Evidence map›Paper›PMID 40873960›Full record

ArticleTopics in spinal cord injury rehabilitation2025

International Standards for Neurological Classification of Spinal Cord Injury: Classification Questions and Cases.

Brittany Snider, Steven Kirshblum, Ruediger Rupp, Christian Schuld, Fin Biering-Sorensen, Stephen Burns, James Guest, Linda Jones, Andrei Krassioukov, Gianna Rodriguez and 3 more

Abstract read
In one paragraph

Article in Topics in spinal cord injury rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Brittany SniderKessler Institute for Rehabilitation, West Orange, New Jersey, USA.
Steven KirshblumKessler Institute for Rehabilitation, West Orange, New Jersey, USA.
Ruediger RuppSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany.
Christian SchuldSpinal Cord Injury Center, Heidelberg University Hospital, Heidelberg, Germany.
Fin Biering-SorensenDepartment of Clinical Medicine, University of Copenhagen, and Department of Brain and Spinal Cord Injuries, Rigshospitalet, Copenhagen, Denmark.
Stephen BurnsDepartment of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, Washington, USA.
James GuestUniversity of Miami, Miller School of Medicine, Department of Neurological Surgery, Miami, Florida, USA.
Linda JonesThomas Jefferson University, Philadelphia, Pennsylvania, USA.
Andrei KrassioukovInternational Collaboration on Repair Discovery (ICORD), University of British Columbia, Vancouver, British Columbia, Canada.
Gianna RodriguezMichigan Medicine, Department of Physical Medicine and Rehabilitation, Ann Arbor, Michigan, USA.
Mary Schmidt ReadThomas Jefferson University, Philadelphia, Pennsylvania, USA.
Keith TanseyCenter for Neuroscience and Neurological Recovery, Methodist Rehabilitation Center, Jackson, Mississippi, USA.
Kristen WaldenPraxis Spinal Cord Institute, Vancouver, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) have been refined through the years and continue to evolve with advances in the field. The International Standards Committee of the American Spinal Injury Association (ASIA) is responsible for maintaining, continually reviewing, and updating the ISNCSCI. Questions from spinal cord injury (SCI) professionals are frequently submitted to ASIA for review by the International Standards Committee. Methods: Of the questions submitted to the International Standards Committee, 5 were selected for this article, as they relate to common areas of confusion, address challenging classification concepts, and have not previously been described. Representative cases were also created to reinforce classification rules and the committee's recommendations. Cases: The 5 questions/cases address ISNCSCI classification in the setting of (1) AIS E grade, (2) tendon transfer, (3) spinal cord stimulation, (4) nontraumatic SCI (ntSCI) etiology, and (5) AIS D grade (vs. AIS B) based on the presence of non-key muscle function. Each case includes a detailed review of the correct classification components and thorough discussion of the impact the corresponding question has on the classification. Conclusion: The International Standards Committee provides answers to questions about ISNCSCI classification. The scenarios presented in this article address important classification rules and challenging concepts that have not previously been described. This article can serve as a useful reference when similar cases are encountered in clinical and research settings.

Indexed as

Guidelines as TopicSpinal Cord InjuriesHumansclassification accuracyInternational Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI)nontraumatic SCIspinal cord injury (SCI)spinal cord stimulationtendon transfer

Identifiers

PMID40873960
PMCPMC12376160

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.