributed to the differential diagnosis of congenital hypotonia is reviewed and directions for future research are provided. Ideally, the assessment of infants with congenital hypotonia is best accomplished by an interdisciplinary team of developmental specialists including pediatricians, medical geneticists, child neurologists, and physical or occupational therapists.

show abstract

Neuromuscular Problems of the Critically Ill Neonate and Child

Darras¹,

Jones²

2015

Neuromuscular Disorders of Infancy, Childhood, and Adolescence

View full text Add to dashboard Cite

Evaluation of the floppy infant

Cited by 6 publications

References 3 publications

Identifying and Evaluating Young Children with Developmental Central Hypotonia: An Overview of Systematic Reviews and Tools

Identifying and Evaluating Young Children with Developmental Central Hypotonia: An Overview of Systematic Reviews and Tools

Congenital hypotonia: clinical and developmental assessment

Neuromuscular Problems of the Critically Ill Neonate and Child

Contact Info

Product

Resources

About