Patient’s gross motor skills improved significantly, especially in ankle, hip, and knee flexion. Patient also had very good knee extension (kicking out to full extension), however pushing out was not full range.
Patient has good static sitting balance and fair dynamic sitting balance, but static standing balance remains poor. Muscle mass and endurance were improved upon discharge.
Patient was able to stand at the parallel bar, but required assistance in locking his knees and hips. He is able to bear weight equally on both legs and has fair trunk control.
Patient is able to lift his legs up to take assisted steps using a walking frame and does not require assistance in foot placement during stepping exercises. Patient has good coordination while taking steps, but did require assistance in locking his knees and hip when stepping.
1 Year Post-Treatment
One year after initial treatment with Verita Neuro, patient has returned and has been participating in 4 to 5 hours of physical therapy per week.
The programs provided by Verita Neuro for gross motor functions have been successful. Patient’s gross motor functions such as flexing and extending his ankles, hips and knees have improved moderately. Patient feels stronger and is able to complete more repetitions kicking and pushing out his legs. On a scale of 1-5, 1 being worse than before surgery and 5 being significantly better, patient rates his gross motor functions as 2.5 to 3.
Patient has noticed significant improvement during standing exercises. He is able to stand up straight and lock both his knees very well. Patient states that he has weak lower back and requires assistance when straightening his spine.
Patient has noticed significant improvement during stepping exercises. He is able to lock both his knees, and keep them locked while taking steps. Patient is able to lift his legs while taking steps and does not require assistance with foot placement. He has good trunk control and is able to bear weight equally on both legs during stepping exercises. Previously, patient was able to take just four steps, but now he can take 10 steps forward, with better coordination than before.
Patient’s static and dynamic standing balance have improved significantly. He is able to stand and move side to side with weights during his physical therapy. He also reports that he can change from a supine position to sitting position with minimal assistance: he requires assistance to move from supine to 45 degrees, then he is able to sit up by himself. Patient was not able to do this during his post-operative therapy. Patient reports an increase in muscle mass, and he feels stronger during therapy sessions. His stamina has improved significantly, and he reports slightly less fatigue.
Overall, patient is very satisfied and would like to return for further stem cell therapy and mapping sessions. He would like to have minor adjustments made to a few of his programs.
There was no noticeable improvement to his neurogenic bladder and bowel. Patient received stem cell injections, therefore we expect to see results in these areas within 3 months time.
1 Year Post-Treatment
Patient has reported increased sensation from his left abdominal area down his left leg. Patient has also regained bladder sensation and control - he is able to hold his bladder contents for longer periods of time. He now only requires a catheter when taking long trips. Patient has noticed very mild improvement in bowel functions. He does not have sensation in his bowel area, but is able to empty his bowel better and faster.