{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T16:51:27Z","timestamp":1775148687319,"version":"3.50.1"},"reference-count":62,"publisher":"American Spinal Injury Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>In May 2021, the second edition of International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI) was published.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>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).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>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 \u226518 years; &gt;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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      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 (\n                      <jats:italic>n<\/jats:italic>\n                      = 5) or paraplegia\n                      <jats:italic>(n<\/jats:italic>\n                      = 7), respectively. Median time to complete an assessment was 39 minutes (Q1: 32, Q3: 46).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.46292\/sci25-00010","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T17:05:34Z","timestamp":1755882334000},"page":"89-100","source":"Crossref","is-referenced-by-count":0,"title":["German Transcreation of the International Standards to Document Remaining Autonomic Function After Spinal Cord Injury (Second Edition): A Feasibility Study in Individuals With Subacute Phase Spinal Cord Injury\/Disease (SCI\/D)"],"prefix":"10.46292","volume":"31","author":[{"given":"Carole","family":"Niederberger","sequence":"first","affiliation":[{"name":"Swiss Paraplegic Centre, Nottwil, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Henes","sequence":"additional","affiliation":[{"name":"Swiss Paraplegic Centre, Nottwil, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrei V.","family":"Krassioukov","sequence":"additional","affiliation":[{"name":"International Collaboration on Repair Discoveries, University of British Columbia, Vancouver, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Baumberger","sequence":"additional","affiliation":[{"name":"Swiss Paraplegic Centre, Nottwil, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Krebs","sequence":"additional","affiliation":[{"name":"Swiss Paraplegic Research, Nottwil, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcrgen","family":"Pannek","sequence":"additional","affiliation":[{"name":"Swiss Paraplegic Centre, Nottwil, Switzerland"},{"name":"Department of Urology, University Hospital Berne, University of Berne, Switzerland"},{"name":"Department of NeuroUrology, Swiss Paraplegic Centre, Nottwil, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Walter","sequence":"additional","affiliation":[{"name":"Swiss Paraplegic Centre, Nottwil, Switzerland"},{"name":"International Collaboration on Repair Discoveries, University of British Columbia, Vancouver, Canada"},{"name":"University of Basel, Faculty of Medicine, Basel, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anke","family":"Scheel-Sailer","sequence":"additional","affiliation":[{"name":"Swiss Paraplegic Centre, Nottwil, Switzerland"},{"name":"Swiss Paraplegic Research, Nottwil, Switzerland"},{"name":"Berne Rehabilitation and Sport Department, University Hospital Berne, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"25425","reference":[{"issue":"1","key":"b1","series-title":"World J Orthop.","first-page":"8","article-title":"Rehabilitation of spinal cord injuries","volume":"6","author":"Nas K","year":"2015","unstructured":"Nas K, Yazmalar L, \u015eah V, Ayd\u0131n A, \u00d6ne\u015e K. Rehabilitation of spinal cord injuries. World J Orthop. 2015;6(1):8-16. doi: 10.5312\/wjo.v6.i1.8."},{"issue":"3","key":"b2","series-title":"Top Spinal Cord Inj Rehabil.","first-page":"282","article-title":"International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI), first edition 2012","volume":"18","author":"Krassioukov A","year":"2012","unstructured":"Krassioukov A, Biering-Sorensen CF, Donovan W, et al. International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI), first edition 2012. Top Spinal Cord Inj Rehabil. 2012;18(3):282-296. doi: 10.1310\/sci1803-282."},{"issue":"2","key":"b3","series-title":"Top Spinal Cord Inj Rehabil.","first-page":"1","article-title":"International Standards for Neurological Classification of Spinal Cord Injury: Revised 2019","volume":"27","author":"Rupp R","year":"2021","unstructured":"Rupp R, Biering-S\u00f8rensen F, Burns SP, et al. International Standards for Neurological Classification of Spinal Cord Injury: Revised 2019. Top Spinal Cord Inj Rehabil. 2021;27(2):1-22. doi: 10.46292\/sci2702-1."},{"issue":"3","key":"b4","series-title":"Cell Biochem Biophys.","first-page":"385","article-title":"Bowel dysfunction in spinal cord injury: Current perspectives","volume":"69","author":"Pan Y","year":"2014","unstructured":"Pan Y, Liu B, Li R, Zhang Z, Lu L. Bowel dysfunction in spinal cord injury: Current perspectives. Cell Biochem Biophys. 2014;69(3):385-388. doi:10.1007\/s12013-014-9842-6"},{"issue":"3","key":"b5","series-title":"J Urol.","first-page":"574","article-title":"Neurogenic Bladder Research Group. Patient reported bladder related symptoms and quality of life after spinal cord injury with different bladder management strategies","volume":"202","author":"Myers JB","year":"2019","unstructured":"Myers JB, Lenherr SM, Stoffel JT, et al.; Neurogenic Bladder Research Group. Patient reported bladder related symptoms and quality of life after spinal cord injury with different bladder management strategies. J Urol. 2019;202(3):574-584. doi: 10.1097\/JU.0000000000000270."},{"issue":"10","key":"b6","series-title":"World J Urol.","first-page":"1577","article-title":"Fertility and sexuality in the spinal cord injury patient","volume":"36","author":"Stoffel JT","year":"2018","unstructured":"Stoffel JT, Van Der Aa F, Wittmann D, Yande S, Elliott S. Fertility and sexuality in the spinal cord injury patient. World J Urol. 2018;36(10):1577-1585. doi:10.1007\/s00345-018-2347-y."},{"issue":"10","key":"b7","series-title":"Curr Gastroenterol Rep.","first-page":"47","article-title":"Bowel dysfunction in spinal cord injury","volume":"20","author":"Qi Z","year":"2018","unstructured":"Qi Z, Middleton JW, Malcolm A. Bowel dysfunction in spinal cord injury. Curr Gastroenterol Rep. 2018;20(10):47. doi:10.1007\/s11894-018-0655-4."},{"key":"b8","series-title":"Progress in Brain Research.","first-page":"231","article-title":"Orthostatic hypotension and paroxysmal hypertension in humans with high spinal cord injury","volume":"152","author":"Mathias CJ","year":"2006","unstructured":"Mathias CJ. Orthostatic hypotension and paroxysmal hypertension in humans with high spinal cord injury. In: Progress in Brain Research. Vol 152. Elsevier; 2006:231-243. doi:10.1016\/S0079-6123(05)52015-6."},{"issue":"10","key":"b9","series-title":"Int J Mol Sci.","first-page":"2464","article-title":"The blood pressure pendulum following spinal cord injury: Implications for vascular cognitive impairment","volume":"20","author":"Sachdeva R","year":"2019","unstructured":"Sachdeva R, Nightingale TE, Krassioukov AV. The blood pressure pendulum following spinal cord injury: Implications for vascular cognitive impairment. Int J Mol Sci. 2019;20(10):2464. doi:10.3390\/ijms20102464."},{"issue":"1","key":"b10","series-title":"Top Spinal Cord Inj Rehabil.","first-page":"1","article-title":"Neural control and physiology of sexual function: Effect of spinal cord injury","volume":"23","author":"Krassioukov A","year":"2017","unstructured":"Krassioukov A, Elliott S. Neural control and physiology of sexual function: Effect of spinal cord injury. Top Spinal Cord Inj Rehabil. 2017;23(1):1-10. doi:10.1310\/sci2301-1."},{"issue":"2","key":"b11","series-title":"Top Spinal Cord Inj Rehabil.","first-page":"23","article-title":"International Standards to document Autonomic Function following SCI (ISAFSCI): Second edition","volume":"27","author":"Wecht JM","year":"2021","unstructured":"Wecht JM, Krassioukov AV, Alexander M, et al. International Standards to document Autonomic Function following SCI (ISAFSCI): Second edition. 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Construct validity of the International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI) (1st edition). Spinal Cord. 2023;61(12):644-651. doi: 10.1038\/s41393-023-00932-z."},{"issue":"4","key":"b14","series-title":"Spinal Cord.","first-page":"322","article-title":"Administration of assessment instruments during the first rehabilitation of patients with spinal cord injury: A retrospective chart analysis","volume":"56","author":"Lampart P","year":"2018","unstructured":"Lampart P, Gemperli A, Baumberger M, Bersch I, Prodinger B, Schmitt K, Scheel-Sailer A. Administration of assessment instruments during the first rehabilitation of patients with spinal cord injury: A retrospective chart analysis. 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J Spinal Cord Med. 2022;45(6):874-881. doi:10.1080\/10790268.2021.1918978."},{"issue":"10","key":"b31","series-title":"Spinal Cord.","first-page":"768","article-title":"Training effectiveness when teaching the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) to medical students","volume":"51","author":"Liu N","year":"2013","unstructured":"Liu N, Zhou MW, Krassioukov AV, BieringS\u00f8rensen F. Training effectiveness when teaching the International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) to medical students. Spinal Cord. 2013;51(10):768-771. doi:10.1038\/sc.2013.75."},{"issue":"1","key":"b1","series-title":"World J Orthop.","first-page":"8","article-title":"Rehabilitation of spinal cord injuries","volume":"6","author":"Nas K","year":"2015","unstructured":"Nas K, Yazmalar L, \u015eah V, Ayd\u0131n A, \u00d6ne\u015e K. Rehabilitation of spinal cord injuries. World J Orthop. 2015;6(1):8-16. doi: 10.5312\/wjo.v6.i1.8."},{"issue":"3","key":"b2","series-title":"Top Spinal Cord Inj Rehabil.","first-page":"282","article-title":"International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI), first edition 2012","volume":"18","author":"Krassioukov A","year":"2012","unstructured":"Krassioukov A, Biering-Sorensen CF, Donovan W, et al. International Standards to document remaining Autonomic Function after Spinal Cord Injury (ISAFSCI), first edition 2012. Top Spinal Cord Inj Rehabil. 2012;18(3):282-296. doi: 10.1310\/sci1803-282."},{"issue":"2","key":"b3","series-title":"Top Spinal Cord Inj Rehabil.","first-page":"1","article-title":"International Standards for Neurological Classification of Spinal Cord Injury: Revised 2019","volume":"27","author":"Rupp R","year":"2021","unstructured":"Rupp R, Biering-S\u00f8rensen F, Burns SP, et al. International Standards for Neurological Classification of Spinal Cord Injury: Revised 2019. Top Spinal Cord Inj Rehabil. 2021;27(2):1-22. doi: 10.46292\/sci2702-1."},{"issue":"3","key":"b4","series-title":"Cell Biochem Biophys.","first-page":"385","article-title":"Bowel dysfunction in spinal cord injury: Current perspectives","volume":"69","author":"Pan Y","year":"2014","unstructured":"Pan Y, Liu B, Li R, Zhang Z, Lu L. Bowel dysfunction in spinal cord injury: Current perspectives. Cell Biochem Biophys. 2014;69(3):385-388. doi:10.1007\/s12013-014-9842-6"},{"issue":"3","key":"b5","series-title":"J Urol.","first-page":"574","article-title":"Neurogenic Bladder Research Group. Patient reported bladder related symptoms and quality of life after spinal cord injury with different bladder management strategies","volume":"202","author":"Myers JB","year":"2019","unstructured":"Myers JB, Lenherr SM, Stoffel JT, et al.; Neurogenic Bladder Research Group. Patient reported bladder related symptoms and quality of life after spinal cord injury with different bladder management strategies. J Urol. 2019;202(3):574-584. doi: 10.1097\/JU.0000000000000270."},{"issue":"10","key":"b6","series-title":"World J Urol.","first-page":"1577","article-title":"Fertility and sexuality in the spinal cord injury patient","volume":"36","author":"Stoffel JT","year":"2018","unstructured":"Stoffel JT, Van Der Aa F, Wittmann D, Yande S, Elliott S. Fertility and sexuality in the spinal cord injury patient. World J Urol. 2018;36(10):1577-1585. doi:10.1007\/s00345-018-2347-y."},{"issue":"10","key":"b7","series-title":"Curr Gastroenterol Rep.","first-page":"47","article-title":"Bowel dysfunction in spinal cord injury","volume":"20","author":"Qi Z","year":"2018","unstructured":"Qi Z, Middleton JW, Malcolm A. Bowel dysfunction in spinal cord injury. Curr Gastroenterol Rep. 2018;20(10):47. doi:10.1007\/s11894-018-0655-4."},{"key":"b8","series-title":"Progress in Brain Research.","first-page":"231","article-title":"Orthostatic hypotension and paroxysmal hypertension in humans with high spinal cord injury","volume":"152","author":"Mathias CJ","year":"2006","unstructured":"Mathias CJ. Orthostatic hypotension and paroxysmal hypertension in humans with high spinal cord injury. In: Progress in Brain Research. Vol 152. Elsevier; 2006:231-243. doi:10.1016\/S0079-6123(05)52015-6."},{"issue":"10","key":"b9","series-title":"Int J Mol Sci.","first-page":"2464","article-title":"The blood pressure pendulum following spinal cord injury: Implications for vascular cognitive impairment","volume":"20","author":"Sachdeva R","year":"2019","unstructured":"Sachdeva R, Nightingale TE, Krassioukov AV. The blood pressure pendulum following spinal cord injury: Implications for vascular cognitive impairment. Int J Mol Sci. 2019;20(10):2464. doi:10.3390\/ijms20102464."},{"issue":"1","key":"b10","series-title":"Top Spinal Cord Inj Rehabil.","first-page":"1","article-title":"Neural control and physiology of sexual function: Effect of spinal cord injury","volume":"23","author":"Krassioukov A","year":"2017","unstructured":"Krassioukov A, Elliott S. Neural control and physiology of sexual function: Effect of spinal cord injury. Top Spinal Cord Inj Rehabil. 2017;23(1):1-10. doi:10.1310\/sci2301-1."},{"issue":"2","key":"b11","series-title":"Top Spinal Cord Inj Rehabil.","first-page":"23","article-title":"International Standards to document Autonomic Function following SCI (ISAFSCI): Second edition","volume":"27","author":"Wecht JM","year":"2021","unstructured":"Wecht JM, Krassioukov AV, Alexander M, et al. International Standards to document Autonomic Function following SCI (ISAFSCI): Second edition. 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