Clinical Research Directory

Inclusion Criteria: * • Veterans admitted to the Minneapolis VA Health Care System's (MVAHCS) SCI inpatient unit for sub-acute rehabilitation following non-traumatic cervical SCI. * Veterans are eligible for enrollment within 90 days of the onset of their spinal cord injury. * Non-traumatic SCI, level T2 or above; AIS A,B,C,D. * Age 18+. Exclusion Criteria: * • Study clinicians determine that the veteran would likely not benefit from FES. * Open wounds where electrodes would be placed. * Cognitive impairments identified during the consent process indicating a veteran's Inability to comprehend essential information about the study. * Contraindications to electrical stimulation (pacemaker, defibrillator, pregnancy, active tissue infection in area of stimulation). * Active implanted medical device for electrical stimulation. * Other internal metallic objects of unknown or foreign origin (unidentifiable surgical implants, shrapnel, bullet fragments, etc.) * Acute medical conditions under active treatment that would contraindicate standard rehabilitation." History of a non-SCID related neurological condition (stroke, brain injury, etc.) impacting upper extremity. * Uncontrolled, severe autonomic dysreflexia. * Need for ventilator support. * Inability to participate in therapy session \>60 minutes. * Botulinum toxin injections to the upper limb in prior 3 months. * BMI \> 40.0 (morbid obesity). * Allergy to hydrogel, silicone, latex or other product materials. * Uncontrolled cardiopulmonary disease. * Uncontrolled epilepsy or seizures. * Unmanaged depression, psychiatric disorders or ongoing substance abuse. * Participation in another clinical trial that may interfere with this study. * Pregnancy is contra-indicated for both TSS and FES. Women of childbearing years will be excluded as the enrollment timeline won't allow time for pregnancy testing.