---
title: How Activity-Based Therapy Centers Improve Life for SCI Survivors
description: Activity-based therapy centers can help spinal cord injury survivors improve their physical health and mood by providing exercise and camaraderie.
image: https://www.spinalcord.com/hubfs/Blog%20Images/Spinal-Cord-Injury-Rehabilitation-Blog-638249-edited.jpeg
---

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# How Activity-Based Therapy Centers Improve Life for SCI Survivors

 Author: [Spinal Cord Team](https://www.spinalcord.com/meet-our-authors)

 Publish Date: December 09, 2020

![How Can a Therapy Center Improve the Life of a Spinal Cord Injury Survivor](https://www.spinalcord.com/hs-fs/hubfs/Blog%20Images/therapy%20center%20blog%20image%201.png?width=724&name=therapy%20center%20blog%20image%201.png "How Can a Therapy Center Improve the Life of a Spinal Cord Injury Survivor")

 

A spinal cord injury (SCI) can have many severe and long-lasting effects on the person who is injured. These effects vary depending on the location of the injury and whether it’s “complete” or “incomplete.”

The recovery & rehabilitation process for SCI survivors can be a long and arduous journey. It takes time to heal, to adapt, and to rebuild one’s sense of self after such a drastic event. Despite the difficulties, thousands of people face the challenges of life after SCI every day without giving up or losing hope.

One of the tools that some SCI survivors use to cope with or even overcome some of their limitations is activity-based therapy—the kind of therapy offered by[programs such as NextStep](https://www.spinalcord.com/blog/activity-based-therapy).

These activity-based therapy centers can improve life for SCI survivors in a number of ways, including:

### **1: Strengthening the Body**

One of the key benefits of an activity-based therapy center is that it can help people with spinal cord injuries remaster their bodies and improve their overall physical health. Even people who have been rendered quadriplegic by their injuries have benefited from more active physical therapy regimens.

One SCI survivor,[David Hill](https://www.spinalcord.com/blog/has-quadriplegic-david-hill-found-the-cure-he-was-looking-for), lost the use of his arms and legs following a C4/C5 spinal cord injury. Despite becoming a paraplegic, he still goes to activity-based therapy centers as often as he can.

When asked about how his time at the NextStep activity-based therapy center helped him, David said: “I definitely gained more control of my trunk. Because, I wasn’t able to hold myself up, but I can now if I have my arms to my side. I have more control front to back and side to side now.” For someone without the use of their arms or legs, this can be an enormous game-changer for their quality of life.

### **2: Improving Mood and Sense of Self to Fight Depression**

The loss of physical function can be emotionally devastating for a number of reasons. This can lead to struggles with depression. In fact, according to[statistics cited by the University of Washington](http://sci.washington.edu/info/pamphlets/depression_sci.asp), “estimated rates of depression among people with SCI range from 11% to 37%.” The average rate of depression among Americans is “about 1 in 20,” according to those same statistics.

This means that the average rate of depression among SCI survivors is anywhere from 2 to 7 times that of the general population.

Activity-based therapy centers help combat depression among SCI survivors in a number of ways:

- **Improving Function.** One of the basic effects of therapy is that it helps restore some control over the body. This helps to build confidence and sense of self-worth for those who have difficulty controlling their bodies.
- **Getting Out of the Chair.** For quadriplegics like David, “just getting out of the chair is such a relief. It’s just really great for my mental state.” There’s a certain sense of freedom that comes with being able to get out of the wheelchair for a few minutes or hours that brings elation and joy.
- **Companionship with Others.** Activity-based therapy centers are a great opportunity for SCI survivors to reach out and connect with others who understand their struggles and needs—whether they’re other SCI survivors or therapists/trainers.[Todd Krieg](https://www.spinalcord.com/blog/todd-krieg-story), an SCI survivor who became injured in a Motocross accident, met his fiancé, Amanda Diesen, at the Project Walk activity-based therapy center! She was a trainer for the program who worked with Todd on a couple of occasions. This relationship did a lot to help Todd through his rehabilitation.

In these ways, therapy centers with a focus on activities that get SCI survivors out of the chair can help survivors fight depression.

It is important to note that activity-based therapy centers aren’t the only way to get these benefits. Therapy centers like NextStep *can* be one of the most effective ways to get all of them at once, however.

### **Other Resources That Can Help SCI Survivors**

If there aren’t any activity-based therapy centers in your area, there may be other resources available to you that can help.

For example, even if there isn’t a therapy center near you, there may be a [support group](https://www.spinalcord.com/spinal-cord-injury-support-groups) in your area where you can go to share your story, swap exercise & daily living tips, and just hang out with others who can sympathize with your situation.

Odds are that your physician can help direct you to such an organization.

There are also online resources—like this website—that can help by providing advice or showing examples of others who have dealt with what you’ve dealt with and how they overcame challenges. Other potential online resources include helpful instructional videos, like[these ones by Mason Ellis](https://www.youtube.com/channel/UC_0OcKVxm-dM_Zegig2Sybg)!

Another critical resource that can help SCI survivors would be their friends and family. Having the support of friends and family can be vital for your emotional wellbeing. Also, having someone there to help out with getting your house rearranged so you can tackle everyday tasks can make life easier as well.

Whether you go to an activity-based therapy center, a local rehab clinic, or just to gatherings of people who have been through what you’re going through, there are many resources that can help you get through the challenges that come with a spinal cord injury!

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About the Author

#### Spinal Cord Team

 The authors of Spinalcord.com are made up of attorneys, those in the medical field, and survivors of spinal cord injuries or traumatic brain injuries. Learn more about our team of authors including a brief biography that explains how they impact the SCI and TBI community. 

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true

### Spinal Cord Injury

- [Types of Spinal Cord Injuries](https://www.spinalcord.com/types-of-spinal-cord-injuries)
- [Secondary Complications](https://www.spinalcord.com/secondary-complications-after-sci-spinal-cord-injury)
- [Causes](https://www.spinalcord.com/signs-symptoms-of-spinal-cord-injuries)
- [Symptoms](https://www.spinalcord.com/types-of-spinal-cord-injuries)
- [Prognosis](https://www.spinalcord.com/prognosis-of-spinal-cord-injuries)
- [Legal Help](https://www.spinalcord.com/spinal-cord-injury-legal-help-get-a-lawyer)

### Brain Injury

- [Types of Brain Injuries](https://www.spinalcord.com/types-of-traumatic-brain-injury)
- [Causes](https://www.spinalcord.com/causes-of-traumatic-and-acquired-brain-injuries)
- [Symptoms](https://www.spinalcord.com/traumatic-brain-injury-tbi-symptoms)
- [Prognosis](https://www.spinalcord.com/brain-injury-prognosis-for-tbi-abi)
- [Legal Help](https://www.spinalcord.com/brain-injury-legal-help-get-a-lawyer)

### Finding Treatment

- [Physician Directory](https://www.spinalcord.com/brain-and-spinal-cord-injury-physician-directory)
- [Rehabilitation Directory](https://www.spinalcord.com/spinal-cord-injury-hospitals-rehabilitation-directory)
- [Technology Advancements](https://www.spinalcord.com/sci-technology-advancements)
- [Prevention](https://www.spinalcord.com/spinal-cord-injury-prevention)

### Legal Options

- [Spinal Cord Injury Lawyer](https://www.spinalcord.com/spinal-cord-injury-lawyer)
- [Brain Injury Lawyer](https://www.spinalcord.com/brain-injury-lawyer)
- [Types of Personal Injury Claims](https://www.spinalcord.com/types-of-personal-injury-claims)
- [Where To Start](https://www.spinalcord.com/brain-spinal-cord-injury-lawyer-where-to-start)
- [Local Assistance](https://www.spinalcord.com/florida-personal-injury-claims)

#### [About Us](https://www.spinalcord.com/about-us)

Spinal cord injuries are traumatic for patients and their families. They cause disruptive changes to every aspect of your life and there is a lot of new information to navigate and understand. Our experts have collected everything in one place to help you learn more about your injury, locate doctors and treatment centers, find financial support, and get assistance navigating your next move.

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{
  "@context" : "http://schema.org",
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  "articleBody" : "The spinal cord is a vital part of the human body. As the vehicle responsible for carrying messages from the brain to the rest of the body and back again, even the smallest interference can be detrimental. Following a traumatic <A href=\"/spinal-cord-injury\" rel=\"noopener\" target=\"_blank\"><SPAN style=\"font-weight: 400;\">spinal cord injury</SPAN></A>, this bundle of nerves can become bruised, also known as <A href=\"//www.spinalcord.com/blog/contusion-vs.-concussion-understanding-the-difference\">a contusion.</A> Because of the nature of the nervous system, any interference can constitute a serious spinal contusion, but these facts will help you dissect all of the information from the medical professionals.</P>\n\n<H2><STRONG>What Is a Spinal Contusion?</STRONG></H2>\n<IMG src=\"https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=300&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg\" alt=\"Signs-of-a-spinal-contusion-title-image\" width=\"300\" style=\"width: 300px; float: right; margin: 0px 0px 10px 10px;\" srcset=\"https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=150&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 150w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=300&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 300w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=450&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 450w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=600&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 600w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=750&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 750w, https://www.spinalcord.com/hs-fs/hubfs/Blog-Images/Signs-of-a-spinal-contusion-title-image-min.jpg?width=900&amp;name=Signs-of-a-spinal-contusion-title-image-min.jpg 900w\" sizes=\"(max-width: 300px) 100vw, 300px\"/>\n<P>Much like any other bruise, a contusion can cause bleeding from local blood vessels and inflammation which, rather<I><SPAN style=\"font-weight: 400;\"> unlike</SPAN></I> bruises on other parts of the body, can have serious negative impacts on the spinal cord itself. Because the<A href=\"/blog/contusion-vs.-concussion-understanding-the-difference\" rel=\"noopener\" target=\"_blank\"> “blood must clot to stop the bleeding”</A>a bruise results from contusions also increase cardiovascular risks.</P>\n<P>For example, the swelling a contusion can cause will often disrupt nerve impulses that travel from the brain to the body through the spinal cord, and the severity of this will depend upon the level of injury. Unlike a concussion, a contusion would not cause unconsciousness or a ‘blackout’, but instead cause the patient to feel a numbness or tingling in the extremities.</P>\n<P>A contusion can cause spinal compression, which happens when there is pressure on the spinal cord. This can go on to cause an array of <A href=\"http://www.hopkinsmedicine.org/healthlibrary/conditions/nervous_system_disorders/spinal_cord_compression_134,13/\" rel=\"noopener\" target=\"_blank\">physical symptoms</A> such as loss of sensation in the feet, inability to use the hands and loss of sexual ability. It must be noted that not all contusions cause spinal compression, and not all spinal compression is caused by a contusion, although they do often connect this way.</P>\n<H2><STRONG>Warning Signs of a Serious Spinal Contusion to Watch For</STRONG></H2>\n<P>Firstly, doctors will try and establish what area or limb the injury has affected. Spinal contusions most often “affect the upper extremities bilaterally and also sometimes involve the lower extremities,” <A href=\"http://www.healio.com/orthopedics/journals/ortho/2012-1-35-1/%7B7b1ed5f6-d6ca-435e-b69a-dba8a6d7c3c0%7D/spinal-cord-contusions\" rel=\"noopener\" target=\"_blank\">according to Dr. Wong</A>, an orthopedic physician.</P>\n<P>Symptoms include “numbness, tingling, [or] electric shock-like sensations and burning in the extremities,” <A href=\"http://www.aans.org/patient%20information/conditions%20and%20treatments/spinal%20cord%20injury.aspx\">(American Association of Neurological Surgeons, 2016)</A>. Generally falling into the category of “spinal trauma” there are many symptoms which are similar to other forms of spinal trauma and spinal cord injury. Below are some symptoms of spinal trauma:</P>\n<UL>\n<LI>Spinal shock — or the &quot;loss of feeling or movement below site of injury&quot; <A href=\"http://www.columbianeurosurgery.org/conditions/spinal-trauma/\" rel=\"noopener\" target=\"_blank\"><I>(Columbia University Medical Centre, 2016) </I></A>that can last between hours and weeks</LI>\n<LI>Loss of bladder or bowel function</LI>\n<LI>Difficulty breathing</LI>\n<LI>Muscle spasticity</LI>\n<LI>Difficulty understanding speech</LI>\n<LI>Problems with attention</LI>\n<LI>Memory challenges</LI>\n<LI>Heart rate and blood pressure problems</LI>\n</UL>\n<P>Unfortunately, it is sometimes challenging to identify which symptoms are due to a spinal contusion, and which ones are the result of a spinal cord injury directly. It can sometimes require a few days or weeks for the body to recover from spinal trauma and reveal if any permanent damage is left from the accident that caused the SCI.</P>\n<P>Understanding what a contusion is, and how it can come into play following a spinal cord injury is important in order to clearly appreciate your injury, understand your diagnoses, and work toward treatment and a prognosis. Doctors can sometimes use jargon that’s difficult to understand, so the more you can educate yourself about your condition, the more control you can have in your recovery and treatment.</P>\n<P>If you still have questions about the details of the spinal cord and how it may be affected from your injury, please contact us or download our <A href=\"/the-simplified-guide-to-understanding-a-spinal-cord-injury\" rel=\"noopener\" target=\"_blank\">guide to understanding a spinal cord injury</A>.",
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"description":"The spinal cord is a vital part of the human body. As the vehicle responsible for carrying messages from the brain to the rest of the body and back again, even the smallest interference can be detrimental. Following a traumatic spinal cord injury, this bundle of nerves can become bruised, also known as a contusion. Because of the nature of the nervous system, any interference can constitute a serious spinal contusion, but these facts will help you dissect all of the information from the medical professionals.

What Is a Spinal Contusion?
Signs-of-a-spinal-contusion-title-image
Much like any other bruise, a contusion can cause bleeding from local blood vessels and inflammation which, rather unlike bruises on other parts of the body, can have serious negative impacts on the spinal cord itself. Because the “blood must clot to stop the bleeding”a bruise results from contusions also increase cardiovascular risks.

For example, the swelling a contusion can cause will often disrupt nerve impulses that travel from the brain to the body through the spinal cord, and the severity of this will depend upon the level of injury. Unlike a concussion, a contusion would not cause unconsciousness or a ‘blackout’, but instead cause the patient to feel a numbness or tingling in the extremities.

A contusion can cause spinal compression, which happens when there is pressure on the spinal cord. This can go on to cause an array of physical symptoms such as loss of sensation in the feet, inability to use the hands and loss of sexual ability. It must be noted that not all contusions cause spinal compression, and not all spinal compression is caused by a contusion, although they do often connect this way.

Warning Signs of a Serious Spinal Contusion to Watch For
Firstly, doctors will try and establish what area or limb the injury has affected. Spinal contusions most often “affect the upper extremities bilaterally and also sometimes involve the lower extremities,” according to Dr. Wong, an orthopedic physician.

Symptoms include “numbness, tingling, [or] electric shock-like sensations and burning in the extremities,” (American Association of Neurological Surgeons, 2016). Generally falling into the category of “spinal trauma” there are many symptoms which are similar to other forms of spinal trauma and spinal cord injury. Below are some symptoms of spinal trauma:

Spinal shock — or the loss of feeling or movement below site of injury (Columbia University Medical Centre, 2016) that can last between hours and weeks
Loss of bladder or bowel function
Difficulty breathing
Muscle spasticity
Difficulty understanding speech
Problems with attention
Memory challenges
Heart rate and blood pressure problems
Unfortunately, it is sometimes challenging to identify which symptoms are due to a spinal contusion, and which ones are the result of a spinal cord injury directly. It can sometimes require a few days or weeks for the body to recover from spinal trauma and reveal if any permanent damage is left from the accident that caused the SCI.

Understanding what a contusion is, and how it can come into play following a spinal cord injury is important in order to clearly appreciate your injury, understand your diagnoses, and work toward treatment and a prognosis. Doctors can sometimes use jargon that’s difficult to understand, so the more you can educate yourself about your condition, the more control you can have in your recovery and treatment.

If you still have questions about the details of the spinal cord and how it may be affected from your injury, please contact us or download our guide to understanding a spinal cord injury.",
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