The investigators propose a pilot randomized clinical trial to determine if adults with spinal cord injury (SCI) show improved cognitive function and depression following home-based Action Observation and Motor Imagery (AOMI) training. It is hypothesized that the home-based AOMI intervention will show satisfactory feasibility and acceptability. They also hypothesize that AOMI training can be used as a rehabilitative tool for improving cognitive function and depression in adults with SCI, because it engages and strengthens similar neural systems as actual exercise.
Diagnosis of SCI according to the International Standards for the Neurological Classification of SCI with confirmation by computed tomography/magnetic resonance imaging;
At least 18 years old;
With stable spinal systems and good vital signs, and currently living in the community and having SCI for more than 6 months;
No contraindications to undergoing MRI examination (e.g., no metal or electronic devices in the body, not pregnant, and absence of claustrophobia);
Having severe problems in hearing, verbal communication, or vision;
Engaged in ongoing psychotherapy or any other physiotherapy/ exercise/ relaxation interventions;
Physically active for more than 150 minutes moderate-intensity exercise per week;
Diagnosis of mental disorders or substance misuse;