Activity-based therapies provide task-specific movements for functional tasks, standing and walking by activating the neuromuscular system below the injury level, optimizing the central state of excitability and providing sensory cues specific to the motor task during intense repetitive training for recovery after neurologic injury. This course provides the scientific basis for therapeutic use of Locomotor Training and Neuromuscular Electrical Stimulation (NMES) after human spinal cord injury and explains the knowledge we have gained from epidural stimulation studies. Participants will learn the scientific basis and clinical decision-making upon completion of the online coursework.

Approach: Online, self-paced/self-study

Target Audience: Novice and Intermediate level course open to licensed physical therapists, physical therapy assistants, occupational therapists, exercise physiologist, and rehab technicians.

Credits: 6 contact hours


  1. Identify the specific use of the Activity Based Therapy relative to other measurement instruments in rehabilitation and research of persons with spinal cord injury.
  2. Explain the basis for Activity Based Therapy and the scientific literature supporting its use as a measurement tool.
  3. Competently conduct a standardized NRS assessment of adult patients with a spinal cord injury with varied levels of injury and severity.
  4. Competently and reliably score performance on the Neuromuscular Recovery Scale of patients with varied levels of injury and severity.
  5. Understand the use of Activity Based Therapy for patient performance, identify therapeutic goals for progression, and establish directions for therapeutic intervention.


If you are in need of a disability-related accommodation, please contact We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner. For more information please see the Accommodation Procedures for Disabled Participants page.