Making Strides ABT Program: A Revolutionary Approach to Spinal Injury Recovery

Spinal cord injuries can drastically alter a person’s life, affecting mobility, independence, and overall quality of life. For those navigating the challenging journey of rehabilitation after a spinal injury, innovative approaches like Activity-Based Therapy (ABT) programs offer new hope and possibilities. Making Strides, a leading rehabilitation center in Queensland, has developed a comprehensive ABT program specifically designed to address the unique needs of individuals with spinal injuries. This approach focuses on activating the neuromuscular system below the level of injury to promote recovery and enhance function.

In this article, we’ll examine how the Making Strides ABT program works, its benefits for spinal injury rehabilitation, and why this approach differs from traditional therapy methods. Whether you’re personally affected by a spinal injury or supporting someone who is, understanding the potential of ABT programs can open new pathways to recovery and improved quality of life.

Understanding Spinal Injuries and Their Impact

A spinal injury involves damage to the spinal cord that disrupts the communication between the brain and the body. This interruption can result in partial or complete loss of motor function, sensation, and autonomic functions below the level of injury. The effects vary widely depending on the location and severity of the damage.

Spinal injuries are typically classified as either complete or incomplete. A complete injury results in total loss of motor and sensory function below the injury level, while an incomplete injury means some neural pathways remain intact, allowing for varying degrees of function. This distinction is crucial because incomplete injuries often have greater potential for recovery through targeted rehabilitation approaches.

Traditional rehabilitation for spinal injuries has historically focused on compensatory strategies—teaching patients to adapt to their limitations rather than working to restore lost function. However, research in neuroplasticity (the brain’s ability to reorganise itself by forming new neural connections) has led to more progressive approaches like Activity-Based Therapy, which aims to retrain the nervous system and potentially restore function.

What is Activity-Based Therapy for Spinal Injuries?

Activity-Based Therapy represents a paradigm shift in spinal injury rehabilitation. Unlike conventional therapy that primarily focuses on strengthening existing function above the level of injury, ABT targets the activation of neurological function below the injury level. This approach is based on the principle that the nervous system can adapt and recover through specific, intensive stimulation.

The core philosophy of ABT centers on neuroplasticity—the understanding that with appropriate stimulation, the nervous system can form new neural pathways or strengthen existing ones, potentially leading to functional improvements even years after injury. This contrasts with older beliefs that neural recovery was limited to a short window following injury.

ABT programs typically involve:

1. Weight-bearing activities to stimulate bone density and muscle activation
2. Locomotor training using body weight support systems
3. Functional electrical stimulation to activate muscles
4. Task-specific practice of movements related to daily activities
5. Intensive, repetitive exercises targeting specific neural pathways

The Making Strides ABT program incorporates these elements while adding proprietary techniques and equipment developed through their extensive experience and research partnerships. Their approach is continually refined based on the latest scientific findings in neurorehabilitation, ensuring clients receive cutting-edge care aligned with current best practices.

The Making Strides Approach to ABT for Spinal Injuries

The Making Strides ABT program stands out for its comprehensive, individualized approach to spinal injury rehabilitation. Their method begins with a thorough assessment of each client’s condition, including current function, medical history, and personal goals. This evaluation forms the foundation for a customised program that addresses specific needs while maximizing recovery potential.

At Making Strides, the ABT program integrates multiple therapy modalities, creating a synergistic effect that enhances outcomes. Exercise physiology forms the cornerstone of their approach, with specialised protocols designed to activate neural pathways and build functional strength. These exercises are complemented by physiotherapy techniques that address movement patterns, joint mobility, and specific functional challenges.

The program utilizes state-of-the-art equipment, including Australia’s longest over-ground gait training tracks and advanced body weight support systems. These technologies allow clients to practice walking and other weight-bearing activities in a safe, controlled environment, even when they lack the strength or balance to do so independently.

Functional Electrical Stimulation (FES) plays a vital role in the Making Strides ABT program. This technology uses electrical currents to activate muscles that may have weakened due to lack of neural signals following a spinal injury. By stimulating these muscles during functional activities, FES helps strengthen neural connections and may contribute to restored voluntary control over time.

Hydrotherapy sessions complement land-based exercises by utilizing water’s buoyancy to reduce gravitational constraints, allowing for movement patterns that might not be possible on land. This environment can be particularly beneficial for clients in the early stages of rehabilitation or those with significant mobility limitations.

Throughout the program, Making Strides practitioners maintain a balance between challenging clients to progress and ensuring safety. They understand the medical considerations unique to spinal injuries, including autonomic dysreflexia, thermoregulation challenges, and pressure injury risks, implementing appropriate precautions while maximizing therapeutic benefits.

Core Components of Effective ABT Programs for Spinal Injuries

The most effective ABT programs for spinal injuries, like the one at Making Strides, share several key components that contribute to their success:

Intensity and Repetition

Neuroplasticity requires sufficient stimulation to trigger adaptive changes. Effective ABT programs provide high-intensity, repetitive practice of specific movements and activities. At Making Strides, clients typically engage in longer, more frequent sessions than in traditional therapy settings, creating the volume of practice necessary for neural adaptation.

Task-Specific Training

The nervous system learns most effectively when practicing the actual skills it needs to perform. Rather than isolated exercises, Making Strides focuses on functional, task-specific activities that directly translate to real-world abilities. For example, rather than simply strengthening leg muscles, clients practice the coordinated movements involved in standing, transferring, or walking.

Weight-Bearing and Locomotor Training

Weight-bearing activities provide crucial sensory input to the nervous system while also benefiting bone density, muscle tone, and cardiovascular health. The Making Strides program incorporates various forms of supported standing and walking exercises using specialised equipment like body weight support systems and gait training tracks.

Neuromuscular Electrical Stimulation

Electrical stimulation serves multiple purposes in ABT, including muscle strengthening, spasticity management, and neural pathway activation. Making Strides utilizes various forms of electrical stimulation, including FES bikes and stimulation combined with functional movements to enhance neurological recovery.

Progression-Based Challenges

As clients improve, the Making Strides team systematically adjusts program parameters to maintain an appropriate challenge level. This might involve reducing body weight support, increasing session duration, adding resistance, or introducing more complex movement patterns. This progressive challenge is essential for continued neurological adaptation and functional improvement.

Benefits of the Making Strides ABT Program for Spinal Injury Recovery

The Making Strides ABT program offers numerous benefits for individuals recovering from spinal injuries:

• Enhanced Neurological Recovery: By targeting activation below the injury level, the program may help restore connections between the brain and affected muscles, potentially improving voluntary control.

• Improved Functional Independence: Clients often experience gains in practical abilities such as transfers, wheelchair skills, and in some cases, standing or walking capabilities.

• Better Overall Health: Regular participation helps address common secondary health complications following spinal injury, including improved cardiovascular fitness, enhanced respiratory function, and better bone density.

• Reduced Secondary Complications: The active approach helps minimise issues like pressure injuries, joint contractures, and muscle atrophy that often accompany spinal injuries.

• Psychological Well-being: Engaging in active rehabilitation provides a sense of empowerment and hope, contributing to improved mental health and quality of life.

• Community Support: The “Purple Family” environment at Making Strides creates a supportive community where clients can share experiences and motivate each other.

The holistic approach at Making Strides addresses not just physical recovery but also the emotional and social aspects of rehabilitation. Clients benefit from being part of a community that understands their challenges and celebrates their progress, no matter how small it might seem to outsiders.

Comparing Traditional Rehabilitation and the ABT Approach for Spinal Injuries

Aspect	Traditional Rehabilitation	Making Strides ABT Program
Primary Focus	Compensation for lost function	Activation and recovery of function
Treatment Target	Areas above injury level	Whole body, including below injury level
Session Intensity	Typically lower intensity, shorter sessions	Higher intensity, longer duration sessions
Equipment Used	Basic rehabilitation equipment	Specialised equipment including body weight support systems, FES devices, and gait training tracks
Progression Metrics	Independence with assistive devices	Neural recovery and improved voluntary function
Exercise Philosophy	Often focuses on isolated movements	Emphasises integrated, functional movements
Community Aspect	Typically individual sessions	Combines individual therapy with group training opportunities
Long-term Approach	Often limited to initial recovery period	Ongoing program that evolves with client progress

This comparison highlights how the Making Strides ABT program differs fundamentally from traditional approaches in both philosophy and implementation. While traditional rehabilitation certainly has value, particularly in the acute phase following injury, the ABT approach offers additional possibilities for ongoing recovery and functional improvement.

Making Strides: Pioneering ABT for Spinal Injury Recovery in Australia

Making Strides has established itself as a leader in spinal injury rehabilitation through its innovative ABT program. Located in Queensland, Australia, this specialised rehabilitation center offers a comprehensive approach that combines cutting-edge technology with expert care from professionals who understand the unique challenges of spinal injuries.

As the official rehabilitation partner for the Spinal Injury Project at Griffith University, Making Strides remains at the forefront of research and innovation in neurorehabilitation. This partnership ensures that their ABT program continuously evolves based on the latest scientific findings, providing clients with access to the most advanced rehabilitation techniques available.

The Making Strides facilities feature Australia’s longest over-ground gait training tracks, multiple body weight support systems, and specialised equipment designed specifically for neurological rehabilitation. These resources, combined with their team’s expertise, create an optimal environment for recovery following spinal injury.

What truly sets Making Strides apart is their “Purple Family” approach—creating a supportive community where clients connect with others facing similar challenges. This environment fosters motivation, hope, and a sense of belonging that can be as important to recovery as the physical interventions themselves.

The team at Making Strides brings over 100 years of combined experience in neurorehabilitation to their ABT program. Their expertise in managing the complex medical considerations associated with spinal injuries—including autonomic dysreflexia, thermoregulation issues, and pressure injury prevention—ensures that clients receive safe, effective care tailored to their specific needs.

For those interested in exploring the Making Strides ABT program for spinal injury recovery, they offer comprehensive initial consultations to assess individual needs and develop personalized rehabilitation plans. Their services are accessible through various funding options, including NDIS, private health insurance, and self-funding arrangements.

Key Considerations When Choosing an ABT Program for Spinal Injury

When evaluating ABT programs for spinal injury rehabilitation, several factors should be considered to ensure you select the most appropriate option for your specific needs:

• Staff Expertise: Look for programs led by professionals with specialised training and experience in neurological rehabilitation, particularly spinal cord injuries. Ask about their qualifications and experience working with conditions similar to yours.

• Facility and Equipment: Effective ABT requires specialised equipment such as body weight support systems, FES devices, and appropriate therapy spaces. Evaluate whether the facility has the necessary resources to support your rehabilitation goals.

• Individualized Approach: Each spinal injury is unique, requiring a personalized rehabilitation plan. The program should begin with a thorough assessment and develop a customised approach based on your specific injury, goals, and circumstances.

• Medical Management: Spinal injuries come with unique medical considerations. Ensure the program has protocols for managing issues like autonomic dysreflexia, thermoregulation problems, and pressure injury prevention.

• Community Support: Rehabilitation is a challenging journey that benefits from peer support. Programs that foster a community environment can provide valuable emotional and social benefits alongside physical therapy.

• Research Foundation: The field of neurorehabilitation continues to evolve. Programs connected to research institutions or that incorporate evidence-based practices are more likely to offer cutting-edge, effective approaches.

• Accessibility and Funding: Consider practical aspects such as location, scheduling flexibility, and funding options. In Australia, programs may be accessible through NDIS funding, private health insurance, or other support mechanisms.

The Making Strides ABT program addresses these considerations through their specialised facilities, experienced team, research partnerships, and community-focused approach. Their comprehensive initial assessment process ensures that each client receives a program tailored to their specific needs and goals.

Preparing for Success in an ABT Program After Spinal Injury

Embarking on an ABT program represents a significant commitment to your rehabilitation journey. To maximise the benefits of this approach, certain preparations can help set the stage for success:

Medical Clearance and Baseline Assessment

Before beginning an intensive ABT program, it’s important to obtain appropriate medical clearance, particularly if you have any secondary health conditions. Making Strides typically requests medical information and may recommend bone mineral density scans or other assessments to ensure their program can be safely tailored to your needs.

A comprehensive baseline assessment documents your current function, providing a reference point to measure progress. This typically includes evaluations of strength, range of motion, sensation, and functional abilities. Be prepared to discuss your medical history, current medications, and any specific challenges you’re experiencing.

Setting Realistic Goals and Expectations

ABT programs can yield remarkable results, but progress typically occurs gradually over time. Working with your rehabilitation team to establish realistic, meaningful goals helps create an effective program and provides motivation throughout the process.

Consider both short-term objectives (what you hope to achieve in the next few months) and long-term aspirations. The Making Strides team can help you understand what might be realistic based on your specific injury and circumstances, while still encouraging you to challenge perceived limitations.

Practical Preparations

If you’re planning to participate in an ABT program, several practical considerations can help ensure a smooth experience:

1. Transportation: Arrange reliable transportation to and from sessions, considering accessibility needs.

2. Support network: Inform family members or caregivers about your program and how they can support your rehabilitation journey.

3. Home environment: Consider whether any modifications might be needed to practice techniques at home or accommodate changing abilities.

4. Schedule adjustments: ABT programs typically require multiple sessions per week. Review your schedule to ensure you can commit to the recommended frequency.

5. Funding arrangements: Clarify how your program will be funded, whether through NDIS, private health insurance, or self-funding, and complete any necessary paperwork.

The Making Strides team can provide guidance on these practical aspects, helping you prepare for a successful rehabilitation experience. Their intake process is designed to address these considerations before you begin your program.

The Future of ABT Programs for Spinal Injury Rehabilitation

The field of spinal injury rehabilitation continues to evolve, with promising developments on the horizon that may enhance the effectiveness of ABT programs. Research in neuroplasticity, regenerative medicine, and rehabilitation technology is opening new possibilities for recovery after spinal injury.

Emerging technologies are playing an increasingly important role in ABT programs. Advanced robotic systems, virtual reality applications, and more sophisticated electrical stimulation devices are expanding the toolkit available to rehabilitation professionals. These technologies can provide more precise, intensive, and engaging therapy experiences.

The integration of home-based components with clinic-based ABT is another developing trend. Digital platforms that guide home exercises, wearable devices that track movement patterns, and telehealth consultations are creating more comprehensive rehabilitation programs that extend beyond facility walls. Making Strides has embraced this trend by developing home programs that complement their in-clinic sessions.

Research partnerships, like the one between Making Strides and the Spinal Injury Project at Griffith University, continue to bridge the gap between laboratory discoveries and clinical applications. These collaborations accelerate the translation of research findings into practical rehabilitation approaches that benefit those with spinal injuries.

As our understanding of neuroplasticity and recovery mechanisms deepens, ABT programs will likely become even more targeted and effective. The future may bring more personalized approaches based on individual injury characteristics, genetic factors, and response patterns, further enhancing outcomes for those with spinal injuries.

For those considering rehabilitation options following a spinal injury, staying informed about these developments can help you make educated decisions about your recovery journey. The Making Strides team remains committed to incorporating evidence-based innovations into their ABT program, ensuring clients benefit from advances in the field.

Conclusion

The journey following a spinal injury presents many challenges, but innovative approaches like the Making Strides ABT program offer new possibilities for recovery and improved quality of life. By focusing on activating neurological function below the injury level, these programs harness the nervous system’s adaptive capacity, potentially restoring abilities that traditional rehabilitation approaches might not address.

The Making Strides ABT program exemplifies how specialised facilities, expert practitioners, and a supportive community environment can create optimal conditions for rehabilitation after spinal injury. Their comprehensive approach integrates multiple therapy modalities, cutting-edge equipment, and individualized programming to address each client’s unique needs and goals.

As you consider rehabilitation options following a spinal injury, what specific functional improvements would make the most meaningful difference in your daily life? How might a community of others on similar recovery journeys enhance your rehabilitation experience? What questions do you have about how an ABT program might address your particular injury and circumstances?

The team at Making Strides welcomes these questions and is committed to supporting individuals with spinal injuries throughout their rehabilitation journey. Whether you’re recently injured or looking for ways to continue progressing years after your injury, their ABT program offers a pathway to explore your recovery potential. Contact Making Strides today to learn more about how their specialised approach might benefit your unique situation.