Table 1.
Inclusion criteria | Exclusion criteria |
---|---|
1. Adults ≥18 y old 2. Traumatic cervical SCI 3. Time since injury ≥ 1 y 4. Imbalance of muscle strength (at least 1 MRC difference) between biceps and triceps such that a. Weaker muscle MRC = 1–3 b. Stronger muscle MRC = 3–5 |
1. Contraindications to TMS or tDCS a. Pacemaker b. Metal in skull c. History of seizures d. Pregnancy 2. Active ulcers 3. Traumatic brain injury, Rancho scale <5 or positive MRI/CT findings 4. Excessive tone/spasticity, Modified Ashworth Scale >3 5. Severe contractures or tissue shortening limited movement at elbow or wrist 6. Current participation in ongoing upper extremity therapies |