Patient is able to stand with support at a parallel bar when the epidural stimulation device is switched on. Patient is able to lock his hips, which allows him to stand.

While standing, patient has good upper trunk control, but limited lower trunk control. He applies more weight to his right leg than left leg. He is able to lock his left knee consistently, but right knee only sometimes.

Patient is able to take steps with a walking frame, no hoist required, and is able to lift both feet when taking steps. He has very good coordination between left and right foot when taking steps. Patient does not require assistance with foot placement when taking short steps, but does when taking longer steps.

Patient’s gross motor skills have improved significantly, particularly ankle, hip, and knee flexion, and knee extension (kicking out) when epidural stimulation device is switched on. Patient has good static sitting balance and no support is needed. However, during dynamic sitting, balance is poor due to weak lower trunk muscles. Static standing balance is good at the parallel bar.

Muscle mass and endurance were improved upon discharge.
In terms of Orthostatic Hypotension, patient’s blood pressure used to drop when changing positions from sitting to standing, which affected his ability to participate in physical therapy. However, with Program C on the Epidural Stimulation device, patient’s blood pressure was stable when changing positions, allowing for his therapy sessions as scheduled.
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 6 months time. After 35 days, patient was discharged and will continue physiotherapy back home.