Patient’s gross motor skills have improved significantly, including ankles, hip and knee flexion, and knee extension (kicking out and pushing out). Patient has good static sitting balance with minimal support, and dynamic sitting balance has improved slightly. 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 moving from sitting position to standing position, patient requires moderate assistance and must hold the parallel bars.
Assistance is required to lock knees while standing, however when patient uses a knee brace he is able to lock his knees himself. Patient is still unable to lock his hips while standing and requires assistance for weight bearing on both legs.
When stepping, patient is able to lift both feet and does not require any assistance in foot placement. While wearing a knee brace, patient is able to lock his knees very well during stepping, however without it patient requires assistance. Patient is not yet able to coordinate between left and right feet when taking steps.
Patient’s muscle mass has increased and endurance has improved significantly.
Two mapping programs were conducted by physical therapists for spasticity and spasms, leading to reduced flexor spasms that patient has experienced during sleep.
There was no noticeable change in bladder and bowel functions. However, with stem cell injections, we expect to see results in these areas within 3 months.