Classification

Before treatment

After treatment

Hypothenar/ the big thenar

muscular atrophy

Her muscle is plumpy than before

Response to exciting

Spasms of the extremities

Her spasms is alleviated than before

Upper limbs

Muscle strength

Right forearm muscle strength  level of flexing is(5); of straighten is (3). Left forearm muscle strength  level of flexing is(4) and muscle strength level of extensor is (2).

Same to before

Movement

Both hands before wrist cannot flex, her right hand can reach her face, her left upper limb, when straightening, can lift the bed at a angle of 60°.

Her right hand can reach her head easily and her left hand can touch the face. Right wrist can do the movement of endoduction、aboduction and flexing. Right finger can flex and grasp. Left wrist can make a small flexing movement.

Muscular tension

High tension at the end of bending.

Normal

Muscular volume

Decreased than normal

Increased after treatment

Physiological reflex response

Radioperiosteal reflex active in both sides. Biceps femoris reflex of both sides decline. The triceps reflex bilateral were hyperreflexia

The bilateral biceps femoris reflex are normal, others are same to before.

Both lower extremities

Muscle strength

(0) degree

1 degree

Movement

Naught

Both lower extremities have the movement of intorsion, now she can bend her knees, her big toe in right foot has discontinuous movement.   

Muscular tension

Lower than normal

Not high

Muscular volume

Lower than normal

Increased

Physiological reflex response

Patellar tendon reflex in both sides are basically normal. Anklereflex didn’t been induced.

Same to before

Abdominal reflexes

Reflex in middle hypogastrium of left abdominal

wall declined, others was not induced

Reflex in both hypogastrium and left middle of abdominal wall are normal, others was not induced.

Pathologic reflex

Hoffmann sign of both side(+)

Rossilimo sign of both side(+)

Babinski sign and palm-chin reflex in bilateral(－), sucking reflex(－). meningeal irritation sign(－).

Same as before

Shoulder pain

Pain was existence

Obviously relief

Sensation

Sensory upper the sternal angle is normal, the sensation of acmesthesia from sternal angle to xiphoid process was declined, deep and superficial sensibility below the xiphoid process were disappeared. Area in right upper limb innervated by C5-6 had decreased sensibility. Sense of T1 distribution area had distinctly decline, muscle’s tremor can be observed when needling the part. Hypesthesia in C5-6 distribution area of left upper limb, she has anesthesia in C7-8 and T1 distribution area, hyperesthesia in T1 distribution area and thenar area , muscle’s tremor occurred when needling. Tactile sensations was disappeared below the level of C5, sense of tuning folks’ vibration disappeared in both lower extremities    

Sensory upper the sternal angle is normal, the sensation of acmesthesia from sternal angle to xiphoid process was declined, deep and superficial sensibility below the xiphoid process has been restored a little. Sensibility of her upper limbs were improved. The symptom of hyperaesthesia in C4,C7 area was alleviated. Sense of C8 distribution area is occurred unsteady. Her both lower extremities has superficial sensibility delay. Both big toe had spontaneous pain occasionally, pain in her left thumb was decreased. The pallesthesia was stronger in left leg, in her right knee and foreside of tibia had sense of pallesthesia, she has a response with strong pain stimulus in both lower extremities, there was a sense delay in right leg for about 1-2 seconds.     

Esthesia about emiction

Naught

Has a feeling that bladder is empty. 

Esthesia about defecation

Naught

Has a sense around the anus, her ani sphincter can contract now

Coordinate movement

Can not cooperate the check