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WS5 - In-vivo Clinical Assessment & intervention

How do physicians complete a clinical assessment in Spinal Cord Injury (SCI) patients?

After a SCI, patients are often informed that they have an injury at a certain spinal cord level and physicians indicate the severity of injury, i.e. "complete" or "incomplete". Patient's injury is classified according to the International Standards for Neurological Classification of Spinal Cord Injury and the ASIA Impairment (AIS) Scale (A, B, C, D or E). However much confusion surrounded the terminology associated with SCI levels, severity, and classification. On the other side, technicians are not commonly familiar with clinical terminology. We believe that it is necessary for them to distinguish the different types of spinal cord injuries because they have to adapt their new developments to the real patients needs. For this reason, we propose a practical workshop where both clinicians and technicians discover a common terminology to define the severity of each SCI. Clinical examination will be performed following AIS recommendations. This scale is the most relevant to select the patients and to establish the design of the clinical trials.


Angel Gil-Agudo, M.D., PhD.
Elisa López-Dolado M.D., PhD.
Mónica Alcobendas-Maestro M.D., PhD.
Silvia Ceruelo-Abajo M.D.
All these speakers are working at Hospital Nacional de Parapléjicos de Toledo (National Hospital for Spinal Cord Injury. Toledo. Spain). It is the largest hospital in Spain related to evaluation, diagnosis and treatment for Spinal Cord Injury and one of the largest monographic centre in Europe for SCI with 240 beds for in-patients with 40 years of experience.


Participants will:
1) Understand what Neuroanatomical and Neurophysiological fundamentals for AIS scale are
2) Learn what clinical assessment for SCI patients following AIS scale is
3) Experience how to perform a complete clinical assessment for SCI patients in a real scenario

Number of hours

The workshop will last 3 days, with a total duration 9 hours: 6 hours of theoretical lecture and 3 more hours of practical clinical examination with real patients.


Sept 16 Sept 17 Sept 18
14.30-16.00 Introduction. AIS as an assessment tool Sensitive function assessment. Theoretical-practice Clinical examples
16.00-16.30 Coffee break
16.30-18.00 Motor function assessment. Theoretical-practice AIS scale. Decision algorithm AIS scale. Neuroanatomical and Neurophysiological fundamentals. Autonomic function and reflex assessment


Expected audience

Both clinical and engineering profile. This WS is designed for students with interest in the following topics:
- Clinical assessment for SCI patients
- AIS scale

Previous knowledge

Basic Neuroanatomical and Neurophysiological fundamentals.

Topics in which the PhD students will get insight

Clinical assessment for SCI patients. AIS scale

HW/SW that the participant need to bring/install