Application Areas

of (functional) electrical stimulation

Functional electrical stimulation (FES)
for incomplete quadriplegia (tetraplegia)

STIWELL® | functional electrical stimulation (FES) for tetraplegia
EMG-triggered multi-channel electrical stimulation and denervation programmes can be used to train movements and functions. Functional training can help both intact and damaged nerves since the STIWELL® can stimulate up to four muscles simultaneously even if the muscles are denervated.

Therapy goals

  • (Re)learning movements & functions
  • Functional improvement for peripheral nerve damage capable of regeneration (lower motor neuron)
  • Promotion of nerve regeneration (reinnervation)
  • Reduction of excessive muscle tension (spasticity)
  • Improved muscular endurance
  • Prevention of inactivity-related fibrosis and accumulation of adipose tissue
  • Improved blood circulation
  • Improvement of structural factors for contracture prophylaxis
  • Prevention and treatment of subluxation of shoulder joints
  • Functional hand training, e.g. after surgical procedures
  • Improvement of coughing fits

Areas of application

Patients with:

  • incomplete tetraparesis C3-C8 (ASIA Impairment Scale B-D); residual function of upper limbs
  • surgical hand reconstruction due to quadriplegia (tetraplegia)
  • exhalation difficulties due to paraplegia Th2-Th5 and quadriplegia (tetraplegia)
  • paraplegia or quadriplegia (tetraplegia) 
STIWELL® therapy | grasp and release unilateral

Grasp and release unilateral (EMG)

STIWELL therapy | key grip

Key grip

STIWELL therapy | grasp - move - release

Grasp - move - release (EMG)

STIWELL therapy | bridging


STIWELL therapy | arm extension / support

Arm extension/support

STIWELL therapy | stand up bilateral

Stand up bilateral

Muscle strengthening and support for the training of everyday movements

Functional therapy for spinal cord damage requires a differentiated and customised therapeutic approach. Electrotherapy treatment with the STIWELL® can address the specific needs of the patient.

Versatile programmes can have a positive impact on both the function and the structure of muscles, nerves, and skin tissue. Special programmes can strengthen the (partially) denervated muscle, promote nerve regeneration and blood circulation, and counteract fibrosis. The STIWELL® can also support contracture prophylaxis.

Added benefits of therapy with the STIWELL® 

The particular feature of the treatment is, among other things, the fact that frequently both central and peripheral damage (upper and lower motor neuron) have occurred. The STIWELL® offers custom therapy options that meet the requirements of this multi-faceted condition.