Spinal Cord Injury - Exercise

Inclusion Criteria: * Ability to provide and provision of signed and dated informed consent form * Age 18-70 * Diagnosis of SCI and post injury ≥ 6 months * Able to achieve adequate active range of motion at the elbow and wrist (flexion/extension) and able to achieve at least 90° active shoulder flexion, in order to complete study activities Exclusion Criteria: * Non-English speaking * Exercise program participation ≤1 month from study enrollment or any other exercise participation during the duration of the study * Patients with significant cognitive impairment of any etiology that prevents them from being able to participate * Patients that were given sternal or spinal precautions that would prevent excessive twisting, bending, overhead reaching and lifting over 10 pounds * Patients with a history heart failure, chronic lung disease, angina or any other condition that causes unreasonable shortness of breath on exertion * Has been diagnosed with autonomic dysreflexia that is severe, unstable, and uncontrolled * Requires ventilator support * Spasms that limit the ability of the subjects to participate in the study training as determined by the Investigator * Pregnant, planning to become pregnant * Any other medical conditions that could affect their ability to participate in the exercise program (as determined by study investigators) * Active participation or past participation ≤3 months in any other interventional study. * Unwilling to participate in all study related activities