Lemke D M
SCI Nurs. 1995 Jun;12(2):40-7.
Assessment parameters for muscle testing in the individual with a spinal cord injury (SCI) have been clearly defined by the American Spinal Injury Association (ASIA). However, the ASIA standard requires the individual's participation in reporting sensory information and he/she must be able to perform specific tasks to complete the examination. In an individual with a dual injury, a SCI and a traumatic brain injury (TBI), neurological assessment can be impeded by the individual's inability to participate in the exam. Assessment needs to incorporate both cognitive and physical parameters that will appropriately assess both injuries. This article reviews the assessment parameters for both spinal cord injury and traumatic brain injury and provides assessment guidelines for bedside evaluation of functional ability. In addition, a review of the biomechanics of injury will provide a model for understanding dual injury.
美国脊髓损伤协会（ASIA）已经明确规定了脊髓损伤（SCI）个体肌肉测试的评估参数。然而，ASIA标准要求个体参与报告感觉信息，并且他/她必须能够执行特定任务以完成检查。在患有双重损伤（SCI和创伤性脑损伤（TBI））的个体中，个体无法参与检查可能会妨碍神经学评估。评估需要纳入认知和身体参数，以适当评估两种损伤。本文回顾了脊髓损伤和创伤性脑损伤的评估参数，并提供了床边功能能力评估指南。此外，对损伤生物力学的回顾将提供一个理解双重损伤的模型。
