A Novel Combined Neuromodulation Therapy to Enhance Balance and Neuroplasticity

About this trial

This trial is enrolling 20 individuals with chronic incomplete spinal cord injuries to test the effect of combining functional electrical stimulation (FES) and transcutaneous spinal cord stimulation (TSCS) during visual feedback training (VFT). The goal is to improve standing balance. FES is a technique that applies electrical stimulation through the skin to nerves to cause contraction of weakened or paralyzed muscles. TSCS is a technique that applies electrical stimulation through the skin to target the spinal cord and associated neural pathways, thus affecting neural activity. VFT uses computer game simulations so participants can actively follow visual feedback of body sway. If included, participants will receive 12 sessions of either TSCS + FES, or FES alone during balance training using visual feedback on a computer screen, over 4 weeks. Final testing will be performed after 6 weeks.