f0826 international standards for neurological classification of sci worksheet hghdg
DESCRIPTION
jhufueTRANSCRIPT
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Comments:
(scoring on reverse side)
STANDARD NEUROLOGICAL CLASSIFICATION OF SPINAL CORD INJURY
REV 03/06
Patient Name ____________________________________
Examiner Name __________________________________ Date/Time of Exam___________________
(distal phalanx of middle finger)
(little finger)
SYeleswarapuText BoxNEUEXMDT
SYeleswarapuText BoxNEUEXTM
SYeleswarapuText BoxMTRULL
SYeleswarapuText BoxMTRULT
SYeleswarapuText BoxMTRLLR
SYeleswarapuText BoxMTRLLL
SYeleswarapuText BoxMTRLLT
SYeleswarapuText BoxSENSLTR
SYeleswarapuText BoxSENSLTL
SYeleswarapuText BoxSENSPPR
SYeleswarapuText BoxSENSPPL
SYeleswarapuText BoxSENSPPT
SYeleswarapuText BoxSENSLTT
SYeleswarapuText BoxANALCONT
SYeleswarapuText BoxANALSENS
SYeleswarapuText BoxSENSLVLR
SYeleswarapuText BoxSENSLVLL
SYeleswarapuText BoxMTRLVLR
SYeleswarapuText BoxMTRLVLL
SYeleswarapuText BoxCOMPLETE
SYeleswarapuText BoxAIS
SYeleswarapuText BoxSENSZPPR
SYeleswarapuText BoxSENSZPPL
SYeleswarapuText BoxMTRZPPR
SYeleswarapuText BoxMTRZPPL
SYeleswarapuText BoxMTRULR
SYeleswarapuText BoxC5MTRR
SYeleswarapuText BoxL2MTRR
SYeleswarapuText BoxL2MTRL
SYeleswarapuText BoxC2SLTR
SYeleswarapuText BoxC2SPPL
SYeleswarapuText BoxC2SPPR
SYeleswarapuText BoxC5MTRL
SYeleswarapuText BoxC8MTRL
SYeleswarapuText BoxT1MTRL
SYeleswarapuText BoxC6MTRL
SYeleswarapuText BoxC7MTRL
SYeleswarapuText BoxC8MTRR
SYeleswarapuText BoxT1MTRR
SYeleswarapuText BoxC7MTRR
SYeleswarapuText BoxC6MTRR
SYeleswarapuText BoxL3MTRR
SYeleswarapuText BoxL3MTRL
SYeleswarapuText BoxL4MTRR
SYeleswarapuText BoxL4MTRL
SYeleswarapuText BoxL5MTRR
SYeleswarapuText BoxL5MTRL
SYeleswarapuText BoxS1MTRR
SYeleswarapuText BoxS1MTRL
SYeleswarapuText BoxC2SLTL
SYeleswarapuText BoxC3SLTR
SYeleswarapuText BoxC3SLTL
SYeleswarapuText BoxC3SPPR
SYeleswarapuText BoxC3SPPL
SYeleswarapuText BoxC4SLTR
SYeleswarapuText BoxC4SLTL
SYeleswarapuText BoxC4SPPR
SYeleswarapuText BoxC4SPPL
SYeleswarapuText BoxC5SLTR
SYeleswarapuText BoxC5SLTL
SYeleswarapuText BoxC5SPPR
SYeleswarapuText BoxC5SPPL
SYeleswarapuText BoxC6SLTR
SYeleswarapuText BoxC6SLTL
SYeleswarapuText BoxC6SPPR
SYeleswarapuText BoxC6SPPL
SYeleswarapuText BoxC7SLTR
SYeleswarapuText BoxC7SLTL
SYeleswarapuText BoxC7SPPR
SYeleswarapuText BoxC7SPPL
SYeleswarapuText BoxC8SLTR
SYeleswarapuText BoxC8SLTL
SYeleswarapuText BoxC8SPPR
SYeleswarapuText BoxC8SPPL
SYeleswarapuText BoxT1SLTR
SYeleswarapuText BoxT1SLTL
SYeleswarapuText BoxT1SPPR
SYeleswarapuText BoxT1SPPL
SYeleswarapuText BoxT2SLTR
SYeleswarapuText BoxT2SLTL
SYeleswarapuText BoxT2SPPR
SYeleswarapuText BoxT2SPPL
SYeleswarapuText BoxT3SLTR
SYeleswarapuText BoxT3SLTL
SYeleswarapuText BoxT3SPPR
SYeleswarapuText BoxT3SPPL
SYeleswarapuText BoxT4SLTR
SYeleswarapuText BoxT4SLTL
SYeleswarapuText BoxT4SPPR
SYeleswarapuText BoxT4SPPL
SYeleswarapuText BoxT5SLTR
SYeleswarapuText BoxT5SLTL
SYeleswarapuText BoxT5SPPR
SYeleswarapuText BoxT5SPPL
SYeleswarapuText BoxT6SLTR
SYeleswarapuText BoxT6SLTL
SYeleswarapuText BoxT6SPPR
SYeleswarapuText BoxT6SPPL
SYeleswarapuText BoxT7SLTR
SYeleswarapuText BoxT7SLTL
SYeleswarapuText BoxT7SPPR
SYeleswarapuText BoxT7SPPL
SYeleswarapuText BoxT8SLTR
SYeleswarapuText BoxT8SLTL
SYeleswarapuText BoxT8SPPR
SYeleswarapuText BoxT8SPPL
SYeleswarapuText BoxT9SLTR
SYeleswarapuText BoxT9SLTL
SYeleswarapuText BoxT9SPPR
SYeleswarapuText BoxT9SPPL
SYeleswarapuText BoxT10SLTR
SYeleswarapuText BoxT10SLTL
SYeleswarapuText BoxT10SPPR
SYeleswarapuText BoxT10SPPL
SYeleswarapuText BoxT11SLTR
SYeleswarapuText BoxT11SLTL
SYeleswarapuText BoxT11SPPR
SYeleswarapuText BoxT11SPPL
SYeleswarapuText BoxT12SLTR
SYeleswarapuText BoxT12SLTL
SYeleswarapuText BoxT12SPPR
SYeleswarapuText BoxT12SPPL
SYeleswarapuText BoxL1SLTR
SYeleswarapuText BoxL1SLTL
SYeleswarapuText BoxL1SPPR
SYeleswarapuText BoxL1SPPL
SYeleswarapuText BoxL2SLTR
SYeleswarapuText BoxL2SLTL
SYeleswarapuText BoxL2SPPR
SYeleswarapuText BoxL2SPPL
SYeleswarapuText BoxL3SLTR
SYeleswarapuText BoxL3SLTL
SYeleswarapuText BoxL3SPPR
SYeleswarapuText BoxL3SPPL
SYeleswarapuText BoxL4SLTR
SYeleswarapuText BoxL4SLTL
SYeleswarapuText BoxL4SPPR
SYeleswarapuText BoxL4SPPL
SYeleswarapuText BoxL5SLTR
SYeleswarapuText BoxL5SLTL
SYeleswarapuText BoxL5SPPR
SYeleswarapuText BoxL5SPPL
SYeleswarapuText BoxS1SLTR
SYeleswarapuText BoxS1SLTL
SYeleswarapuText BoxS1SPPR
SYeleswarapuText BoxS1SPPL
SYeleswarapuText BoxS2SLTR
SYeleswarapuText BoxS2SLTL
SYeleswarapuText BoxS2SPPR
SYeleswarapuText BoxS2SPPL
SYeleswarapuText BoxS3SLTR
SYeleswarapuText BoxS3SLTL
SYeleswarapuText BoxS3SPPR
SYeleswarapuText BoxS3SPPL
SYeleswarapuText BoxS45SLTR
SYeleswarapuText BoxS45SLTL
SYeleswarapuText BoxS45SPPR
SYeleswarapuText BoxS45SPPL
strollingerText BoxUsed with permission of the American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2002: Atlanta, GA.
strollingerText BoxNote: It is recommended that this Data Set have two additional key variables:- SITE (to distinguish the location where the data are recorded) and- SUBJECT (to distinguish the patient/study participant)
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MUSCLE GRADING0 total paralysis
1 palpable or visible contraction
2 active movement, full range ofmotion, gravity eliminated
3 active movement, full range ofmotion, against gravity
4 active movement, full range ofmotion, against gravity and providessome resistance
5 active movement, full range ofmotion, against gravity and providesnormal resistance
5* muscle able to exert, in examinersjudgement, sufficient resistance to beconsidered normal if identifiableinhibiting factors were not present
NT not testable. Patient unable to reliablyexert effort or muscle unavailable for test-ing due to factors such as immobilization,pain on effort or contracture.
ASIA IMPAIRMENT SCALE
A = Complete: No motor or sensoryfunction is preserved in the sacralsegments S4-S5.
B = Incomplete: Sensory but not motorfunction is preserved below theneurological level and includes thesacral segments S4-S5.
C = Incomplete: Motor function is pre-served below the neurologicallevel, and more than half of keymuscles below the neurologicallevel have a muscle grade less than 3.
D = Incomplete: Motor function is pre-served below the neurologicallevel, and at least half of key mus-cles below the neurological levelhave a muscle grade of 3 or more.
E = Normal: Motor and sensory func-tion are normal.
CLINICAL SYNDROMES(OPTIONAL)
Central CordBrown-SequardAnterior CordConus MedullarisCauda Equina
STEPS IN CLASSIFICATIONThe following order is recommended in determining the classificationof individuals with SCI.
1. Determine sensory levels for right and left sides.2. Determine motor levels for right and left sides.
Note: in regions where there is no myotome to test, the motor levelis presumed to be the same as the sensory level.
3. Determine the single neurological level.This is the lowest segment where motor and sensory function is nor-mal on both sides, and is the most cephalad of the sensory andmotor levels determined in steps 1 and 2.
4. Determine whether the injury is Complete or Incomplete (sacral sparing).If voluntary anal contraction = No AND all S4-5 sensory scores = 0AND any anal sensation = No, then injury is COMPLETE.Otherwise injury is incomplete.
5. Determine ASIA Impairment Scale (AIS) Grade:Is injury Complete? If YES, AIS=A Record ZPP
(For ZPP record lowest dermatome or myotome on each side with some (non-zero score) preservation)
Is injury motor incomplete? If NO, AIS=B
(Yes=voluntary anal contraction OR motor function more than three levels below the motor level on a given side.)
Are at least half of the key muscles below the (single) neurological level graded 3 or better?
AIS=C AIS=D
If sensation and motor function is normal in all segments, AIS=ENote: AIS E is used in follow up testing when an individual with adocumented SCI has recovered normal function. If at initial testingno deficits are found, the individual is neurologically intact; theASIA Impairment Scale does not apply.
NO
YES
NO YES
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ClassificationofSCIBasic
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
MotorUpperLimbTotal
Right
MotorUpperLimbTotal
Left
MotorUpperLimbTotalRight+Left
MotorLowerLimbTotal
Right
MotorLowerLimbTotal
Left
MotorLowerLimbTotalRight+Left
SensoryLightTouchTotal
Right
SensoryLightTouchTotal
Left
SensoryLightTouchTotalRight+Left
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown Numeric(025) Numeric(025) Numeric(050) Numeric(025) Numeric(025) Numeric(050) Numeric(056) Numeric(056)
Numeric(0to112)
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTM MTRULR MTRULL MTRULT MTRLLR MTRLLL MTRLLT SENSLTR SENSLTL SENSLTT
Comments/SuggestedRevisions
Shouldbederivedfromrawdatainextendeddataset
Shouldbederivedfromrawdatainextendeddataset
Shouldbederivedfromrightandleftsubtotals
Shouldbederivedfromrawdatainextendeddataset
Shouldbederivedfromrawdatainextendeddataset
Shouldbederivedfromrightandleftsubtotals
Shouldbederivedfromrawdatainextendeddataset
Shouldbederivedfromrawdatainextendeddataset
Shouldbederivedfromrightandleftsubtotals
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ClassificationofSCIBasic
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTM
Comments/SuggestedRevisions
SensoryPinPrickTotal
Right
SensoryPinPrickTotal
Left
SensoryPinPrickTotalRight+Left
Voluntaryanalcontraction?
Anyanalsensation?
SensoryNeurologicalLevelRight
SensoryNeurologicalLevelLeft
MotorNeurologicalLevelRight
MotorNeurologicalLevelLeft
Numeric(056) Numeric(056)Numeric(0to112)
YesNo
YesNo
SENSPPR SENSPPL SENSPPT ANALCONT ANALSENS SENSLVLR SENSLVLL MTRLVLR MTRLVLL
Shouldbederivedfromrawdatainextendeddataset
Shouldbederivedfromrawdatainextendeddataset
Shouldbederivedfromrightandleftsubtotals
C01C08Cervical(C1C8)T01T12Thoracic(T1T12)L01L05Lumbar(L1L5)S01S05Sacral(S1S5)X00NormalX99UnknownorNotDone
C01C08Cervical(C1C8)T01T12Thoracic(T1T12)L01L05Lumbar(L1L5)S01S05Sacral(S1S5)X00NormalX99UnknownorNotDone
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ClassificationofSCIBasic
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTM
Comments/SuggestedRevisions
CompleteorIncomplete? ASIAImpairmentScale
SensoryZoneofPartial
PreservationRight
SensoryZoneofPartial
PreservationLeft
MotorZoneofPartial
PreservationRight
MotorZoneofPartial
PreservationLeft
CompleteIncomplete
ACompleteInjury.BIncomplete.CIncomplete.DIncomplete.ENormal.UUnknownornotapplicable.
COMPLETE AIS SENSZPPR SENSZPPL MTRZPPR MTRZPPLA.Complete:Sensorybutnotmotorfunctionispreservedbelowtheneurologicallevelandincludesthe
sacralsegmentsS4S5.
B.Incomplete:Sensorybutnotmotorfunctionispreservedbelowtheneurologicallevelandincludesthe
sacralsegmentsS4S5.
C.Incomplete:Motorfunctionispreservedbelowtheneurologicallevel,andmorethanhalfofkeymusclesbelowtheneurologicallevelhaveamuscle
gradelessthan3.
D.Incomplete:Motorfunctionispreservedbelowtheneurologicallevel,andatleasthalfofkeymusclesbelowtheneurologicallevelhaveamusclegradeof3
ormore.
E.Normal:Motorandsensoryfunctionarenormal.
C01C08Cervical(C1C8)T01T12Thoracic(T1T12)L01L05Lumbar(L1L5)S01S05Sacral(S1S5)X00NormalX99UnknownorNotDone
C01C08Cervical(C1C8)T01T12Thoracic(T1T12)L01L05Lumbar(L1L5)S01S05Sacral(S1S5)X00NormalX99UnknownorNotDone
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ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam MotorElbowflexorsRight MotorElbowflexorsLeft
MotorWristextensorsRight MotorWristextensorsLeft
MotorElbowextensorsRight
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTM C5MTRR C5MTRL C6MTRR C6MTRL C7MTRRComments/SuggestedRevisions
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ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
MotorElbowextensorsLeftMotorFingerflexorsRight
(distalphalanxofmiddlefinger)
MotorFingerflexorsLeft(distalphalanxofmiddlefinger)
MotorFingerabductorsRight(littlefinger)
MotorFingerabductorsLeft(littlefinger)
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
C7MTRL C8MTRR C8MTRL T1MTRR T1MTRL
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ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
MotorHipflexorsRight MotorHipflexorsLeftMotorKneeextensors
Right MotorKneeextensorsLeftMotorAnkledorsiflexors
Right
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
L2MTRR L2MTRL L3MTRR L3MTRL L4MTRR
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ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
MotorAnkledorsiflexorsLeft
MotorLongtoeextensorsRight
MotorLongtoeextensorsLeft
MotorAnkleplantarflexorsRight
MotorAnkleplantarflexorsLeft
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
0=totalparalysis1=palpableorvisiblecontraction2=activemovement,fullrangeofmotion,gravityeliminated3=activemovement,fullrangeofmotion,againstgravity4=activemovement,fullrangeofmotion,againstgravityandprovidessomeresistance5=activemovement,fullrangeofmotion,againstgravityandprovidesnormalresistance5*=muscleabletoexert,inexaminersjudgement,sufficientresistancetobeconsiderednormalifidentifiableinhibitingfactorswerenotpresent
L4MTRL L5MTRR L5MTRL S1MTRR S1MTRL
Page7of23
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ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryLightTouchC2Right
SensoryLightTouchC2Left
SensoryPinPrickC2Right
SensoryPinPrickC2Left
SensoryLightTouchC3Right
SensoryLightTouchC3Left
SensoryPinPrickC3Right
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
C2SLTR C2SLTL C2SPPR C2SPPL C3SLTR C3SLTL C3SPPR
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ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryPinPrickC3Left
SensoryLightTouchC4Right
SensoryLightTouchC4Left
SensoryPinPrickC4Right
SensoryPinPrickC4Left
SensoryLightTouchC5Right
SensoryLightTouchC5Left
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
C3SPPL C4SLTR C4SLTL C4SPPR C4SPPL C5SLTR C5SLTL
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ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryPinPrickC5Right
SensoryPinPrickC5Left
SensoryLightTouchC6Right
SensoryLightTouchC6Left
SensoryPinPrickC6Right
SensoryPinPrickC6Left
SensoryLightTouchC7Right
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
C5SPPR C5SPPL C6SLTR C6SLTL C6SPPR C6SPPL C7SLTR
Page10of23
-
ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryLightTouchC7Left
SensoryPinPrickC7Right
SensoryPinPrickC7Left
SensoryLightTouchC8Right
SensoryLightTouchC8Left
SensoryPinPrickC8Right
SensoryPinPrickC8Left
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
C7SLTL C7SPPR C7SPPL C8SLTR C8SLTL C8SPPR C8SPPL
Page11of23
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ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryLightTouchT1Right
SensoryLightTouchT1Left
SensoryPinPrickT1Right
SensoryPinPrickT1Left
SensoryLightTouchT2Right
SensoryLightTouchT2Left
SensoryPinPrickT2Right
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
T1SLTR T1SLTL T1SPPR T1SPPL T2SLTR T2SLTL T2SPPR
Page12of23
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ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryPinPrickT2Left
SensoryLightTouchT3Right
SensoryLightTouchT3Left
SensoryPinPrickT3Right
SensoryPinPrickT3Left
SensoryLightTouchT4Right
SensoryLightTouchT4Left
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
T2SPPL T3SLTR T3SLTL T3SPPR T3SPPL T4SLTR T4SLTL
Page13of23
-
ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryPinPrickT4Right
SensoryPinPrickT4Left
SensoryLightTouchT5Right
SensoryLightTouchT5Left
SensoryPinPrickT5Right
SensoryPinPrickT5Left
SensoryLightTouchT6Right
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
T4SPPR T4SPPL T5SLTR T5SLTL T5SPPR T5SPPL T6SLTR
Page14of23
-
ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryLightTouchT6Left
SensoryPinPrickT6Right
SensoryPinPrickT6Left
SensoryLightTouchT7Right
SensoryLightTouchT7Left
SensoryPinPrickT7Right
SensoryPinPrickT7Left
SensoryLightTouchT8Right
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
T6SLTL T6SPPR T6SPPL T7SLTR T7SLTL T7SPPR T7SPPL T8SLTR
Page15of23
-
ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryLightTouchT8Left
SensoryPinPrickT8Right
SensoryPinPrickT8Left
SensoryLightTouchT9Right
SensoryLightTouchT9Left
SensoryPinPrickT9Right
SensoryPinPrickT9Left
SensoryLightTouchT10Right
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
T8SLTL T8SPPR T8SPPL T9SLTR T9SLTL T9SPPR T9SPPL T10SLTR
Page16of23
-
ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryLightTouchT10Left
SensoryPinPrickT10Right
SensoryPinPrickT10Left
SensoryLightTouchT11Right
SensoryLightTouchT11Left
SensoryPinPrickT11Right
SensoryPinPrickT11Left
SensoryLightTouchT12Right
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
T10SLTL T10SPPR T10SPPL T11SLTR T11SLTL T11SPPR T11SPPL T12SLTR
Page17of23
-
ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryLightTouchT12Left
SensoryPinPrickT12Right
SensoryPinPrickT12Left
SensoryLightTouchL1Right
SensoryLightTouchL1Left
SensoryPinPrickL1Right
SensoryPinPrickL1Left
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
T12SLTL T12SPPR T12SPPL L1SLTR L1SLTL L1SPPR L1SPPL
Page18of23
-
ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryLightTouchL2Right
SensoryLightTouchL2Left
SensoryPinPrickL2Right
SensoryPinPrickL2Left
SensoryLightTouchL3Right
SensoryLightTouchL3Left
SensoryPinPrickL3Right
SensoryPinPrickL3Left
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
L2SLTR L2SLTL L2SPPR L2SPPL L3SLTR L3SLTL L3SPPR L3SPPL
Page19of23
-
ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryLightTouchL4Right
SensoryLightTouchL4Left
SensoryPinPrickL4Right
SensoryPinPrickL4Left
SensoryLightTouchL5Right
SensoryLightTouchL5Left
SensoryPinPrickL5Right
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
L4SLTR L4SLTL L4SPPR L4SPPL L5SLTR L5SLTL L5SPPR
Page20of23
-
ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryPinPrickL5Left
SensoryLightTouchS1Right
SensoryLightTouchS1Left
SensoryPinPrickS1Right
SensoryPinPrickS1Left
SensoryLightTouchS2Right
SensoryLightTouchS2Left
SensoryPinPrickS2Right
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
L5SPPL S1SLTR S1SLTL S1SPPR S1SPPL S2SLTR S2SLTL S2SPPR
Page21of23
-
ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryPinPrickS2Left
SensoryLightTouchS3Right
SensoryLightTouchS3Left
SensoryPinPrickS3Right
SensoryPinPrickS3Left
SensoryLightTouchS45Right
SensoryLightTouchS45Left
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
S2SPPL S3SLTR S3SLTL S3SPPR S3SPPL S45SLTR S45SLTL
Page22of23
-
ClassificationofSCIExtended
Proposed8CharacterVariables:
DataElement Site Subject DateofExam TimeofExam
Format/Codes
Numeric(yyyymmdd)88888888NotDone99999999Unknown
Numeric(hh:mm)with24hourclock88:88NotDone99:99Unknown
8CharacterVariable SITE SUBJECT NEUEXMDT NEUEXTMComments/SuggestedRevisions
SensoryPinPrickS45Right
SensoryPinPrickS45Left
0=absent1=impaired2=normalNT=nottestable
0=absent1=impaired2=normalNT=nottestable
S45SPPR S45SPPL
Page23of23
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