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PEDIATRICS Vol. 113 No. 3 March 2004, pp. 641-667

SUPPLEMENT ARTICLE

The Neonatal Intensive Care Unit Network Neurobehavioral Scale Procedures

Barry M. Lester, PhD*, Edward Z. Tronick, PhD{ddagger} in collaboration with T. Berry Brazelton, MD§

* Brown Medical School, Infant Development Center, Women and Infants Hospital and Bradley Hospital, Providence, Rhode Island
{ddagger} Child Development Unit, Children’s Hospital, Department of Pediatrics, Harvard Medical School, Boston, Massachusetts
§ Harvard University Medical School and Children’s Hospital, Boston, Massachusetts

The procedures for the Neonatal Intensive Care Unit Network Neurobehavioral Scale includes a brief background, description of the examination, key concepts, a summary of the procedures, and order of administration of the items described in "packages," information about the testing kit, scoring issues, and summary scores. This is followed by presentation of the 115 items that are scored. Each item is described, including (where appropriate) specific procedures for how to manipulate or handle the infant. Rating scales with scoring criteria are provided for each item. With training and certification, users of the manual will be able to reliably administer and score the Neonatal Intensive Care Unit Network Neurobehavioral Scale.

Key Words: NICU Network Neurobehavioral Scale • NNNS • manual • scoring criteria

Abbreviations: NNNS, Neonatal Intensive Care Unit Network Neurobehavioral Scale • CNS, central nervous system • ATNR, asymmetrical tonic neck reflex

Received for publication Apr 28, 2003; Accepted Oct 8, 2003.


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