Patient’s gross motor skills improved significantly. Patient has better trunk control and improvements were also observed in ankle, hip, and knee flexion. She demonstrated fair knee extension (kicking out) when epidural stimulation device is switched on she is able to push her legs out, however not when resistance is added.
Patient has good static sitting balance with minimal support required, but dynamic sitting balance is not possible yet. Patient required two people to assist in standing, but has good static standing balance with minimal support and is able to stand at the parallel bar and lock both knees and hips. Patient has good trunk control and bears weight equally on both legs while standing. Patient did not require a hoist while standing or during stepping exercises. Patient experiences significant spasticity, so she had slight difficulties taking unassisted steps but is able to take assisted steps. Patient did require assistance locking knees and hips when stepping and was able to lift her feet, but required assistance in foot placement. Patient is not able to coordinate both legs during stepping exercises.
Muscle mass and endurance were improved upon discharge. However, patient’s spasms and spasticity increased after surgery. The overnight program for spasms and spasticity helped the patient sleep, but significant spasms resumed upon waking.
There was no noticeable improvement to her neurogenic bladder and bowel. Patient received stem cell injections, therefore we expect to see results in these areas within 3 months. After 35 days, patient was discharged and will continue her physiotherapy back home