Non-invasive Brain Stimulation Paired With FES Cycling Post SCI

About this trial

This trial is enrolling 14 individuals with chronic incomplete spinal cord injuries at any level of the spinal cord to test the effect on lower extremity function of pairing repetitive Transcranial Magnetic Stimulation (rTMS) with Functional Electrical Stimulation (FES) Cycling. TMS is a non-invasive technique which uses a magnetic field to stimulate the brain using a coil (held over the head). FES is a technique that applies electrical stimulation through the skin to nerves to cause contraction of weakened or paralyzed muscles. The effect of the combined stimulation will be compared to each intervention alone. If included, participants will attend training sessions for 6 weeks, twice per week. Each will receive either the active rTMS or sham brain stimulation at the beginning of the session for 30 minutes, followed by electrical stimulation on their legs while cycling for 60 minutes. Final testing will be performed after 8 weeks.