Asia scale for spinal injury pdf

Elbow flexorsright c4 elbow flexors left wrist extensors. Asia and iscos international standards committee, asia education committee, rupp r. American spinal cord injury association asia impairment. American spinal injury association asia impairment scale. Standard neurological classification of spinal cord injury motor sensory rl key muscles rl r l c2 c2 c3 c3 c4 c4 c5 elbow flexors c5 c6 wrist extensors c6.

The extent of spinal cord injury sci is defined by the american spinal injury association asia impairment scale modified from the frankel. No motor or sensory function is preserved in the sacral segments s4s5. Be familiar with how the isncsciasia exam is performed. The field of sci is fortunate that the isncsci includes the asia impairment scale or ais is available so there is a standardized terminology to clinically describe the neurological level and severity of a. Motor function is preserved below the neurological level, and more than half of key. Asia updateasia impairment scale turkish journal of physical. Construct validity of the asia motor score as a measure of recovery following spinal cord injury and as an outcome measure for clinical trials is greater when upper extremity and lower extremity motor scores are scored independently and not summated together.

The american spinal injury association impairment scale is a standardized neurological examination used by the rehabilitation team to assess the sensory and. Assessor accuracy of the international standards for neurological classification of spinal cord. International standards for the neurologic classification of. It is ideally completed within 72 hours after the initial injury. Spinal cord injury, asia impairment scale, classification. The premier north american organization in the field of spinal cord injury care, education, and research. The asia impairment scale is follows the frankel scale but differs from the older scale in several important respects. Asia impairment scale american spinal injury association. This is a system of tests used to define and describe the extent and severity of a patients spinal cord injury and help determine future rehabilitation and recovery needs. American spinal cord injury association asia impairment scale. Asia impairment scale and spinal cord injuries youtube. Sensory but not motor function is preserved below the neurological level and includes the sacral segments s4s5.

It did not specify the level of spine injury in its classification. The international standards for neurological classification of spinal cord injury isncsci are validated for injury classification. The terminology of spinal cord injury levels, severity, and classification. Someone without an initial sci does not receive an ais grade. International standard for neurological classification of. To document the sensory, motor and nli levels, the asia impairment scale grade, and. Asia impairment scale innervated segments rl sensory motor rl sensory motor this form may be copied freely but should not be altered without permission from the american spinal injury association. This is a orthopedic teaching video from orthopedic medical students on trauma or elective orthopedic surgery and relevant topics. Asia impairment scale ais in injuries with absent motor or sensory function in s45 only 6. Zone of partial preservation most caudal levels with any innervation sensory motor motor subscores sensory subscores. The american spinal injury association provides downloads for multiple worksheets, guides, brochures and more that may be useful to anyone in the sci field. It was originally developed by the american spinal injury association asia and is. However, the frankel scale had considerable limitations.

The international standards for neurological classification of spinal cord injury. First, instead of no function below the injury level, asia a is defined as a person with no motor or sensory function preserved in the sacral segments s4s5. Isncsci examiner name signature right left key muscles. Includes asia sci classification approach and complete verses incomplete injuries.