Functional Electrical Stimulation (FES)
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.
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) or 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 are available at Hobbs?
- Sensory stimulation using the innovative new Mollii Suit to reduce spasticity, alter posture/movement and for pain reduction. Click here for more information about the Mollii Suit.
FES Bike for arms and legs and trunk (Restorative Therapies RT300, Hasomed RehaMove2)
Shoulder subluxation management (Microstim 2 V2)
Exercise electrical stimulation for a variety of problems including spasticity management, muscle weakness and poor endurance and oedema
Adjuncts to physical therapy to stimulate various muscles during a functional task and improve sensory motor processing and functional activity
Upper limb Stimulation (Bioness L200 and Microstim 2V), lower limb (Neurotech AvivaStim XP) or trunk (Microstim 2 V2 and RehaMove 2)
When is FES not appropriate?
If you have a lower motor neuron lesion it is likely that FES will not be effective. If you are unsure about this please call us and we will discuss your suitability. Prior to your assessment your therapist will identify any specific contra-indications or precautions.
What FES services are available at Hobbs?
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: