Meet The S.T.E.P. Method

The smarter approach to paralysis recovery that helps you build strength, restore function, and take back control of your life.

Our Method & Who It Helps

After paralysis enters your life, maintaining and improving your physical and mental health isn’t easy. Traditional rehab and physical therapy is monotonous and focused on maintenance, not growth. Without ongoing, challenging movement, it’s easy to weaken, lose function, and feel stuck.

That’s why we developed the S.T.E.P. Method -  it’s a special way of training your body and nervous system to move, grow stronger, and feel better. Our evidence-based approach helps people with paralysis reduce secondary complications, unlock their full potential, and live with greater strength, confidence, and control.

✔️ Spinal Cord Injury (SCI)

✔️ Traumatic Brain Injury (TBS)

✔️ Amyotrophic Lateral Sclerosis (ALS)

✔️ Stroke

✔️ Cerebral Palsy (CP) 

✔️ Multiple Sclerosis (MS)

✔️ Parkinson’s Disease (PD)

✔️ Spina Bifida

✔️ Transverse Myelitis (TM)

Patterned Neural Activity Recruitment (PNAR)

PNAR is a technique of sending repeated signals, or patterns, to the spinal cord and brain in an attempt to stimulate and reorganize the nervous system.

While most rehab programs focus on only working with the body where it currently has function, PNAR intentionally addresses and moves parts of the body below the level of injury. By using the brain’s neuroplasticity (its ability to adapt and form new connections, our clients have been able to unlock surprising levels of function.

Load-Bearing

Load-bearing gets you upright and putting real weight through your body to keep bones and joints strong.

When you stay seated most of the time, your brain senses less stress in those areas of the body and sends less calcium to your bones, stabilizer muscles switch off, and circulation suffers—raising your risk for weak, brittle bones (osteopenia & osteoporosis). Load-bearing regularly fires those support muscles, lines up your joints, boosts blood flow, and can even bring back lost feeling or movement.

Exercise-Based

Exercise-based therapy at The Perfect Step focuses on enhancing your health through intense, movement-driven recovery, rather than relying solely on medication.

Since most of our clients use wheelchairs, our goal is to help you get out of the chair and counter the damage of prolonged sitting. Participation in high-intensity exercise and movement circulates blood, increases muscle mass, improves bone density, stimulates the bowel and bladder, improves coordination, and increases sensation.

Want to know more about the S.T.E.P. Method?

Certified Paralysis Recovery Specialists

At TPS, you’re not working with random “trainers”. Every specialist earns our in‑house S.T.E.P. Certified Paralysis Recovery Specialist (CPRS) credential - hours of study, research, and hands-on work stacked at each level. 

The training they receive is based on hundreds of thousands of hours working with clients like you, observing what works and what doesn’t. That means the person guiding you knows exactly how to push safely, spot progress you can’t see yet, and adjust on the fly when your body surprises us. When you pursue recovery at TPS, you get deeper expertise, faster wins, fewer setbacks.


Learn more about certification levels here →