Table 1 Initial physical examination of the patient
Outcomes | Right | Left |
|---|---|---|
Muscle tone | Slightly increased in all muscles | Considerably increased in all muscles |
Active ROM | Limited | Absent |
Passive ROM | Full | Limited on the hip, absent on the knee and ankle |
Spasm | Present (intermittent) | Present (frequent) |
Spasticity | MAS 1+ in all joints | MAS 4 in the knee and ankle, MAS 2 in the hip |
Rigidity | Absent | Present |
Sensation | Abnormal shocking sensation below T12 (VRS 8/10) | Abnormal shocking sensation below T12 (VRS 8/10) |
Deep tendon reflex | Exaggerated | Exaggerated |
Babinski | Present with clonus | Present with clonus |
TA tightness | Absent | Present |
Foot position | plantar grade | fixed plantar flexion |
Gross muscle power | OMG 3/5 | OMG 1/5 |