The International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) 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.
Online form for calculation of the ISNCSCI: http://ais.emsci.org
Form in EMSCI-database (offline):
The following definitions are used in grading the degree of impairment:
|
GRADE |
DEFINITION |
|
A |
Complete. No sensory or motor function is preserved in the sacral segments S4-S5. |
|
B |
Incomplete. Sensory but not motor function is preserved below the neurological level and includes the sacral segments S4-S5. |
|
C |
Incomplete. Motor function is preserved below the neurological level, and more than half of key muscles below the neurological level have a muscle grade less than 3 (Grades 0-2). |
|
D |
Incomplete. Motor function is preserved below the neurological level, and at least half of key muscles below the neurological level have a muscle grade greater than or equal to 3. |
|
E |
Normal. Sensory and motor functions are normal. |