Neurologische Basisuntersuchung für das Alter von 0–2 Jahren

Michaelis, Richard; Berger, R.

doi:10.1007/s00112-007-1521-x

Cited by 14 publications

(11 citation statements)

References 11 publications

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“…The classification of movement variation versus stereotypy is based on clinical observation, not on video assessment as in the assessment of general movements . This implies that only striking stereotypies, including consistent asymmetries, are recorded as atypical, in line with clinical practices . The inclusion of seven items on movement quality also means that asymmetries, such as a head‐turn preference with an accompanying asymmetry in arm movements, and eventually in hand movements which occurs relatively frequently in 2‐month or 3‐month‐old infants, only results in a reduction of 2 or 3 points.…”

Section: Sinda's Neurological Scalementioning

confidence: 99%

Reliability and predictive validity of the Standardized Infant NeuroDevelopmental Assessment neurological scale

Hadders‐Algra

Tacke

Pietz³

et al. 2018

Develop Med Child Neuro

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Aim To assess reliability and predictive validity of the neurological scale of the Standardized Infant NeuroDevelopmental Assessment (SINDA), a recently developed assessment for infants aged 6 weeks to 12 months. Method To assess reliability, three assessors independently rated video‐recorded neurological assessments of 24 infants twice. Item difficulty and discrimination were determined. To evaluate predictive validity, 181 infants (median gestational age 30wks [range 22–41wks]; 92 males, 89 females) attending a non‐academic outpatient clinic were assessed with SINDA's neurological scale (28 dichotomized items). Atypical neurodevelopmental outcome at 24 months or older corrected age implied a Bayley Mental Developmental Index or Psychomotor Developmental Index lower than 70 or a diagnosis of cerebral palsy (CP). Predictive values were calculated from SINDA (2–12mo corrected age, median 3mo) and typical versus atypical outcome. Results Intraclass correlation coefficients of intrarater and interrater agreement of the neurological score varied between 0.923 and 0.965. Item difficulty and discrimination were satisfactory. At 24 months or older, 56 children (31%) had an atypical outcome (29 had CP). Atypical neurological scores (below 25th centile, ≤21) predicted atypical outcome and CP with sensitivities of 89% and 100%, and specificities of 94% and 81% respectively. Interpretation SINDA's neurological scale is reliable and in a non‐academic outpatient setting has a satisfactory predictive validity for atypical developmental outcome, including CP, at 24 months or older. What this paper adds The Standardized Infant NeuroDevelopmental Assessment's neurological scale has a good to excellent reliability. The scale has promising predictive validity for cerebral palsy. The scale has promising predictive validity for other types of atypical developmental outcome.

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Section: Sinda's Neurological Scalementioning

confidence: 99%

Reliability and predictive validity of the Standardized Infant NeuroDevelopmental Assessment neurological scale

Hadders‐Algra

Tacke

Pietz³

et al. 2018

Develop Med Child Neuro

View full text Add to dashboard Cite

show abstract

“…Monatsschrift Kinderheilkunde publiziert [14]. Im hier vorliegenden Beitrag werden die Items dieser Basisuntersuchung vorgestellt.…”

Section: Leitthema Ein Konsensusvorschlag Zu Einer Systematisierten Nunclassified

“…Letztlich bedeutet diese Transformation eine Umorganisation der neuronalen Netzwerke der zentralen Motorik, auf die wir bereits in unserer ersten Publikation hingewiesen haben [14]. Das frühe menschliche Nervensystem verfügt von Anfang an über hervorragende Fähigkeiten, bestimmtes neurologisches Verhalten zu generieren, zu äqui-librieren und bei Bedarf zu neuen, adaptierten Verhaltensentitäten zu integrieren, also zu lernen [19].…”

Section: Heutige Situationunclassified

“…1 zusammengefasst sind. Auf die Validierung dieser neurologischen Untersuchung wurde bereits in der ersten Publikation eingegangen [14].…”

Section: Auswahl Der Items Der Neurologischen Basisuntersuchungunclassified

“…Optimale Verhaltenszustände (Zustände 1 und 2 nach der Definition von Prechtl [18]) stellen die Grundvoraussetzung für eine valide neurologische Untersuchung dar [14]. Gelingt es nicht, die beiden optimalen Verhaltenszustände während einer Untersuchung stabil zu halten, ist die Untersuchung zu einem anderen Zeitpunkt zu wiederholen.…”

Section: Verhaltenszustände (U2-u7)unclassified

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