Spinal Cord Injury – ASIA Scale

 

 

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Key sensory points:

  • C2 At least one cm lateral to the occipital protuberance at the base of the skull. Alternately, it can be located at least 3 cm behind the ear.
  • C3 In the supraclavicular fossa, at the midclavicular line.
  • C4 Over the acromioclavicular joint.
  • C5 On the lateral (radial) side of the antecubital fossa just proximal to the elbow (see image below).
  • C6 On the dorsal surface of the proximal phalanx of the thumb.
  • C7 On the dorsal surface of the proximal phalanx of the middle finger.
  • C8 On the dorsal surface of the proximal phalanx of the little finger.
  • T1 On the medial (ulnar) side of the antecubital fossa, just proximal to the medial epicondyle of the humerus.
  • T2 At the apex of the axilla. T2 T1 C5 International Standards for the Classification of Spinal Cord Injury Key Sensory Points June 2008
  • T3 At the midclavicular line and the third intercostal space, found by palpating the anterior chest to locate the third rib and the corresponding third intercostal space below it.
  • T4 At the midclavicular line and the fourth intercostal space, located at the level of the nipples.
  • T5 At the midclavicular line and the fifth intercostal space, located midway between the level of the nipples and the level of the xiphisternum.
  • T6 At the midclavicular line, located at the level of the xiphisternum.
  • T7 At the midclavicular line, one quarter the distance between the level of the xiphisternum and the level of the umbilicus.
  • T8 At the midclavicular line, one half the distance between the level of the xiphisternum and the level of the umbilicus.
  • T9 At the midclavicular line, three quarters of the distance between the level of the xiphisternum and the level of the umbilicus.
  • T10 At the midclavicular line, located at the level of the umbilicus.
  • T11 At the midclavicular line, midway between the level of the umbilicus and the inguinal ligament.
  • T12 At the midclavicular line, over the midpoint of the inguinal ligament.
  • L1 Midway between the key sensory points for T12 and L2.
  • L2 On the anterior-medial thigh, at the midpoint drawn on an imaginary line connecting the midpoint of the inguinal ligament and the medial femoral condyle.
  • L3 At the medial femoral condyle above the knee.
  • L4 Over the medial malleolus.
  • L5 On the dorsum of the foot at the third metatarsal phalangeal joint.
  • T12 L1 L2 L3 L4 L5 International Standards for the Classification of Spinal Cord Injury Key Sensory Points June 2008
  • S1 On the lateral aspect of the calcaneus.
  • S2 At the midpoint of the popliteal fossa.
  • S3 Over the ischial tuberosity or infragluteal fold (depending on the patient their skin can move up, down or laterally over the ischii).
  • S4/5 In the perianal area, less than one cm. lateral to the mucocutaneous junction.

 

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ASIA WORKSHEET <pdf>

Auto_Stan_Worksheet <pdf>

 

Reference:

“ASIA Learning Center”. Asia-spinalinjury.org. N.p., 2017. Web. 23 Mar. 2017.

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