Arm and Leg Cycling for Accelerated Recovery From SCI

The purpose of this study is to examine the ability of simultaneous motorized upper and lower extremity cycling training to regulate spinal movement patterns in order to potentially restore functional abilities (i.e., walking) in individuals with an incomplete spinal cord injury. The researchers hypothesize there will be improved walking function following motorized cycling.

Inclusion Criteria:Traumatic SCI T10 and above (upper motorneuron lesion)Incomplete paraplegia or tetraplegia (Classified as AIS C or D)Age range 18-65 years old, inclusiveAt least 1 year post- injuryExclusion Criteria:Traumatic SCI T11 and belowComplete paraplegia or tetraplegia (classified as AIS A)AIS B incomplete paraplegia or tetraplegiaPresence of progressive neurologic diseaseUnable to give informed consent to participate in the studySignificant other disease (ex: cardiological or heart disease, renal, hepatic, malignant tumors, mental or psychiatric disorders) that would prevent participants from fully engaging in study proceduresMRI contraindications:Cardiac pacemaker or pacemaker wires; neurostimulators; implanted pumpsMetal in the body (rods, plates, screws, shrapnel, dentures, metal IUD, etc)Surgical clips in the head or previous neurosurgeryCochlear implantsProsthetic heart valvesClaustrophobiaTremorTMS contraindicationsEpilepsy or any other type of seizure historyMedications that increase the risk of seizuresNon-prescribed drug or marijuana useDepression, antidepressant medications, or antipsychotic medicationsPregnancyPrisoners