Remote Ischemic Conditioning for PwSCI

Inclusion Criteria: * 18 years of age or older * Diagnosis of SCI * Live within the community (not nursing facility) * Not actively engaged in physical activity for exercise * Not having the ability to participate in physical activity due to physical capacity or environmental barriers * Medically stable * Ability to obtain physician approval to participate in the study * Willingness to participate in a 2-day initial assessment visit at research testing location, 30 intervention sessions conducted independently by the participant or caregivers, 2-day post intervention assessment visit at research testing location. Exclusion Criteria: * Medically unstable * Have had a heart-related condition within the past year * Have had a blood clot in the past year * Have a stage 3 or 4 pressure injury * Have taken blood thinners in the past year * Have had surgery in the past year * Have uncontrolled hypertension * Have peripheral artery disease * Have Complex Regional Pain Syndrome (CRPS) in both arms * Have had nerve or tendon transfers in the arms in the past year * Have lymphedema in the arms * Have recent acute illness or injury (within the past 3 months) * Currently pregnant * Enrolled in another clinical trial * Are taking GLP-1 medications * Unable to provide consent * Currently engaged in physical activity for exercise