Spinal cord function assessment for cervical spondylosis

  Table I. Assessment of spinal cord functional status in patients with cervical spondylosis (17-point scale)
  I. Upper limb motor function (4 points)
  Unable to hold chopsticks or spoon to eat (0 points)
  Able to hold a spoon, but not chopsticks (1 point)
  Able to hold chopsticks although not dexterous (2 points)
  Can hold chopsticks and perform general household chores, but has clumsy hands (3 points)
  Normal (4 points)
  II. Motor function of lower limbs (4 points)
  Unable to walk (0 points)
  Needs support even for walking on level ground (1 point)
  Can walk without support on level ground, but need to use it when walking upstairs (2 points)
  Walking on level ground or upstairs without support, but inflexible lower limbs (3 points)
  Normal (4 points)
  III. Sensory(6 points)
  Obvious sensory impairment (0 points)
  Mild sensory impairment (1 point)
  Normal (2 points)
  VI. Bladder function (3 points)
  Urinary retention (0 points)
  High difficulty in urination, effort to urinate, incontinence or dribbling(1 point)
  Mild dyspareunia, urinary frequency, urinary retention (2 points)
  Normal (3 points)
  Table II. Assessment of spinal cord functional status in patients with cervical spondylosis (40-point scale)
  I. Upper limb function (left and right scores, total 16 points)
  No use function (0 points)
  Could barely hold food for meals, could not tie the buckle for writing (2 points)
  Can hold a spoon to eat, can barely fasten the buckle and write with distortion (4 points)
  Can hold chopsticks for meals, can fasten the buckle, but not flexible (6 points)
  Basically normal (8 points)
  II. Lower limb function (left and right, 12 points in total)
  Unable to sit and stand (0 points)
  Can sit but cannot stand (2 points)
  Able to stand but unable to walk (4 points)
  Can barely walk with a double crutch or with the help of someone (6 points)
  Walking up and down stairs with a single crutch or with a ladder (8 points)
  Able to walk independently, limping gait (10 points)
  Basically normal (12 points)
  III. Sphincter function (6 points)
  Urinary retention, or incontinence (0 points)
  Difficulty in urination and defecation or other disorders (3 points)
  Basically normal (6 points)
  VI. Extremity sensation (upper and lower extremities are examined separately, 4 points in total)
  Numbness, pain, tightness, dullness or hyperalgesia (0 points)
  Basically normal (2 points)
  V. Tethered sensation (trunk, 2 points)
  Tightness (0 points)
  Basically normal (2 points)