Hammersmith Infant Neurological Examination for early detection of cerebral palsy in Ethiopia: A feasibility and knowledge translation study.
Selamenesh Tsige Legas, Atsede Teklehaimanot, Behaylu Yibe and 6 others
PMID 41725500WHAT IT FOUND
In a low-resource hospital, training residents to use the HINE identified 36% of at-risk infants as having cerebral palsy or high probability, with referral at a mean age of 10.6 months.
Key findings
0136% of infants with risk factors scored at or below the high-probability cerebral palsy cut-off, with a mean age at diagnosis and referral of 10.6 months.
02Implementation barriers like time constraints and space limitations were addressed through practical strategies such as limiting assessments per resident and using locally available materials.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The sample size was relatively small, which may limit the generalizability of the findings. The study was conducted in a single hospital, so results may not apply to other settings with different clinical populations. There was no long-term follow-up data to assess the validity of the initial classifications or the impact on developmental outcomes. A formal post-implementation barriers questionnaire was not administered; barriers were identified in real time. The study did not establish a minimum training duration or formal calibration process required to achieve good interobserver reliability for the HINE.
Declared interests
No conflicts of interest or funding sources are explicitly stated in the provided text.
The easy way to misread this
Do not interpret the 36% high-probability rate as the prevalence of cerebral palsy in the general population. This rate applies only to infants selected specifically for having known aetiological risk factors, so it is not representative of all infants.
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