Bioness H200 Functional Electrical Stimulation for Hand Rehabilitation

The Bioness H200 is a Functional Electrical Stimulation (FES) device designed to improve hand function in individuals with neurological conditions or orthopaedic impairments affecting the upper limb.

Conditions such as stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, and cerebral palsy can result in weakness, spasticity, and impaired coordination in the hand and forearm. The H200 helps address these challenges by using targeted electrical stimulation to activate muscles in the wrist, hand, and fingers, restoring more natural and functional movement patterns.

The device consists of a comfortable, lightweight orthosis that wraps around the forearm and hand. Embedded within the orthosis are electrodes that deliver precise electrical pulses to stimulate the nerves and muscles responsible for hand opening and closing. The stimulation is non-invasive and can be customised for each user to ensure optimal muscle recruitment and comfort.

One of the primary benefits of the Bioness H200 is its ability to retrain the brain and muscles through repetitive practice of functional tasks. By assisting the user to perform grasp and release activities, the device promotes neuroplasticity, the brain's natural ability to reorganise and form new neural connections. Over time, with consistent use, this can lead to improved voluntary control of hand movements, even when the device is not worn.

The H200 can also significantly reduce muscle stiffness and spasticity, which are common barriers to hand use in neurological conditions. By encouraging a more normal range of motion, it helps prevent contractures and maintain joint flexibility. Additionally, regular stimulation enhances blood flow, supports tissue health, and can contribute to pain reduction.

The H200 can be used in a variety of stimulation modes that can help to:

• Improve hand function
• Increase or maintain hand range of motion
• Reduce muscle spasms
• Prevent muscle loss
• Re-educate muscles
• Increase blood circulation

The H200 Wireless Hand Rehabilitation System has two main parts: the functional stimulation support (orthosis) and the control unit (microprocessor). It is programmed by the physiotherapist to your requirements.

Used in both clinic and home settings, the Bioness H200 can be integrated into tailored rehabilitation programmes and can be used during functional tasks such as picking up objects, holding utensils, or pressing buttons, activities that help restore independence in daily living.