Gait Post Spinal Cord Injury: Difference between revisions
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=== ASIA Impairment Scale === | === ASIA Impairment Scale === | ||
The '''American Spinal Injury Association (ASIA)''' created the ''International Standards for Neurological'' ''Classification of Spinal cord injury'' (ISNCSCI) which provides a standardized examination method to determine the extent of motor and sensory function loss after a spinal cord injury (SCI) for establishing prognosis and is also an important tool for clinical research trials.<ref>O'sullivan, S.B, Schmitz , T.J, Fulk, G.D. Physical Rehabilitation. (6th ed.). Philadelphia: FA Davis Company; c2014.</ref> | The '''American Spinal Injury Association (ASIA)''' created the ''International Standards for Neurological'' ''Classification of Spinal cord injury'' (ISNCSCI) which provides a standardized examination method to determine the extent of motor and sensory function loss after a spinal cord injury (SCI) for establishing prognosis and is also an important tool for clinical research trials.<ref>O'sullivan, S.B, Schmitz , T.J, Fulk, G.D. Physical Rehabilitation. (6th ed.). Philadelphia: FA Davis Company; c2014.</ref> | ||
It is explained in detail right here - [[American Spinal Cord Injury Association (ASIA) Impairment Scale]] | |||
=== Complete And Incomplete Injuries and Zones of Preservation === | |||
The ''International Standards for Neurological'' ''Classification of Spinal cord injury'' (ISNCSCI) defines a '''complete injury''' as having no sensory or motor function in the lowest sacral segments (S4 and S5). Sensory and motor function at S4 and S5 are determined by anal sensation and voluntary external anal sphincter contraction. An '''incomplete''' '''injury''' is classified as having motor and/or sensory function below the neurological level including sensory and/or motor function at S4 and S5. If an individual has motor and/or sensory function below the neurological level but does not have function at S4 and S5, then the areas of intact motor and/or sensory function below the neurological level are termed '''zones of partial preservation'''.<ref>Kirshblum SC, Biering-Sorensen F, Betz R, Burns S, Donovan W, Graves DE, Johansen M, Jones L, Mulcahey MJ, Rodriguez GM, Schmidt-Read M. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3232636/ International standards for neurological classification of spinal cord injury: cases with classification challenges.] The journal of spinal cord medicine. 2014 Mar 1;37(2):120-7</ref> | |||
== References == | == References == | ||
Revision as of 10:00, 23 September 2020
Original Editor - Prit Shah
Top Contributors - Prit Shah, Naomi O'Reilly, Kim Jackson and Nikhil Benhur Abburi
Introduction[edit | edit source]
The recovery or improvement of ambulation after a Spinal cord injury (SCI) is an important goal because people who can walk independently are more likely to be able to participate in expected social roles and desired recreational activities, have a higher quality of life, and have improved health status.
The ability to walk after a Spinal cord injury (SCI) depends on many factors including your:
- Level of injury.
- Severity of injury.
- Time since injury.
- Age.
- Level of fitness.
- Level of sensation
- Other related problems such as spasticity and joint problems (contractures).
- Level of pain. [1]
Therefore, it is difficult to predict if a patient will ever regain his walking ability and especially at what point of time in his rehabilitation. Some patients take a few months up to a year and some take many years.
Identifying the Level of Lesion[edit | edit source]
The designation of level of lesion in the spinal cord and the extent of motor and sensory function after injury has a large impact on the medical and rehabilitation needs of the individual.
ASIA Impairment Scale[edit | edit source]
The American Spinal Injury Association (ASIA) created the International Standards for Neurological Classification of Spinal cord injury (ISNCSCI) which provides a standardized examination method to determine the extent of motor and sensory function loss after a spinal cord injury (SCI) for establishing prognosis and is also an important tool for clinical research trials.[2]
It is explained in detail right here - American Spinal Cord Injury Association (ASIA) Impairment Scale
Complete And Incomplete Injuries and Zones of Preservation[edit | edit source]
The International Standards for Neurological Classification of Spinal cord injury (ISNCSCI) defines a complete injury as having no sensory or motor function in the lowest sacral segments (S4 and S5). Sensory and motor function at S4 and S5 are determined by anal sensation and voluntary external anal sphincter contraction. An incomplete injury is classified as having motor and/or sensory function below the neurological level including sensory and/or motor function at S4 and S5. If an individual has motor and/or sensory function below the neurological level but does not have function at S4 and S5, then the areas of intact motor and/or sensory function below the neurological level are termed zones of partial preservation.[3]
References[edit | edit source]
- ↑ 1. Spinal Cord Injury and Gait Training. Available at - https://msktc.org/sci/factsheets/Gait-Training-and-SCI
- ↑ O'sullivan, S.B, Schmitz , T.J, Fulk, G.D. Physical Rehabilitation. (6th ed.). Philadelphia: FA Davis Company; c2014.
- ↑ Kirshblum SC, Biering-Sorensen F, Betz R, Burns S, Donovan W, Graves DE, Johansen M, Jones L, Mulcahey MJ, Rodriguez GM, Schmidt-Read M. International standards for neurological classification of spinal cord injury: cases with classification challenges. The journal of spinal cord medicine. 2014 Mar 1;37(2):120-7
