Reclaim
Recovery

Help chronic
ischemic stroke patients

What is Vivistim Therapy™?

Vivistim Therapy can help break through chronic stroke limitations through the principles of neuroplasticity.

Vivistim® is the first FDA-approved neurostimulation device used in chronic ischemic stroke patients with moderate to severe arm impairment. It pairs vagus nerve stimulation (VNS) with upper extremity rehabilitation therapy and daily activities to help strengthen the brain connections needed to relearn motor tasks and increase neuroplasticity in the chronic stage.

  • Paired VNS™ prompts the release of specific neuromodulators
  • Improves the brain’s ability to relearn motor tasks
  • Works within the brain to help the body during OT/PT
Learn More

Boosting Therapy Results

Clinically Proven

Clinically Proven

2–3 times more hand and arm function compared to intense therapy alone1

FDA Approved Breakthrough Device

FDA Approved Breakthrough Device

Approved by the FDA as safe and effective treatment for upper limb recovery after an ischemic stroke3

High Satisfaction

High Satisfaction

98% of Vivistim users were satisfied with their therapy2

Lasting Results

Lasting Results

Improvements in function and reduction in impairment1,4

How Vivistim Works

Vivistim Therapy induces more neuroplasticity

  • Vagus nerve stimulation (VNS) activates the brain’s attention system by prompting the release of neuromodulators—acetylcholine, norepinephrine, serotonin.3
  • These neuromodulators interact with the motor neurons being activated during rehab
  • Works with high repetitions of salient, goal-driven tasks to induce motor learning.

Vivistim Therapy is Proven Effective Across Multiple Studies

Vivistim Therapy is Proven Effective Across Multiple Studies

VNS-REHAB Pivotal Study, triple-blind RCT

The Lancet | 2021
  • Significant improvements in impairment and function compared with intense rehabilitation alone.2
  • Crossover group matched VNS group outcomes once VNS was enabled.
Neurorehabilitation and Neural Repair | 2023
  • The effects of Paired VNS were consistent across subgroups, including age, severity, and time post stroke.5
Stroke | 2025
  • Individuals treated with Paired VNS maintained long-term improvements in impairment, activity, participation, and quality of life at one-year.
  • Paired VNS is an FDA-approved, valuable treatment option providing long-term benefits for individuals with chronic upper extremity limitations after stroke.

Vivistim Implant

Simple, outpatient procedure

The device is placed during a short outpatient procedure, typically by a neurosurgeon or other qualified implanting surgeon.
The generator is placed under the skin of the chest and the lead is tunneled from the neck to the generator.

Vivistim Therapy in Practice

More usage, more progress

In Clinic

In Clinic
  • Therapist activates VNS during functional task-specific therapy
  • Tasks should be salient, driven by each patient’s functional goals
  • Sessions are 90 minutes, 3× per week for a minimum of 6 weeks

Out of Clinic

Out of Clinic
  • Patients also activate VNS with a magnet while doing daily activities with their affected arm
  • Self-activated sessions can be done up to 8× per day

Professional Experiences with Vivistim

How Vivistim Returns Hope to Patients

How Vivistim Returns Hope to Patients

Jazmin Peralta, OTR/L, MLD-C & Amanda Saylor, OTR/L, CNS, CBIS

How Vivistim Therapy Sessions Differ from Traditional Therapy Sessions

How Vivistim Therapy Sessions Differ from Traditional Therapy Sessions

Amanda Saylor, OTR/L, CNS, CBIS & Jazmin Peralta, OTR/L, MLD-C

Patient Success Story

Patient Success Story

Jazmin Peralta, OTR/L, MLD-C & Tom Langer, PhD, PT, FAPTA

Why Partner with Vivistim

Why Partner with Vivistim

Tom Langer PhD, PT, FAPTA

How Vivistim Supports Therapists

How Vivistim Supports Therapists

Amanda Saylor, OTR/L, CNS, CBIS & Jazmin Peralta, OTR/L, MLD-C

How Paired VNS Works in Chronic Stroke

How Paired VNS Works in Chronic Stroke

Teresa Jacobson Kimberley PhD, PT, FAPTA

Become a Vivistim Provider

Vivistim is the safe and effective treatment
that empowers you to help more chronic stroke patient achieve their goals.