New research shows that people with spinal cord injuries or strokes can still make progress long after their initial diagnosis through intensive training programmes.
The findings are based on the INTeRAcT study, conducted by AZ Herentals, KU Leuven, VUB, and To Walk Again, and funded by Belgium’s National Institute for Health and Disability Insurance (RIZIV). This study could pave the way for reimbursement of these therapies.
The programme focused on personalised and intensive rehabilitation tailored to improve independence and quality of life for people with spinal cord injuries or strokes.
A spinal cord injury involves damage to the spinal cord, often caused by accidents, leading to paralysis. A stroke can result from either a blood clot (cerebral infarction) or bleeding in the brain. Both conditions have profound, life-altering impacts.
Patients underwent a 90-hour rehabilitation programme spread over three weeks, with five consecutive six-hour training days each week. Activities included physiotherapy, general therapy, cardiovascular and fitness training, and self-management guidance. Each participant also received one-on-one support and an individualised plan to meet their specific goals.
The improvements were not only significant immediately after the treatment but also persisted for at least nine months. A follow-up study is planned to examine the long-term benefits of the therapy.
Marjan Coremans, who coordinated the study, emphasises the transformative impact such programmes can have on patients. “Being able to lift your grandchild—it seems like a small wish but can mean the world for those who can no longer do it,” she said.
The study involved 100 participants, each closely monitored from the start of the programme and assessed regularly over nine months. The researchers believe the approach could achieve goals once thought impossible.

