MENUHomeNewsTopics A - Z
Accessibility|Contact|Privacy|Terms|Cookies

Revised International Standards for Classification of Spinal Cord Injury


  • Published: 2011-12-29 (Revised/Updated 2012-09-21) : Author: Kessler Foundation
  • Synopsis: New standards that guide consistent classification of spinal cord injuries in care and research.

Journal of Spinal Cord Medicine publishes 2011 standards that guide consistent classification of spinal cord injuries in care and research.

Spinal Cord Injury - or spinal cord trauma, is damage to the spinal cord. It may result from direct injury to the cord itself or indirectly from damage to surrounding bones, tissues, or blood vessels. Spinal cord trauma can be caused by any number of injuries to the spine. They can result from motor vehicle accidents, falls, sports injuries, industrial accidents, gunshot wounds, assault, and other causes.

The 2011 revision of the International Standards for the Neurological Classification of Spinal Cord Injury (ISNCSCI) was published in the November 2011 issue of the Journal of Spinal Cord Medicine. The accompanying reference article by Steven Kirshblum et al clarifies the modifications to this newest revision. Both are available for free download via www.ingentaconnect.com/content/maney/scm (#6, Nov 2011).

ISNCSCI are the recommended guidelines for the consistent classification of the neurological level and extent of injury to achieve reliable data for clinical care and research studies in spinal cord injury.

Classification is based on systematic sensory and motor examination of dermatomes and myotomes to determine the spinal cord segments that are injured.

Following ISNCSCI guidelines yields the sensory and motor levels of injury (right and left), the neurological level of injury (NLI), sensory scores (pin prick & light touch), motor scores (upper and lower limbs) and the zone of partial preservation (ZPP). The ASIA Impairment Scale (AIS) classifies the severity, or completeness, of injury.

ISNCSCI is used to assess prognosis and measure recovery and results of rehabilitation interventions and experimental therapies.

This 2011 revision was generated by the American Spinal Injury Association (ASIA) in collaboration with the International Spinal Cord Society. Because of the importance of global dissemination of ISNCSCI to professionals in spinal cord injury care and research, the 2011 revised ISNSCI and reference article are freely available via ingentaconnect.com

First developed by ASIA in 1982, the widespread and consistent use of ISNCSCI's precisely defined classifications has facilitated clinical care as well as research in spinal cord medicine. ISNSCI is revised periodically to reflect advances in understanding of the neurological effects of spinal cord injury, and to ensure reliability and validity of the guidelines.

The Journal of Spinal Cord Medicine (JSCM) serves the international community of professionals dedicated to improving the lives of people with injuries/disorders of the spinal cord. JSCM is the peer-reviewed official journal of the Academy of Spinal Cord Injury Professionals, a US-based multidisciplinary organization serving scientists, physicians, psychologists, nurses, therapists and social workers in the field of spinal cord injury care and research. JSCM is published 6 times a year by Maney Publishing.

Submit disability news, coming events, as well as assistive technology product news and reviews.


Loan Information for low income singles, families, seniors and disabled. Includes home, vehicle and personal loans.


Famous People with Disabilities - Well known people with disabilities and conditions who contributed to society.


List of awareness ribbon colors and their meaning. Also see our calendar of awareness dates.


Blood Pressure Chart - What should your blood pressure be, and information on blood group types/compatibility.






Disclaimer: This site does not employ and is not overseen by medical professionals. Content on Disabled World is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. See our Terms of Service for more information.

Reporting Errors: Disabled World is an independent website, your assistance in reporting outdated or inaccurate information is appreciated. If you find an error please let us know.

© 2004 - 2018 Disabled World™