1. Basic training
  2. Circuit training- Intensive training
  3. Advance training and motor learning

1. Basic training: Module –

  1. This rehab module is advised for the
  2. a. Initial stage patient 1 week to 1 month when they are physically weak and unfit for intensive long hours of training.
  3. b. Poor cardiopulmonary status. Uncontrolled / unstable blood pressure and sugar levels.
  4. c. Recent cardiovascular surgery done in past 1 – 3 months.
  5. d. Post spinal cord injury and spinal fixation done up to 2-3 months
  6. e. Those patient want to do only 1 hour of training
Module codeModule nameObjective of moduleDuration of therapy
Rehab 1Comprehensive RehabBasic training session includes bed mobility , upper and lower limb, gait and balance training.60 minutes.
  1. In this module patient will treated with less intensive training with aim of teaching basic bed mobility, sitting balance, standing balance and walking training. There will 10-20 repetitions of each exercises, more breaks will be provided based on patients physical capacity and tolerance.

2. Circuit training –

  1. it is Intensive Training of 2-3 Modules of 2-3 of high intensity, high repetition and long duration training.
Module codeModule nameObjective of moduleDuration of therapySpecial features
Rehab 2foundation rehab moduleFacilitation of upper and lower limb control for VC 0 to 2, bed mobility60 minutes.High intensity, high repetition 100-200/exercise, Task specific exercise design
Rehab 3.Intensive Training Intensive upper limb and hand trainingIntensive task specific training of upper limb and hand control60 minutes.High intensity, high repetition 100-200/exercise, Task specific exercise design for ADL.
Rehab 4.Intensive Training Intensive strength and endurance trainingIntensive strength and endurance training for improving strengh in upper and lower limb, trunk. Improving physical fitness60 minutes.High intensity, high repetition 100-200/exercise, Task specific exercise design for strengthening with machines & gym equipment
Rehab 5Intensive Training Balance standing and gait trainingTraining of sit to stand, standing balance , walking and stair climbing60 minutes.High intensity, high repetition 100-200/exercise, Task specific exercise design for treadmill and level ground walking

3. Advance Rehab and motor learning.

  1. Advance machine and motor learning methods are used to promote movement control in functional activities.
  2. Body weight supported treadmill training: Body–weight–supported treadmill training (BWSTT) is an intervention used by physical therapists in a variety of practice settings. BWSTT provides a system for working on strength, endurance, and task-specific gait training. Body–Weight Supported Treadmill Training (BWSTT) It has been several decades since it was first demonstrated that daily treadmill training can enhance locomotor activity in animals that have a complete spinal cord transection (Edgerton et al., 1991; Barbeau and Rossingnol, 1987).
  1. Evidence in Spinal cord injury rehab: click here of details High intensity body weight support treadmill training induces long-term walking performance improvement without spasticity increase after chronic incomplete spinal cord injury
  2. this study concluded that one-month program based on BWSTT can be proposed to walking patients with incomplete chronic SCI in order to enhance gait speed, improve motor control and efficiency of walking without spasticity enhancement.
  3. Evidence in Stroke rehab: click here of details Treadmill training and body weight support for walking after stroke : People after stroke who receive treadmill training, with or without body weight support, are not more likely to improve their ability to walk independently compared with people after stroke not receiving treadmill training, but walking speed and walking endurance may improve slightly in the short term. Specifically, people with stroke who are able to walk (but not people who are dependent in walking at start of treatment) appear to benefit most from this type of intervention with regard to walking speed and walking endurance.
  1. Functional electrical stimulation for upper control and hand control: to improve shoulder control and hand release in functional activities of daily life. I.e lifting glass /bottle of water, overhead activities. click here for LINK
  2. Matrix rhythm therapy (MRT) is a new application of vibromassage used in special education and rehabilitation centers; sports clubs, orthopedic and neurological conditions for pain relief, reducing muscle tightness and spasticity.
Functional electrical stimulation for lower limb control: FES used to improve foot clearance during swing phase of gait. click her for VIDEO 
Neuro muscular electrical stimulation (NMES)
Virtual reality training games for balance and coordination.
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