The International Standards for Neurological Classification of Spinal Cord Injury: Classification Accuracy and Challenges.
Successful utilization of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) requires a comprehensive understanding of its rules, terminology, and several complex concepts. There have been no studies investigating classification accuracy since the newest ISNC...
| Published in: | Topics in Spinal Cord Injury Rehabilitation Vol. 29; no. 1; pp. 1 - 16 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
KnowledgeWorks Global, Ltd
Winter2023
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=161905043&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 161905043 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10820744 0OF jtl: Topics in Spinal Cord Injury Rehabilitation issn: 10820744 maglogo: N pubinfo: dt: Winter2023 vid: 29 iid: 1 pid: 81084 pub: KnowledgeWorks Global, Ltd place: Richmond, Virginia artinfo: ui: 161905043 161905043 161905043 10.46292/sci22-00036 161905043 ppf: 1 ppct: 15 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The International Standards for Neurological Classification of Spinal Cord Injury: Classification Accuracy and Challenges. aug: au: Snider, Brittany A. Eren, Fatma Reeves, Ronald K. Rupp, Rüdiger Kirshblum, Steven C. affil: Kessler Institute for Rehabilitation, West Orange, New Jersey sug: subj: Spinal Cord Injuries Classification Neurologic Examination Standards International Agencies Spinal Cord Injuries Organizations Human United States Questionnaires Descriptive Statistics Data Analysis Software Kruskal-Wallis Test One-Way Analysis of Variance Mann-Whitney U Test Sensation ab: Successful utilization of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) requires a comprehensive understanding of its rules, terminology, and several complex concepts. There have been no studies investigating classification accuracy since the newest ISNCSCI revision (2019). To evaluate classification accuracy of SCI professionals using the 2019 ISNCSCI edition, identify common mistakes and areas of confusion, and assess associations between experience in ISNCSCI classification and performance. Members of the International Spinal Cord Society (ISCoS) and attendees of the ISCoS Annual Scientific Meeting 2021 were invited to complete an online survey that included six ISNCSCI cases to classify. A total of 107 persons completed the survey, with overall classification accuracy of 74.6%. Accuracy was highest for injury completeness (95.3%) and sensory level (91.1%) and lowest for motor zone of partial preservation (ZPP; 54.7%) and ASIA Impairment Scale (AIS) grade (57.3%). Newer concepts, including the appropriate documentation of non-SCI conditions and classification of ZPP in incomplete injuries, contributed to several common errors. There was a significant association between overall classification accuracy and self-rated experience in the ISNCSCI classification (p =.017). Experience with the ISNCSCI examination, experience in SCI medicine, and occupation were not found to be significantly associated with overall classification accuracy. Classification accuracy of an international cohort of SCI professionals was modest but greater than previous reports. Knowledge deficits about the 2019 ISNCSCI updates are prevalent and contribute to common classification errors. Further training in the utilization of the ISNCSCI is needed. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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