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Computerised Asia scoring for SCI- Nursing role
1. Sumi Sunny
Research Staff Nurse
Guide:-Dr Deepak Agrawal
Addl. Professor
Department of Neurosurgery
JPNATC AIIMS
2. A spinal cord injury (SCI) refers to any injury to
the spinal cord that is caused by trauma instead of
disease
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
3. To document sensory and motor impairments
following SCI.
To categorise the patients and give appropriate
care.
To assess nursing role in using ASIA score in SCI
8. Complete SCI
No motor or sensory function is preserved
Nursing Implication:
◦ To prognosticate the patient
◦ Appropriate care should be provided to reduce high
risk of bed sore
9. Incomplete SCI
Sensation : Present
Motor function: Absent
Nursing Implication:
◦ As sensation is low care should be provided to
prevent bed sore
10. Incomplete SCI
Sensation: Present (complete)
Motor: Present but grade 3 or less.
Nursing Implication:
◦ Nurse motivates patient and their relatives
11. Incomplete SCI
Sensory: Present (complete)
Motor: Present but have a grade more than3.
Nursing Implication:
◦ Motivate the patient for physiotherapy and
rehabilitation.
12. Incomplete SCI
Motor and sensory functions are normal
It implies the presence of a spinal cord injury
but without detectable neurological deficits.
15. Manual system of calculating score is:
◦ Cumbersome
◦ Time consuming
Computerized system was developed:
◦ For easy assessment and entry of motor and
sensory powers for automatic calculation of ASIA
Score
Need of this system
16.
17.
18.
19. 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
patients.
Document sensory and motor impairments following
SCI.
Helps to prognosticate the patient.
Categories the patients and give appropriate care.
Notas del editor
.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.