Training to improve hand and arm function in people with spinal cord injuries

Neuromodulation Training for Upper Extremity Recovery for Chronic Cervical Spinal Cord Injury

Not applicable Interventional Kessler Foundation · NCT04921592

This study is testing whether a new training program that combines physical exercises with electrical stimulation can help people with spinal cord injuries use their hands and arms better and improve their daily lives.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment36 (estimated)
Ages18 Years and up
SexAll
SponsorKessler Foundation Academic / other
Locations1 site (West Orange, New Jersey)
Trial IDNCT04921592 on ClinicalTrials.gov

What this trial studies

This study investigates the effects of combining activity-based recovery training with targeted spinal cord transcutaneous stimulation (scTS) to enhance the use of hands, arms, and core in individuals with chronic cervical spinal cord injuries. Participants will undergo physical evaluations, functional tests, and MRI scans to assess their condition. They will be randomized into groups receiving different intensities of training sessions that incorporate electrical stimulation to activate spinal cord pathways. The goal is to promote independence and improve quality of life without relying on assistive devices.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 and older with a cervical spinal cord injury lasting six months or more.

Not a fit: Patients who are ventilator-dependent or have significant unrelated medical conditions may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could significantly enhance motor function and independence for patients with spinal cord injuries.

How similar studies have performed: While this approach is innovative, similar studies have shown promise in improving motor function through activity-based training and electrical stimulation.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 18 years of age.
* spinal cord injury for greater than or equal to 6 months.
* spinal cord injury at a cervical neurologic level of injury.

Exclusion Criteria:

* ventilator dependent.
* history of fractures.
* pressure sore or skin issues.
* history of illicit drug abuse.
* history of cardiac, respiratory, bladder, renal or other medical disorder unrelated to spinal cord injury.
* bladder Botox injections less than 12 months prior.
* muscle Botox injections less than 12 months prior.
* colostomy bag or urostomy.
* implanted pump (i.e., baclofen pump, pain pump, etc).
* If I am female: I am pregnant at the time of enrollment or planning to become pregnant during the course of the study.
* unable to wean from anti-spasticity medication.
* contraindications to MRI imaging (pacemaker, metallic foreign body, aneurysm clip, etc.)

Where this trial is running

West Orange, New Jersey

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Spinal Cord Injuries
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.