Patient’s gross motor skills improved moderately. Patient is able to isolate movement in both ankles during ankle flexion, and he had good improvement in hip and knee flexion. Knee extension was improved in both kicking out and pushing out, however the patient's left leg works better than his right leg. Patient has fair trunk control.
Patient has good static sitting balance, but does not exhibit dynamic sitting balance. When patient is standing during physical therapy sessions, he has poor static standing balance.
Patient is able to stand at the parallel bars with minimal assistance from physiotherapists. At certain times, requires assistance locking his knees while standing and is unable to keep them locked. He is able to lock his right knee better than his left knee. Patient has good trunk control while standing, but he bears weight more on the right side of his body than the left and requires assistance locking his hips.
Patient is able to take assisted steps with the support of a walking frame. During stepping exercises, patient is able to lift his leg up, but requires assistance in foot placement and with locking his hips and knees. Patient has good trunk control and fair coordination when alternating steps.
Muscle mass and endurance were improved upon discharge.
Patient reported that spasms and spasticity increased after receiving stem cell injections, but they decreased when therapists provided the overnight program. Feedback will be collected in 3 months time to see whether spasms and/or spasticity have decreased.
During mapping sessions, patient was put on a bowel program. It helped reduce the amount of time the patient spends emptying his bowel, from 45-60 minutes to 20-30 minutes daily, a significant improvement in quality of life.
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.