Introduction to the Hammersmith Infant Neurological Exam (HINE)

Sunday, November 11
10:15 AM - 11:45 AM
Location: Ballroom H/I - Convention Center

More than ten studies of high risk newborns (preterm and term) have demonstrated that this assessment can be used in the diagnosis of cerebral palsy (CP). At 3 months of age, a HINE score <57 is predictive of CP (sensitivity 96%; specificity 87%). In addition the HINE can provide information on the type and severity of CP as it can be used for sequential clinical follow-up. Specific cut-off scores for predicting CP both in preterm and full-term infants have been published. Severity of motor impairment can also be predicted with scores below 40 predicting non ambulant cerebral palsy. The International Clinical Practice Guideline for the Early Accurate Diagnosis of Cerebral Palsy recommends the use of the HINE, particularly in situations where the most predictive tools (general movements and MRI) are not able to be used. This workshop session will provide an introduction to the Hammersmith Infant Neurological Assessment . Case stories of how one PT uses the HINE to make clinical decisions will be shared.


Learning Objectives:

Ginny Paleg, Maryland

Physical Therapist

Ginny Paleg ( is a pediatric PT from Silver Spring, Maryland. For the past 14 years, she has worked for her local school system in their early intervention program. Ginny earned her Masters Degree in Physical Therapy at Emory University and her DScPT at the University of Maryland Baltimore. This year she published a systematic review on interventions for children with central hypotonia and led the team that created the Hypotonia Care Path for the AACPDM. Ginny specializes in assessment and interventions for children at the GMFCS Levels IV and V. She is certified in HINE and GMA.


Send Email for Ginny Paleg

Nathalie Maitre, MD, PhD

Nationwide Childrens' Hospital

Nathalie Maitre, MD, PhD is a neonatologist and neurodevelopmental specialist who is the Director of the NICU Follow-up Program and Medical Director of NICU Developmental Therapis at Nationwide Children’s Hospital. She is a neuroscientist who works with a diverse team of scientists, engineers and therapists who all believe strongly in the need to identify children at high-risk for disabilities as early as possible, in order to optimize recovery after brain insults of the neonatal period.


Send Email for Nathalie Maitre


Introduction to the Hammersmith Infant Neurological Exam (HINE)

Attendees who have favorited this

Please enter your access key

The asset you are trying to access is locked. Please enter your access key to unlock.

Send Email for Introduction to the Hammersmith Infant Neurological Exam (HINE)