• The ISAFSCI is an assessment designed to determine which autonomic functions are intact, impaired or lost following SCI.
  • The assessment form consists of 2 main sections: 1) general autonomic function, and 2) lower urinary tract, bowel and sexual function.

ICF Domain

Body Functions ▶ Self Care


The functional performance categories are scored on a 2 point scale from 0 (complete loss of control) to 2 (normal function).

Number of Items




Training Required

No additional training required.


Can be found here.

# of studies reporting psychometric properties: 1


MCID: not established in SCI
SEM: not established in SCI
MDC: not established in SCI


Inter-rater reliability of the COPM is Moderate with the general autonomic component (κ=0.41-0.6) and High within the lower urinary tract, bowel, and sexual function component (κ=0.62-0.88).

(Davidson et al. 2017)


No studies reporting validity data.


No values were reported for the responsiveness of the ISAFSCI for the SCI population.

Floor/Ceiling Effect

No values were reported for the presence of floor/ceiling effects in the ISAFSCI for the SCI population.


Dr. Vanessa Noonan, Marzena Zhou, Gita Manhas

Date Last Updated

3 August 2020

Davidson RA, Carlson M, Fallah N, Noonan VK,, Elliott SL, Joseph J, Smith KM, Krassioukov AV. Inter-Rater Reliability of the International Standards to Document Remaining Autonomic Function after Spinal Cord Injury. J Neurotrauma. 2017;34(3):552-558. https://www.liebertpub.com/doi/abs/10.1089/neu.2016.4489?rfr_dat=cr_pub%3Dpubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&journalCode=neu