Inclusion Criteria:  SCI for at least six month and presented with spasticity symptoms at least 18 years old able to understand the instructions as well as the questionnaires no expected changes in medical treatment for the duration of the study (~1 month)  Exclusion Criteria:  inability to provide informed consent co-morbidities (e.g. decubitus ulcers, heterotopic ossification, urinary tract infections or other infections) or any psychological state that influences spasticity