Achieving assessor accuracy on the International Standards for Neurological Classification of Spinal Cord Injury

Abstract

Study design:A retrospective audit of assessor accuracy using the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) in three multicentre randomised controlled trials (SCIPA: Spinal Cord Injury and Physical Activity) spanning 2010-2014 with standards revised in 2011.Objectives:To investigate assessor accuracy of neurological classification after spinal cord injury.Setting:Australia and New Zealand.Methods:ISNCSCI examinations were undertaken by trained clinicians prior to randomisation. Data were recorded manually and ISNCSCI worksheets circulated to panels, consensus reached and worksheets corrected. An audit team used a 2014 computerised ISNCSCI algorit..