Online Course
American Spinal Injury Association (ASIA) Impairment Scale
Gain understanding and confidence in administering the ASIA examination

1.5-2 hours





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Stacy Schiurring
Course instructor

Stacy has experience in multiple practice settings, with advanced training in neurological conditions, wound care, and pain management

The WTR Project aims to improve the rehabilitation system in Ukraine

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Summarising the latest research & evidence
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A traumatic spinal cord injury (SCI) is a life-changing event that has both physical and emotional consequences for the individual and their support system. While SCIs occur worldwide, there is a higher incidence of these injuries in low- and middle-income counties. Timely medical and rehabilitation care is critical for optimal outcomes and patient quality of life.

The International Standards for Neurological Classification of Spinal Cord Injury, commonly referred to as the ASIA Exam, was developed by the American Spinal Injury Association (ASIA). This examination is the global standard for the classification of SCI. The main goals of the ASIA Exam are to provide standardised and detailed documentation of the SCI neurological level of injury, guidance for radiographic assessment and intervention, and determination of the extent of the SCI. This is significant as it gives an initial indication of injury prognosis and future rehabilitation potential. This course introduces the International Standards for Neurological Classification of Spinal Cord Injury, overviews the components of the examination, discusses how to calculate and interpret the results and discusses real-world consequences of the examination's findings.


This course aims to introduce rehabilitation professionals to the method and interpretation of the ASIA examination and impairment scale.


This course is made up of videos, reading, forum posts and a final quiz. The course content is split into the following sections:

  1. Video
  2. Reading activity
  3. Quiz

Target audience

This course is aimed at Physiotherapy and Physical Therapy clinicians, students and assistants. Other interested professionals such as athletic trainers, occupational therapists, nurses or medical doctors interested in this subject are also invited to participate.


  • Availability - this course is online and can be completed on your own schedule.
  • Hours of Learning - No deadlines are applied to this course and it can be started and completed in your own time according to your personal schedule. We expect the required elements to take around 1.5-2 hours depending on your schedule and learning style. Additionally there are many optional resources provided and if you choose to review these the course could take longer to complete.
  • Types of Activities - Watching videos, reading, a final quiz and participating in an international discussion forum.
  • Certificates - At the end of the course, when you have completed all of the required elements, you will be able to download a certificate of completion and 1.5 Plus points will be added to your personalised learning dashboard.

Requirements to complete this course

In order to complete this course and receive a course completion certificate plus CEUs/CCUs/CPD points you will need to:

  1. Respect the Plus Community Culture.
  2. Log all the required learning activities as complete (represented by the orange icons!).
  3. Actively and appropriately participate in the course discussions.
  4. Pass a final quiz with a score of 80% or more.
  5. Complete a course evaluation form.

Learning outcomes

At the end of this course you will be able to:

  • describe the purpose and key components of the ASIA sensory and motor examination
  • explain how to determine the neurological level of injury and AIS grade for individuals with a spinal cord injury using the ASIA sensory and motor examination
  • identify the neurological level of injury and AIS grade for an individual with a spinal cord injury in a given case scenario

Instructor financial and non-financial disclosures

Stacy Schiurring: No relevant relationships disclosed by instructor.


For special needs or accommodations please contact us with details of how we can meet your needs.

Featured reviews
This course provides deep insights into the area of Spinal Cord Injury assessment. You learn something new no matter your experience level, or you are reminded of it interestingly, at the very least.
Eluemuno Ndionuka