Addressing Spasticity and Motor Function With Epidural Spinal Cord Stimulation

Inclusion Criteria:

1. At least 22 years of age
2. Post 1 year non-progressive SCI
3. Stable medical condition (cleared by the study physician and do not have any medical conditions that would interfere with study procedures)
4. Diagnosed with and treated for severe spasticity at least 6 months ago

Exclusion Criteria:

1. ventilator dependent
2. untreated painful musculoskeletal dysfunction, fracture or pressure injury
3. untreated psychiatric disorder or ongoing drug abuse
4. cardiac, respiratory, bladder, renal or other untreated medical disorder unrelated to SCI
5. Botulinum toxin injections (such as Botox) or other injections to manage spasms (such as phenol or alcohol) in any muscle or bladder less than 6 months prior to implant
6. colostomy bag, urostomy
7. Any active implantable devices or implanted pump (such as a baclofen pump, pain pump, etc.)
8. pregnant at the time of enrollment or planning to become pregnant during the time course of the study
9. Contraindications to MRI imaging (e.g., pacemaker, metallic foreign body, aneurysm clip)
10. Imaging findings that determine the area of spine the stimulation device would be implanted is not suitable for surgery (such as implanted hardware interference or additional deterioration/injury of spinal cord at or below the region)
11. Severe muscle contractures
12. unable to operate a touch screen