COMPLETE SOLUTIONS
What is included in the AISA examination?
sensory level
motor level
neurological level of injury (NLI)
complete vs incomplete injury
sacral sparing
zone of partial preservation
The zone or partial preservation is only applicable in what type of SCI?
complete
What part of the body is used as a control when testing sensory level?
the face - usually spared
What types of sensation are tested within the AISA exam?
light touch & pin prick in 28 key dermatomes
What is the grading scale for sensory testing?
0 = absent
1 = impaired
2 = normal
NT = not tested
What is the protocol for light touch sensory scoring?
, use cotton tip applicator
stroke across skin moving over a distance that is no more than 1 cm
for C6-8 use dorsum of proximal phalynx
chest and abdomen points should be tested in the midclavicular line
What is the protocol for pin prick sensory scoring?
clean safety pin
use consistent pressure in each dermatome
poke one time only
Sensation is considered _________ if the pt can not differentiate between sharp &
dull
absent
Sensation is _________ if the pt can feel it, but it is not as sharp as it was on their
face
absent
Sensation is __________ if the pt can discriminate sharp vs. dull but they can
only feel it a little bit
impaired
What is the lowest level we can test for the SC in regard to sensory testing?
S4/S5 - perineals
How is deep anal pressure (DAP) scored?
on digital rectal exam patient is asked to report sensory awareness
recorded as "present" or "absent"
How is the sensory level defined?