Article

Descriptive comparison analysis. OBJECTIVE: To evaluate whether
five training cases of International Spinal Cord Injury Core Data Set (ISCICDS)
are appropriate for testing the facts within the International Standards for
Neurological Classification of Spinal Cord Injury (ISNCSCI) and could thus be
used for testing its training effectiveness. METHODS: The authors reviewed the
five training cases from the ISCICDS and determined the sensory level (SL), motor
level (ML) and American Spinal Injury Association Impairment Scale (AIS) for the
training cases. The key points from the training cases were compared with our
interpretation of the key aspects of the ISNCSCI. RESULTS: For determining SL,
three principles of ML, sacral sparing, complete injury, classification of AIS A,
B, C and D, determining motor incomplete status through sparing of motor function
more than three levels below the ML, there are corresponding case scenarios in
ISCICDS. However, no case scenario shows classification of AIS E and the use of
voluntary anal sphincter contraction for determination of motor incomplete
status. Neurological level of injury could be deduced from the SL and ML.
Finally, none of the cases include information about zone of partial
preservation, sensory score or motor score. CONCLUSION: Majority of the facts
related to SL, ML and AIS are included in the five training cases of ISCICDS.
Thus, using these training cases, it is feasible to test the above facts within
the ISNCSCI. It is suggested that the missing fact should be included in an
update of the training cases.

Langue : ANGLAIS