{"id":7757,"date":"2026-01-03T12:37:44","date_gmt":"2026-01-03T11:37:44","guid":{"rendered":"https:\/\/kineaphp.fr\/?p=7757"},"modified":"2026-01-04T19:00:12","modified_gmt":"2026-01-04T18:00:12","slug":"echelle-de-deficience-asia-atteinte-medullaire","status":"publish","type":"post","link":"https:\/\/kineaphp.fr\/?p=7757","title":{"rendered":"Echelle de d\u00e9ficience ASIA (atteinte m\u00e9dullaire)"},"content":{"rendered":"\n<p>T\u00e9l\u00e9charger le fichier PDF sur le site : <a href=\"https:\/\/asia-spinalinjury.org\/wp-content\/uploads\/2019\/01\/ASIA-ISNCSCI-Final-French-Version-Jan-2019.pdf\">Score ASIA<\/a><\/p>\n\n\n\n<h2 id=\"classification\" class=\"wp-block-heading\">Classification<\/h2>\n\n\n\n<h3 id=\"echelle-de-deficience-asia\" class=\"wp-block-heading\">Echelle de d\u00e9ficience ASIA<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A = Complet <\/strong>: aucune sensibilit\u00e9 ou motricit\u00e9 dans le territoire S4-S5.<\/li>\n\n\n\n<li><strong>B = Incomplet sensitif <\/strong>: la sensibilit\u00e9 mais pas la motricit\u00e9 est pr\u00e9serv\u00e9e au dessous du niveau l\u00e9sionnel, en particulier dans le territoire S4-S5.<\/li>\n\n\n\n<li><strong>C = Incomplet moteur <\/strong>: la motricit\u00e9 est pr\u00e9serv\u00e9e au dessous du niveau l\u00e9sionnel et plus de la moiti\u00e9 des muscles test\u00e9s au dessous de ce niveau a un score &lt; 3 (motricit\u00e9 non fonctionnelle).<\/li>\n\n\n\n<li><strong>D = Incomplet moteur <\/strong>: la motricit\u00e9 est pr\u00e9serv\u00e9e au dessous du niveau l\u00e9sionnel et au moins la moiti\u00e9 des muscles test\u00e9s au dessous de ce niveau a un score \u2265 3.<\/li>\n\n\n\n<li><strong>E = Normal <\/strong>: la sensibilit\u00e9 et la motricit\u00e9 ont normales. Il peut persister des anomalies des r\u00e9flexes.<\/li>\n<\/ul>\n\n\n\n<h3 id=\"etapes-de-la-classification\" class=\"wp-block-heading\">Etapes de la classification<\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>D\u00e9terminer les niveaux sensitifs pour les c\u00f4t\u00e9s droit et gauche.<\/strong><br>Le niveau sensitif est le dernier dermatome sain pour la piq\u00fbre et le toucher.<\/li>\n\n\n\n<li><strong>D\u00e9terminer les niveaux moteurs pour les c\u00f4t\u00e9s droit et gauche.<\/strong><br>D\u00e9fini par le dernier muscle cl\u00e9 c\u00f4t\u00e9 \u2265 3, \u00e0 condition que les muscles sus-jacents soient consid\u00e9r\u00e9s intacts.<br>Note : dans les r\u00e9gions o\u00f9 il n\u2019y a pas de myotome \u00e0 tester, le niveau moteur est pr\u00e9sum\u00e9 \u00eatre le m\u00eame que le niveau sensoriel, si la fonction motrice testable au dessus de ce niveau est \u00e9galement normale.<\/li>\n\n\n\n<li><strong>D\u00e9terminer le niveau l\u00e9sionnel<\/strong><br>Il s\u2019agit de la partie la plus distale avec sensibilit\u00e9 intacte et force musculaire antigravitaire (\u2265 3), pourvu qu\u2019il y ait audessus respectivement une fonction normale. Le niveau l\u00e9sionnel est la plus proximal des niveaux sensoriels et moteurs d\u00e9termin\u00e9s dans les \u00e9tapes 1 et 2.<\/li>\n\n\n\n<li><strong>D\u00e9terminer si la l\u00e9sion est compl\u00e8te ou incompl\u00e8te.<\/strong><br>(c\u2019est \u00e0 dire l\u2019absence ou la pr\u00e9sence d\u2019\u00e9pargne sacr\u00e9e)<br>Si la contraction anale volontaire = Non ET tous scores sensolriels S4-S5 = 0 ET la pression anale profonde = Non, alors la l\u00e9sion est consid\u00e9r\u00e9e comme Compl\u00e8te.<br>Sinon, la l\u00e9sion est Incompl\u00e8te<\/li>\n\n\n\n<li><strong>D\u00e9terminer le score de d\u00e9ficience ASIA<\/strong> :\n<ul class=\"wp-block-list\">\n<li>Est-ce une l\u00e9sion compl\u00e8te ? \n<ul class=\"wp-block-list\">\n<li>Si OUI, ASIA = A et noter la zone de pr\u00e9servation partielle (dernier dermatome ou myotome de chaque c\u00f4t\u00e9 avec une pr\u00e9servation)<\/li>\n\n\n\n<li>Si NON :<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Est-ce une l\u00e9sion motrice compl\u00e8te ? \n<ul class=\"wp-block-list\">\n<li>Si OUI, ASIA = B<\/li>\n\n\n\n<li>Si Non (contraction anale volontaire OU pr\u00e9sence d\u2019une fonction motrice sur plus de trois niveaux au-dessous du niveau moteur sur un c\u00f4t\u00e9 donn\u00e9, si le patient a une classification sensitive incompl\u00e8te) :<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Y a-t\u2019il au moins la moiti\u00e9 (moiti\u00e9 ou plus) des muscles cl\u00e9s en dessous du niveau neurologique l\u00e9sionnel class\u00e9s 3 ou mieux ?\n<ul class=\"wp-block-list\">\n<li>NON = ASIA C<\/li>\n\n\n\n<li>OUI = ASIA D<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Si la sensation et la fonction motrice sont normales dans tous les segments, alors \n<ul class=\"wp-block-list\">\n<li>ASIA = E (si ATCD l\u00e9sion document\u00e9e)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<h2 id=\"cotation\" class=\"wp-block-heading\">Cotation<\/h2>\n\n\n\n<h3 id=\"les-groupes-musculaires-cles\" class=\"wp-block-heading\">Les groupes musculaires cl\u00e9s<\/h3>\n\n\n\n<p><strong>5 groupes musculaires cl\u00e9s au MS<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C5 Flexion de coude<\/li>\n\n\n\n<li>C6 Extension de poignet<\/li>\n\n\n\n<li>C7 Extension de coude<\/li>\n\n\n\n<li>C8 Flexion du m\u00e9dius<\/li>\n\n\n\n<li>T1 Abduction du 5\u00e8me doigt<\/li>\n<\/ul>\n\n\n\n<p><strong>5 groupes musculaires cl\u00e9s au MI<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L2 Flexion de hanche<\/li>\n\n\n\n<li>L3 Extension du genou<\/li>\n\n\n\n<li>L4 Dorsiflexion de cheville<\/li>\n\n\n\n<li>L5 Extension de l\u2019hallux<\/li>\n\n\n\n<li>S1 Flexion plantaire de cheville<\/li>\n<\/ul>\n\n\n\n<h3 id=\"cotation-fonction-musculaire\" class=\"wp-block-heading\">Cotation fonction musculaire<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>0 = paralysie totale<\/li>\n\n\n\n<li>1 = contraction visible ou palpable<\/li>\n\n\n\n<li>2 = mouvement actif dans son amplitude compl\u00e8te, sans pesanteur<\/li>\n\n\n\n<li>3 = mouvement actif dans son amplitude compl\u00e8te, contre pesanteur<\/li>\n\n\n\n<li>4 = mouvement actif dans son amplitude compl\u00e8te, contre r\u00e9sistance<\/li>\n\n\n\n<li>5 = mouvement normal (dans son amplitude compl\u00e8te, contre r\u00e9sistance compl\u00e8te)<\/li>\n\n\n\n<li>NT = non testable (immobilisation, douleur, amputation, hypertonie sur > 50% amplitude du mouvement)<\/li>\n<\/ul>\n\n\n\n<h3 id=\"cotation-sensitive\" class=\"wp-block-heading\"><br>Cotation sensitive<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>0 = absente<\/li>\n\n\n\n<li>1 = diminu\u00e9e (appr\u00e9ciation partielle ou alt\u00e9r\u00e9e, incluant hyperesth\u00e9sie)<\/li>\n\n\n\n<li>2 = normale<\/li>\n\n\n\n<li>NT = non testable<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"812\" height=\"524\" src=\"https:\/\/kineaphp.fr\/wp-content\/uploads\/2026\/01\/image-38.png\" alt=\"\" class=\"wp-image-7758\" 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m\u00e9dullaire)\u00a0\u00bb<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[406,146],"tags":[],"class_list":["post-7757","post","type-post","status-publish","format-standard","hentry","category-champ-neuro-atteinte-medullaire","category-champ-neuro-evaluations-et-tests"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Echelle de d\u00e9ficience ASIA (atteinte m\u00e9dullaire) - wikine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kineaphp.fr\/?p=7757\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Echelle de d\u00e9ficience ASIA 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