ASIA IMPAIRMENT SCALE

■ A = Complete: No motor or sensory

function is preserved in the
sacral segments S4-S5.
■ B = Incomplete: Sensory but not
motor function is preserved
below the neurological level and
includes the sacral segments S4-S5.
■ C = Incomplete: Motor function is
preserved below the neurological
level, and more than half of key
muscles below the neurological
level have a muscle grade less
than 3.
■ D = Incomplete: Motor function is
preserved below the neurological
level, and at least half of key
muscles below the neurological
level have a muscle grade of 3
or more.
■ E = Normal: motor and sensory
function are normal

CLINICAL SYNDROMES
■ Central Cord
■ Brown-Sequard
■ Anterior Cord
■ Conus Medullaris
■ Cauda Equina
 STANDARD NEUROLOGICAL CLASSIFICATION OF SPINAL CORD INJURY
MOTOR LIGHT
TOUCH
PIN
PRICK SENSORY
R L KEY MUSCLES R L R L KEY SENSORY POINTS
C2 C2
0 = absent
C3 C3
1 = impaired
C4 C4
2 = normal
C5 Elbow flexors C5 NT = not testable C2
C6 Wrist extensors C6 C3

C7 Elbow extensors C7 C4
T2 T2
C8 Finger flexors (distal phalanx of middle finger) C8 C5
T3
C5
T4
T1 Finger abductors (little finger) T1 T5

T2 T2 T6
T7
T3 0 = total paralysis T3 T8
T1 T9 T1
T4 1 = palpable or visible contraction T4 C6 C6
T10

T5 2 = active movement, T5 T11

gravity eliminated T12

T6 T6 L1 L1
3 = active movement, Palm Palm
T7 T7
against gravity
T8 4 = active movement, T8
T9 against some resistance T9 L2 L2

T10 5 = active movement, T10

C8
C8
T11 T11

C6
against full resistance

C7

C7
L3 L3
T12 NT = not testable T12 Dorsum Dorsum

L1 L1
L2 Hip flexors L2 L4 L4
L3 Knee extensors L3 L5 L5

L4 Ankle dorsiflexors L4
L5 Long toe extensors L5
S1 Ankle plantar flexors S1 Key Sensory Points
S2 S2 S1 S1

S3 S3 S1

S4-5 Voluntary anal contraction (Yes/No) S4-5 Any anal sensation (Yes/No)

■ +■ = PIN PRICK SCORE (max: 112)

TOTALS ■ + ■ = MOTOR SCORE TOTALS { ■ +■ = LIGHT TOUCH SCORE (max: 112)
(MAXIMUM) (50) (50) (100) (MAXIMUM) (56) (56) (56) (56)

NEUROLOGICAL R L COMPLETE OR INCOMPLETE? ZONE OF PARTIAL R L

LEVEL SENSORY Incomplete = Any sensory or motor function in S4-S5 PRESERVATION SENSORY
The most caudal segment MOTOR Caudal extent of partially MOTOR
with normal function ASIA IMPAIRMENT SCALE innervated segments

This form may be copied freely but should not be altered without permission from the American Spinal Injury Association. 2000 Rev.