Abstract
Objective:
To develop an interactive computer program that facilitates uniformity and accuracy in the collection and assessment of spinal cord-impairment data.
Design:
A computer program that captures and processes clinical examination information in graphical form using the 2002 American Spinal Injury Association (ASIA) guidelines. This program calculates motor and sensory level, neurological level, the ASIA impairment scale (AIS) grade and zone of partial preservation.
Participants/Methods:
The International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) were encoded and a graphic representation of the standard ASIA data-capturing form (with permission) was produced using Adobe Flash programming technology by the Division of Multimedia at the University of Saskatchewan.
Results:
Testing by the development team has been successful in producing accurate ASIA-impairment data.
Conclusion:
Adapting the ISNCSCI system to a computer-generated format is possible and will promote uniformity in the collection and interpretation of impairment data. This program can also be used to educate health-care personnel, including residents and medical students, on classifying the impairment in traumatic spinal cord injury.
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References
Guttmann L, Michaelis LS . Proceedings of the annual scientific meeting of the International Medical Society of Paraplegia, 28–30 July 1969, held at Stoke Mandeville Hospital, Aylesbury. Paraplegia 1970; 8: 67–69.
American Spinal Injury Association. International Standards for Neurological and Functional Classification of Spinal Cord Injury. American Spinal Injury Association: Chicago, IL, 1994.
Walker MD . Acute spinal cord injury. N Engl J Med 1991; 324: 1885–1888.
American Spinal Injury Association. International Standards for Neurological Classification of Spinal Cord Injury, revised 2002. American Spinal Injury Association: Chicago, IL, 2002.
Marino RJ, Barros T, Biering-Sorensen F, Burns SP, Donovan WH, Graves DE et al. ASIA Neurological Standards Committee 2002. J Spinal Cord Med 2003; 26 (Suppl 1): S50–S56.
Burns SP . Reliability and validity of the international standards of classification of spinal cord injury. In: Marino RJ (ed). Reference Manual for the International Standards for Neurological Classification of Spinal Cord Injury. American Spinal Injury Association: Chicago, IL, 2003.
A 30-day trial version of Adobe Flash can be downloaded from Adobe's website: http://www.adobe.com/products/flash/flashpro/.
Adobe Flash Player Version Penetration http://www.adobe.com/products/player_census/flashplayer/version_penetration.html.
Adobe Flash Player can be downloaded free of charge from Adobe's website: http://www.adobe.com/products/flashplayer/.
Acknowledgements
The authors thank Frank Bulk and Gabriel Ng, Division of Media and Technology, University of Saskatchewan, for facilitating the development of this program. Special thanks to Dr Brad Selk for his assistance with placing the program on the Internet.
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Linassi, G., Li Pi Shan, R. & Marino, R. A web-based computer program to determine the ASIA impairment classification. Spinal Cord 48, 100–104 (2010). https://doi.org/10.1038/sc.2009.98
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DOI: https://doi.org/10.1038/sc.2009.98
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