Shine STIM

Our Transcutaneous Spinal Stimulation (tSCS) Service

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What is transcutaneous spinal stimulation? 

Transcutaneous spinal stimulation (tSCS) is a non-invasive therapy that uses gentle electrical stimulation applied through adhesive pads placed on the skin. We use the NISE-Stim protocol developed by Geti Motavalli and Gad Alon. At Shine, tSCS is delivered as part of a specialist physiotherapy programme for children and young people with spina bifida.  

The therapy is used alongside everyday activities, play, exercise and physiotherapy goals. Rather than replacing other treatments, it aims to support and enhance rehabilitation and functional development.  

 How is tSCS thought to work? 

The spinal cord contains networks of nerves that help control movement, sensation and some automatic body functions. tSCS is thought to work by increasing the responsiveness of these spinal networks, making it easier for existing nerve pathways to activate and communicate. 

Image adapted from Michał Komorniczak via Wikimedia Commons.

Research in spinal cord injury and other neurological conditions suggests that spinal stimulation may help the nervous system make better use of the connections that remain intact. The therapy cannot repair damaged nerves, but it may help improve how existing pathways function.

  • Shine's STIM Programme

    What's involved, possible benefits, who's eligible, and how to take part.

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  • Research

    Programme data helps to improve the service and contribute to the growing evidence base for tSCS in children and young people with spina bifida.

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  • Frequently asked questions

    Everything you might need to know about the programme.

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Contact us if you would like to know more