Relearning to Walk: Technology That Moves With You

The accessibility of movement is often taken for granted, yet it plays a critical role in quality of life. Cionic has 
developed the Neural Sleeve, an FDA-cleared wearable system designed to improve walking in individuals with 
neurological impairments such as stroke, multiple sclerosis, and cerebral palsy. The device uses functional electrical 
stimulation (FES) to activate specific muscle groups, helping restore more natural movement patterns while reducing 
muscle spasms. The 24 electrodes present within the newest product, Neural Sleeve 2, improve synchronization of 
motion and muscle activation. Additionally, this version is able to accommodate a wider range of body types while 
offering better fit and flexibility for a more seamless integration into daily life.

Sensors embedded within the sleeve detect gait phases and user movement in real time, allowing the system to 
precisely time electrical stimulation during walking. This process is enhanced by machine learning algorithms that 
continuously adapt to the user’s individual gait patterns, providing personalized and dynamic assistance [1]. In a 
multi-site study, the Neural Sleeve improved gait in 94% of participants, demonstrating its potential. Cionic has also 
created a mobile app that enables users to monitor their progress over time and provides clinicians with valuable 
data to assess treatment outcomes.

While the Neural Sleeve is covered by some insurance providers, factors such as cost, required calibration, and 
variability in patient response may still limit widespread accessibility. This technology represents a significant 
advancement in assistive technology, shifting from passive support toward adaptive, real-time rehabilitation 
solutions. Technology such as the Neural Sleeve is making the once unthinkable, possible.

Article written by Jennifer Joanna-Joan Villeneuve,
M.ESc Biomedical Engineering Candidate, B.ESc Mechatronic Systems & B.ESc Biomedical Engineering

References
[1] “Cionic Neural Sleeve | FDA-Cleared Leg Mobility Device.” Accessed: Apr. 12, 2026. [Online]. Available: 
https://www.cionic.com/neuralsleeve
[2] “The FDA-Cleared Cionic Neural Sleeves Overcome Disability in Real-Time,” LDV Capital. Accessed: Apr. 
12, 2026. [Online]. Available: https://www.ldv.co/blog/2022/6/9/the-fda-approved-cionic-neural-sleeveovercomes-disability-in-real-time
Figure 1: A child living with MS who was unable to walk before Neural 
Sleeves [2]
Figure 2: Neural Sleeve 2

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