Organiser: Step by Step Foundation.

Collaborating organisation: Ramon Molinas Foundation.

Implementation dates: 01/09/2019 – 30/08/2020.


An initiative to provide quality physiotherapy treatment to people with neurological disorders from vulnerable socioeconomic groups

The Ramon Molinas Foundation is collaborating with the Step by Step Foundation with the aim of improving the quality of life and promoting the personal autonomy of people from vulnerable socioeconomic groups with neurological disorders that have affected their nervous system. Thanks to personalised, quality physiotherapy over time, the programme participants will be able to have access to a more productive recovery process.

The initiative provides comprehensive treatment. The Step by Step Foundation divides the recuperation process into unique zones and stages based on the objectives set in the assessment of each patient that takes part in the programme. For example, therapy work on the ground to activate motor activity patterns; weight-lifting exercises to stimulate the neuromuscular system and prevent complications such as osteoporosis or muscular retractions; stimulation exercises with vibrations that help to counteract the loss of muscle mass and encourage the exercising of the proprioceptive system; coordination and control exercises for balance to improve stability in the shoulder girdle and pelvis; step training with the aim of practising the patterns and movements necessary to walk in the most effective way possible.

The Step by Step Foundation also adds value to the programme through aquatherapy and the utilising of innovative equipment like the exoskeleton. Aquatherapy helps to promote postural and gait re-training and cardiorespiratory and muscular work, making use of the hydrostatic water pressure. Lastly, the Step by Step Foundation uses an exoskeleton. The device is made up of long supports that are adjusted and fitted to the legs and torso of the user. In the joints, a series of motors imitate the movements of the human muscle, which helps people with neurological disorders that have affected the nervous system to develop the strength necessary to stand and walk.


The programme provides treatment once the acute phase of the injury has passed

When someone suffers a spine or brain injury, the public health service provides excellent care in the acute phase, which can involve surgery and a comprehensive rehabilitation programme of between two and three months in specialised clinics. Once the acute phase has passed, people with spine or brain injuries no longer have access to specialised centres that offer personalised care and treatment at an affordable price. This can lead to a loss of personal autonomy due to physical deterioration, and the onset of early, secondary complications, which in the long term, may cause difficulties when the person tries to reintegrate into society.

The initiative provides treatment to patients with spinal injuries, traumatic brain injuries, multiple sclerosis or other disorders of the central nervous system that are at risk of social exclusion or are from vulnerable socioeconomic groups. The people taking part in the Programme for people with neurological disorders at risk of social exclusion are referred from their local hospital, or from other organisations. Once the person is identified, the Step by Step Foundation makes a diagnosis, identifies their physical, psychological and social needs, develops a personalised treatment programme, and monitors their progress.


The Step by Step Foundation, an organisation that seeks to improve the quality of life of people with neurological disorders that have affected the central nervous system

The Step by Step Foundation was created in 2007 with the intention of offering a rehabilitation proposal based on personalised and quality physiotherapy for people who have neurological disorders that have affected the central nervous system to improve patients’ quality of life.

The organisation believes in physiotherapy and in physical activity as tools to recuperate and stay healthy. Pending scientific advances that will allow for complete recovery of these patients, the Step by Step Foundation believes that it is essential to improve and strengthen the maximum residual capacity after the injury and keep the body in good physical health.

The Step by Step Foundation has two rehabilitation centres located in Barcelona and in Tenerife. The headquarters located in Barcelona helps more than 200 users every year, providing almost 12,000 hours of treatment.


Links of interest:

Step by Step Foundation website.