International standards for neurological classification of spinal cord injury: impact of the revised worksheet (revision 02/13) on classification performance

The study compares the 2011 and 2013 revisions of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) worksheet. Clinicians attending ISNCSCI courses classified SCI cases before and after training, using either the 2011 or 2013 worksheet. The 2013 revision, which groups motor and sensory scores by body side, led to improved classification performance.

• 1
  The 2013 worksheet revision significantly improved overall classification performance compared to the 2011 revision.
• 2
  The percentage of correctly determined motor levels and neurological levels of injury was significantly higher with the 2013 revision.
• 3
  The 2013 revision showed the largest benefit in cases with high cervical injuries (NLI C2).