Bulletin 21 - Glossary
Glossary
- ASIA impairment category:
- The American Spinal Injury Association (ASIA) has developed a classification system for spinal cord injury. The ASIA impairment category6 (detailed in the text of the present report) is
based on the Frankel Classification7, 8.
- Extent of SCI:
- refers to the extent of neurological damage, which is either `complete' or `incomplete'. "If partial preservation of sensory and/or motor functions is found below the neurological level and includes the lowest sacral segment, the injury is defined as incomplete"6. The term `complete injury' is used when there is an absence of sensory and motor function in the lowest sacral segment6.
- Neurological level of SCI:
- refers to "the most caudal segment of the spinal cord with normal sensory and motor function on both sides of the body" (ie the lowest level that has full function)6.
- Newly incident case of SCI:
- a person who suffers an SCI, as defined by the CDC clinical definition, during this reporting period (ie in 1997/98)
- Paraplegia:
- refers to "impairment or loss of motor and/or sensory function in the thoracic, lumbar or sacral (but not cervical) segments of the spinal cord, secondary to damage of neural elements within the spinal
canal"6.
- Persisting case of SCI:
- a person who is discharged from a SU with a neurological deficit.
- Prevalent population:
- people who have an SCI, as defined by the CDC clinical definition, at a given point in time.
- Tetraplegia:
- refers to "impairment or loss of motor and/or sensory function in the cervical segments of the spinal cord due to damage of neural elements within the spinal canal". This term is etymologically more accurate
than `Quadriplegia', combining tetra + plegia, both from Greek, rather than quadri + plegia, a Latin/Greek amalgam. It is generally preferred outside the US.
- Unprotected road users:
- refers to pedestrians, pedal cyclists and motor cycle riders.
6 American Spinal Injury Association. International Standards for Neurological
and Functional Classification of Spinal Cord Injury. Chicago: American Spinal
Injury Association, 1992.
7 Frankel HL, Hancock DO, Hyslop G et al. The value of postural reduction in the
initial management of closed injuries of the spine with paraplegia and
tetraplegia. Paraplegia 1969; 7(3): 179-192.
8 Tator CH, Rowed DW, Schwartz ML. (eds): Sunnybrook cord injury scales for
assessment of neurological injury and neurological recovery in early management
of acute spinal cord injury. New York: Raven Press, 1982: 7.
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