ASIA

Question 1

ASIA

Answer 1

Define and describe the extent and severity of patien’s SCI,
Grade based on sensation and motor function

Question 2

Most important part of ASIA

Answer 2

Talk to pt first! Ask them about extent of sensory and motor disturbances, where, etc

Question 3

Number of dermatome for ASIA

Answer 3

28 assessed bilaterally

Question 4

Sensory grading

Answer 4

0 = absent
1 = altered, decreased/impaired or hypersensitive
2 = normal
NT = not tested

Question 5

Number of muscle groups for myotome

Answer 5

10

Question 6

C5 myotome

Answer 6

Elbow flexors - biceps

Question 7

C6 myotome

Answer 7

Wrist extensors - radial extensor group

Question 8

C7 myotome

Answer 8

Elbow extensors - triceps

Question 9

C8 myotome

Answer 9

Finger flexors - along volar surface middle phalanx

Question 10

T1 myotome

Answer 10

(Little) finger abduction (abd dig. Mini)

Question 11

L2 myotome

Answer 11

Hip flexors

Question 12

L3 myotome

Answer 12

Knee extensors

Question 13

L4 myotome

Answer 13

Ankle dorsiflexors

Question 14

L5 myotome

Answer 14

Long toe extensors

Question 15

S1 myotome

Answer 15

Ankle plantar flexors

Question 16

Nerves tested

Answer 16

C2- S4/S5

Question 17

Muscle grades

Answer 17

0= total paralysis
1 = palpable/visible contraction
2 = active movement, full ROM w/ grav elim
3 = active move, full ROM against grav
4 = same as three AND mod restistance
5 = same as three AND full resistance

Question 18

Determining sensor level

Answer 18

Most caudal level that is intact w/ both light touch and pin prince w/ everything else above testing normal

Question 19

Determine motor level

Answer 19

Lowest key muscle function that has at least grade 3 w/ all muscle grades above getting a 5

Question 20

Determine ASIA level

Answer 20

Determine sensory and motor separate then pick highest level between the two

Question 21

ASIA grade A

Answer 21

Complete - no sensory or motor is preserved in sacral segments S4-5

Question 22

ASIA grade B

Answer 22

Sensory incomplete.
Sensory but not motor function preserved below neuro level and includes sacral segment S4-5 —> no motor preserved more than 3 levels below the motor level on either side

Question 23

ASIA grade C

Answer 23

Motor incomplete

Motor function preserved below neuro level, and more than 1/2 muscles < grade 3

Question 24

ASIA grade D

Answer 24

Motor incomplete

Motor preserved below NLI and at least 1/2 muscles below >3

Question 25

ASIA grade E

Answer 25

Normal

If sensation and motor fx are graded as normal in all segments, ant pt had prior deficits, then AISA grade is E

Question 26

Sacral function

Answer 26

Anal spinster innervated by S4-5

-if person has ANY voluntary anal contraction, they are motor incomplete

Question 27

Complete

Answer 27

Nothing below S3, S4-5

Some movement/sense below level of injury but NO voluntary anal contraction, sensation in S4-5, deep anal pressure

Question 28

Incomplete

Answer 28

Anything in S3, S4-5, voluntary anal contraction, deep anal pressure

Question 29

Sparing

Answer 29

Movement of below the level of injury