Abstract Background: Arising concern about motor imagery training and its effect on the incidence of urinary incontinence in incomplete spinal cord injury patients. Aim of Study: This study was conducted to determine the effect of motor imagery training of pelvic floor muscles contraction on urinary incontinence in patients with incomplete spinal cord injury. Material and Methods: Thirty patients with urinary in-continence due to over active bladder after incomplete spinal cord injury were selected randomly from the Outpatient Clinic of Kasr El-Aini, Teaching Hospital, Cairo University, and out-patient clinic, Faculty of Physical Therapy, Cairo Univer-sity. From February 2019 to July 2019. Their age ranged from 18-40 years, with incomplete SCI above the level L1. All subjects were submitted to complete clinical evaluation and assessed using International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) and TG Myofeedback 420V. Only the study group underwent Vividness of Visual Imagery Questionnaire (VVIQ). Results: By comparison between both groups, the study group (A) show increase in pelvic floor muscles strength and reduction in (ICIQ-SF) score more than group (B). Conclusion: Motor imagery training of pelvic floor mus-cles can be effectively used to improve over active bladder incontinence and quality of life in patients with incomplete spinal cord injury.