Transcutaneous Spinal Stimulation and Exercise for Locomotion

About this trial

This clinical trial is enrolling individuals with incomplete spinal cord injuries to test the effect of transcutaneous (skin-surface) electrical stimulation of the spinal cord combined with physical therapy for improving locomotion (walking). The study will apply stimulation at both the cervical (neck) and the lumbosacral (low back) areas and will measure improvements in walking function. Participants will also undergo physical therapy (PT) to augment the effect of spinal stimulation on walking. Participants will be randomly placed in one of two study phases of 1 month each: PT only, and PT with spinal stimulation. The two phases will be repeated in reverse order of the original assignment (crossover). Sessions will last up to 2 hours/day, 2 to 5 days/week for each arm. Outcomes, both immediate and lasting, will be compared between the PT only versus PT plus spinal stimulation treatments.