Transcutaneous Spinal Cord Stimulation Home Study

This study is testing whether a wearable device that sends mild electrical pulses to the spine can help people with dangerously low blood pressure when they stand up (called orthostatic hypotension). Participants will use the device at home, making it easier to take part without frequent hospital visits. **You may be eligible if...** - You live in British Columbia, Canada and have a provincial health card - You are between 19 and 70 years old - You have a chronic spinal cord injury (with complete paralysis at or above the T6 level) OR Multiple System Atrophy (parkinsonian type) - It has been more than 1 year since your injury or diagnosis, and at least 6 months since any spinal surgery - You are not pregnant or planning to become pregnant **You may NOT be eligible if...** - You depend on a ventilator to breathe - You have an intrathecal baclofen pump - You have a pacemaker, stimulator, or implanted metal in your body (other than dental) - You have serious unrelated heart, lung, bladder, or kidney disease - You take more than 40 mg of Baclofen per day - You have severe anemia Talk to your doctor to see if this trial is right for you.