Elbow flexorsright c4 elbow flexors left wrist extensors. Knowledge of the causes of spinal cord injury sci and associated factors is critical in the development of successful prevention programs. Diagnosis and prognosis of traumatic spinal cord injury. International standards for the classification of spinal. Assessment of spinal cord injury neurological examination the american spinal injury association asia neurological evaluation system is an internationally accepted method of. American spinal cord injury association asia impairment. These videos have been created by and for our medical students. Asia impairment scale and spinal cord injuries youtube. Motor function is preserved below the neurological level, and more than half of key. Isncsci examiner name signature right left key muscles. Traumatic spinal cord injury sci is a serious disorder that has a profound impact on a patients physical and psychosocial wellbeing. Zone of partial preservation most caudal levels with any innervation sensory motor motor subscores sensory subscores. The forearm is in full pronation and the wrist in neutral.
The 2019 revision of the international standards for neurological classification of spinal cord injury isncsci was released at asia s honolulu meeting in spring, 2019. The asia american spinal injury association assessment protocol consists of two sensory examinations, a motor examination and a classification framework the impairment scale to quantify the severity of the spinal cord injury. American spinal injury association asia impairment scale describes a persons functional impairment as a result of their spinal cord injury. Key muscles are given a single level on asia elbow flexors c5 for simplification. Asia impairment scale ais spinal cord injuries are classified in general terms of being neurologically complete or incomplete based upon sacral sparing, which refers to the presence of sensory or motor function in the most caudal sacral segments i. Motor function is preserved below the neurological level. Rev 02 right uer upper extremity right t2 t3 t4 t5 t6 t7 t8 t10 t11 t12 l1 ler. Asia impairment scale ais in injuries with absent motor or sensory function in s45 only 6.
If muscle has only rostral root intact c5 for elbow flexors will likely have 35 strength. A spinal cord injury sci is damage to any part of the spinal cord or nerves extending from the spinal cord that often results in permanent changes in motor andor sensory abilities and other. The shoulder is in neutral rotation, neutral flexionextension, and neutral abadduction. Muscles generally innervated by at least two roots biceps c5,6. International standards for neurological classification of. This refers to the most caudal segment of the cord with intact sensation and antigravity 3 or more muscle function strength, provided that there is normal intact sensory and motor function rostrally respectively. Asia impairment scale ais in complete injuries only zone of partial preservation most caudal level with any innervation sensory motor r l this form may be copied freely but should not be altered without permission from the american spinal injury association. The nli is the most cephalad of the sensory and motor levels determined in. No motor or sensory function is preserved in the sacral segments s4s5. This is a orthopedic teaching video from orthopedic medical students on trauma or elective orthopedic surgery and relevant topics. The incidence of tsci is estimated to be 11 to 53 new cases per million population. Sensory but not motor function is preserved below the neurological level and includes the sacral segments s4s5. This study analyzed data from the national sci database.