Training that picks up where rehab leaves off
One-on-one, activity-based recovery training with a certified neuro-fitness specialist. Exercise is the only tool we use, and we use it hard.
Our approach
Our program is built on developmental movement, the idea that you crawl before you walk. We train the body in functional movement patterns through rolling, sitting, standing, crawling and walking. That work gives nerves, muscles, bones and joints the stimulation they need to reach the highest function possible.
Your specialist builds a program around your goals, measures your progress on functional scales, and changes the program as you change. Most members train two or three times a week, for one to three hours a session. Your assessment sets the exact schedule.
What we train
- Neuromuscular development
- Load-bearing and closed-chain activities
- Strength training
- Core strength and balance
- Gait training
- Active and passive range of motion
- Flexibility
- Functional electrical stimulation (FES)
What members work toward
- Better circulation and blood pressure
- More cardiovascular endurance
- Keeping bone density
- More muscle mass and strength
- Better range of motion
- Fewer spasms and less spasticity
- Better sensation and temperature control
- More independence in daily life
- Possibly less pain and depression
Conditions we work with
Don't see yours? Call us. We train ages 6 and up.
- Spinal cord injury
- Traumatic brain injury
- Stroke
- Multiple sclerosis
- Cerebral palsy
- Parkinson's disease
- Spina bifida
- ALS
- Amputation
- Guillain-Barré syndrome
- Muscular dystrophy
- Rett syndrome
- Alzheimer's disease
- Fibromyalgia
- Healthy aging
- Weight management
Pricing
One-on-one training is billed by the hour. The more often you train, the lower the rate. The rate covers the training plus any help with lifts, transfers and exercise setup.
| Sessions per week | Hourly rate |
|---|---|
| Once a week | $85 per hour |
| Twice a week | $80 per hour |
| Three times a week | $75 per hour |
Veteran membership
We have special military pricing for veterans. Call us for details.
Physical therapy on site
Neuro Performance Physical Therapy works in our building. Its physical therapist specializes in neurological conditions, and it's in-network with most major insurance plans.
Other packages
Ask about other memberships and packages, and about help from our No Paralyzed Veteran or Civilian Left Behind Fund.
See it in action
Real sessions from our gym, from our YouTube channel.
Beyond The Chair documentary clip
A look inside the gym and the people who train here. 5:41.
A full workout with Sophie
Sophie, who has a thoracic spinal cord injury, works through a session. 6:00.
The passive gait trainer
Shirley, who has a C5/C6 injury, walking on the passive gait trainer. 0:21.
Equipment on the floor
Specialized recovery equipment alongside a full strength gym. Ask us for a tour to see it all.
- Treadmill gait training
- A suspension harness supports you over a treadmill, partly unweighting your legs while the belt drives a steady stepping rhythm.
- Passive gait trainer
- A motorized elliptical that moves you through a natural walking pattern while you stand upright.
- ERGYS FES cycle
- Computer-controlled electrical stimulation lets your own leg muscles pedal the bike, even with little or no voluntary movement.
- EasyStand standing frame
- Supports you in standing to load bones and joints, ease spasticity and change pressure points.
- Giger MD
- A full-body coordination machine that moves arms and legs together in rhythmic patterns.
- Parallel bars
- For standing, weight shifting and early stepping practice with support on both sides.
- Strength equipment
- Leg press, cable machines and free weights, adapted for seated and standing work.
Questions people ask
Is this physical therapy?
No. Physical therapy is delivered by licensed physical therapists, is usually covered by insurance, and typically runs 45 minutes to an hour, two or three times a week. Our program is adaptive exercise led by staff with degrees in kinesiology, exercise science, exercise physiology and athletic medicine. It isn't covered by insurance, and sessions usually run one to three hours. We don't diagnose or treat medical conditions. If you need physical therapy, Neuro Performance Physical Therapy works in our building.
What is a neuro-fitness specialist?
Our specialists hold degrees in kinesiology, exercise science or exercise physiology, plus national fitness certifications. They know anatomy, physiology and biomechanics well beyond a typical personal trainer, and they build programs for people with neurological, musculoskeletal and cardiovascular conditions.
Does insurance pay for it?
Insurance does not cover our training. If you want insurance-covered care, Neuro Performance Physical Therapy works in our building and is in-network with most major plans. Ask us about veteran pricing and other memberships.
How soon after my injury can I start?
As soon as you've been discharged from your physician's or physical therapist's care and your doctor clears you to exercise.
What do I need before my first session?
Your doctor's OK to exercise and our application. We'll tell you exactly what else we need for your situation before your first visit.
What happens in the first session?
An assessment. We take functional measurements to set a baseline, agree on goals with you, and use those numbers to track your progress over time.
How long is the program?
There's no set end date. Recovery is a lifelong process and everyone moves at a different pace. Some members have trained with us for years, others for a few months.
I don't live in San Antonio. Can I still train with you?
One-on-one training works best for people who can come in regularly. Some members relocate to San Antonio for a stretch of intensive training. Call us and we'll talk through what would work for you.