Patient’s gross motor skills improved significantly. Improvement was seen in hip, ankle and knee flexion, as well as knee extension (kicking out) with added resistance. Patient has good static and dynamic sitting balance, good static standing balance, but no dynamic standing balance. Muscle mass and endurance were improved upon discharge.

Patient was able to stand at the parallel bar with the assistance of a hoist. While standing, he is able to lock his knees, however he requires assistance locking his hips. Patient has poor trunk control, but is able to bear weight equally on both legs. Due to orthostatic hypotension, patient’s blood pressure drops too low to perform stepping exercises, so therapists focused on other areas during the physical therapy sessions.

There was no noticeable improvement to his neurogenic bladder and bowel, but patient received stem cell injections so we expect to see results in these areas within 3 months time. After 35 days, patient was discharged and will continue physiotherapy back home.