PMID- 9160450
OWN - NLM
STAT- MEDLINE
DCOM- 19970721
LR  - 20191102
IS  - 1362-4393 (Print)
IS  - 1362-4393 (Linking)
VI  - 35
IP  - 5
DP  - 1997 May
TI  - Neurological issues.
PG  - 275-81
AB  - The case histories of two patients who had had a spinal cord injury (SCI) were 
      selected by the senior author and sent to four experts in the field of SCI. Based 
      on the 1992 American Spinal Injury Association (ASIA) and International Medical 
      Society of Paraplegia (IMSOP) standards, the four participants plus the senior 
      author recorded the motor and sensory scores, the ASIA impairment scale (AIS), 
      the neurological level (NL) and the zone of partial preservation (ZPP). Several 
      minor scoring errors occurred among the participants, especially with motor 
      scores when key muscles could not be tested due to pain, or external 
      immobilization devices. Difficulties with interpretation occurred with the motor 
      levels and the ZPP for the patient with a complete injury. This exercise points 
      to the need for all examiners of SCI patients to thoroughly familiarize 
      themselves with the standards and to use the motor and sensory scores to arrive 
      at a NL and ZPP. They also indicate a need to revise the standards to clarify the 
      determination of sensory levels and how to score muscles whose strength is 
      inhibited by pain.
FAU - Donovan, W H
AU  - Donovan WH
AD  - Department of Physical Medicine and Rehabilitation, University of Texas--Houston 
      Medical School 77096, USA.
FAU - Brown, D J
AU  - Brown DJ
FAU - Ditunno, J F Jr
AU  - Ditunno JF Jr
FAU - Dollfus, P
AU  - Dollfus P
FAU - Frankel, H L
AU  - Frankel HL
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - England
TA  - Spinal Cord
JT  - Spinal cord
JID - 9609749
SB  - IM
MH  - Adult
MH  - Humans
MH  - Male
MH  - Movement/physiology
MH  - Neurologic Examination
MH  - Sensation/physiology
MH  - Spinal Cord Compression/pathology
MH  - Spinal Cord Injuries/*classification/pathology
EDAT- 1997/05/01 00:00
MHDA- 2001/03/28 10:01
CRDT- 1997/05/01 00:00
PHST- 1997/05/01 00:00 [pubmed]
PHST- 2001/03/28 10:01 [medline]
PHST- 1997/05/01 00:00 [entrez]
AID - 10.1038/sj.sc.3100449 [doi]
PST - ppublish
SO  - Spinal Cord. 1997 May;35(5):275-81. doi: 10.1038/sj.sc.3100449.