By introducing external stimulation the dysfunctional nervous system has been proven to be able to reorganize itself. Without stimulation, research has proven that the central nervous system deteriorates leading to loss of bone density and muscle mass, thus reducing circulation and increasing the risk of infections and pressure sores, collectively these factors reduce the chance of any kind of regained movement.

When the nervous system starts to reactivate we are now able to move onto the strengthening phase of the rehabilitation program using eccentric and concentric muscle contractions. During this stage, the body will not stop relearning new movement, therefore level one practices continued throughout the rehabilitation process. It is our theory that the central nervous system is starting to now reconnect; the effect is commonly seen in the form of spasm and tone. The therapist is now able to ‘work’ with the new movement b

In level (2) most clients are able to transfer using lower limbs for support and can start to stand without support. However there is a lack of function and coordination to any of the movement created. This is a difficult transition to master and not all clients are able to get fulfill this level. Once tone and spasm have been broken down and re-learnt more control can occur, the more controlled movement there is the easier it becomes, because the movement is easier, activity levels increase and the client continues to improve.

The final stage of rehabilitation is to provide an advanced functional gait with or without adaptive aids. A functional gait is determined by a coordinating the clients center of gravity and balance whilst moving. To gain a functional gait, control is needed in all muscles that allow walking to take place, from core stability to full range of movement in hips, knees and ankles as well as reciprocal movement of the upper body. Once control has been established, coordination of the movements needs to take place in order to maintain a smooth gait.

Table work - A therapist will act as a comprehensive resistance machine. Whereby allowing functional movement to take place either by facilitating the movement in all planes of motion or applying resistance to increase muscle usage.