International Standards and Spinal Cord Independence Measure (SCIM)

 ASTeP: Autonomic Anatomy & Function

 The goal of this training for the Autonomic Standards is to learn normal autonomic functions, understand the changes in autonomic functions following spinal cord injury (SCI) and use the Autonomic Assessment to document and classify remaining autonomic neurological function.

InSTeP (International Standards Training E Program)

A six-module course designed to enable clinicians to perform accurate and consistent neurological examinations of individuals with spinal cord injury through the use of the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI).

SpAsTeP: Spasticity Assessment

 This course will prepare you to examine and score a patient’s spasticity using the Ashworth and Tardieu scales, based on a consensus panel convened and surveyed in 2013.


 Printable ISNCSCI Assessment Form


 Additional guides to performing the sensory and motor examination

Key Sensory Points

Motor Exam Guide



 RHI ISNCSCI Scoring Algorithm

The algorithm, developed by the Rick Hansen Institute (RHI) in partnership with ASIA and ISCoS, provides a tool which utilizes the raw test scores determined by performing the exam to electronically score and classify spinal cord injury using the ISNCSCI (revised 2011) scoring rules.


 EMSCI ISNCSCI Scoring Calculator

The calculator, developed within European Multicenter Study on Human Spinal Cord Injury (EMSCI), provides a tool which utilizes the raw test scores determined by performing the exam to electronically score and classify spinal cord injury using the ISNCSCI (revised 2011) scoring rules.



SCIM III (Spinal Cord Independence Measure Version III)

The SCIM is a validated outcome measure developed at the Loewenstein Rehabilitation Hospital that assesses three domains: self-care, respiration and sphincter management, and mobility for persons with spinal cord injury.

Where to find us

National Spinal Injuries Centre,
Stoke Mandeville Hospital,
Aylesbury, Buckinghamshire,
HP21 8AL, United Kingdom

How to contact us

Tel: +44 1296 315 866

Email: admin@iscos.org.uk

Contact ISCoS Headquarters for Application forms, copies of the Constitution and Bye-Laws of the Society, queries on the journal delivery and information on Scientific Meetings.

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