International Standards for Neurological Classification of Spinal Cord Injuries (ASIA/ISNCSCI scale, revised 2015) 67

Abstract

Standardization of neurological examination and diagnosis in the case of spinal injury is currently an important challenge in neurotraumatology. At present, most organizations, worldwide, that are involved with spinal injuries, apply the International Standards for Neurological Classifications of Spinal Cord Injury (ISNCSCI), drafted by American Spinal Injury Association (ASIA) and approved in 1992. The ASIA/ISNCSCI scale is a quantitative system for estimation of the neurological status of spinal cord injury patients. The ASIA/ISNCSCI scale has been repeatedly updated and revised since 1992. The 2015 version of the ISNCSCI on the American Spinal Injury Association website is demonstrated in this study, and the form and testing instruction are translated into Russian.

Fisioterapia preventiva – percepção dos alunos sobre violência no trânsito e suas consequências

“…Nas lesões traumáticas de medular espinhal, o exame neurológico se faz extremamente importante para avaliar a gravidade e o nível da lesão; a escala de Frankel apresenta cinco categorias de avaliação; motora, sensitiva e alteração dos reflexos, sendo redefinida em um padrão mais completo pela American Spinal Injury Association (ASIA) um sistema quantitativo para estimar o estado neurológico dos pacientes com lesão da medula espinhal (VISSARIONOV et al, 2016;VAN MIDDENDORP et al, 2011). A escala de ASIA avalia a função motora e sensorial, através de exames em pontos e níveis de dermátomos específicos, classificando de acordo com o grau da lesão EK incompleta ou completa, além dos níveis de lesão, paraplegia ou tetraplegia (SILVA et al, 2011;JOBST et al, 2015).…”

Rehabilitation of Spinal Cord Injury: WFNS Spine Committee Recommendations

“…For the treatment of decubital trophic ulcers, bioplastic material based on native type I collagen is used (the choice is "Kollost"). 32,33 To judge the dynamics of wound healing, a photographic wound assessment tool 34 can be used in the wound assessment battery.…”

Joint Position Sense Evaluation in Spinal Cord Injury

“…Finally, the level of spinal cord injury is estimated according to the AIS scale which goes from A (complete injury) to E (normal). 4 Using this classification system, a prognosis for neurological recovery and ambulation can be predicted. A patient with complete spinal cord injury (ASIA grade A) has the lowest chance of being able to walk independently after 1 year, while an incomplete injury (ASIA grade B to D) have a higher chance for recovery.…”

“…[1][2][3] Under this system, motor function is assessed by 10 key muscles while sensory function is assessed by pin-prick and fine touch sensation with classification as grade A (complete spinal cord injury) to grade E (normal spinal cord). 4 Although a direct association between AIS and neurological outcome has been observed, 5 sensory function consists of mechanoreceptor, proprioceptor, temperature receptor and nociceptor modalities. Omission of any one of these modalities could affect the reliability of the AIS scoring system.…”