The score is modified by Amiel-Tison et al. This modfiicatio was further modified by addition of a borderline score (with 0.5 points).
Elements:
(1) score based on 15 measurements
(2) global assessment
Parameters:
(1) response to pinprick
(2) habituation to repeat pinprick
(3) pull to sitting
(4) arm recoil
(5) truncal tone
(6) general body tone
(7) rooting
(8) sucking
(9) Moro response
(10) habituation to Moro response
(11) habituation to light in eyes
(12) response to sound
(13) habituation to sound
(14) placing reaction (the infant is suspended in the upright position and the dorsum of the foot is applied to a protruding edge)
(15) alertness
where:
• The response to light in the eyes could be added, in addition to the habituation item.
|
Response
|
Points
|
|
abnormal
|
0
|
|
borderline
|
0.5
|
|
normal
|
1
|
total ENNS =
= SUM(points for all 15 parameters)
|
Global Assessment
|
Designation
|
|
abnormal
|
A
|
|
borderline
|
B
|
|
normal
|
N
|
|
superior
|
S
|
Interpretation:
• minimum ENNS: 0
• maximum ENNS: 15
• The higher the score the more normal the infant. A score >= 12 indicates a good neurobehavioral status.
• If the effect is due to a drug, then it should improve as the drug is eliminated. If it is due to disease then it should persist.
