There are no specific protocols for strengthen with those after a SCI, however it is important that you strength all available muscles. As well as for those with a diagnosis greater than ASIA B to daily evaluate their strength and start with gravity minimize positions. Becareful not to over strength as they are at risk for overuse injuries if their primary means of mobility is through a wheelchair. Remember it is important that they also have a good stretching program, to further decrease risk of overuse injuries.