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):
 

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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.