One month after discharge, patient exhibited moderate improvement in stepping with support with less pronounced improvement observed in standing with support. While there were no discernable improvements to gross or fine motor skills, the remaining motor function categories all showed small-to-moderate improvement. Patient did not participate in any physical therapy after returning back home, which resulted in weaker upper limb and trunk control.
Balance and coordination improved moderately, and further improvements in muscle mass and stamina are anticipated with continued physical therapy. Patient can now sit up straight in his wheelchair and coordinate movement of his left and right foot during physical therapy. Patient is not able to lock knees yet and needs assistance in foot placement when stepping.
As expected, since the patient’s treatment did not include stem cell injections, there was no improvement in sensory function at the one-month follow-up evaluation.
Spasms are reduced when the stimulator is on, but when it isn’t, hip flexor and quad-extension spasms are still present with the same frequency as prior to surgery. Spasticity is also reduced during sleep, and patient experiences stronger hip abduction and knee bend due to increased muscle strength.