At one such place, the seven-year-old International Center for Spinal Cord Injury at Kennedy-Krieger in Baltimore, five physicians and 45 therapists now see about 50 patients a day, and others can train at a wellness center not unlike TheraFit.
"Even 10 or 15 years ago, people thought recovery happened only in the first six months or a year, then stopped," said Rebecca Martin, manager of clinical training at ICSCI. "We now know movement can be recovered long after an injury. But that recovery is activity-dependent."
For patients in both places, progress comes in small stages.
Take Jared Lutz of Eldersburg. He was paralyzed and brain-damaged in a pole-vaulting accident in 2008. When he began at TheraFit, he lacked the power even to hold the handles.
Therapists took to attaching his hands to the QuadriCiser as it ran. One day about three months later, Gilligan-Della suggested removing the straps.
Jared gripped the handles throughout a 45-minute workout, and everyone in the place burst into tears.
"That might sound like a small thing, but for us, tiny things can be huge," said his father, Brandon Lutz. "Gina teaches the art of the possible."