ASIA SCALE FOR SPINAL CORD INJURY ASSESSMENT

The aim of the ASIA scale is to provide; standardised and detailed documentation of the SCI neurological level of injury; guidance for radiographic assessment and treatment, and. to determine if the SCI is complete or incomplete.

1. A M E R I C A N S P I N A L I N J U R Y A S S O C I A T I O N
( A S I A ) S C A L E
BY D R . M U Z A H I DS H E I K H ( P T )
ASIA SCALE

2. Dr.Muzahid
Sheikh
History
• Frankel five-grade system introduced -In 1969
• Frankel scale was adapted by ASIA-In 1982.

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SENSORY GRADING
0 = Absent
1= Altered, either decreased/impaired sensation or
hypersensitivity
2 = Normal
NT= Not testable

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MOTOR TESTING

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DETERMINE WHETHER THE INJURY IS
COMPLETE OR INCOMPLETE
•If voluntary anal contraction = No
•all S4-5 sensory scores = 0
•Perianal Contraction = No,
then injury is Complete.
•Otherwise, injury is Incomplete.

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HOW TO GRADE ASIA SCALE

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