Neurology 

** NOTE: this website will be shutting down in 2019. All resources have been moved to the Spinal Cord Injury Research Evidence (SCIRE) Project website: https://scireproject.com/clinical-resources/health-care-providers/ and https://scireproject.com/wp-content/uploads/Neurology_Toolkit_printable.pdf**

Please email clinical [AT] rickhanseninstitute [DOT] org with any questions.

The International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) is an examination used to determine the motor and sensory impairment and severity of a spinal cord injury. It was developed by the American Spinal Injury Association (ASIA). It allows clinicians and patients to have a common language to talk about spinal cord injuries. It is also a powerful research tool to measure the effectiveness of treatment techniques and protocols.​ 

RHSCIR Neurology Toolkit

• Toolkit you can read online
• Complete printable toolkit
• ASIA ISNCSCI assessment form (from the Rick Hansen SCI Registry) - 2015 version

Neurology Facility Report

The Neurology Completion Report is now available! Click here to access these reports.

You can see what percentages of the clinical ISNCSCI (or ASIA) exams are complete, partial and missing. The “partial exams” graph shows what information is missing when only some of the ISNCSCI exam information is entered. Missing forms, or those where there is no motor, sensory or anorectal exam entered are further divided into patients who have a clinician’s determined ASIA Impairment Scale (AIS) or Single Neurological Level (SNL) entered. Data is also shown which reports the percentage of mismatch between the RHI ISNCSCI algorithm, which uses the raw exam scores entered into the database and provides validated electronic scoring and classification   (http://www.isncscialgorithm.com/) , and the clinician determined AIS and SNL as entered into the RHSCIR database. This is to give you an idea of your clinical classification accuracy.

For more information about these reports, click here.

Neurology Resources

• The ASIA learning centre has an online training program, InSTeP: International Standards e-Training program. All Rick Hansen Institute Facility employees and trainees have free access to the certificate program. Please contact your Rick Hansen Spinal Cord Injury Registry Local Site Coordinator, or email clinical [AT] rickhanseninstitute [DOT] org
• You can also download a guide to the key muscles in the motor assessment and key points in the sensory assessment , provided by ASIA
• If you would like the neurology form to be prepared for approval by your facility's documentation committee, please contact clinical [AT] rickhanseninstitute [DOT] org
• The ISNCSCI algorithm is an online, validated tool for calculating ISNCSCI exams

Assessment Forms and Chart Inserts here you'll find examples of pre-printed orders, policies and guidelines as well as assessment and charting sheets relating to neurological assessment. This will require you to log in with the information coming to your facility during the month of October.