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Updated: Aug 1, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[The prone position as an indicator of deviated motor development during the first year of life]
Insights
Assessing a baby's ability to control their body in the prone position is crucial for neuromotor development. This simple test accurately identifies developmental issues, making it ideal for high-risk infants.
Area of Science:
- Developmental Pediatrics
- Neuromotor Development
- Infant Motor Milestones
Context:
- The prone position is a fundamental developmental milestone in the first year of life.
- Adequate control and alignment in prone are essential for normal neuromotor progression.
- Early identification of neuromotor delays is critical for timely intervention.
Purpose:
- To evaluate the diagnostic accuracy of assessing the prone position in infants.
- To compare the prone position assessment with the established Milani Comparetti neuromotor evaluation.
- To determine the sensitivity and specificity of the prone position assessment for neuromotor disability.
Summary:
- A study involving 246 infants compared prone position control with the Milani Comparetti neuromotor evaluation.
- The prone position assessment demonstrated perfect sensitivity and specificity (1.0) in identifying neuromotor issues.
- Results indicate the prone position assessment is a reliable and simple method for early detection.
Impact:
- The prone position assessment is a fast, simple, and highly accurate tool for early neuromotor disability screening.
- Recommended for first-level healthcare providers assessing high-risk infant populations.
- Facilitates early identification and intervention, potentially improving long-term neuromotor outcomes.
Abstract:
The adequate control and alignment of a baby in the prone position during the first year of life is a basic necessary milestone for a normal, neuromotor development. In this study the prone position was registered in 246 babies with a previous pediatric evaluation, three options could be made: normal retarded or altered. The Milani Comparetti neuromotor evaluation was also realized for each baby at the same time with the same classification options. Both results were compared. A sensitivity and specificity = 1.0 were found for the prone position registered. This test is fast and simple, so it is recommended at a first attention level in high risk population for neuromotor disability.
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