3 day / 22-hour Professional Development Course

Working with
Spinal Cord Injury (SCI):

A Framework for Exercise
Selection & Sequencing

Stop guessing where to begin and how to progress with your spinal cord injury clients.

Learn a systematic approach to exercise selection and progression that starts with the foundations and builds functional movement from the ground up.

SCI Rehabilitation Is Complex.
Where Do You Start?

Every individual with spinal cord injury presents a unique combination of neurological impairment, compensatory movement patterns, and functional goals. Without a clear clinical framework, exercise selection can quickly become overwhelming, leaving clinicians questioning what to prioritize, how to progress, and whether they’re truly making an impact.

This course provides the roadmap.

Using a easy to follow framework, you’ll learn how to select and sequence exercises that build toward meaningful functional outcomes. Rather than guessing your way through programming, you’ll leave with a system that guides clinical decision-making for clear and logical programming.

This course makes neuro rehab programming clear, for both you and your patients.

✔️ Confidently determine where to begin when programming for cervical and thoracic spinal cord injury.

✔️ Use the shoulders and upper extremities as an accessible starting point to improve trunk stability and whole-body movement integration.

✔️ Optimize and effectively teach foundational exercises that promote independence, joint health, and long-term function.

✔️ Progress exercises with clear clinical reasoning rather than guesswork.

✔️ Translate movement analysis into individualized treatment plans and home exercise programs that improve patient outcomes.

ABOUT THIS COURSE

CONTINUEING EDUCATION

for neuro rehab professionals

This 3-day Course offers

22

CONTACT HOURS FOR CONTINUING EDUCATION

Approved* through:

*List updated July 2026. This list changes frequently with new approvals and expired approvals. Inquire with questions.

What course grads are saying about the course:

About the instructor

Stephanie Comella has been working with spinal cord injury and neurological populations since 2011, beginning her career in an activity-based therapy clinic before discovering the powerful carryover of Pilates equipment in neuro rehabilitation.

She pursued formal Pilates training through Balanced Body in 2015 and earned her comprehensive certification with NCPT (the official certifying body in Pilates) in 2016, completing advanced study across all major apparatus, including the Reformer, Trapeze Table/Tower, Chair, Barrels, and Mat.

Stephanie went on to develop a Pilates-based neuro pilot program within a boutique studio setting, where she refined her approach to adapting classical Pilates for individuals with neurological conditions. Her work bridges the gap between traditional Pilates instruction and the complex needs of neuro rehab, emphasizing accessibility, adaptability, and clinical application.

She later self-published From the Ground Up, a 300-page resource outlining her neuro recovery Framework with an extensive library of adapted Pilates exercises designed for real-world implementation (download a sample here).

Her work has also been featured in a collaborative case report publication exploring the use of Pilates-based programming to support gait recovery in an L1–L3 spinal cord injury, contributing to the growing evidence supporting Pilates in neurological rehabilitation.

Today, Stephanie uses Pilates equipment as a primary tool to facilitate movement through kinesthetic learning with her neuro clients — helping individuals develop dynamic stabilization, reflexive control, and integrated mobility.

Stephanie has taught physical therapists, occupational therapists and other neuro rehab professionals how to integrate pilates principles and safely use pilates equipment into their clinical practice all over the world since 2023.

Your course may also have a Course/Lab Assistant!

Due to the extensive hands-on learning components of this course, we maintain a strict student-to-faculty ratio of 16:1 to provide a high-touch learning experience and comply with many state APTA standards.

A Course/Lab Assistant is added to the course for 16+ participants.

FAQs

about the 3-Day Foundations Course

Pre-Requisites

CURRICULUM BREAKDOWN

Participants must have at least 6 months of working directly with spinal cord injury, or complete the 8-hour online self-paced The Groundwork course to get up to speed on SCI.

Pre-Course Learning

1 hour, asynchonous

Pre-course content is hosted in an online course learning portal. Video lectures introduce:

  • The five applied systems used in the ZN program - PolyVagal Theory, Motor Development Progression, Fascial Lines, Pilates and Bartenieff / Laban Studies.

  • A discussion on which system is best for specific types of neuro cases.

A Pre-Course Quiz will check for understanding and completion.

DAY 1

Day 1 introduces the ZN Framework for Recovery along with two of the three applied systems discussed in this course: Fascial Tensegrity and Motor Development Progression.

Specifically, we will cover:

  • The three components of the motor development progression (MDP): positions, travels & transitions - discussion, experience and clinicial application of these components.

  • Fascial function and health for optimal use of fascial lines.

  • The six fascial lines and how to access them through position and movement.

DAY 2

Participants will start the day learning and practicing handling skills that leverage fascial lines and empower the development of independent movement. The second half of the day, concepts and skills will be applied to demonstration clients in small lab groups (4:1 clinician to client, 3.5 hour lab).

  • Specifically, we will cover:

    • Review of shoulder complex anatomy and function, and importance of scapular control for optimizing ADLs and postural control.

    • Specific handling and spotting strategies to support positions and movements, such as rolling over, sitting up, and in seated balance, maxmizing client contribution and minimizing clinician physical burden.

    • Programming considerations to create accessible programming and stratgies to empower.

    • Floor-based exercises with simple props (bands, balls, towel sliders) appropriate for cervical and high-thoracic SCI: addressing shoulder stability and control, upper extremity weight-bearing, postural control - practiced on demonstration clients.

    • Accessible and impactful home exercise program ideas.

DAY 3

The morning module introduces the Pilates method and examples of how strategically placed dynamic equipment can improve motor learning, movement quality and performance. Participants will spend the rest of the day applying the framework and exercises with demonstration clients in small lab groups (4:1 clinician to client, 4 hour lab).

Specifically, we will cover:

  • Pilates Contrology priniciples and movement foundations through movement experiences.

  • Discovery of how suspensory support with bands can make positions more accessible for clients - exploration of lines of pull, tension and placement changes the experience.

  • Exploration of different types of props and supports (balls, sliders, carts, etc) can create novel movement experiences while honoring established programming.

  • Floor-based exercises with simple props (bands, balls, towel sliders) appropriate for thoracic SCI: addressing trunk control, lumo-pelvic control and lower-extremity movement - practiced on demonstration clients.

  • Accessible and impactful home exercise program ideas.

The day ends with a discussion/review on session planning, program progressions and specific client case applications.

Participants will also complete their Course Quiz during this time.

These courses and workshops have supported SCI rehab Continuing Education and Professional Development for the teams at:

We can’t wait to learn with you.