International Standards For Neurological Classification Of Spinal Cord Injury

Marino, Ralph J.; Barros, Tarcísio Eloy Pessoa de; Biering‐Sørensen, Fin; Burns, Stephen P.; Donovan, William H.; Graves, Donald J.; Haak, Michael; Hudson, Lesley M.; Priebe, Michael M.

doi:10.1080/10790268.2003.11754575

Cited by 748 publications

(541 citation statements)

References 8 publications

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“…Motor and sensory scores were obtained on children and youths according to the 2002 international standards. 3,4 Sample A total of 84 children or youths were reviewed for participation in the study. Four children were not considered due to the presence of traumatic brain injury and/or other comorbidities that interfered with the cognitive ability to follow standard testing instructions.…”

Section: Methodsmentioning

confidence: 99%

“…Additional revisions of the ISCSCI occurred in 1996 and 2002 to better define terminology with the intent to improve reliability. 3 The only published report on the reliability of the current ISCSCI was by Marino et al 33 in which inter-rater and intra-rater reliability was evaluated for summed motor and sensory scores. In this study, Marino reported that inter-rater reliability was high for total motor (TM) (0.97), pin prick (PP) (0.88) and LT (0.96) scores when the exam was performed by expert raters.…”

Section: Introductionmentioning

confidence: 99%

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The International Standards for Neurological Classification of Spinal Cord Injury: reliability of data when applied to children and youths

et al. 2006

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Study design: Intra-rater reliability study, cross-sectional design. Objectives: To determine reliability of the International Standards for Neurological Classification of Spinal Cord Injury (ISCSCI) motor and sensory exam in children. Setting: Nonprofit pediatric hospital. Methods: In all, 74 subjects had two trials of the motor and sensory exams. Intraclass correlation coefficients (ICC), 95% confidence intervals (CI) were generated for total motor (TM), pin prick (PP) and light touch (LT) scores for the entire sample, four age groups, severity and type of injury.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The International Standards for Neurological Classification of Spinal Cord Injury: reliability of data when applied to children and youths

et al. 2006

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“…As this may differ between the two sides of the body, the most caudal level with normal sensation or motor function is used. 19 These pains may occur in persons with either complete or incomplete injuries as defined by the International Standards.…”

Section: Format and Definitions Of The Iscip Classificationmentioning

confidence: 99%

International Spinal Cord Injury Pain Classification: part I. Background and description

et al. 2011

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Study design: Discussion of issues and development of consensus. Objective: Present the background, purpose, development process, format and definitions of the International Spinal Cord Injury Pain (ISCIP) Classification. Methods: An international group of spinal cord injury (SCI) and pain experts deliberated over 2 days, and then via e-mail communication developed a consensus classification of pain after SCI. The classification was reviewed by members of several professional organizations and their feedback was incorporated. The classification then underwent validation by an international group of clinicians with minimal exposure to the classification, using case study vignettes. Based upon the results of this study, further revisions were made to the ISCIP Classification. Results: An overall structure and terminology has been developed and partially validated as a merger of and improvement on previously published SCI pain classifications, combined with basic definitions proposed by the International Association for the Study of Pain and pain characteristics described in published empiric studies of pain. The classification is designed to be comprehensive and to include pains that are directly related to the SCI pathology as well as pains that are common after SCI but are not necessarily mechanistically related to the SCI itself. Conclusions:The format and definitions presented should help experienced and non-experienced clinicians as well as clinical researchers classify pain after SCI.

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“…The level and grade of SCI were evaluated using the international standards for neurological classification by American Spinal Injury Association (ASIA) on admission to the hospital and 30 days after admission. 7 Data were collected and entered into a previously designed database.…”

Section: Data Collection Proceduresmentioning

confidence: 99%

Orthostatic hypotension in the first month following acute spinal cord injury

et al. 2007

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Study Design: Retrospective data analysis. Objectives: To determine prevalence of orthostatic hypotension (OH) in patients with spinal cord injury (SCI) during the acute rehabilitation period. Setting: Quaternary care spinal unit, Vancouver General Hospital, British Columbia, Canada Methods: Eighty-nine patients with acute SCI stratified by neurological level (cervical, 55 (62%); upper thoracic, 12 (13%); lower thoracic, 22 (25%)), and graded by American Spinal Injury Association standards. Non-invasive measurement of systolic and diastolic blood pressure and heart rate were made at baseline and 3 min following an orthostatic challenge test administered during the first month after SCI. Results: Patients with cervical or upper thoracic motor complete SCI more frequently experienced OH (Po0.01). OH persisted during the first month following SCI in 74% of cervical and only 20% of upper thoracic motor complete SCI patients. Conclusion: Patients with cervical and upper thoracic motor complete SCI are more likely to experience persistent OH than those with lower level or motor incomplete SCI during the first month of rehabilitation.

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International Standards For Neurological Classification Of Spinal Cord Injury

Cited by 748 publications

References 8 publications

The International Standards for Neurological Classification of Spinal Cord Injury: reliability of data when applied to children and youths

The International Standards for Neurological Classification of Spinal Cord Injury: reliability of data when applied to children and youths

International Spinal Cord Injury Pain Classification: part I. Background and description

Orthostatic hypotension in the first month following acute spinal cord injury

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