Are you ready to JUMPSTART CHANGE?

Step by Step IntensivesTM will do just that!

   Physical Therapy, Occupational Therapy and Speech

          Therapy Intensives for Adults and Children

What is an Intensive and why does it work?
An Intensive is a period of daily therapy aimed at jumpstarting progress. Plenty of research exists that show that periods of intensive therapy followed by integration is the road to progress.
Children who sustain neurological damage before or around the time of birth learn to move while influenced by weakness and abnormal muscle tone. These movement patterns become a habit just like any movement pattern that is frequently practiced.
As the neurological damage heals and the child's neural system matures, there is still plenty of opportunity for the child or adult to learn more normal and efficient movement patterns. However, the only way to do this is by intensive, repeated practice of better movement patterns.
Athletes become masters of their sport through  intensive, repeated and perfect practice. Children and adults with neurological problems can change their movement habits just like an athlete if given the right training.
That is focus of  Step by Step Intensives.
Learn more about training methods and research from Dr. Karen Pape's blog:



Step by Step IntensivesTM
Step by Step Intensives are created based on Pia's broad experience and expertise in treatment of children and adults with cerebral palsy and other neurological diagnoses . The components of a Step by Step Intensive, is strongly influenced by the work of Dr. Karen Pape, who have worked with children with cerebral palsy for decades (Read Dr. Pape's book: The Boy Who Could Run But Not Walk)
The results of Step by Step Intensives clearly show that our unique approach create stunning results in a short period of time. They work because they are based in what research has clearnly shown are neccessary components to creating neuroplastic changes that result in progress in movement control.  Before the client and family arrives for the intensive, conversations about problems and goals have already started.
An intensive starts with a thorough assessment of the client that includes range of motion, strength, balance, and coordination testing. Functional mobility such as gait, stair negotiation, and transitions as well as endurace testing is an integrate part of the initial assessment. 
Goals for the intensive and beyond are established collaboratively between the client, family and therapists at the conclusion of the assessment.
In the intervention phase of the intensive, 3 hours of daily therapy is provided per day, 5 days per week. As the intensive concludes the focus will shift to establishing a home based program that ensures that the progress made in the intensive is maintained. This is the point at which we see the children and parents take ownership of their training because they can appreciate the progress that they have made in a short period of time.


Components that may be part of a Step by Step IntensiveTM

Step by Step Intensive are unique because the intervention is comprised of many different types of therapy techniques. Step by Step Intensives are individualized based on the need of the child as well as the goals of the child and family

  • Massage and myofascial release are used to regain and maintain muscle and joint flexibility

  • Support of joints and muscles such as the use of Kinesio taping, TheraTogs, Spio garments or other support systems. Braces may be adapted or prescribed.

  • Strength training aimed at giving the client balanced strength of the entire body.

  • High level balance training

  • Coordination training

  • Gait training

  • Training with functional E-Stim (Walk Aide)

  • Mobility training

  • Constraint Induced Movement Therapy

  • EMG Biofeedback and EMG Triggered Stimulation teaches the client how to "find" and use muscles in a more efficient way

  • Water training (off site)

  • Visual motor rehearsal. This powerful technique teaches the client how to put together complex movement sequences. 

  • For older children and adults, visits with a personal trainer in a nearby facilty may be included


What are the different diagnoses Step by Step IntensivesTM are designed for?

Step by Step IntensivesTM are designed for children and adults with the following diagnoses:


  • Mild to moderate cerebral palsy

  • Strokes

  • Pre and post Selective Dorsal Rhizotomy rehabilitation

  • Pre and post orthopedic surgery

  • Hemispherectomy

  • Brain Injury

  • Brachial Plexus Injury

How do I know if a Step by Step IntensiveTM would be beneficial?

You will be asked to provide detailed information about your/ your child's function including submitting videos and pictures. We will look at the information provided to determine if a Step by Step Intensive would be beneficial. In general the Step by Step Intensives are most beneficial for clients with mild to moderate disability.

If you/ your child meets the criteria, we will schedule a time to talk to you to discuss what the intensive will look like and what the goals of the intensive are.




What is the cost of a Step by Step IntensiveTM?

The cost of a Step by Step Intensive depends on how much direct therapy you/ your child needs. Once you are ready to book the intensive you will be asked to pay a deposit to hold the slot. Private health insurance may pay a portion of the cost of an intensive.

Where can we stay during an Intensive?


There are multiple hotels within 5 miles of the Step by Step Therapy Center.


The Ronald McDonald House, 3 miles from our Center, may house families coming in for Intensives for a nominal fee. For more information about the Ronald McDonald House please contact us or the Ronald McDonald House directly: http://www.rmhcrochester.org/

Need more information?

If you have questions or need more information, please e-mail Pia directly: pia@rochester.rr.com

How do I book an Intensive?

You can e-mail Pia directly: pia@rochester.rr.com or you can call 585-427-7610 and ask to speak to Pia.


Download forms:

Call to schedule an evaluation


Fax: 585-427-7410

1057 East Henrietta Road,

Suite 500

Rochester, NY 14623

Clinic Hours: Mon, Tues & Thurs 9-5pm

                       Wednesdays 9-6pm

                       Fridays 9-2pm

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