Due to moderate obesity and excessive subcutaneous adipose tissue, the surgical wound at the IPG implantation site healed slowly and required multiple procedures to drain the residual seroma. After the wound healed, mapping sessions began.

Patient’s gross motor skills have improved significantly, including ankle, hip and knee flexion, and knee extension (kicking out) when epidural stimulation device is switched on. Patient has good static and dynamic sitting balance and is able to touch his feet and put on his shoes.

Patient’s static standing balance is poor and dynamic standing balance non-existent. Muscle mass and endurance were improved upon discharge, and with physical therapy the patient was able to lose 20 kg.

Patient did not require a hoist while standing or during stepping exercises. Patient is able to stand at the parallel bar very well with no support. Patient is able to lock his knees with assistance, but is unable to keep them locked for long periods. Patient has good trunk control and bears weight equally on both legs while standing, but struggles to lock his hips.

During stepping exercises, patient was able to lift his feet very well. Patient is able to bear weight equally on both feet, but requires assistance with foot placement. Patient has good coordination in both legs when stepping.