Neurological Examination in Spinal Cord Injury and Determination of Neurological Level

Introduction

Spinal cord injuries (SCI) require thorough neurological assessments to determine impairment levels and guide treatment.

The ASIA Impairment Scale

The American Spinal Injury Association (ASIA) Impairment Scale classifies spinal injuries based on sensory and motor functions.

Classification Levels

• A: Complete injury, no motor or sensory function.
• B: Incomplete injury, sensory function intact, no motor function.
• C: Incomplete injury, weak motor function.
• D: Incomplete injury, stronger motor function.
• E: Normal function.

Assessment Methods

Neurological evaluations include sensory tests, motor function assessments, and reflex examinations.

Clinical Implications

The ASIA scale aids in prognostication and rehabilitation planning.