Infant Neonatal International Battery(INFANIB)

Amitesh Narayan

Introduction

• Developed by

Patricia H Ellison MD

Published by

Therapy Skill Builders, Texas

Total Items

• 20- Items Scale

• Categorized in 5 Factors

Factor-1_ Spasticity

• Items Included are

A.ATNR

B.TLR_Supine

C.TLR_Prone

D.Hands Held Open/Closed

Factor’s Reliability= .86

Factor_2_Head and Trunk

• Items Included are

A. Sitting

B. Pulled to sit

C. All Fours

D. Body Derotative

Factor’s Reliability= .86

Factor_3_ Vestibular Function

• Items Included are

A.Backward Parachute

B.Forward Parachute

C.Sideways Parachute

D.Body Rotative

Factor’s Reliability= .89

Factor_4_Legs

• Items Included are-

A.Standing

B.Foot Grasp

C.Dorsiflexion of Foot

D.Positive Support Reflex

Factor’s Reliability= .72

Factor_5_French Angles

• Items Included are-

A.Scarf Sign

B.Heel-to-Ear

C.Popliteal Angle

D.Abductor’s Angle

Factor’s Reliability= .89

Scoring Pattern

• 1_ for 2 stage Delay

• 3_ for 1 Stage Delay

• 5_ for Picture matches the age

Inter rater Reliability

• r= .97

Castro et al 1985

Test-retest Reliability

• r= .95

• Castro et al 1985

Predictive Validity

• For factors

• Spasticity_ 86.8%

• Head and Trunk_ 87.1%

• .88_ for Infants 7 months of age or less.

• .93_ for Infants 8 Months or more.

• .91 for all subjects

Internal Consistency

Concurrent Validity

• Not Mentioned in manual

Construct Validity

• Not Mentioned in manual

Degree of Abnormality

• Abnormal

• Transient

• Normal

3 Age Bands

• Less than 4 Months

• 4-8 Months

• 8 Months and More

If Abnormal then category Option

• Spastic Tetraparesis/ Dyskinesia

• Spastic Hemiparesis

• Spastic Diplegia

• Hypotonia

Limitation

• No option for Ataxia or Athetoid diagnosis

• No option for Spastic paraplegia diagnosis

• Dystonic and Spastic Quadriplegic is been categorised as one diagnosis

• No option for Deformity Categorizations

• Score lower even if child shows higher level of response