{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T02:48:16Z","timestamp":1776826096280,"version":"3.51.2"},"reference-count":48,"publisher":"American Spinal Injury Association","issue":"Supplement1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026]]},"abstract":"\n Background:<\/jats:title>\n The National SCI Model Systems (SCIMS) Database was established in 1973 to study longitudinal data from persons with traumatic SCI (TSCI). The SCIMS provides an ideal platform to explore the feasibility of a parallel data collection effort to understand the characteristics of individuals with nontraumatic SCI (NTSCI). In the current data collection cycle (2021-2026), all SCIMS centers gathered data specific to NTSCI.<\/jats:p>\n <\/jats:sec>\n \n Objectives:<\/jats:title>\n To (1) describe the demographic and injury-specific characteristics of participants with NTSCI and (2) assess neurological changes from admission to discharge.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n The International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) examination data of participants with NTSCI who were enrolled at an SCIMS center were extracted from the medical records at admission and discharge from inpatient rehabilitation. Data from 178 participants with NTSCI were analyzed.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n Among the 93 participants who had adequate ISNCSCI data on admission, only 8.6% had neurological complete injuries. More participants had paraplegia (\n n<\/jats:italic>\n = 58, 62.4%) than tetraplegia (\n n<\/jats:italic>\n = 35, 37.6%). For participants with full ISNCSCI data at both admission and discharge (\n n<\/jats:italic>\n = 47), there were significant improvements in the lower extremity motor score and pinprick and light touch scores on discharge.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n On admission to acute rehabilitation, more people with NTSCI had paraplegia than tetraplegia, and neurological incomplete injuries were more common. People with NTSCI experienced significant improvement in ISNCSCI neurological variables by the time of discharge from rehabilitation.<\/jats:p>\n <\/jats:sec>","DOI":"10.46292\/sci25-00122","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T02:17:19Z","timestamp":1776824239000},"page":"188-199","source":"Crossref","is-referenced-by-count":0,"title":["Characterizing Neurological Status and Outcomes During Inpatient Rehabilitation in Persons With Nontraumatic Spinal Cord Injury: Early Findings From a Spinal Cord Injury Model Systems Feasibility Study"],"prefix":"10.46292","volume":"32","author":[{"given":"Kazuko","family":"Shem","sequence":"first","affiliation":[{"name":"Santa Clara Valley Medical Center, San Jose, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Einat","family":"Engel-Haber","sequence":"additional","affiliation":[{"name":"Kessler Foundation, East Hanover, New Jersey and Rutgers New Jersey Medical School, Newark, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany","family":"Snider","sequence":"additional","affiliation":[{"name":"Mayo Clinic College of Medicine, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Valeria Aguirre","family":"Guemez","sequence":"additional","affiliation":[{"name":"MedStar National Rehabilitation Hospital, Washington, DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven","family":"Kirshblum","sequence":"additional","affiliation":[{"name":"Kessler Institute for Rehabilitation\/Kessler Foundation, East Hanover, New Jersey, and Rutgers New Jersey Medical School, Newark, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seema","family":"Sikka","sequence":"additional","affiliation":[{"name":"Baylor Scott & White Institute for Rehabilitation, Fort Worth, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald K.","family":"Reeves","sequence":"additional","affiliation":[{"name":"Mayo Clinic College of Medicine, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"25425","reference":[{"issue":"4","key":"b1","series-title":"Top Spinal Cord Inj Rehabil.","first-page":"299","article-title":"Important clinical rehabilitation principles unique to people with non-traumatic spinal cord dysfunction","volume":"23","author":"New PW","year":"2017","unstructured":"New PW, Eriks-Hoogland I, Scivoletto G, et al. Important clinical rehabilitation principles unique to people with non-traumatic spinal cord dysfunction. Top Spinal Cord Inj Rehabil. 2017;23(4):299-312. https:\/\/doi.org\/10.1310\/sci2304-299."},{"issue":"1","key":"b2","series-title":"J Spinal Cord Med","first-page":"76","article-title":"Epidemiology of non-traumatic spinal cord injury in Ireland\u2014A prospective population-based study","volume":"45","author":"Smith \u00c9","year":"2022","unstructured":"Smith \u00c9, Fitzpatrick P, Lyons F, Morris S, Synnott K. Epidemiology of non-traumatic spinal cord injury in Ireland\u2014A prospective population-based study. J Spinal Cord Med. 2022;45(1):76-81. https:\/\/doi.org\/10.1080\/10790268.2020.1762829."},{"issue":"3","key":"b3","series-title":"Phys Med Rehabil Clin N Am","first-page":"505","article-title":"Updates for the International Standards for Neurological Classification of Spinal Cord Injury","volume":"25","author":"Kirshblum S","year":"2014","unstructured":"Kirshblum S, Waring W. Updates for the International Standards for Neurological Classification of Spinal Cord Injury. Phys Med Rehabil Clin N Am. 2014;25(3):505-517, vii. doi:10.1016\/j.pmr.2014.04.001."},{"issue":"1","key":"b4","series-title":"BMC Med","first-page":"225","article-title":"International surveillance study in acute spinal cord injury confirms viability of multinational clinical trials","volume":"20","author":"Bourguignon, L","year":"2022","unstructured":"Bourguignon, L, Tong B, Geisler F, et al. International surveillance study in acute spinal cord injury confirms viability of multinational clinical trials. BMC Med. 2022;20(1):225. https:\/\/doi.org\/10.1186\/s12916-022-02395-0."},{"issue":"3","key":"b5","series-title":"Top Spinal Cord Inj Rehabil.","first-page":"15","article-title":"ISNCSCI Working Group. An evaluation of International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) performance within the Canadian SCI Network","volume":"31","author":"Hong HA","year":"2025","unstructured":"Hong HA, Parsons J, Xu J, et al., ISNCSCI Working Group. An evaluation of International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI) performance within the Canadian SCI Network. 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Reliability and validity of the International Standards for Neurological Classification of Spinal Cord Injury in patients with non-traumatic spinal cord lesions. Spinal Cord. 2022;60(1):30-36. https:\/\/doi.org\/10.1038\/s41393-021-00675-9."},{"issue":"6","key":"b8","series-title":"Eur J Phys Rehabil Med","first-page":"980","article-title":"Unveiling the mosaic: Comparing demographics and outcomes in traumatic vs. non-traumatic spinal cord injuries","volume":"60","author":"Lena E","year":"2024","unstructured":"Lena E, Timelli L, Di Fonzo S, et al. Unveiling the mosaic: Comparing demographics and outcomes in traumatic vs. non-traumatic spinal cord injuries. Eur J Phys Rehabil Med. 2024;60(6):980-988. https:\/\/doi.org\/10.23736\/S1973-9087.24.08554-X."},{"issue":"6","key":"b9","series-title":"Archf Phys Med Rehabil","first-page":"1080","article-title":"International retrospective comparison of inpatient rehabilitation for patients with spinal cord dysfunction epidemiology and clinical outcomes","volume":"96","author":"New PW","year":"2015","unstructured":"New PW, Reeves RK, Smith \u00c9, T et al. International retrospective comparison of inpatient rehabilitation for patients with spinal cord dysfunction epidemiology and clinical outcomes. 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Epidemiology of non-traumatic spinal cord injury in Ireland\u2014A prospective population-based study. J Spinal Cord Med. 2022;45(1):76-81. https:\/\/doi.org\/10.1080\/10790268.2020.1762829."},{"issue":"3","key":"b3","series-title":"Phys Med Rehabil Clin N Am","first-page":"505","article-title":"Updates for the International Standards for Neurological Classification of Spinal Cord Injury","volume":"25","author":"Kirshblum S","year":"2014","unstructured":"Kirshblum S, Waring W. Updates for the International Standards for Neurological Classification of Spinal Cord Injury. Phys Med Rehabil Clin N Am. 2014;25(3):505-517, vii. doi:10.1016\/j.pmr.2014.04.001."},{"issue":"1","key":"b4","series-title":"BMC Med","first-page":"225","article-title":"International surveillance study in acute spinal cord injury confirms viability of multinational clinical trials","volume":"20","author":"Bourguignon, L","year":"2022","unstructured":"Bourguignon, L, Tong B, Geisler F, et al. 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