Uso do exame neurológico infantil de Hammersmith (HINE) em lactantes para detecção precoce de paralisia cerebral

Abstract

Cerebral Palsy (CP) is considered one of the main causes of disability in childhood and comprises a group of permanent movement and posture disorders related to nonprogressive damage to the central nervous system (CNS). Current clinical guidelines recommend the application of standardized tests that enable early detection of CP in the first six months of a child's life. One of the standardized tools for this function is the HINE (Hammersmith Infant Neurological Examination), an instrument used to identify babies at high risk for CP aged between 2 and 24 months of age through the assessment of the child's tone, reflexes and movements, with significant predictive value and sensitivity. The objective of the present study was to carry out a narrative review on the use of HINE in the early detection of cerebral palsy. The searches were carried out in the PUBMED and LILACS databases with the descriptors “HINE”, “Hammersmith”, “premature”, “development” and “cerebral palsy”. Eight studies directly related to the application of HINE in the early detection of CP were included. Retrospective studies and literature reviews were also selected, where the patients evaluated had a maximum age of two years old, complementing them with articles that presented data on CP and early interventions. HINE has been widely used as one of the methods for early detection of PC due to its high degree of reliability. When applied correctly following the sequence, instructions and age indicated, the results are highly credible. Early diagnosis of CP allows the child and family to participate in effective early intervention programs with positive effects in the short, medium and long term.