David Manley's Story


"TPMA gave David control back over his own body." - Jim Manley, father of David Manley, spasticity patient


After sustaining a traumatic injury in an automobile accident in 1995, 25-year-old Stephenville native, David Manley almost lost his life. Manley suffered from severe brain injury after being thrown from the vehicle on impact, eventually resulting in spasticity disorder.


Spasticity, a severe neurological movement disorder, causes the muscles to tighten and stiffen. This relentless contraction makes it nearly impossible for the patient to willingly move the body. Eventually, the spasticity patient loses all muscle tone and control.


"David's muscle loss was so bad that he ended up in a fetal position," Jim Manley said. "He had no control over his own body."


Manley was unable to control any of his muscles. His disorder left him with little strength both physically and psychologically. According to Pam Manley, David's step-mother, the spasticity disorder was hard on his self-esteem, his ego and his will power. Unable to speak or control his movements, Manley was left feeling hopeless and listless.


After several attempts to control Manley's spasticity disorder with oral medication, his neurologist, Dr. Edward Kramer, referred him to Dr. Ashley Classen of TPMA. Together, Dr. Kramer and Dr. Classen have worked determinedly with Manley to improve his neurological and physical conditions.


Manley was found by Dr. Classen to be a candidate for an intrathecal Baclofen pump to control the spasticity disorder. Generally, pain pumps are used to manage patients with chronic pain. In spasticity patients, however, Baclofen is used in the pain pump to relax the muscles, control blood flow and allow the patient to regain body control.


"On July 7, 1999, we did a 30-day trial and could see the results immediately, " Pam Manley said. "It gave him control back over his muscles."


According to Pam Manley, both Manley's physical and mental states have improved tremendously since implantation of the pump. He is currently undergoing strenuous physical therapy and rehabilitation. He is learning how to regain control over his body.


"He is able to push his wheelchair with his good left arm," Pam Manley said. "His strength and attitude have improved and his alertness has increased."


Today, Manley is able to do more than he has ever done since his accident. His muscle tone and control is returning. He can willingly move his legs and arms. Although he can't speak, he communicates his feelings and desires with others by pointing to word cards. He answers questions with his eyes--blinking once for yes and twice for no.


"Dr. Kramer and Dr. Classen, together, have taken him further than we have ever seen before," Pam Manley said. "He is slowly but surely coming around."

Ashley M. Classen, D.O, F.A.O.C.A.  &  E. Jo Bailey, M.D.

1401 Henderson Street  •  Fort Worth, Texas 76102

Phone 817.332.3664  •  Fax 817.334.0575