Determining the Neurological Level of Injury (NLI)

In this topic, we will cover the management of patients with spinal cord injury (SCI).
This playlist explains the scoring of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) worksheet which is developed by the American Spinal Injury Association (ASIA).
This sheet serves to summarize the case of the patient we are dealing with, it helps standardize the language among health professionals, and it also guides our prediction for the prognosis of the patient.
Physiotherapy Department - The University of Jordan

[@joonwon5888]

Because the sensory level is C4 (left side)

[@joonwon5888]

I'm sorry but, isn't the answer of the last question you gave of the motor level, Left C4?

[@mahatayseer]

Hello,
I assume you are asking about the right side, not the left side.
I recently found that there is debate on this particular example at the transitional zone between regions where we do not have motor test (C4) and where we have the motor test (C5).
The answer I suggested is an acceptable answer based on the rules provided:
C1 - C4: we have normal sensory function (LT 2 and PP 2), so we can assume normal motor function at these levels
C5: MMT = 5
C6: MMT = 4, this is the first level we encounter with motor score >= 3 and all scores above considered normal
So, the motor level is C6
I hope it makes sense