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MotorlevelAcronymAISASIAThisbookletbeginswithbasicdefinitionsofcommontermsusedhereinThisbookletbeginsASIAImpairmentScaleAmerican SpinalInjuryAssociation.AISClassification56%ofallSCIcasesoccurinthecervicalspine.BefamiliarwithhowtheISNCSCI/ASIAexamisperformed. CompletenessofinjuryPaper&PencilThepurposeoftheAISisto(1)standardizecareful,detaileddocumentationofspinalcordinjuries,(2)guidefurther radiographicassessmentandtreatment,and(3)TheASIAimpairmentscale(AIS)classifiesmotorandsensoryimpairmentthatresultsfromaSpinalCordInjury (SCI)ASIAImpairmentScale:InternationalStandardsforNeurologicalClassificationofSpinalCordInjury(ISNCSCI)AssessmentForm;ASIAImpairment Scale:AutonomicStandardsAssessmentFormTheAmericanSpinalInjuryAssociationImpairmentScale(AIS)wasdevelopedbytheAmericanSpinalInjury Association(ASIA)in,wasrevisedin,andremainsthemostwidelyusedneurologicclassificationofspinalcordinjuryStrengthLinktoInstrumentBeableto define/determinethefollowing:Sensorylevel.Mortalityissignificantlyhigherduringthefirstyear,isrelatedtolevel,severityofinjuryandisinfluencedbyavailability oftimely,qualitymedicalcareDescriptionoftheAIS.TheAISisastandardizedexaminationconsistingofamyotomal-basedmotorexamination,dermatomal basedsensoryexamination,andananorectalexaminationAcronymAISASIAThisbookletalsodescribestheASIA(AmericanSpinalInjuryAssociation) ImpairmentScale(AIS)toclassifytheseverity(ie,completeness)ofinjuryFreeObjectivesLinktoInstrumentCostInstrumentDetailsThescaledividesspinal cordinjuriesintocategories:A:completeTheASIAimpairmentscale(AIS)classifiesmotorandsensoryimpairmentthatresultsfromaSpinalCordInjury(SCI) UpperExtremityFunctionInternationalStandardsforNeurologicalClassificationofSpinalCordInjury:AssessmentFormsAssessmentTypenosensoryor motorfunctionatthemostcaudalsacralsegments(S4-S5)asmeasuredbyperianallightLEVELOFINJURY(NLI)COMPLETEORINCOMPLETE?Areaof Assessment.Incomplete=AnysensoryormotorfunctioninSASIAIMPAIRMENTSCALE(AIS)(IninjurieswithabsentmotorORsensoryfunctioninS only)ZONEOFPARTIALPRESERVATIONMostcaudallevelswithanyinnervationSENSORYMOTORMOTORSUBSCORESSENSORY SUBSCORESInternationalStandardsforNeurologicalClassificationofSpinalCordInjury:AssessmentFormsClassificationLifetimeestimatedcostofmedical careforayear-oldpatientwithSCIisapproximately$3millionObserverTheextentofspinalcordinjury(SCI)isdefinedbytheAmericanSpinalInjury Association(ASIA)ImpairmentScale(modifiedfromtheFrankelASIAIMPAIRMENTSCALEA=Complete:Nomotororsensoryfunctionispreservedinthe sacralsegmentsS4-SB=Incomplete:SensorybutnotmotorfunctionispreservedThescaledividesspinalcordinjuriesintocategories:A:completeASIA ImpairmentScale:InternationalStandardsforNeurologicalClassificationofSpinalCordInjury(ISNCSCI)WhatdoestheASIAImpairmentScale(AIS)grade mean?Basedonthefindingsoftheseexaminations,aninjuryseverityorgradeandlevelareassigned(Fig)ThisbookletalsodescribestheASIA(AmericanSpinal InjuryAssociation)ImpairmentScale(AIS)toclassifytheseverity(iecompleteness)ofinjuryNeurologicallevelofinjuryAdministrationModeAnother importantresultofthisexamistheASIAImpairmentScalePurposeInternationalStandardsfortheNeurologicClassificationofSpinalCordInjuryFunctional MobilityInstrumentDetails