196: Rapidly Improving Outcomes For Chronic Stroke Survivors With Vivistim
Jan 15, 2024
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The podcast discusses Vivistim, an FDA-approved implantable device for rehab for chronic stroke survivors, showcasing impressive outcomes. Topics include how the device works, who it's indicated for, results of studies, insurance coverage, and client improvements. The episode also covers case studies, therapy protocols, patient progress tracking, and the process for clinics to adopt Vivistim for stroke rehabilitation.
Vivistim enhances stroke recovery by stimulating the brain subthreshold, significantly improving upper limb function outcomes.
Vivistim implantation involves left vagus nerve lead placement and chest battery, with home activation for neural therapy.
Use of Vivistim alongside intensive therapy results in substantial motor function gains for chronic stroke survivors.
Deep dives
The Introduction of the Neuro OTs on Instagram and Their Mission
Amanda Saylor and Becca Carr, also known as the neuro OTs, are occupational therapists who collaborate to provide treatment to patients with neurological conditions. Their work focuses on creating awareness of evidence-based methods, sharing treatment interventions and rationales, and advocating for occupational therapy and outpatient rehabilitation.
Discussion on Vivistim and its FDA Approval
Vivistim is an FDA-approved implantable device used for rehab. It stimulates the brain subthreshold and is designed for chronic ischemic CVA patients. The device has shown significant results in patients with 108 individuals in a clinical study. Patients using Vivistim alongside neural rehab have shown two to three times better outcomes compared to those solely in rehab.
Details on Vivistim Implantation and Functionality
The Vivistim implantation procedure involves placing a lead on the left vagus nerve and a battery in the chest cavity. Patients can activate the device at home using a magnet, delivering a pulse every 10 seconds for 30 minutes. The therapy stimulates the motor cortex and enhances neurotransmitter production to rebuild damaged pathways caused by stroke.
Patient Case Study and Treatment Progress with Vivistim
A patient, known as patient W, experienced significant progress using Vivistim paired with neurological rehab. With initial Fugel-Myer scores indicating limited movement post-stroke, the patient underwent a six-week protocol with remarkable improvements from a score of 20 to 33. The therapy focused on increasing intensity, high repetitions, and task-specific practices, leading to substantial gains in motor function.
Training and Implementation Process of Vivistim in Clinics
Therapists interested in offering Vivistim can connect with representatives through the Vivistim website. Clinics receive the necessary equipment on loan for the procedure. Clinical specialists like Becca provide training and support to therapists, ensuring they are confident in utilizing Vivistim effectively and maximizing patient outcomes.
On today’s show we interviewed Amanda Saylor and Becca Carr, aka @neuro_OTs on Instagram, about an exciting, relatively new piece of technology advancing outcomes for stroke survivors called Vivistim. This device is the first FDA approved implantable device for rehab for upper extremity recovery. It was approved in August 2021 and is being used in many cities across the US for people with chronic, ischemic stroke in addition to intensive therapy. In the show you’ll learn:
The results of the randomize, placebo controlled triple blind study that paved the way for the FDA approval
How the device works
Who it’s indicated for and who it is not approved for
How it’s intended to be used (Hint: THERAPY must be involved) and what that looks like
Case study data
How people can get one
Is it approved by insurances and Medicare? (Spoiler: You’ll be happy to hear it is!)
The improvements clients are making with the device are incredible! Clients who were slowing or halted in the progress of their upper limb function are making massive improvements in their functional movement with the implantable device paired with intensive occupational therapy. Learn more and spread the word so more people can benefit from the advancements in rehab.