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Review
. 2020 Aug;31(3):319-330.
doi: 10.1016/j.pmr.2020.03.005. Epub 2020 Jun 3.

Updates of the International Standards for Neurologic Classification of Spinal Cord Injury: 2015 and 2019

Steven Kirshblum  1 , Brittany Snider  2 , Rüdiger Rupp  3 , Mary Schmidt Read  4 ; International Standards Committee of ASIA and ISCoS
Affiliations
Review

Updates of the International Standards for Neurologic Classification of Spinal Cord Injury: 2015 and 2019

Steven Kirshblum et al. Phys Med Rehabil Clin N Am. 2020 Aug.

Abstract

The International Standards for Neurologic Classification of Spinal Cord Injury (ISNCSCI) are the most widely used classification system in spinal cord injury medicine. The purpose of the ISNCSCI is to ensure accurate and consistent communication among patients, clinicians, and researchers. Since its first publication in 1982, the ISNCSCI has continued to evolve with the latest updates and revisions published in 2015 and 2019. The updates were incorporated into the 2019 ISNCSCI worksheet and booklet, and the International Standards Training e-Learning Program. This article details the ISNCSCI update from 2015 and revision in 2019.

Keywords: Classification; International standards; Neurologic examination; Spinal cord injury.

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Conflict of interest statement

Disclosure Members of the International Standards Committee of American Spinal Injury Association and International Spinal Cord Society: Randal Betz (Institute for Spine and Scoliosis, Lawrenceville, NJ); Fin Biering-Soerensen (Clinic for Spinal Cord Injuries, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark); Stephen P. Burns (Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA); William H. Donovan (Institute for Rehabilitation and Research, Houston, TX); Daniel E. Graves (Thomas Jefferson University, Philadelphia, PA); James Guest (Department of Neurologic Surgery, University of Miami Miller School of Medicine, Miami, FL); Linda Jones (University of Colorado, Denver, CO); Steven Kirshblum (Kessler Institute for Rehabilitation, Rutgers New Jersey Medical School, West Orange, NJ); Andrei Krassioukov (International Collaboration On Repair Discovery, Vancouver, Canada); Mary-Jane Mulcahey (Thomas Jefferson University, Philadelphia, PA); Gianna Rodriguez (Michigan Medicine, University of Michigan, Ann Arbor, MI); Rüdiger Rupp (Spinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany); Mary Schmidt Read (Magee Rehabilitation Hospital - Jefferson Health, Philadelphia, PA); Christian Schuld (Spinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany); Keith Tansey (Departments of Neurosurgery and Neurobiology, University of Mississippi Medical Center, Jackson, MS); and Kristen Walden (Rick Hansen Institute, Vancouver, Canada).

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