Lecture Notes

Hammersmith Infant Neurological Examination (HINE)

Introduction and Clinical Application

• The HINE is a standardized clinical tool for assessing neurological development in infants aged approximately 2 to 24 months.
• Used extensively for early identification of neurodevelopmental disorders, particularly cerebral palsy (CP).
• Consists of 26 scored items across five domains: cranial nerves, posture, movements, tone, and reflexes/reactions.
• Each item scored from 0 (severely abnormal) to 3 (normal), with a maximum total score of 78.
• Lower scores and significant asymmetry indicate higher risk of developmental disorders, especially CP.