

Group photo (ID: bottom row (L-R): Dana Guest, Aaron Teel and Amanda Perla; back row (L-R): Malerie Murphy, Ronnie Pryor and Ginger Henry.
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Inspired by Daughter, Liza Perla-Riedel Helps SCI Community
SANFORD--Two years ago, in the chilly darkness of a springtime night, Liza Perla-Riedel was awakened by a call that all parents dread: her child had been in an automobile accident. Seriously injured, Riedel's 17-year-old daughter, Amanda Perla, was being airlifted to a nearby hospital.
"During the foggy race to the hospital, there was nothing on my mind other than to be with my daughter and wanting only for her to be alive," recalled Riedel, who learned that just before the accident, Perla had removed her seat belt to get into a more comfortable sleeping position in the passenger seat. After being removed from the car by the Jaws of Life, emergency technicians confirmed that Perla's neck was broken. Paralyzed, she would never walk again.
The doctor's news "cruelly broke me from my dreamy stupor," Perla recalled. "Instantaneously, I'd gone from having an active, well-adjusted daughter who loved her family, friends and participating in dance, to a battered, bed-ridden daughter unable to sit up, feed herself or be in control of her bowel or bladder functions."
As Perla recovered in the hospital, Riedel began researching facilities that treated spinal cord injury (SCI) patients.
Fulfilling a Local Need
Unable to locate a facility that could support Perla's goals, vision and determination, Riedel established Step It Up Recovery Center, Inc., a nonprofit organization in Sanford that focuses on improving the quality of daily life of the SCI community in a structured and supportive environment. After a soft opening on May 4, a grand opening was held on July 9.
Modeled after the highly successful Project Walk® in Carlsbad, Calif., some SCI clients regain function and a few even walk again. Step It Up uses Project Walk's® specialized, aggressive and comprehensive exercise-based program, The Dardzinski Method, a proven exercise-based methodology for SCI recovery.
"The old approach to SCI was no hope for recovery, no stimulation of paralyzed areas, interference with sensation and muscle contractions with drugs, and placing the SCI person in a continual reduced gravity environment (wheelchair)," said Riedel. "As a result, there was a loss of bone density and muscle mass, further reducing the chances of recovery in the future; decreased circulation; increased risk of infections and pressure sores; and no improvement of function."
The Dardzinski Method begins with external stimulation for the nervous system to promote reorganization, removes clients from reduced gravity environment while working out, and increases muscle contractions that are used to build muscle mass and control. Load bearing exercises are performed from day one, said Riedel.
"The best case result is the client begins to regain function and continues to improve," she said. "The worst case result is the client is healthy and more independent."
A Family Affair
Johanna VanCasteren, Perla's grandmother, directs Step It Up, one of only eight Project Walk-certified facilities in the world. Four states have facilities: Florida (Step It Up), Kansas, New Jersey and Texas. Four international facilities are located in Australia, Canada, England, and Japan.
While many clients travel from out of state, SCI Floridians include Samantha Slusak of New Port Richey, Dana Guest of Dade, Aaron Teel of Pensacola, Thornton Hinshaw of Melbourne, Anthony Waters from Lutz, Kyle Len from Miami University, and Dustin Anderson of Saint Cloud. Most injuries were sustained in auto or ATV accidents.
"Our sessions are usually three hours long, sometimes two hours," said Riedel. "So a booked day for us consists of four to five clients, most who stay for weeks at a time and lodge at local hotels."
The center's SCI families quickly develop a kinship by conversing in terms of specific injuries and timelines, such as Anderson, 25, a "C5-C6 injury for three years." Before Step It Up opened, Anderson traveled to the California Project Walk facility for two weeks at a time.
"From the first minute I was injured, I knew I'd never give up on my goal to walk again, despite what every doctor told me," he said. "The trainers will get you out of your chair and focus on areas you have little or no movement, unlike any other therapy places you attend. Project Walk is a true blessing. God has now blessed me with a closer location in Central Florida."