Hammersmith Infant Neurological Examination (HINE)

The HINE has been one of the most studied and oldest assessment tools to date, as it relates to detecting diagnoses like cerebral palsy which has a prevalence of two per one thousand births within the United States.² ⁹ This tool, along with others that have been introduced within the second half of the last century, have provided a deeper meaning and interpretation into the nervous system.²

This assessment tool was developed in 1981 by Doctor Lilly Dubowitz and prof Victor Dubowitz, which was later revised by Doctor Eugenio Mercuri in 1998.¹⁰ This tool has been declared as one of the oldest forms of neurological examination for infants at risk, including those who were born at term or preterm.²

This assessment incorporates five subsections that assess neurological function and asymmetrical movement patterns - cranial nerve assessments, posture, movement patterns, tone, and reflexes.¹¹

Consists: 26 items - assessing five different aspects of a neurological examination¹¹

Scoring: Ranges from 0-3 based on the quality and asymmetries¹¹ ¹²

  • Cranial Nerve - Maximum score of 15

  • Posture - Maximum score of 18

  • Movements - Maximum score of 6

  • Tone - Maximum score of 24

  • Reflexes - Maximum score of 15