What are the factors? 

  • Upper Motor Neurone injury
    • occurs in the neural pathway above the anterior horn cell of the spinal cord or motor nuclei of the cranial nerves
  • Lower Motor Neurone Syndrome
    • is a lesion which affects nerve fibers from the ventral horn or anterior grey column of the spinal cord to the relevant muscle(s) – the lower motor neuron
  • Peripheral Neuropathy   
    • occurs when nerves in the body's extremities – such as the hands, feet and arms – are damaged
  • Fatigue  
  • Increased Muscle tone  / spasticity  
  • Tight calf  muscle
  • Poor foot alignment in standing 
  • Muscle weakness 
  • Reduced range of movement in my ankle

How can I change or improve things?

  • FES is not suitable if you have sustained a peripheral neuropathy or a lower motor neuron injury
  • Wear a resting night splint to help maintain or manage your ankle range of movement to prevent 
  • Stretch your calf daily or bi daily
    • This can be done in lying using a yoga strap or towel 
  • Talk to your GP or Neurologist about spasticity medication and whether it would be useful for you especially  if your spasticity is influencing or interfering with your movement and mobility during the day and if your sleep is hampered or impaired due to spasms
  •  Talk to your GP or Neurologist about being referred to the spasticity clinic for Botox assessment if your spasticity is localised to a specific area e.g. your calf or your inner thigh. An assessment in the Botox clinic will determine whether Botox would be beneficial or not.  
  • Soft tissue massage to your calf and or leg


A comprehensive FES neuro physio assessment with your treating clinical specialist neuro physio in our clinic will help you determine which device would be most suitable and easiest for your use. 


Arrange your FES assessment or review with us today.


Remember: It's your time now to take action towards your next mobility goal!