Electrical muscle stimulation device to strengthen the pelvic floor muscles and enhance pelvic floor exercises.
Functional Electrical Stimulator (FES)
What is functional stimulation (FES)?
Functional stimulation (FES) is not a separate treatment method but a therapeutic principle. We include any treatment aimed at restoring a lost function.
It can help address many issues (e.g. urinary continence, decreased muscle strength, movement disorders due to paralysis, muscle atrophy, muscle stiffness, speech disorders, swallowing disorders, and restoring the disrupted balance of the autonomic nervous system caused by excessive stress).
Not sure which device to choose?
FES is used for many purposes – incontinence, muscle strength, sports recovery, neurological rehabilitation, pain relief – and often appears as part of multifunctional devices. In the detailed selection guide below I will help you navigate based on your goal.
Device specialized for complications after prostate surgery, male incontinence and strengthening the pelvic floor sphincter.
Electrotherapy device. 1 treatment mode: EMS - muscle stimulation. Application: functional electrical stimulation (FES) device. Indications: strengthening intimate (pelvic floor) muscles, postpartum recovery, treatment of stress, urge and mixed incontinence, vaginal pain.
Premium 400 multifunctional electrotherapy device. TENS / EMS / MCR-MENS / FES / iontophoresis. Specialized programs: running, cross-country skiing, combat sports, tennis, football, cycling. 4 channels, battery operated.
Stimulation device for women to support incontinence therapy and augment pelvic floor training.
The UniPro is a two-channel, multifunctional electrotherapy device providing TENS, EMS, microcurrent and interferential (IF) treatments.
Myolito electrotherapy device with TENS, EMS and FES (incontinence) programs
The Globus Genesy 1500 — one device for hundreds of complaints.
Genesy 300 Pro multifunctional electrotherapy device. TENS / EMS / MCR-MENS / FES / iontophoresis. 4 channels, battery-powered.
When is FES useful?
Functional electrical stimulation typically aims to improve muscle function, support the preservation of muscle mass, and stimulate local blood circulation. Research and clinical experience indicate it may contribute to the following:
- Support for movement restoration – can help activate weakened muscles.
- Preservation of muscle mass – electrical stimulation supports muscle activity, which can help prevent muscle atrophy.
- Improved blood circulation – stimulating the muscles can favorably influence local circulation.
- Reduction of spasticity – may help reduce muscle stiffness and cramps in neurological conditions.
- Pain relief – certain programs (TENS) can contribute to endorphin production, which may alleviate pain.
- Incontinence treatment – supports the restoration of pelvic floor function (stress, urge and mixed urinary incontinence, and also fecal incontinence).
- Support for regaining muscle strength – after surgery or injury.
- Support for "retraining" damaged nerves – after paralysis, stroke, surgery, or injury.
- Support for restoring disrupted autonomic balance – excessive stress response, chronic inflammatory conditions.
First, define the treatment goal
The most important question: what do you want to treat? The table below helps you get started and narrow the search to a smaller set of devices.
In the suggested list the devices usually start with the simpler and less expensive options and progress toward models with more features (and higher price).
| Complaint or goal | Suggested treatment method | Suggested devices |
|---|---|---|
| Muscle strengthening, muscle rehabilitation | EMS / NMES / Kotz / ETS | Rehalito, Myolito, Unipro, Premium 400, Genesy 1500 |
| Stroke-related paralysis | EMS / NMES | Premium 400, Genesy 1500, DuoBravo N |
| Peripheral paralysis, nerve injury, denervated muscle | Selective stimulation current (denervated) | PeroBravo, Genesy 600, Genesy 1500, Genesy 3000 |
| Incontinence, pelvic floor muscle weakness | FES / EMS / ETS / biofeedback | Kegel Toner, Biolito, Perfect PFE for women, SurePro, SineBravo, evoStim UG, evoStim E, evoStim P |
| Swallowing disorder (dysphagia) | specialized muscle stimulator | Ami Life, Ami-Pro |
| Restoring autonomic balance | tVNS (vagus stimulator) | Nurosym, Zenowell Vita, Zenowell Luna |
Many devices are multifunctional
Most devices combine several treatment modes (TENS, EMS, MCR/MENS, FES, iontophoresis). If you have multiple goals, consider multifunctional models. The full overview is available in the electrical treatment (electrotherapy) guide.
When NOT to use?
Electrical stimulation should always be applied according to the device's user manual. In the following cases, seek medical advice before purchase and use:
- Implanted pacemaker or other electronic device
- Severe cardiac arrhythmia
- Pregnancy (especially over the abdomen and pelvic area)
- Epilepsy
- Cancer in the treated area
- Damaged, inflamed, or irritated skin surface – do not place electrodes on such skin
Unsure? For neurological rehabilitation, consult a physiotherapist or a rehabilitation physician when selecting the device and program.