In recent years, rehabilitation for individuals living with spinal cord injury or disease (SCI/D) has shifted from a focus on compensatory approaches to address loss of function to a focus on neurorestorative approaches. My central thesis aim was to understand the use of neurorestorative approaches in physical rehabilitation for individuals with SCI/D. Regarding the central thesis aim, I identified barriers and facilitators to the use of these approaches. Also, I described the current state of translation and implementation of these neurorestorative approaches as part of Canadian SCI/D rehabilitation. Data were gathered from four main studies of neurorestorative approaches to SCI/D rehabilitation in Canada. Study 1 was a scoping review that investigated the effect of epidural stimulation on different functions for individuals with SCI/D. Study 2 and Study 3 investigated the perspectives of occupational therapists (OTs) and physical therapists (PTs) on activity-based therapy (ABT) using conventional content analysis. Study 2 focused on the inpatient/outpatient hospital setting, while Study 3 looked at the acute care setting. For Study 4, I interviewed OTs and PTs about their use of brain-computer interface-triggered functional electrical stimulation therapy (BCI-FEST). My research identified therapists’ need for increased knowledge and education about neurorestorative approaches to SCI/D rehabilitation using mentorship and large support groups. Implementation of these neurorestorative approaches should occur across the continuum of care yet take into consideration differences between settings and nuances between sites. Across studies, I noted that perspectives from therapists working in rural and remote (i.e., non-specialized SCI/D centres) were not included. Future research should target the perspectives of these individuals as we work towards implementation.