FES (Functional Electrical Stimulation)
FES is a well established rehab technology supported by a significant evidence base. FES has an important role to play in treating conditions affecting the central nervous system such as Stroke, MS, Brain or Spinal Cord Injury. It has been used for many years in adults and more recently the clinical application with children has been developing such as in the rehabilitation process following SDR (Selective Dorsal Rhizotomy) surgery.
All FES devices need the set-up and supervision of a trained clinician who can ensure that the right
choices are made and the best outcomes are achieved, initially and over time, as clinical changes
What is FES?
Small electrical impulses are used to activate individual or groups of muscles, when a person is unable to do this independently due to their neurological condition. Stimulation can be done for the simple but profound benefits of exercise (Neuro Muscular Electrical Stimulation-NMES) muscle strengthening, muscle endurance, tone reduction, improving range of motion, oedema management and sensory re-education. It can also be used specifically during a functional task (FES), such as to correct foot drop during walking or hand function during grasp/release.
Stimulation can be used to limit the negative changes of complete/permanent paralysis or assist in the recovery of nerve and muscle function.
What types of FES services are available at Hobbs?
Trials of different types of FES devices prior to purchase for home use. Hobbs works with a range of companies and products to match the individual with the most appropriate device to meet their clinical, personal and financial requirements. Hobbs is not tied to one company and does not receive royalties when products are sold, ensuring our advice and guidance is independant and unbiased.
Following purchase of devices, Hobbs provides clinical support moving forward to ensure that the device continues to work effectively and provide optimal performance for the user.
FES devices are available in our inpatient and outpatient centres for use as part of rehabilitation treatment packages or as stand alone programmes.
What Devices Do We Work With?
Mollii Suit: A garment embedded with electrodes to deliver sensory stimulation to reduce spasticity, alter posture/movement and for pain reduction
Odstock ODFS Pace, Odstock 2 Channel, Bioness L300 and L100 Go , WalkAide and FesiaWalk: Drop foot, calf and thigh stimulation
Restorative Therapies RT300, Hasomed RehaMove2: FES cycling programmes involving arms, or legs and also trunk
Microstim 2 V2: 2 channel exercise stimulation with a unique shoulder subluxation programme
Bioness H200: Orthotic based stimulation of wrist, fingers and thumb
Guidelines and Research
The use of FES is recommended in publications such as:
- NICE interventional procedure guidance (IPG278)
- RCP Stroke Guidelines (4th edition, 2013)
- Scottish Intercollegiate Guidelines Network (SIGN 118, 2010)
Further information on FES and FES research can be found at: