Gaining Ground

Gaining Ground is a specialized and individualized exercise program which focuses on increasing function.

Recovery following a neurological injury does not follow a set timeframe and is not the same for each person. Recovery is a long, slow process, and is about more than just walking. Recovery is about regaining function, how you live your life and improving your overall quality of life. Research has shown that without external stimulation, the nervous system will not improve, and you will lose bone density, muscle mass, and activation of your nervous system.

Gaining Ground is a specialized exercise program specifically tailored to the individual with sole focus on increasing function, taking into account the goals and abilities of the client. The program includes an initial evaluation by a physical therapist and a fitness assessment by an activity based therapy aide/personal trainer, customized exercise prescription program and one-on-one training.

Each day includes a one-on-one training session with an activity based therapy aide, a session with a physical therapist, a session optimizing lower extremity weight bearing using the Lokomat system or Ekso robotic exoskeleton, a session using the RT300 FES cycle or RT200 FES elliptical trainer and a self-paced group exercise class. This session is designed to help increase strength, improve cardiovascular endurance and enhance overall well- being. Exercises emphasize the muscle groups of the upper extremity and core necessary to complete daily functional activities. The group environment fosters interaction with others working towards a common goal.

Equipment utilized during the program may include the RT200 or RT300 by Restorative Therapies, the Lokomat by Hocoma, and the Ekso by Ekso Bionics as indicated above as well as the Rifton Tram, the Power Plate, Biodex, Equalizer Rickshaw Exercise machine, Equalizer 1000 Series Exercise Machine, PowerTower Total Gym, rowing ergometer, NuStep T5xr, upper body ergometer, MultiTrainer Resistance Band System, EasyStand Evolv Glider and electrical stimulation in conjunction with functional movement patterns.

An education session is offered 1-2 times a week covering topics such as nutrition, sexuality, travel, wheelchair sports, recreation therapy, and art therapy.

Results that you may notice during the Gaining Ground program include:

  • Improved health and well being
  • Increase in central nervous system activity
  • Increased sensation including changes in bowel and bladder sensations
  • Increased muscle mass
  • Increased function below level of injury
  • Improved posture and trunk control
  • Decreased pain
  • Decreased medication use

The program you follow each day in the clinic will be adjusted and changed based on how your body is recovering. For continued progress after the program, you will need to reproduce the workout regimens on your own. We will provide the training materials necessary to continue with the program, but you must be consistent with your training.

For additional information including rates and program dates, please contact our Gaining Ground Team at Please note that this program is not covered by insurance, however scholarships may be available to cover a portion of the program costs.