Abstract

Background: Infant Neurological International Battery (INFANIB) is one of the common neurological assessment used for the infants. The reliability in the newborns is more essential to prove because INFANIB is used to predict the infant motor capabilities at later stages. Objective: Objective of the study is to establish intra-rater and inter-rater reliability of Infant Neurological International Battery between normal and high risk term neonates. Methods: In this cross sectional study a convenience sample of term neonates was included. Demographic data were completed from medical records. Rater one administered INFANIB on all the neonates and the assessments were being videotaped. The videos were anonymized and were viewed by two independent raters so they were blinded from knowing the groups from which each neonate belonged to. Rater three viewed 50 videos randomly for assessment of intra-rater agreement after one month. All the raters were blinded from scores of one another as well to avoid bias during assessment. For intra- as well as inter-rater reliability, two-way mixed, absolute agreement and single measure ICC was calculated. Results: 112 neonates (normal≤56; high risk≤56) with mean (SD) gestational age of 39.1 (1.1) and 38.9 (1.1) weeks respectively on mean post natal day of 4 were assessed. For intra-rater agreement the ICC was 0.42 (0.05-0.7) for normal neonates and 0.33 (0-0.63) for high risk neonates. For inter-rater agreement the ICC was 0.1 (0-0.26) for normal neonates and 0.28 (0.05-0.5) for high risk neonates. Conclusion: The intra-rater and inter-rater reliability of INFANIB proved to be poor between the normal and high risk term neonates. Formal training should be given to any profession or health workers who are planning to use INFANIB as a screening tool for early neurodevelopmental delay among neonates to improve the inter-rater agreement.

Keywords: Neonatology · Neurodevelopment · Reliability · INFANIB · Screening

References

  1. 1.Rennie JM. Roberton’s Textbook of Neonatology. 4th Ed. Edinburgh(UK): Reliability of INFANIB, MY Wong et al. MAJMAAH J. HEALTH SCIENCES, 2013 – Vol. 1, No. 2 Elsevier Churchill Livingstone; 2005. p. 1093-105.
  2. 2.Poon JK, Rosa ACL, Pai GS. Developmental Delay: Timely Identification and Assessment. Indian Paed 2010;47:415-22.
  3. 3.Soleimani F, Vameghi RV, Hemmati S, Roghani RS. Perinatal and Neonatal Risk Factors for Neurodevelopmental Outcome in Infants in Karaj. Arch Iran MED 2009;12 (2): 135-9.
  4. 4.Ellison PH. The INFANIB, A Reliable Method for the Neuromotor Assessment of Infants . Therapy Skill Builder, Tucson, AZ, USA. 1994
  5. 5.Wilhelm IJ. Physical therapy assessment in early infancy. Churchill Livingstone, New York, USA. 1993: 46-8.
  6. 6.Lissauer T, Clayden G. Illustrated Textbook of Paediatrics. 3rd Ed. Edinburgh (UK): Mosby Elsevier; 2007. p. 23-38.
  7. 7.Soleimani F, Dadkhah A. Validity and reliability of Infant Neurological International Battery for detection of gross motor developmental delay in Iran. Child Care Health Dev 2007;33:262-5.
  8. 8.Ellison PW, Horn JL, Browning CA. Construction of an Infant Neurological International Battery (INFANIB) for the assessment of neurological integrity in infancy. Phys Therapy 1985;65:1326-31.
  9. 9.Amiel-Tison C, Grenier A. Neurological assessment during the first year of life. Oxford University Press, New York, USA. 1986.
  10. 10.Chaudhari S, Bhalerao M, Chitale A, et al. Transient tone abnormalities in “high risk” infants and cognitive outcome at five years. Indian Pediatr 2010;47:931-5.
  11. 11.Ellison PW. Scoring Sheet for the Infant Neurological International Battery (INFANIB). Phys Ther 1986;66:548-50.
  12. 12.McIntosh N, Helms PJ, Smyth RL, Logan S. Forfar & Arneil’s Textbook of Pediatrics. 7th Ed. Edinburgh: Churchill Livingstone Elsevier; 2008. p. 297-301.
  13. 13.Van Baar AL, Fleury P, Soepatmi S, et al. Neonatal behavior after drug dependent pregnancy. Arch Dis Child 1989;64:23540.
  14. 14.Reddihough DS and Collins KJ. The epidemiology and causes of cerebral palsy. Aust J Physiother 2003;49:7-12. 12 ORIGINAL ARTICLE
  15. 15.Elenjickal MG, Thomas K, Sushamabai S, Ahamed SKZ. Development of high-risk newborns-A follow-up study from birth to one year. Indian Pediatr. 2009;46:342-5.
  16. 16.Chaudhari S, Deo B. Neurodevelopmental assessment in the first year with emphasis on evolution of tone. Indian Pediatr 2006;43:527-34. Reliability of INFANIB, MY Wong et al. MAJMAAH J. HEALTH SCIENCES, 2013 – Vol. 1, No. 2
  17. 17.Liao W, Wen EY, Li C, Chang Q, Lv KL and Yang W etal. Predicting neurodevelopmental outcomes for at-risk infants: reliability and predictive validity using a Chinese version of the INFANIB at 3, 7 and 10 months. BMC Pediatr. 2012 ;12:72. doi: 10.1186/1471-2431-12-7. 13 doi:10.1186/1471-2431-12-7
Majmaah Journal of Health Sciences · eISSN 1658-8223 · Majmaah University · open access