I had the same question about this item. Motor level is indeed defined as the lowest key muscle that has a grade of at least 3 BUT with the above muscles grade 5. If the above muscles are not grade 5, then that is not the motor level but rather indicative of an incomplete SCI. Based on ASIA testing, the motor level should indeed have been L2 (because hip flexors were 4/5 and not 5/5, and that is assuming the next rostral muscle was 5/5 even though that information was not stated) and then the patient would either have a ZPP or be ASIA C depending on the results from the remaining sensory and motor testing.
This reply was modified 1 year, 7 months ago by Bri Hohl.
This reply was modified 1 year, 7 months ago by Bri Hohl.