Version 2.80

60704-4 Head Rotation Side to Side

Term Description

Position: Infant is held upright or in sitting, tipped 30 degrees back, with upper trunk and base of head lightly supported in midline by examiner's hands. The infant's elbows should be positioned close to the trunk but the hands are not to be held. If the infant resists the reclined position and can control his head independently, test the infant in upright sitting with support at the shoulders. If the infant must be tested in upright sitting, the lowest possible score that can be given is 3.
Procedure: Examiner places her face at infant's eye level, approximately 10-15 inches away. Examiner moves face from side to side attempting to elicit following.

Fully-Specified Name

Component
Head rotation side to side
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Head rotation side to side [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL961-4

Answer Code Score Answer ID
No response or unable to achieve state 4 during testing. 0 0 LA13785-3
Visually attends to examiner in midline without turning or turns head 15 degrees or less. 1 1 LA13816-6
Attends and turns head at least 15 degrees to each side from midline. 2 2 LA13700-2
Attends and turns head at least 45 degrees to each side, crossing midline for a total of at least 90 degrees. 3 3 LA13701-0
Visually fixates while holding head upright independently and turns head at least 45 degrees to each side, crossing midline while following for a total of at least 90 degrees. If less than 90 degrees total, give a score of 3. 4 4 LA13817-4

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60705-1 Head Control-Supported Sitting

Term Description

Position: Infant is held upright in vertical sitting on a support surface, facing the examiner, supported at shoulders with upper arms held at sides of trunk.
Procedure: Observe position and movement of infant's head. If head deviates laterally from midline more than 15 degrees, give the next lower score. If achieves rating of 4, reduce stimulation to allow free movement of head.

Fully-Specified Name

Component
Head control - supported sitting
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Head control - supported sitting [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL962-2

Answer Code Score Answer ID
No response, head hangs. 0 0 LA13788-7
Attempts to lift head twice within 15 seconds. 1 1 LA13699-6
Attains upright head position at least once but sustains for less than 15 seconds. 2 2 LA13697-0
Maintains head in midline with the head tipped in up to but no more than 30 degrees of forward flexion for at least 15 seconds. 3 3 LA13767-1
Maintains head upright in midline for 15 to 30 seconds. 4 4 LA13770-5
Maintains head upright for greater than 30 seconds, moving the head freely with control. 5 5 LA13769-7

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60706-9 Head Control-Posterior Neck Muscles

Term Description

Position: Infant is held upright in vertical sitting facing the examiner, supported at the shoulders with upper arms held at sides of trunk. Legs rest on the support surface.
Procedure: Allow infant's head to fall forward gently. Do not pursue for longer than 15 seconds if no response is observed. Timing should not include periods when the head is bobbing. If infant's head deviates from midline more than 15 degrees in any direction, give next lower score.

Fully-Specified Name

Component
Head control - posterior neck muscles
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Head control - posterior neck muscles [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL964-8

Answer Code Score Answer ID
Makes no attempt to raise head. 0 0 LA13775-4
Lifts head less than 45 degrees. 1 1 LA13756-4
Lifts head 45 degrees or more, but does not achieve full upright position. 2 2 LA13752-3
Lifts head to upright and sustains for 5 to 15 seconds. 3 3 LA13759-8
Lifts head to upright position and sustains for more than 15 seconds. 4 4 LA13761-4
Holds head upright independently when positioned and maintains position for greater than 30 seconds, moving the head freely with control. 5 5 LA13744-0

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60707-7 Head Control-Anterior Neck Muscles

Term Description

Position: Infant is held upright in vertical sitting facing the examiner, supported at the shoulders with upper arms held at sides of trunk. Legs rest on the support surface.
Procedure: Allow infant's head to fall gently backward. Do not pursue for longer than 15 seconds if no response is observed. If the infant resists having the head placed backward, give at least a score of 3 and up to 4 based on the time head is held upright.

Fully-Specified Name

Component
Head control - anterior neck muscles
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Head control - anterior neck muscles [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL965-5

Answer Code Score Answer ID
Makes no attempt to raise head or lifts less than 45 degrees. 0 0 LA13774-7
Lifts head 45 degrees or more, but does not achieve full upright position, OR lifts head passing through upright into forward flexion. 1 1 LA13751-5
Lifts head to upright position; sustains the position for at least 1 but less than 5 seconds. 2 2 LA13762-2
Lifts head to upright and sustains for 5 to 15 seconds. 3 3 LA13759-8
Holds head independently with control when positioned; maintains for more than 15 seconds. 4 4 LA13743-2

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60708-5 Head Control-Lowered from Sitting

Term Description

Position: Infant is held upright in vertical sitting on a support surface facing examiner supported at the shoulders with upper arms held at sides of trunk.
Procedure: Infant is lowered slowly backwards to a 45 degree angle.

Fully-Specified Name

Component
Head control - lowered from sitting
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Head control - lowered from sitting [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL966-3

Answer Code Score Answer ID
Unable to hold head vertically. 0 0 LA13815-8
Maintains head in vertical position while upright but immediately loses control when movement begins. 1 1 LA13768-9
Maintains head vertically while upright and maintains control for less than 15 degrees of backward movement. 2 2 LA13772-1
Maintains head vertically while upright and maintains control for 15-45 degrees of backward movement, head in midline. 3 3 LA13771-3
Maintains head vertically while upright and maintains control for more than 45 degrees of backward movement with chin tucked and head in midline. 4 4 LA13773-9

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60709-3 Inhibition of Neonatal Neck Righting (Right Side

Term Description

Position: Infant supine; head held in midline with examiner's fingers and thumb grasping temples.
Procedure: Passively rotate head so jaw is directly over the shoulder. Maintain head position for 10 seconds.
Scoring: Score based on direction of face following passive movement.
Face to Right

Fully-Specified Name

Component
Inhibition of neonatal neck righting (right side)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Inhibition of neonatal neck righting (right side) [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL967-1

Answer Code Score Answer ID
No response, body limp and inactive. 0 0 LA13787-9
Lifts only shoulder and scapula off the support surface. 1 1 LA13763-0
Lifts shoulder, scapula and pelvis off support, but does not roll onto side. 2 2 LA13764-8
Rolls onto side without rotation of the trunk. 3 3 LA13804-2
Rolls partially or completely to side but then returns trunk to supine actively while head is being held. 4 4 LA13806-7
May lift shoulder and/or pelvis briefly off support surface but then uses arms and/or legs to actively resist rolling. 5 5 LA13777-0

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60710-1 Inhibition of Neonatal Neck Righting (Left Side)

Term Description

Position: Infant supine; head held in midline with examiner's fingers and thumb grasping temples.
Procedure: Passively rotate head so jaw is directly over the shoulder. Maintain head position for 10 seconds.
Scoring: Score based on direction of face following passive movement.
Face to Left

Fully-Specified Name

Component
Inhibition of neonatal neck righting (left side)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Inhibition of neonatal neck righting (left side) [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL967-1

Answer Code Score Answer ID
No response, body limp and inactive. 0 0 LA13787-9
Lifts only shoulder and scapula off the support surface. 1 1 LA13763-0
Lifts shoulder, scapula and pelvis off support, but does not roll onto side. 2 2 LA13764-8
Rolls onto side without rotation of the trunk. 3 3 LA13804-2
Rolls partially or completely to side but then returns trunk to supine actively while head is being held. 4 4 LA13806-7
May lift shoulder and/or pelvis briefly off support surface but then uses arms and/or legs to actively resist rolling. 5 5 LA13777-0

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60711-9 Head in Midline without Visual Stimulation

Term Description

Position: Infant supine; head held in midline, hands held on chest. Examiner should stay outside the infant's line of vision and give no verbal cues. Older children may resist hands being held (see level 4).
Procedure: Maintaining infant's hands on chest, release control of head.

Fully-Specified Name

Component
Head in midline without visual stimulation
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Head in midline without visual stimulation [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL968-9

Answer Code Score Answer ID
Head falls immediately to side, with chin resting on shoulder. 0 0 LA13714-3
Head falls to shoulder, but attempts to lift chin from shoulder are observed. 1 1 LA13716-8
Head moves out of midline but attempts to regain midline. 2 2 LA13726-7
Maintains head in midline for 5 to 15 seconds. 3 3 LA13765-5
Maintains head in midline for more than 15 seconds with or without hands being held. 4 4 LA13766-3

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60712-7 Head in Midline with Visual Stimulation

Term Description

Position: Infant supine with head placed in midline and hands held on chest.
Procedure: Using only a red ball as a visual stimulus, attempt to maintain the infant's head in midline until visual attention to the ball is achieved. Examiner may move the ball through small excursions to maintain attention. Maintain infant's hands on chest during visual stimulation; older infants may resist hands being held (see level 4).

Fully-Specified Name

Component
Head held in midline with visual stimulation
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Head held in midline with visual stimulation [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL969-7

Answer Code Score Answer ID
Head falls immediately to side, with chin resting on shoulder. 0 0 LA13714-3
Head moves out of midline but attempts to regain midline. 1 1 LA13726-7
Head remains in midline for up to 15 seconds. 2 2 LA13729-1
Head remains in midline for more than 15 seconds. 3 3 LA13728-3
Child is able to maintain head in midline for more than 15 seconds without hands being held. 4 4 LA13707-7

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60713-5 Supine Neck Rotation (Right)

Term Description

Position: Infant supine with head fully turned to either right or left side.
Procedure: Using a moving red ball as a visual stimulus, attempt to use visual tracking to elicit head turning to the opposite side.
Scoring: Initiate and score response with head moving to right (continuous visual tracking is not required).

Fully-Specified Name

Component
Supine neck rotation (right)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Supine neck rotation (right) [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL970-5

Answer Code Score Answer ID
No response or unable to achieve state 4 during testing. 0 0 LA13785-3
Head turns toward the right less than 15 degrees. 1 1 LA13742-4
Head turns toward the right for 16 to 45 degrees. 2 2 LA13739-0
Head turns toward the right for 46 to 90 degrees. 3 3 LA13740-8
Head turns toward the right for 91 to 180 degrees. 4 4 LA13741-6

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60714-3 Supine Neck Rotation (Left)

Term Description

Position: Infant supine with head fully turned to either right or left side.
Procedure: Using a moving red ball as a visual stimulus, attempt to use visual tracking to elicit head turning to the opposite side.
Scoring: Initiate and score response with head moving to left (continuous visual tracking is not required).

Fully-Specified Name

Component
Supine neck rotation (left)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Supine neck rotation (left) [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL971-3

Answer Code Score Answer ID
No response or unable to achieve state 4 during testing. 0 0 LA13785-3
Head turns toward the left less than 15 degrees. 1 1 LA13738-2
Head turns toward the left for 16 to 45 degrees. 2 2 LA13735-8
Head turns toward the left for 46 to 90 degrees. 3 3 LA13736-6
Head turns toward the left for 91 to 180 degrees. 4 4 LA13737-4

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60715-0 Defensive Reaction-Head and Neck Response

Term Description

Position: Infant supine, head in midline.
Procedure: Cover infant's eyes (only) with a soft cloth. Hold loosely in place for a maximum of 30 seconds while allowing head to turn. Scoring is based on movement of the head and neck only.

Fully-Specified Name

Component
Defensive Reaction - Head and Neck Response
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Defensive Reaction - Head and Neck Response [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL972-1

Answer Code Score Answer ID
No response within 30 seconds. 0 0 LA13786-1
Neck stretch and head turn to the side in 15 to 29 seconds. 1 1 LA13779-6
Neck stretch and head turn to the side in 5-14 seconds. 2 2 LA13780-4
Neck stretch and head turn to the side in less than 5 seconds. 3 3 LA13781-2

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60716-8 Defensive Reaction-Arm Movements

Term Description

Position: Infant in supine, head in midline.
Procedure: Drape a soft cloth over infant's entire face and upper chest so that cloth does not cover arms. Observe arm movements for up to a maximum of 30 seconds.

Fully-Specified Name

Component
Defensive reaction - arm movements
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Defensive reaction - arm movements [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL973-9

Answer Code Score Answer ID
Scoring: Score based on movement of either or both arms. 0 0 LA13810-9
Arm movement directed toward the head with head turned to one side. 1 1 LA13696-2
Arm movement directed toward midline of face or body, head in the midline. 2 2 LA13695-4
Arm and hand movements that grasp cloth, head in the midline. 3 3 LA13694-7
Arm and hand movements that grasp cloth and uncover partially at least one eye, head in the midline. 4 4 LA13693-9

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60717-6 Hip and Knee Flexion

Term Description

Position: Infant supine with head held in midline.
Procedure: While maintaining the head in midline, fully flex hips and knees onto abdomen, knees together. Slowly release the infant's legs and observe for 5 seconds.

Fully-Specified Name

Component
Hip and knee flexion
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Hip and knee flexion [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL974-7

Answer Code Score Answer ID
Both thighs, knees and feet fall immediately to support surface. 0 0 LA13706-9
Both feet fall to support surface, but thighs and knees remain off the surface. 1 1 LA13704-4
One foot falls to the support surface, but knee remains off the support surface. The other foot and leg remain off the support surface. 2 2 LA13794-5
Both feet and legs remain off the support surface for at least 5 seconds making kicking movements and occasionally touching the support surface. If both knees remain extended in the air, score 2. 3 3 LA13703-6
Both feet return to support surface, followed by heel pounding by lifting and lowering one or both legs with knee extended OR bridging against the surface by pushing with heels and lifting bottom. 4 4 LA13705-1

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60718-4 Rolling: Elicited from the Legs (Right)

Term Description

Position: Infant supine, head placed in midline.
Procedure: Holding infant's lower thigh, flex hip and knee and adduct across midline of the body to stimulate rolling. Perform procedure to right side. If infant rolls onto side, apply traction at the lower thigh in a diagonal direction to the body.

Fully-Specified Name

Component
Rolling - elicited from the legs (right)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Rolling - elicited from the legs (right) [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.54 (NAM)

Normative Answer List LL975-4

Answer Code Score Answer ID
Pelvis lifted passively off support surface. 0 0 LA13799-4
Pelvis and trunk lift from support surface and head turns to side. Arm remains behind trunk. 1 1 LA13798-6
Pelvis, trunk and arm lift from support surface, and head turns to side. Rolls part way but not onto side. 2 2 LA13800-0
Pelvis, trunk and arm lift from support surface, head turns and rolls onto side. 3 3 LA13801-8
Rolls through sidelying into prone without lateral head righting. 4 4 LA13807-5
When traction is applied at the end of the maneuver, rolls to prone with lateral head righting. 5 5 LA13818-2

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60719-2 Rolling: Elicited from the Legs (Left)

Term Description

Position: Infant supine, head placed in midline.
Procedure: Holding infant's lower thigh, flex hip and knee and adduct across midline of the body to stimulate rolling. Perform procedure to left side. If infant rolls onto side, apply traction at the lower thigh in a diagonal direction to the body.

Fully-Specified Name

Component
Rolling - elicited from the legs (left)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Rolling - elicited from the legs (left) [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.54 (NAM)

Normative Answer List LL975-4

Answer Code Score Answer ID
Pelvis lifted passively off support surface. 0 0 LA13799-4
Pelvis and trunk lift from support surface and head turns to side. Arm remains behind trunk. 1 1 LA13798-6
Pelvis, trunk and arm lift from support surface, and head turns to side. Rolls part way but not onto side. 2 2 LA13800-0
Pelvis, trunk and arm lift from support surface, head turns and rolls onto side. 3 3 LA13801-8
Rolls through sidelying into prone without lateral head righting. 4 4 LA13807-5
When traction is applied at the end of the maneuver, rolls to prone with lateral head righting. 5 5 LA13818-2

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60720-0 Rolling: Elicited from the Arms (Right)

Term Description

Position: Infant supine, head placed in midline; tester positioned at infant's feet when possible.
Procedure: Lift one arm at the elbow and gently move across the midline of the body with elbow directed toward opposite shoulder (arm off support surface) to elicit rolling. Perform procedure to right side.

Fully-Specified Name

Component
Rolling - elicited from the arms (right)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Rolling - elicited from the arms (right) [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.54 (NAM)

Normative Answer List LL976-2

Answer Code Score Answer ID
Head turns to side; body remains limp or shoulder lifts slightly from support surface. 0 0 LA13734-1
Head turns to side and shoulder and trunk lift from support surface. 1 1 LA13732-5
Head turns to side and shoulder, trunk and pelvis lift from support surface. Rolls part way but not onto side. 2 2 LA13733-3
Rolls onto side. 3 3 LA13805-9
Rolls with active pelvic rotation through sidelying into prone without lateral head righting. 4 4 LA13809-1
Rolls to prone with lateral head righting. 5 5 LA13808-3

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60721-8 Rolling: Elicited from the Arms (Left)

Term Description

Position: Infant supine, head placed in midline; tester positioned at infant's feet when possible.
Procedure: Lift one arm at the elbow and gently move across the midline of the body with elbow directed toward opposite shoulder (arm off support surface) to elicit rolling. Perform procedure to Left side.

Fully-Specified Name

Component
Rolling - elicited from the arms (left)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Rolling - elicited from the arms (left) [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.54 (NAM)

Normative Answer List LL976-2

Answer Code Score Answer ID
Head turns to side; body remains limp or shoulder lifts slightly from support surface. 0 0 LA13734-1
Head turns to side and shoulder and trunk lift from support surface. 1 1 LA13732-5
Head turns to side and shoulder, trunk and pelvis lift from support surface. Rolls part way but not onto side. 2 2 LA13733-3
Rolls onto side. 3 3 LA13805-9
Rolls with active pelvic rotation through sidelying into prone without lateral head righting. 4 4 LA13809-1
Rolls to prone with lateral head righting. 5 5 LA13808-3

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60722-6 Pull to Sit

Term Description

Position: Infant supine; head in midline
Procedure: Grasp infant just above wrists, forearms in neutral rotation. Pull infant to sitting with arms at 45 degree angle
to shoulder. Caution: If infant becomes extremely irritable or no response is observed in the arm or neck muscles, discontinue.

Fully-Specified Name

Component
Pull to sit
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Pull to sit [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL977-0

Answer Code Score Answer ID
No attempt to assist with head or arms during maneuver, head lags behind trunk. 0 0 LA13783-8
Tension in arms with or without shoulder shrugging during maneuver; head lags behind trunk. 1 1 LA13814-1
Slight elbow flexion (with or without shoulder shrugging) and attempts to lift head during maneuver. 2 2 LA13811-7
Elbow flexion with or without shoulder shrugging; head in line with trunk during the last 15 degrees of the maneuver. 3 3 LA13708-5
Head in line with trunk during the last 30 degrees of the maneuver. 4 4 LA13719-2
Head in midline and in line with trunk during last 45 degrees of the maneuver. 5 5 LA13720-0

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60723-4 Lateral Straightening of the Head and Body with Arm Support

Term Description

Position: Infant faces the examiner in a seated position from which he is lowered to semi-sidelying while the examiner cradles the side of the head, keeping the head aligned with the trunk. The legs are kept flexed at the hip and knees. In this reclining (recamier) position, the humerus of the lower arm should be perpendicular to the support surface as the infant leans on his forearm. The other arm should fall forward. The infant should be placed close to the edge so that if s/he pushes to sitting, the lower legs can hang off the table. The examiner waits until she feels the lateral muscles of the neck become active. Omit on children with no upright head control (score = 0).
Procedure: From the above position, the infant is gently lowered to a full sidelying position with the head resting on the support surface. The examiner places one hand on the infant's pelvis and gently applies pressure to initiate lateral head lifting. The hand which was previously under the infant's head can provide a point of support (not assistance) at the crook of the elbow of the top arm which the infant can use to pull the head and trunk upward.

Fully-Specified Name

Component
Lateral straightening of the head and body with arm support
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Lateral straightening of the head and body with arm support [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL978-8

Answer Code Score Answer ID
Makes no attempt to right head or abduct shoulder for weight bearing. 0 0 LA13776-2
Initiates head righting, raises shoulder off the support surface briefly (less than 5 seconds), but does not achieve weight bearing on forearm. 1 1 LA13746-5
Abducts shoulder for weight bearing and bears weight on forearm with elbow flexed more than 90 degrees. 2 2 LA13686-3
Abducts shoulder for weight bearing, places hand and obtains weight bearing on forearm with 90 degree angle at the elbow. 3 3 LA13688-9
Abducts shoulder for weight bearing, places hand and obtains greater than 90 degrees extension of the elbow while weight bearing on the hand. 4 4 LA13687-1

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60724-2 Lateral Hip Abduction Reaction

Term Description

Position: The examiner places the infant in sidelying position, head aligned with trunk and cradled in the examiner's hand. The underneath leg is maintained in hip flexion while the top leg is maintained in hip extension but allowed movement into abduction. If the child can hold his own head, the examiner supports the child at the shoulder. Omit on children with no upright head control (score = 0).
Procedure: The examiner laterally flexes the infant's head several times to initiate lateral head righting (or laterally flexes the trunk from the shoulder if the infant can laterally right his own head). The examiner must maintain the hip of the upper leg in extension while the lower leg is kept in flexion and must not allow the infant to use the hands or arms to grasp or to lean upon the support surface. Reactions in the neck, trunk, and lower extremity are observed as the upper body is lowered rapidly.

Fully-Specified Name

Component
Lateral hip abduction reaction
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Lateral hip abduction reaction [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL979-6

Answer Code Score Answer ID
No head, trunk, or leg response. 0 0 LA13784-6
Active contraction of the lateral muscles of the neck. 1 1 LA13692-1
Active contraction of the lateral muscles of the neck and trunk. 2 2 LA13691-3
Active contraction of the lateral muscles of the neck and trunk with brief unsustained abduction of the uppermost lower extremity with dorsiflexion of the foot. 3 3 LA13690-5
Active contraction of the lateral muscles of the neck and trunk with abduction of the uppermost lower extremity and dorsiflexion of the foot sustained for at least 1-2 seconds. 4 4 LA13689-7

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60725-9 Prone Suspension

Term Description

Position: The infant is lying in the prone position. Cupping both hands around the infant's ribs, suspend the infant in prone 6 to 10 inches above support surface.
Procedure: Observe extension in neck and trunk. Disregard position of extremities.

Fully-Specified Name

Component
Prone suspension
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Prone suspension [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL980-4

Answer Code Score Answer ID
Remains flexed over examiner's hands. Little or no muscle activity noted in neck and trunk. 0 0 LA13803-4
Slight head lifting and tension in trunk muscles. 1 1 LA13812-5
Neck extension, head aligns with trunk; cervical and upper thoracic muscle activity. 2 2 LA13778-8
Head above line of trunk; muscle activity to thoraco-lumbar junction. 3 3 LA13711-9
Head above line of trunk; muscle activity to lumbo-sacral area. 4 4 LA13710-1

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60726-7 Head Lift in Prone

Term Description

Position: Place infant in prone with head in midline, face down and elbows flexed and adducted with hands near shoulders.
Procedure: Release infant's head and observe neck extension and head lifting for 30 seconds.

Fully-Specified Name

Component
Head lift in prone
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Head lift in prone [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL981-2

Answer Code Score Answer ID
Head falls to side; no attempts to lift head. 0 0 LA13717-6
Attempts to lift head (muscle contraction observed) before it falls or is actively turned to one side. 1 1 LA13698-8
Lifts head off support surface so that chin just clears surface and turns to one side. 2 2 LA13758-0
Lifts head off support surface completely for more than 2 and less than 30 seconds (any position). 3 3 LA13757-2
Lifts head in midline to 45 degrees for up to 30 seconds. 4 4 LA13754-9
Lifts head in midline to greater than 45 degrees for more than 30 seconds. 5 5 LA13755-6

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60727-5 Crawling

Term Description

Position: Place infant in prone with elbows flexed, hands near shoulders.
Procedure: Flex hips and knees up under trunk and release. Place head in midline, face down, and release. Observe movements of head and legs for up to 10 seconds before readministering.

Fully-Specified Name

Component
Crawling
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Crawling [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL982-0

Answer Code Score Answer ID
Head falls to side; no response in legs. 0 0 LA13718-4
Head falls or is turned to side; legs extend and/or one or both legs complete one flexion/extension cycle or one leg cycles twice. 1 1 LA13715-0
Head is turned to side; legs cycle reciprocally 2 times or one leg cycles 3 times. If head moves only or legs cycle only, score a 1. 2 2 LA13723-4
Head lifts from surface or lifts and turns to one side; legs cycle reciprocally 3 or more times. If head moves only or legs cycle only, score a 2. 3 3 LA13724-2
Head lifts in midline to at least 45 degrees; legs cycle reciprocally 3 or more times or flex and extend together at least once before maintaining an extended position with hip abduction. If head lifts only or legs move only score 3. 4 4 LA13725-9

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60728-3 Head Turn in Prone to Sound (Right)

Term Description

Position: Place infant in prone with head down and turned to one side with arms flexed and adducted with hands near shoulders.
Procedure: Make soft sound with rattle, squeak toy, or voice (in that order) near back of skull and observe for head turning toward the sound. Make each sound no more than 3 times before going to next sound (i.e., rattle 3 times, squeak toy 3 times, voice 3 times) if head turning has not occurred.
Scoring: Score based on direction toward which face should turn (side on which sound is made, in this case the right side.)

Fully-Specified Name

Component
Head turn in prone to sound (right)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Head turn in prone to sound (right) [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL983-8

Answer Code Score Answer ID
No response 0 0 LA10996-9
Quieting and/or brightening with no movement OR movements of extremities or trunk with no attempt to lift or turn head. 1 1 LA13802-6
Initiates head lift or turn but does not turn head completely to midline. 2 2 LA13745-7
Lifts and turns head, but only to midline. 3 3 LA13749-9
Lifts and turns head to opposite side. 4 4 LA13748-1
Lifts head 45 to 90 degrees and attempts to localize sound with eyes but cannot turn head. 5 5 LA13753-1
Lifts and turns head, maintaining head in upright to turn 45 degrees toward the source of sound. 6 6 LA13750-7

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60729-1 Head Turn in Prone to Sound (Left

Term Description

Position: Place infant in prone with head down and turned to one side with arms flexed and adducted with hands near shoulders.
Procedure: Make soft sound with rattle, squeak toy, or voice (in that order) near back of skull and observe for head turning toward the sound. Make each sound no more than 3 times before going to next sound (i.e., rattle 3 times, squeak toy 3 times, voice 3 times) if head turning has not occurred.
Scoring: Score based on direction toward which face should turn (side on which sound is made, in this case the left side.)

Fully-Specified Name

Component
Head turn in prone to sound (left)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Head turn in prone to sound (left) [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL983-8

Answer Code Score Answer ID
No response 0 0 LA10996-9
Quieting and/or brightening with no movement OR movements of extremities or trunk with no attempt to lift or turn head. 1 1 LA13802-6
Initiates head lift or turn but does not turn head completely to midline. 2 2 LA13745-7
Lifts and turns head, but only to midline. 3 3 LA13749-9
Lifts and turns head to opposite side. 4 4 LA13748-1
Lifts head 45 to 90 degrees and attempts to localize sound with eyes but cannot turn head. 5 5 LA13753-1
Lifts and turns head, maintaining head in upright to turn 45 degrees toward the source of sound. 6 6 LA13750-7

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60730-9 Standing

Term Description

Position: Hold infant in vertical suspension supported at the upper chest with the child facing examiner.
Procedure: Lower the infant to stand on the support surface. Observe legs, trunk, and head. For infants with no head control, position the baby so as to provide support for the chin and give no higher than a 1.

Fully-Specified Name

Component
Standing
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Standing [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL984-6

Answer Code Score Answer ID
No upright head control; head and trunk forward-flexed. Unable to bear weight through legs. 0 0 LA13791-1
Partial or full weight bearing for less than 5 seconds regardless of head and trunk alignment. 1 1 LA13797-8
Head and trunk upright; partial or full weight bearing for less than 5 seconds. 2 2 LA13713-5
Head and trunk upright; full weight bearing with feet flat for more than 5 seconds. May bounce, weight shift,or take steps. 3 3 LA13712-7
Has enough head and trunk control to be held at the wrists only. Full weight bearing with feet flat for more than 5 seconds. May bounce, weight shift, or take steps. 4 4 LA13709-3

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60731-7 Lateral Head Righting

Term Description

Position: With infant facing toward the examiner and supported in vertical suspension at the upper chest, slowly tilt infant laterally for 30 degrees.
Procedure: Tilt to Right. Hold tilt for up to 5 seconds.

Fully-Specified Name

Component
Lateral head righting (right)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Lateral head righting (right) [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL985-3

Answer Code Score Answer ID
No response; head hangs laterally or in flexion. 0 0 LA13790-3
Head is maintained partially upright by tension in lateral neck muscles with face down or facing forward. 1 1 LA13722-6
Head is maintained partially upright by tension in lateral neck muscles and face turns up. 2 2 LA13721-8
Head remains upright initially with face forward but then falls part way to the side. 3 3 LA13730-9
Head remains upright with face forward throughout tilt. 4 4 LA13731-7

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60732-5 Lateral Head Righting

Term Description

Position: With infant facing toward the examiner and supported in vertical suspension at the upper chest, slowly tilt infant laterally for 30 degrees.
Procedure: Tilt to Left Hold tilt for up to 5 seconds.

Fully-Specified Name

Component
Lateral head righting (left)
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
TIMP

Long Common Name

Lateral head righting (left) [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Normative Answer List LL985-3

Answer Code Score Answer ID
No response; head hangs laterally or in flexion. 0 0 LA13790-3
Head is maintained partially upright by tension in lateral neck muscles with face down or facing forward. 1 1 LA13722-6
Head is maintained partially upright by tension in lateral neck muscles and face turns up. 2 2 LA13721-8
Head remains upright initially with face forward but then falls part way to the side. 3 3 LA13730-9
Head remains upright with face forward throughout tilt. 4 4 LA13731-7

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

60734-1 Total Elicited Items Score

Fully-Specified Name

Component
Total elicited items score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
TIMP

Long Common Name

Total elicited items score [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

Example Units

Unit Source
{score} Example UCUM Units

60735-8 Total Raw Score

Fully-Specified Name

Component
Total score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
TIMP

Long Common Name

Total score [TIMP]

Basic Attributes

Class
TIMP
Type
Surveys
First Released
Version 2.34
Last Updated
Version 2.50 (MIN)

Member of these Panels

LOINC Long Common Name
60687-1 Test of Infant Motor Performance Version 5.1

Example Units

Unit Source
{score} Example UCUM Units