Patient’s gross motor skills have improved significantly, including in his ankles, knee extension (kicking and pushing out), and hip and knee flexion. Patient is able to sit up straight with normal static balance. His dynamic sitting balance has improved.
When standing and stepping required only manual support, with no need for a hoist. He was able to use a walking frame and parallel bars. When patient is standing he requires assistance in locking his hips and knees. Patient has good trunk control while standing and is able to bear weight equally on both legs. Patient is able to stand at the parallel bars with some assistance.
When stepping, patient uses a walking frame and is able to lift both feet. Patient’s left side is stronger than the right. Patient has very good coordination between left and right feet when taking steps. When taking short steps, patient does not require assistance in foot placement, but does when taking longer steps.
Patient’s muscle mass has increased and endurance has improved significantly.
Patient still experiences flexor spasms with the same frequency as before surgery but extensor spasms have decreased.
There was no noticeable change in bladder and bowel function.