Sensitivity and specificity of the ‘knee-up test’ for estimation of the American Spinal Injury Association Impairment Scale in patients with acute motor incomplete cervical spinal cord injury

Yugue, Itaru; Okada, Seiji; Maeda, Takeshi; Ueta, Takayoshi; Shiba, Keiichiro

doi:10.1038/s41393-017-0046-y

Cited by 4 publications

(1 citation statement)

References 29 publications

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“…Based on these results, we found that there is insufficient new evidence to change (not in favor, nor against) the previous consensus statement on the use of ISNCSCI as the assessment tool to classify the severity of neurological impairment on admission for acute 762 www.e-neurospine.org SCI. 1,[17][18][19][20][21][22][23][24][25][26] The SCIM assess the ability to perform basic daily life activities using a 19-item disability chart, scoring up to 100 points by evaluation: self-care, respiration and sphincter management and mobility, currently it has been demonstrated that its role remains in the long-term assessment of neurological function changes in every day performance (Fig. 3).…”

Section: Clinical Assessment and Classification Of Scimentioning

confidence: 99%

Early Management of Spinal Cord Injury: WFNS Spine Committee Recommendations

et al. 2020

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Section: Clinical Assessment and Classification Of Scimentioning

confidence: 99%

Early Management of Spinal Cord Injury: WFNS Spine Committee Recommendations

et al. 2020

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Measuring Neurological Status in Spinal Cord Injury

Berardi

Tofani

Camerota

et al. 2021

Measuring Spinal Cord Injury

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Advantages and Limitations in the Evaluation of the Neurological and Functional Deficit in Patients with Spinal Cord Injuries

Lascu

Buhaş

Mekereș

et al. 2022

Clinics and Practice

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(1) Background: Vertebro-medullary trauma (VMT) causes osteo-articular injuries in a varied anatomical lesion associated with multiple clinical manifestations and therapeutic indications. The neurological evaluation of patients who have suffered a spinal cord injury (SCI) is costly in testing the motor and sensory function. To standardize the assessment, several scales are used that measure the neurological deficit in order to guide subsequent treatment according to complete or incomplete SCI. The aim of this study is to identify and present the relevant tools for assessing SCI. (2) Methods: Relevant SCI studies were used for a fact-finding investigation from a rational and critical perspective of this field of research. The relationship between clinical tools and those with a psychosocial component was assessed based on studies reported in the literature. (3) Results: SCI severity scales have been proposed throughout to be able to estimate the functional prognosis of victims of these traumatic events. These tools can be divided into scales for assessing the neurological deficit due to trauma, and functional scales that assess the ability to perform daily activities, self-care, etc. (4) Conclusions: The closest scale to the need for standardization and the most accurate assessment of neurological deficits secondary to SCI is ASIA/IMSOP.

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Sensitivity and specificity of the ‘knee-up test’ for estimation of the American Spinal Injury Association Impairment Scale in patients with acute motor incomplete cervical spinal cord injury

Abstract: The knee-up test may allow easy and highly accurate estimation, without the need for special skills, of AIS classification for patients with incomplete CSCI.

Cited by 4 publications

References 29 publications

Early Management of Spinal Cord Injury: WFNS Spine Committee Recommendations

Early Management of Spinal Cord Injury: WFNS Spine Committee Recommendations

Measuring Neurological Status in Spinal Cord Injury

Advantages and Limitations in the Evaluation of the Neurological and Functional Deficit in Patients with Spinal Cord Injuries

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