Aylward G P, Verhulst S J, Bell S
Department of Pediatrics, Southern Illinois University School of Medicine.
J Dev Behav Pediatr. 1988 Jun;9(3):140-6.
The development and application of the Early Neuropsychologic Optimality Rating Scale (ENORS-9) is described. This 24-item technique, scored in an optimal/nonoptimal fashion, enables assessment of posture, tone, and movement, as well as developmental delays. The ENORS-9 was compared with the Bayley Mental and Psychomotor Developmental indexes and a neurologic examination administered at 9 months, in terms of sensitivity and specificity of cognitive, motor, and neurologic outcome at 36 months. Using an ENORS-9 cut-off score of 85% for cognitive and motor, and 75% for neurologic outcome, sensitivity values were more than three times greater than more traditional assessment techniques. This instrument meets many needs in developmental follow-up because of straightforward scoring, decreased personnel requirements and cost, and flexibility in regard to missing data and cut-off scores. The implications of these findings are discussed.
本文描述了早期神经心理最佳评定量表（ENORS - 9）的开发与应用。这种包含24个条目的技术，以最佳/非最佳方式计分，能够评估姿势、肌张力和运动，以及发育迟缓情况。将ENORS - 9与贝利心理和心理运动发育指数以及在9个月时进行的神经学检查进行比较，对比其在36个月时认知、运动和神经学结果的敏感性和特异性。对于认知和运动结果，使用ENORS - 9的截断分数为85%，对于神经学结果为75%，其敏感性值比更传统的评估技术高出三倍多。由于计分简单、人员需求和成本降低，以及在缺失数据和截断分数方面的灵活性，该工具满足了发育随访中的许多需求。本文讨论了这些发现的意义。
