International Standards for Neurological Classification of SCI (ISNCSCI) Worksheet
(Download & Print)
NEW: Creative Commons License
The 2019 ISNCSCI worksheet is now licensed under a Creative Commons license. It may be copied freely for NON-COMMERCIAL use, however it may NOT be altered without permission from the American Spinal Injury Association.
For permission to use the worksheet for any commercial activity or derivative works, including but not limited to translations, clinical trials, and for-profit educational programming, please contact the ASIA office (asia.office@asia-spinalinjury.org)
International Standards for Neurological Classification of SCI (ISNCSCI) Worksheet © 2019 by Rupp R. et al. ISNCSCI: Revised 2019 is licensed under CC BY-NC-ND 4.0. (see http://creativecommons.org/licenses/by-nc-nd/4.0/).
Full Citation
R. Rupp, F. Biering-Sørensen, S.P. Burns, D.E. Graves, J. Guest, L. Jones, M. Schmidt Read, G.M. Rodriguez, C. Schuld, K.E. Tansey, K. Walden, S. Kirshblum: International Standards for Neurological Classification of Spinal Cord Injury: Revised 2019. Top Spinal Cord Inj Rehabil 27 (2): 1–22, 2021. https://doi.org/10.46292/sci2702-1
ISNCSCI 2019 Revisions
The 2019 revision of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) introduced two new concepts:
1) a new taxonomy for documentation of non-SCI related impairments such as peripheral nerve lesions or pain, and defines classification rules in the presence of such non-SCI conditions; and 2) the definition of the Zone of Partial Preservation has been changed and now can be used in some cases of incomplete injuries (ASIA Impairment Scale (AIS) grades B, C, and D) with absent motor function or sensory function in the most caudal sacral segments.
Read more about the 2019 ISNCSCI Revisions
ISNCSCI Classification Workbook ((NEW))
The International Standards Committee recently published an open access ISNCSCI Classification Workbook that includes 26 practice cases with detailed explanations of the correct classifications. These cases reinforce important ISNCSCI rules and definitions. Potentially challenging concepts from the 2019 ISNCSCI update, including revised definitions of the ZPPs and documentation of non-SCI conditions, are also reviewed. The workbook can serve as a valuable training tool to improve classification accuracy.
ISNCSCI Classification Workbook – Practice Cases
ISNCSCI Classification Workbook – Practice Cases and Answers
Other Languages
Did you Know?
The ISNCSCI worksheet is available in several other languages.
Click here!
ASIA does not accept requests by individuals to translate the ISNCSCI worksheet into other languages. ASIA will accept (approved) translations from universities, societies or organizations outside the US. Contact the ASIA office for details on translation requests. asia.office@asia-spinalinjury.org
E-ISNCSCI
Expedited ASIA ISNCSCI Exam (E-ISNCSCI)
Version 1 (February 2020)
Click here to read more about E-ISNCSCI
