Construction of an infant neurological international battery (INFANIB) for the assessment of neurological integrety in infancy

Physical Therapy (Impact Factor: 2.53). 10/1985; 65(9):1326-31.
Source: PubMed


In this article, we describe the construction of an instrument for the assessment of the neurological integrity of infants. In a follow-up program for infants from the neonatal intensive care unit, 365 evaluations of 308 infants were made by using a 32-item battery with items from four methods. Factor analyses were used for data analyses, which yielded a 20-item instrument with five factors. We named the instrument the Infant Neurological International Battery (Infanib). The Infanib has sufficient reliability for clinical and research purposes. We have formed scoring sheets, which permit clinical use of the instrument. Cut points are recommended for the separation of infants with normal, transiently abnormal, and abnormal neurologic development. The quantified scoring system enables comparison of infants on item scores, subscores (factor scores), and total scores. It also permits entry of these scores in the computer so that more complex descriptions are possible of the relationship of the neurological assessment of infants both to earlier (eg, birth) and later variables (eg, cerebral palsy, cognitive function, and school performance).

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    • "Children in that study were aged from 0 to 22 months and validity was observed to increase with age. The scale is therefore specifically recommended for use in evaluating infants aged 4–18 months of age [15]. In assessments using the INFANIB, infants are assessed in the supine, prone, sitting, standing and suspended positions for body tone, posture, French angles and primitive reflexes to screen them for abnormal motor development. "
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    ABSTRACT: Background Chinese primary care settings have a heavy patient load, shortage of physicians, limited medical resources and low medical literacy, making it difficult to screen for developmental disorders in infants. The Infant Neurological International Battery (INFANIB) for the assessment of neuromotor developmental disorders in infants aged 0 ~ 18 months is widely applied in community health service centers because of its simplicity, time-saving advantages and short learning curve. We aimed to develop and assess a Chinese version of the INFANIB. Methods A Chinese version of the INFANIB was developed. Fifty-five preterm and 49 full-term infants with high risk of neurodevelopmental delays were assessed using the Chinese version of the INFANIB at 3, 7 and 10 months after birth. The Peabody Developmental Motor Scale (PDMS) was simultaneously used to assess the children with abnormalities and diagnose cerebral palsy. The sensitivity, specificity, positive predictive value and negative predictive value of the scale were calculated. Results At birth, a higher proportion of full-term infants had asphyxia (p < 0.001), brain damage ( p = 0.003) and hyperbilirubinemia ( p = 0.022). The interclass correlation coefficient and intraclass correlation coefficient values for the INFANIB at 3, 7 and 10 months were >0.8, indicating excellent reliability with regard to inter- and intraobserver differences. The specificity, sensitivity, positive predictive value and negative predictive value were high for both high-risk premature infants and full-term infants at the age of 10 months. For premature infants at the age of 7 months or below, INFANIB had low validity for detecting abnormalities. Conclusions The Chinese version of the INFANIB can be useful for screening infants with high-risk for neuromotor abnormality in Chinese primary care settings.
    BMC Pediatrics 06/2012; 12(1):72. DOI:10.1186/1471-2431-12-72 · 1.93 Impact Factor
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    • "2). Also in other studies the result of examination does not have a significant difference between physiotherapists, nurses, occupational therapists and physician, but in recent study we compare only paediatrician with occupational therapist (Ellison 1992). The mean time required for scoring with INFANIB was 8– 10 min in Iran which is shorter than Ellison et al . (1985). One possible explanation for this discrepancy is that the examiners in this study were occupational therapists that are expert in neuro-developmental examination. This study is unique because it is performed for the first time in Iran."
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    ABSTRACT: Child development screening is important issue for early detection of developmental delay and disability. Children in different environment acquire developmental abilities at different age. In this paper we report the examination of Infant Neurological International Battery (INFANIB) as a screening tool for early detection of gross motor developmental delay in Iran. In this study, we reported the result of a study which was conducted on 6150 consecutive 4- to 18-month infants who were referred form Karaj Health Network (Tehran Province) over a 12-month period. A questionnaire was filled for each child, and an evaluation was carried out with INFANIB by occupational therapists. Assessed infants had been classified in three categories: normal, transiently abnormal and abnormal neuro-development. The transient group infants were divided to normal and abnormal group after 3 months' follow-up. The abnormal group was referred to developmental centre for neuro-developmental examination. For depicting validity of the test, some of the normal, transient and abnormal group was evaluated randomly by paediatrician for neuro-developmental exam and for reliability of test between paediatrician and occupational therapist 54 infants scored randomly by both of them. The INFANIB was valid for normal and abnormal group with 90% sensitivity, 83% specificity, 79% positive predictive value and 93% negative predictive value (NPV). Also the reliability coefficient between the examiners (paediatrician and occupational therapists) was calculated, and the intraclass correlation coefficient was 0.90. Results indicate that INFANIB is proposed as an appropriate screening test in developing countries such as Iran as a reliable measurement of gross motor developmental delay and short time of performing.
    Child Care Health and Development 06/2007; 33(3):262-5. DOI:10.1111/j.1365-2214.2006.00704.x · 1.69 Impact Factor
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    • "The Infinib is designed to assess the neurological integrity of infants based on 20 items with 5 factors (spasticity, vestibular function, head and trunk ability, French angles, and leg function). This test is easy to administer and has sufficient reliability for clinical and research purposes (Ellison et al., 1985). For this study, the total score was computed and then standardized. "
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    ABSTRACT: Successful breastfeeding involves a dyadic interaction between a mother and her infant. The present study was designed to examine the association between breastfeeding and temperament in infants of depressed mothers. Seventy-eight mothers, 31 who were depressed, and their infants participated. Depressed mothers who had stable breastfeeding patterns were less likely to have infants with highly reactive temperaments. Multivariate analyses of variances (MANOVAs) showed that infants of depressed mothers who breastfed did not show the frontal asymmetry patterns, i.e., left frontal hypoactivity, previously reported. Moreover, breastfeeding stability, even in depressed mothers, was related to more positive dyadic interactions. Finally, a model was supported, in which the effects of maternal depression on infant feeding are mediated by infant frontal EEG asymmetry and infant temperament. These findings could provide a foundation for developing intervention techniques, employing breastfeeding promotion and support, directed toward attenuating the affective and physiological dysregulation already noted in infants of depressed mothers.
    Biological Psychology 11/2004; 67(1-2):103-24. DOI:10.1016/j.biopsycho.2004.03.010 · 3.40 Impact Factor
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