Niederberger Carole, Henes Elena, Krassioukov Andrei V, Baumberger Michael, Krebs Jörg, Pannek Jürgen, Walter Matthias, Scheel-Sailer Anke
Swiss Paraplegic Centre, Nottwil, Switzerland.
International Collaboration on Repair Discoveries, University of British Columbia, Vancouver, Canada.
Top Spinal Cord Inj Rehabil. 2025 Summer;31(3):89-100. doi: 10.46292/sci25-00010. Epub 2025 Aug 22.
In May 2021, the second edition of International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI) was published.
To transcreate the 2021 ISAFSCI (2nd ed.) to German and to assess its feasibility in the subacute phase following spinal cord injury/disease (SCI/D).
Transcreation to German was performed by an interdisciplinary team of native English and German speakers. We screened individuals with SCI/D for eligibility (i.e., age ≥18 years; >3 months following SCI/D) between August 2021 and January 2022. To minimize the time for the assessment, we first interviewed participants in a supine position before conducting the clinical examination. We assessed participants thrice within 14 days using a randomized sequence of assessors, and we assessed SCI/D according to the International Standards for Classification of Spinal Cord Injury (ISNCSCI) grading of the SCI/D, including the American Spinal Injury Association Impairment Scale (AIS). Time of ISAFSCI assessments (median and quartiles) and its completeness (%) were calculated.
Twelve participants (3 females; median age 42 years [Q1: 31, Q3: 54]) were enrolled and assessed thrice. Severity and level of injury were either sensorimotor complete (AIS A, 9) or incomplete (AIS C, 3) SCI/D and tetraplegia ( = 5) or paraplegia = 7), respectively. Median time to complete an assessment was 39 minutes (Q1: 32, Q3: 46).
The German version of the ISAFSCI second edition is feasible to perform in a subacute cohort. However, given the subacute stage following SCI, certain limitations must be acknowledged. Many participants have not yet engaged in sexual activity, which limits the evaluation of sexual function.
2021年5月，《记录脊髓损伤后自主神经功能残留的国际标准》（ISAFSCI）第二版出版。
将2021年版ISAFSCI（第2版）改编为德文，并评估其在脊髓损伤/疾病（SCI/D）亚急性期的可行性。
由以英语和德语为母语的跨学科团队将其改编为德文。我们在2021年8月至2022年1月期间筛选了SCI/D患者的入选资格（即年龄≥18岁；SCI/D后超过3个月）。为了尽量减少评估时间，我们在进行临床检查之前首先让参与者仰卧位接受访谈。我们在14天内使用评估者随机序列对参与者进行了三次评估，并根据脊髓损伤国际分类标准（ISNCSCI）对SCI/D进行分级评估，包括美国脊髓损伤协会损伤量表（AIS）。计算了ISAFSCI评估的时间（中位数和四分位数）及其完整性（%）。
招募了12名参与者（3名女性；中位年龄42岁[Q1：31，Q3：54]）并进行了三次评估。损伤的严重程度和水平分别为感觉运动完全性（AIS A，9例）或不完全性（AIS C，3例）SCI/D，以及四肢瘫（=5例）或截瘫（=7例）。完成一次评估的中位时间为39分钟（Q1：32，Q3：46）。
ISAFSCI第二版德文版在亚急性队列中进行是可行的。然而，鉴于SCI后的亚急性期，必须承认存在某些局限性。许多参与者尚未进行性行为，这限制了性功能的评估。
