ASIA score

Question 1

motor - C5

Answer 1

flex elbow

Question 2

motor-C6

Answer 2

wrist extention

Question 3

motor-C7

Answer 3

elbow extention

Question 4

motor -C8

Answer 4

Finger flexion

Question 5

motor-Th1

Answer 5

little finger abduction

Question 6

motor -L2

Answer 6

Hip flexiom

Question 7

motor-L3

Answer 7

knee extension

Question 8

motor-L4

Answer 8

Dorsiflex foot (if damaged - drop foot)

Question 9

motor-L5

Answer 9

dorsiflex big toe

Question 10

motor -S1

Answer 10

plantarflex foot

Question 11

How is motorfunction graded in ASIA score?

Answer 11

0-5.
0= total paralys
1= palpabel or visible contraction
2= gravity eliminated
3= active movement against gravity
4= active movement against resistance
5= normal corrected for pain.
NT= not testable

Question 12

What more than c5-S1 muscles are tested motorically?

Answer 12

Voluntary anal contraction Yes/No
and
Deep Anal Pressure Yes/No

Question 13

How is the sensory function measured?

Answer 13

Two entities are scored. 1. Light touch
2. Pin prick. (pain)

Each is given 0-2p
0= abscent
1=altered
2= normal
NT= not testable

Question 14

What dermatome is the back of the head and ear?

Answer 14

C2

Question 15

What dermatome is the neck?

Answer 15

C3

Question 16

What dermatome is the clavicle and area over the deltoid muscle?

Answer 16

C4

Question 17

What dermatome is the outside of the upper arm?

Answer 17

C5

Question 18

What dermatome is the outside of the lower arm, thumb and dig2 (both sides)

Answer 18

C6

Question 19

What dermatome is dig4 and 5 (both sides)?

Answer 19

C8

Question 20

What dermatome is dig 3 (both sides)?

Answer 20

C7

Question 21

WHat dermatome is the inside (closest to the body in anatomical position) of the underarm, down to the wrist?

Answer 21

Th1

Question 22

What dermatome is the inside of the arm of the upper arm?

Answer 22

Th2

Question 23

What dermatome is the nipple included in?

Answer 23

Th4

Question 24

What dermatome is the umbiliqus included in?

Answer 24

Th10

Question 25

What dermatome is the groin?

Answer 25

L1

Question 26

What dermatomes are the anal opening?

Answer 26

S4-5

Question 27

What dermatome is frontside knee?

Answer 27

L3

Question 28

What dermatome is medial frontside underknee down to and including the medial maleolus?

Answer 28

L4

Question 29

What dermatome is the lateral side under knee crossing over and including dig 1-3 of the foot?

Answer 29

L5 (observe that L5 also is responsible for big toe dorsoflexion (extension))

Question 30

What dermatome is the heel and middle back to the knee?

Answer 30

S1?

Question 31

What dermatome is above S1 on the hindside?

Answer 31

S2.

Question 32

What is the ASIA Impairment Scale AIS?

Answer 32

Label A-E grade the damage dependent on what came out of the scoring.

Question 33

What is AIS A?

Answer 33

Complete injury. No sensory or motor function is preserved in the sacral segments S4-5

Question 34

AIS-B?

Answer 34

Sensory incomplete -Sensory but not motor f is preserved below the neurological level and includes the sacral segments S4-5 (light touch OR pin prick at S4-5 OR deep anal pressure) AND NO motorfunction is preserved more than three levels below the motorlevel on either side of the body.

Question 35

What is deep anal pressure representing?

Answer 35

sensory function at level S4-5

Question 36

What is AIS C?

Answer 36

Motor incomplete - alt 1. Motor function is preserved at the most caudal sacral segments for voluntary anal contraction OR alt 2: the pt meets criteria for sensory incomplete status and has some sparing of motorfunction more than three levels below the ipsilateral motorlevel on either side of body. -Here non-key motorfunction might need to be evaluated. For AIS C-less than 1/2 of key muscle functions below the single NLI have a muscle grade of more or equal to 3.

Question 37

What is AIS D?

Answer 37

Motor incomplete- Half or more of KEY musle functions below the single NLI have muscle grade equal to or over 3.

Question 38

AIS E ?

Answer 38

Normal. compared to previous injuries. If the patient hasnt had an initial SCI an AIS grade is not given at all.

Question 39

According to ASIA score - how is the sensory level determiined?

Answer 39

The most caudal intact dermatome for both pin prick and light touch. (left and right side separate)

Question 40

How is the motorlevel determined in ASIA score?

Answer 40

The lowest level where the patient has at least score 3 (and the levels above are 5).

Question 41

What is judged as NLI - neurological level of injury?

Answer 41

The most cephalad of the sensory and motorlevels determined. (the lowest level where everything is intact)

Question 42

How is it determined if the injury is complete or incomplete?

Answer 42

Sacral sparing! To be a complete injury all of the following need to be fullfilled NO voluntary anal contraction NO deep anal pressure NO sensory function analy (S4-5) (neither pin prick nor light touch)

Question 43

How is it determined if the injury is MOTOR complete?

Answer 43

Then there is no voluntary anal contraction OR any motor function more than three levels below the motor level on a given side, if the patient has sensory incomplete classification.