Document Detail

Light touch and pin prick disparity in the International Standard for Neurological Classification of Spinal Cord Injury (ISNCSCI).
MedLine Citation:
PMID:  23318558     Owner:  NLM     Status:  Publisher    
Study design:Retrospective review.Objectives:The International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) assesses cutaneous sensibility through light touch (LT) and sharp-dull discrimination, referred to as pin prick (PP). This project aimed to confirm a tendency for LT to score higher than PP in SCI subjects and discuss possible reasons for such disparity.Setting:Single site cohort study, the London Spinal Cord Injury Centre, United Kingdom.Methods:A retrospective analysis of LT and PP scores of 99 spinal cord injury subjects at the time of discharge (median 5 months) from acute care and rehabilitation in the London Spinal Cord Injury Centre was conducted. Subjects were aged 10-88 years (median 44 years; 78 men, 74 traumatic, 25 non-traumatic). There were 40 American Spinal Injury Association (ASIA) Impairment Scale (AIS) A, 7 B, 18 C and 34 D subjects.Results:A disparity (P<0.001) was found between LT (64.5±3.2, mean±s.e.) and PP (54.7±2.9) AIS sensory scores. A similar difference in score (LT>PP) was registered both for traumatic and non-traumatic injury, but was greater for incomplete than for complete injury. Despite the difference, LT was well correlated with PP (R=0.87, P<0.001). Spinal segmental level of injury was determined more frequently by PP alone (43 of 99) than by LT (10 of 99) alone.Conclusion:The discrepancies between LT and PP could relate to the greater complexity of the PP test or a difference in the extent of injury to the posterior columns (LT) and spinothalamic (PP) tracts. Further interpretation would benefit from additional electrophysiological sensory tests.Spinal Cord advance online publication, 15 January 2013; doi:10.1038/sc.2012.175.
N Vasquez; A Gall; P H Ellaway; M D Craggs
Related Documents :
7873848 - Study of low-temperature thermoplastic modified custom-molded cervical orthosis for cer...
10914348 - Spinal cord infarction following vertebral angiography: clinical and pathological findi...
21821478 - Hip strength and knee pain in high school runners: a prospective study.
24753778 - Isolated avulsion fractures of lesser tuberosity humerus: a case report and review of t...
8360748 - Cosmetic mastoidectomy for the combined supra/infratentorial transtemporal approach. te...
3371268 - Effects of hypervitaminosis a on the bone and mineral metabolism of the rat.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-15
Journal Detail:
Title:  Spinal cord     Volume:  -     ISSN:  1476-5624     ISO Abbreviation:  Spinal Cord     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
London Spinal Cord Injury Centre, RNOH, Stanmore, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Effect of a home telecare program on oral health among adults with tetraplegia: a pilot study.
Next Document:  Perinatal choline effects on neonatal pathophysiology related to later schizophrenia risk.