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NPTE Clinical Files | Physical Therapy

Spinal Cord Injuries / ASIA Scale

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4608 Ratings

🗓️ 26 March 2025

⏱️ 8 minutes

🧾️ Download transcript

Summary

Teddy sustained a spinal cord injury at the C7 level after a motor vehicle accident. During the ASIA examination, the patient has preserved sensation at S4-S5 but no voluntary anal contraction. Motor function is absent below C7. Reflex activity is present. How should this patient’s spinal cord injury be classified on the ASIA Impairment Scale?

A) ASIA A (Complete)

B) ASIA B (Sensory Incomplete)

C) ASIA C (Motor Incomplete)

D) ASIA D (Motor Incomplete)

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Transcript

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0:00.0

I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide.

0:09.0

It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE.

0:16.0

Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see

0:22.0

the life I have today, a life filled with love, financial freedom, and a dream job that

0:27.2

allows me to change lives every single day. I created the NPTE Clinical Files podcast to

0:33.4

give you simple, actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.

0:40.6

All of this so that you can dominate your exam like I did and achieve your dream.

0:45.6

So if you're a driven PT student who's looking to pass the NPTE and start creating a life you love,

0:51.7

you're in the right place.

0:53.3

Enjoy the show.

0:55.9

For this week's clinical file, we have Teddy and Teddy sustained a spinal cord injury at the C7 level after a motor

1:02.4

vehicle accident. During the Asia examination, the patient has preserved sensation at S4 to S5,

1:15.6

but no voluntary anal contraction. Motor function is absent below C7, reflex activity is present. How should the patient's spinal cord injury be classified

1:22.8

on the Asia impairment scale? A, Asia A, complete, B, Asia B, sensory incomplete, C, Asia C, motor incomplete,

1:35.9

and D is Asia D motor incomplete. All right, let's go to the top of this question. You know,

1:42.5

this question is all about understanding the Asia scale for the MPTE.

1:47.8

And while this type of scale may seem pretty straightforward,

1:51.4

most students get these types of questions wrong because of the nuanced information about each level of the scale.

1:58.3

This is what the MPTE hits on.

2:00.4

But we freaking got this. Let's get it.

2:03.3

So Teddy sustained a spinal cord injury at C7 level after a motor vehicle accident.

2:10.5

All right, let's stop there for a minute, keeping in mind that specific level. We actually

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