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The revised zone of partial preservation (ZPP) in the 2019 International Standards for Neurological Classification of Spinal Cord Injury: ZPP applicability in incomplete injuries PDF
To provide a reference for the Zone(s) of Partial Preservation (ZPP) in the 2019 International Standards for
Neurological Classification of Spinal Cord Injury (ISNCSCI) and analyze the initial impact of applicability of the revised ZPPs.
Revisions include the use of ZPPs in selected incomplete injuries (in addition to prior use in sensorimotor complete injuries).
Specifically, the revised motor ZPPs are applicable bilaterally in injuries with absent voluntary anal contraction (VAC) and the
revised sensory ZPP for a given side is applicable if deep anal pressure (DAP), light touch and pin prick sensation in S4-5 are absent on that side.
Schuld C; EMSCI study group; Kirshblum S, Tansey K; ASIA International Standards Committee; Rupp R. The revised zone of partial preservation (ZPP) in the 2019 International Standards for Neurological Classification of Spinal Cord Injury: ZPP applicability in incomplete injuries. Spinal Cord. 2024 Feb;62(2):79-87. doi: 10.1038/s41393-023-00950-x. Epub 2024 Jan 8. PMID: 38191920; PMCID: PMC10853064.
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| Contributed by: | SCI Education Programme |
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| Licence: | © All rights reserved More information on licences |
| First contributed: | 12 February 2025 |
| Audience access level: | Full user |
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