.Depending on where the spinal cord and nerve roots are damaged, the symptoms can vary widely, from pain to paralysis.
This form is used to do ASIA scoring-its divided into sensory and motor scoring chart.The sensory levels are scored on a 0- 2 scale bases for each dermatome on both right and left side.Each dermatome is tested for light touch and pinprick sensation and labeled as NT( not testable) if cannot be tested.0- given if the sensation is absent1- if the sensation is present but impaired2- if the sensation is normal
Motor scoring chart – here the reflexes are checked and scoring is given on a 0 to 5 scale basis.0- is given for total paralysis1- for palpable and visible contraction2-active movements, full range of motion gravity eliminated3-active movements, full range of motion against gravity 4- active movements, full range of motion against gravity and provides some resistance5- active movements, full range of motion against gravity and provides normal resistanceNT- not testable
This helps in classifying the patients into 5 groups.
( below the neurological level of injury )
Less than ½ of the key muscles below the neurological level have a grade 3 or less.
At least ½ of the key muscles below the neurological level have a grade 3 or better.
Computerised Asia scoring for SCI- Nursing role
Research Staff Nurse
Guide:-Dr Deepak Agrawal
Department of Neurosurgery
A spinal cord injury (SCI) refers to any injury to
the spinal cord that is caused by trauma instead of
The American Spinal Injury Association (ASIA) is
widely used to document sensory and motor
impairments following SCI
It is based on neurological responses, touch and
pinprick sensations tested in each dermatome
To document sensory and motor impairments
To categorise the patients and give appropriate
To assess nursing role in using ASIA score in SCI
No motor or sensory function is preserved
◦ To prognosticate the patient
◦ Appropriate care should be provided to reduce high
risk of bed sore
Sensation : Present
Motor function: Absent
◦ As sensation is low care should be provided to
prevent bed sore
Sensation: Present (complete)
Motor: Present but grade 3 or less.
◦ Nurse motivates patient and their relatives
Sensory: Present (complete)
Motor: Present but have a grade more than3.
◦ Motivate the patient for physiotherapy and
Motor and sensory functions are normal
It implies the presence of a spinal cord injury
but without detectable neurological deficits.
289 178 115 5.6% 174 4.6%
112 69 46 - 66 1.7%
119 60 30 - 89 1.7%
COMPLETE INCOMPLETE DEATH (%)
CERVICAL SI 289 116 173 5.9%
DORSAL 112 31 81 0.89%
LUMBAR 119 19 100 0.89%
Manual system of calculating score is:
◦ Time consuming
Computerized system was developed:
◦ For easy assessment and entry of motor and
sensory powers for automatic calculation of ASIA
Need of this system
Nurses can play a vital role in accurate assessment of
ASIA score using computerized software.
This will help in research and follow up of SCI
Document sensory and motor impairments following
Helps to prognosticate the patient.
Categories the patients and give appropriate care.