A spinal cord injury is damage to a vital part of the nervous system that can cause significant impairment of motor, sensory, or autonomic functions. Such injuries typically occur as a result of mechanical trauma – commonly from road traffic accidents, falls from height, or sporting incidents.
Rehabilitation after spinal cord injury
A spinal cord injury (SCI) is a sudden and life-altering event that can completely change a person’s world. For active and independent individuals, it often means facing the immense challenge of adapting to a new way of life almost overnight. At Origin centres, we recognise how crucial it is to restore both hope and independence. That is why we have developed a comprehensive rehabilitation programme designed to support patients through every stage of their recovery journey.
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Ask for an OfferWhat is a spinal cord injury?

Types of spinal cord injuries explained
Types of spinal cord injuries explained
In Poland, more than 800 new cases of spinal cord injury are diagnosed each year, with around half involving the cervical spine. The most common causes are falls from height (approx. 55%), including diving into water (10%), and road traffic accidents (33%).
A spinal cord injury may be complete (resulting in the total loss of motor and sensory function below the level of injury) or incomplete (some function remains below the injury site).
Injury assessment scales
To determine the extent and severity of a spinal cord injury, neurologists most commonly use the Frankel scale and the American Spinal Cord Injury Association (ASIA) standards. These tools help guide both prognosis and rehabilitation planning.
The Frankel scale classifies spinal cord injury patients into five categories:
-
A
complete spinal cord injury, with no motor or sensory function preserved below the level of injury;
-
B
sensation preserved but no motor activity below the level of injury;
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C
some motor function preserved, but not sufficient for practical use;
-
D
useful motor function preserved despite the presence of paresis;
-
E
no neurological deficit.
Spinal cord injury: a challenge on many levels
A spinal cord injury is not only a sudden loss of independence and physical function – it brings with it a complex set of medical and everyday challenges. At the Origin centres in Kraków and Otwock, our rehabilitation programmes are tailored to each patient’s specific medical situation, addressing complications on multiple levels.
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Ask for an OfferCommon medical complications include:
- Urinary and bowel dysfunction: neurogenic bladder and bowel require specialist management and may lead to recurrent urinary tract infections.
- Skin problems: pressure ulcers caused by prolonged immobility are a serious risk and demand careful prevention.
- Cardiovascular disorders: orthostatic hypotension and deep vein thrombosis are frequent and can be life-threatening if not managed promptly.
- Musculoskeletal problems: spasticity and fractures can significantly affect mobility and independence.
- Nervous system complications: autonomic dysreflexia – a sudden and dangerous rise in blood pressure – requires immediate medical intervention.
- Respiratory issues: pulmonary and cardiovascular complications can arise, especially in patients with higher-level injuries.
Psychosocial and economic consequences:
- Loss of employment and financial independence, often requiring a complete reassessment of career plans and sources of income.
- Emotional challenges such as depression, anxiety and feelings of social isolation.
- Difficulties adapting to a new way of life, including changes in relationships, lifestyle and daily routines.
The purpose of rehabilitation after spinal cord injury
Early rehabilitation is a cornerstone of recovery following a spinal cord injury. Its objectives go beyond restoring physical function – it also focuses on preventing complications such as joint contractures, muscle atrophy and loss of bone density; optimising the function of vital systems, including the respiratory and digestive systems; and reducing the risk of secondary complications.
Common medical complications include:
- Urinary and bowel dysfunction: neurogenic bladder and bowel require specialist management and may lead to recurrent urinary tract infections.
- Skin problems: pressure ulcers caused by prolonged immobility are a serious risk and demand careful prevention.
- Cardiovascular disorders: orthostatic hypotension and deep vein thrombosis are frequent and can be life-threatening if not managed promptly.
- Musculoskeletal problems: spasticity and fractures can significantly affect mobility and independence.
- Nervous system complications: autonomic dysreflexia – a sudden and dangerous rise in blood pressure – requires immediate medical intervention.
- Respiratory issues: pulmonary and cardiovascular complications can arise, especially in patients with higher-level injuries.
Psychosocial and economic consequences:
- Loss of employment and financial independence, often requiring a complete reassessment of career plans and sources of income.
- Emotional challenges such as depression, anxiety and feelings of social isolation.
- Difficulties adapting to a new way of life, including changes in relationships, lifestyle and daily routines.
The purpose of rehabilitation after spinal cord injury
Early rehabilitation is a cornerstone of recovery following a spinal cord injury. Its objectives go beyond restoring physical function – it also focuses on preventing complications such as joint contractures, muscle atrophy and loss of bone density; optimising the function of vital systems, including the respiratory and digestive systems; and reducing the risk of secondary complications.
Interdisciplinary approach at Origin
Rehabilitation following a spinal cord injury requires a comprehensive and integrated approach, delivered by a team of specialists from multiple disciplines. At Origin, our interdisciplinary rehabilitation team includes:
- physiotherapists – playing a key role in planning and delivering movement therapy to improve muscle strength, range of motion, coordination and respiratory function;
- occupational therapists – supporting patients in adapting to daily activities, learning to use assistive devices and making necessary modifications to their environment;
- speech and language therapists – assisting patients with speech and swallowing disorders that can occur after a spinal cord injury;
- psychologists – providing emotional support, helping patients to cope with adjustment difficulties, and motivating active participation in the rehabilitation process;
- nursing and care team – delivering coordinated daily care, monitoring the patient’s condition, preventing complications and administering appropriate treatment.
Where necessary, we also work closely with other specialists, including neurologists, urologists and orthopaedic surgeons.
- Rehabilitation programme after spinal cord injury
- Physiotherapy after spinal cord injury
- Is walking possible after a spinal cord injury?
- Speech therapy in restoring communication
- Psychological support
- Nursing care
Rehabilitation programme after spinal cord injury
Our rehabilitation programme, based on years of Drawing on many years of experience, our rehabilitation programme is designed to help patients regain function and independence. We provide fully comprehensive care, tailored to individual needs, and coordinate every stage of the recovery process. Our goal is to enhance both physical and mental wellbeing, enabling patients to participate actively in society. We want every patient to leave our centre confident that, despite the changes in their lives, they can still live with passion, purpose and fulfilment – and we do everything possible to instil this belief.
At Origin centres, rehabilitation begins with a thorough assessment of locomotor abilities and activities of daily living (ADLs). We evaluate: the patient’s ability to move in bed; ease or difficulty in transferring to and from bed; wheelchair use and gait; challenges with dressing, bathing and attending to personal hygiene needs.
We also assess range of motion, muscle strength and upper limb function, including fine motor skills and hand dexterity. In cases of cervical or thoracic injury, we examine breathing function to determine whether respiratory muscle paralysis is present, as this has a direct impact on the rehabilitation process and choice of exercises.
Based on this detailed assessment, we determine the patient’s suitability for rehabilitation and design an optimal, personalised programme that addresses their specific requirements.
Physiotherapy after spinal cord injury
Physiotherapy is a cornerstone of rehabilitation following a spinal cord injury. At Origin centres, our physiotherapy programme is designed to address each patient’s individual needs, improve functional ability and support long-term independence. It includes:
- PNF neurophysiological techniques to stimulate correct movement patterns;
- electrostimulation using SIS electromagnetic fields to support muscle activation and prevent atrophy;
- strengthening exercises for postural muscles and both upper and lower limbs;
- training in independent transfers, including moving between bed, wheelchair and other surfaces;
- learning to get up from the floor safely and effectively;
- car transfer practice to restore mobility;
- wheelchair balance training, including control on slopes and uneven ground;
- outdoor wheelchair skills – in Otwock, patients practice on beautiful forest paths, while in Kraków they can practise in the park avenues that is next to the centre;
- self-catheterisation training for patients with functional hand movement;
- gait re-education using robotic devices as part of active verticalisation;
- exoskeleton training (available at Origin Kraków) to improve walking ability, increase endurance and strengthen muscles.
Is walking possible after a spinal cord injury?
For patients with incomplete spinal cord injuries, it is often possible to regain the ability to walk, although this typically requires long-term, intensive rehabilitation. In cases of complete injuries, the chances are lower; however, continuous advances in rehabilitation methods and medical technology are creating new opportunities for improved mobility.
Regardless of the type of injury, it is essential that patients undergo comprehensive rehabilitation under the supervision of experienced specialists.
Speech therapy in restoring communication
A spinal cord injury can also affect speech and swallowing. At Origin centres, patients receive support from a skilled team of speech therapists and speech-and-language pathologists, whose therapy may include:
- articulation exercises,
- breathing exercises,
- swallowing training,
- therapy for communication disorders.
For patients with a tracheostomy, the speech therapist’s role extends far beyond decannulation or teaching effective coughing techniques. They are instrumental in restoring and optimising the vital functions needed for natural communication and safe swallowing, which may have been impaired as a result of the tracheostomy.
Psychological support
A spinal cord injury is a life-changing event with consequences that reach far beyond the physical. Both patients and their families face profound emotional and psychological challenges, often requiring long-term and comprehensive support.
At our centres, we recognise how vital this care is at every stage of recovery. That is why our rehabilitation programme focuses not only on restoring physical abilities, but also on helping patients rebuild their emotional resilience, regain confidence, and embrace life with renewed hope and determination. Our goal is to empower each person to look ahead with strength, optimism, and a sense of purpose.
Nursing care around the clock
We provide professional, individualised nursing and care services designed to meet each patient’s unique needs. Our team ensures comfort, safety, and attentive support – 24 hours a day.
In addition to everyday assistance, our nursing staff also delivers specialised care, including:
- teaching self-catheterisation to patients with functioning hands,
- VAC therapy for the treatment of pressure sores – an advanced wound-healing method that uses continuous or intermittent negative pressure to promote faster recovery, even in hard-to-heal wounds,
- tracheotomy care.
Rehabilitation programme after spinal cord injury
Our rehabilitation programme, based on years of Drawing on many years of experience, our rehabilitation programme is designed to help patients regain function and independence. We provide fully comprehensive care, tailored to individual needs, and coordinate every stage of the recovery process. Our goal is to enhance both physical and mental wellbeing, enabling patients to participate actively in society. We want every patient to leave our centre confident that, despite the changes in their lives, they can still live with passion, purpose and fulfilment – and we do everything possible to instil this belief.
At Origin centres, rehabilitation begins with a thorough assessment of locomotor abilities and activities of daily living (ADLs). We evaluate: the patient’s ability to move in bed; ease or difficulty in transferring to and from bed; wheelchair use and gait; challenges with dressing, bathing and attending to personal hygiene needs.
We also assess range of motion, muscle strength and upper limb function, including fine motor skills and hand dexterity. In cases of cervical or thoracic injury, we examine breathing function to determine whether respiratory muscle paralysis is present, as this has a direct impact on the rehabilitation process and choice of exercises.
Based on this detailed assessment, we determine the patient’s suitability for rehabilitation and design an optimal, personalised programme that addresses their specific requirements.
Physiotherapy after spinal cord injury
Physiotherapy is a cornerstone of rehabilitation following a spinal cord injury. At Origin centres, our physiotherapy programme is designed to address each patient’s individual needs, improve functional ability and support long-term independence. It includes:
- PNF neurophysiological techniques to stimulate correct movement patterns;
- electrostimulation using SIS electromagnetic fields to support muscle activation and prevent atrophy;
- strengthening exercises for postural muscles and both upper and lower limbs;
- training in independent transfers, including moving between bed, wheelchair and other surfaces;
- learning to get up from the floor safely and effectively;
- car transfer practice to restore mobility;
- wheelchair balance training, including control on slopes and uneven ground;
- outdoor wheelchair skills – in Otwock, patients practice on beautiful forest paths, while in Kraków they can practise in the park avenues that is next to the centre;
- self-catheterisation training for patients with functional hand movement;
- gait re-education using robotic devices as part of active verticalisation;
- exoskeleton training (available at Origin Kraków) to improve walking ability, increase endurance and strengthen muscles.
Is walking possible after a spinal cord injury?
For patients with incomplete spinal cord injuries, it is often possible to regain the ability to walk, although this typically requires long-term, intensive rehabilitation. In cases of complete injuries, the chances are lower; however, continuous advances in rehabilitation methods and medical technology are creating new opportunities for improved mobility.
Regardless of the type of injury, it is essential that patients undergo comprehensive rehabilitation under the supervision of experienced specialists.
Speech therapy in restoring communication
A spinal cord injury can also affect speech and swallowing. At Origin centres, patients receive support from a skilled team of speech therapists and speech-and-language pathologists, whose therapy may include:
- articulation exercises,
- breathing exercises,
- swallowing training,
- therapy for communication disorders.
For patients with a tracheostomy, the speech therapist’s role extends far beyond decannulation or teaching effective coughing techniques. They are instrumental in restoring and optimising the vital functions needed for natural communication and safe swallowing, which may have been impaired as a result of the tracheostomy.
Psychological support
A spinal cord injury is a life-changing event with consequences that reach far beyond the physical. Both patients and their families face profound emotional and psychological challenges, often requiring long-term and comprehensive support.
At our centres, we recognise how vital this care is at every stage of recovery. That is why our rehabilitation programme focuses not only on restoring physical abilities, but also on helping patients rebuild their emotional resilience, regain confidence, and embrace life with renewed hope and determination. Our goal is to empower each person to look ahead with strength, optimism, and a sense of purpose.
Nursing care around the clock
We provide professional, individualised nursing and care services designed to meet each patient’s unique needs. Our team ensures comfort, safety, and attentive support – 24 hours a day.
In addition to everyday assistance, our nursing staff also delivers specialised care, including:
- teaching self-catheterisation to patients with functioning hands,
- VAC therapy for the treatment of pressure sores – an advanced wound-healing method that uses continuous or intermittent negative pressure to promote faster recovery, even in hard-to-heal wounds,
- tracheotomy care.
Consultation on rehabilitation capacity
Often, patients and their loved ones hear that there is no hope, that nothing more can be done for them. Many of them, after accidents or illnesses, feel alone and unsure about what comes next. We see the confusion in their eyes and the fear of the unknown.
That’s why we created a special consultation with our specialists, which is more than just an assessment of health. It is a thorough meeting aimed at determining the real potential for rehabilitation. It is a moment when we say:
We understand your situation. This is how we assess your potential.
We are here to help you realize it together.