Elbow flexorsRIGHT C4 Elbow flexors LEFT Wrist …

1 SENSORY SENSORY. C5 Elbow flexors Elbow flexors C5. RIGHT MOTOR. LEFT. C3. KEY SENSORYC4 POINTS. MOTOR. KEY SENSORY POINTS. Wrist extensors C6 KEY MUSCLES. INTERNATIONAL STANDARDS FOR NEUROLOGICAL Light Touch (LTR) Pin Prick (PPR) Patient Name_____ C6 Wrist extensors Date/Time Light Touch (LTL) Pin Prick (PPL). KEY MUSCLES. of UEL. Exam _____. Elbow extensors C7 T3. T2. C7 Elbow extensors (Upper Extremity Left). CLASSIFICATION OF SPINAL C2 CORD INJURY. C2. C8 Finger flexorsC2 Signature _____. C5. Finger flexors C8 0 = absent T4.

2 Examiner Name _____. (ISNCSCI)C3 T5 C3 (little finger). bductors (little finger) T1 21 == normal altered T6 T1 Finger abductors C4. C4 SENSORY SENSORY. RIGHT LEFT. T7 C2. T2. NT = not testable MOTOR T2 MOTOR. cle? Reason for NT? Pain?): C5. C3 T8 MOTOR C5 Elbow flexors T3 Elbow flexors KEY SENSORY POINTS C3 KEY SENSORY POINTS. KEY MUSCLES 0 = absent T9 T1 T3 (SCORING ON REVERSEKEY MUSCLES. SIDE). UER Wrist extensors C6 Light Touch (LTR). 1 = altered C4. Pin Prick (PPR) C4 Light Touch (LTL) Pin Prick (PPL) C6 Wrist extensors UEL.

3 (Upper Extremity Right) T4 2 = normal T10 C6. T2 T4 0 = total paralysis (Upper Extremity Left). Elbow extensors C7 C2 NT = not testable T11 T3 C2 C7 Elbow extensors T5 C2. T4 C5 T5 1 = palpable or visible contraction Finger flexors C8 0 = absentC3 T12 C3 eliminated 2 = active movement, gravity C8 Finger flexors T6 T5 T6 3 = active movement, against gravity bsent Finger abductors (little finger) T1 21 == normal C4. altered L1. Palm T6. C2 C4 some resistance 4 = active movement, against T1 Finger abductors (little finger). ltered T7 T7 T7.

4 Ormal Elbow flexors C5 T2. NT = not testable C3 5 = active movement, T2. against full C5 Elbow flexors resistance not testable Comments (Non-key Muscle? Reason for NT? Pain?): T8. C3 T8. T8 5* = normal corrected for pain/disuse MOTOR. UER Wrist extensors C6 T3 S3 0 = absent C4. T9 T1 NT = not testable T3 C6 (SCORING ON REVERSE SIDE) UEL. Wrist extensors (Upper Extremity Right) T9 Elbow extensors C7 T4 L2 21 Key Sensory = altered C4. = normal C2. T10. T3. T2 C6 T9 T4 C7 Elbow 0 = total extensors paralysis (Upper Extremity Left).

5 T10 Finger flexors S4-5 NT Points T11. = not testable T4 C5 T10 SENSORY. T5. C8 0 = absentT5. 1 = palpable or visible contraction T11 (SCORING ON REVERSEC8 2 SIDE) Finger = active flexorsgravity eliminated movement, T11 T6. T12. T5. T6. Finger abductors (little finger) T1 2 = normal 1 = altered T6 L1 T1. 3 = Finger active abductors movement, against(little gravity finger). 0 = absent T12 NT = not T7. T7 Palm T12 0 = absent T7. 2 = normal 4 = active movement, against some resistance 1 = altered T2. testable S2 L3. 8. C3 C 6 C 8 1= altered T2 NT = not testable 5 = active movement, against full resistance 2 = normal L1= not testable Comments (Non-key Muscle?)

6 Reason for NT? Pain?): C6 C. T8. L1 T8 MOTOR. NT. T8. T3 C7 C7. 0 = absent T9 T1 T3 5* = normal corrected (SCORING. for pain/disuse ON REVERSE SIDE). 1 S3 NT = not testable Hip flexors L2 T9. T4 Dorsum =DorsumC4. altered 2 = normal T10 L2 Key Sensory C6 L2 Hip flexors T9. T4 0 = total paralysis Knee extensors L3. T11. T10. T5. S4-5. NT = not testable Points L3 Knee extensors T10. T5 1 = palpable or SENSORY. visible contraction L4 T12 LEL. 2 = active movement,ONgravity eliminated Ankle dorsiflexors L4 T11. T6 L1 L4 T11 (Lower T6.

7 Ankle dorsiflexors (SCORING. Extremity 3 = active movement, Left). REVERSE. against gravity SIDE). 0 = absent L5. ong toe extensors L5 1 = altered T12. T7 L3. Palm L5 Long toe extensors T12. T7 40 =. = absent active movement, against 2 =. some normal resistance NT resistance = not testable 2 = normal S2 C8 6 C8 51==altered active movement, against full S1 Ankle plantar L1. S1. nkle plantar flexors S1 NT = not testable L1 L5. T8 C 6 C. C7 C7 T8. flexors 5* = normal corrected for pain/disuse S2 Hip flexors L2 T9. S3. L2 Dorsum S2.

8 Key Dorsum Sensory T9. NT = not testable L2 Hip flexors Points S3 Knee extensors L3 T10 S4-5. S3 T10 L3 Knee extensors SENSORY. raction LER L4 (DAP) Deep anal(SCORING pressureON REVERSE SIDE) LEL. S4-5 L4 T11 S4-5 T11. Yes/No) (Lower Extremity Right) Ankle dorsiflexors L5 (Yes/No) L4 Ankle dorsiflexors (Lower Extremity Left). Long toe extensors L5 T12 S2 L3 T12 0 = absent L5 Long 1= altered toe extensors 2 = normal NT = not testable RIGHT TOTALS S1 C8 6 C8 LEFT TOTALS L1. Ankle plantar flexors S1 L1 L5 C6 C. C7 C7 S1 Ankle plantar flexors (MAXIMUM) (MAXIMUM).

9 Hip flexors L2 S2 Dorsum Dorsum S2 L2 Hip flexors S SENSORY SUBSCORES. Knee extensors L3 S3 S3 L3 Knee extensors LEL. = UEMS TOTAL LER anal contraction (VAC) Voluntary LER + LEL L4 = LEMS TOTAL. S4-5 LTR + LTL L4. = LT TOTAL PPR + PPL S4-5 = PP TOTAL. (DAP) Deep anal pressure (Yes/No). (Lower Extremity Right) Ankle dorsiflexors L4 Ankle dorsiflexors (Yes/No) (Lower Extremity Left). (50) MAX (25) (25) (50) L5. Long toe extensors L5 MAX (56) (56) (112) MAX (56) (56). L5 LEFT Long toe (112). TOTALS extensors RIGHT TOTALS S1. R L Ankle plantar flexors S1 L5.

10 4. COMPLETE OR INCOMPLETE? (In complete injuries only) S1 Ankle R. (MAXIMUM) plantar L flexors (MAXIMUM). 3. NEUROLOGICAL. 1. SENSORY. MOTOR SUBSCORES S2 Incomplete = Any sensory or motor function in S4-5 ZONE OF PARTIAL S2. SENSORY. LEVEL OF INJURY SENSORY SUBSCORES. 2. MOTOR (NLI) S3 5. ASIA IMPAIRMENT SCALE (AIS) PRESERVATION S3 MOTOR. (VAC). UER Voluntary Anal Contraction + UEL = UEMS TOTAL S4-5 LER + LEL = LEMS TOTAL LTR Most caudal level with any innervation + LTL = LT TOTAL S4-5 PPR + PPL (DAP) Deep= Anal PP TOTALP ressure MAX (25) (25).