Inclusion Criteria:  Participants with C6 to T1 tetraplegia. Both male and female patients were included Participants with traumatic spinal cord injury Participants with well oriented behavior were included Participants with complete and in complete spinal cord injury Participants of all times post injury and any initial sitting were included  Exclusion Criteria:  Any intervention that measure effectiveness of external devices such as orthotics, frames sittings and chair positions Participants with severe neurological disorders, psychological problems and cognitive issues. Paraplegic participants or participants involved in gait or walking balance training over ground Participants with severe co morbidities and other medical complications Participants with pressure ulcers.