Vivistim® Paired Therapy

two men standing next to each other with their arms crossed

Here to Help You Regain Arm Function With Confidence

Vivistim® Paired VNS Therapy offers an advanced, FDA-approved solution for stroke survivors experiencing long-term upper extremity impairment. This innovative treatment pairs vagus nerve stimulation with Occupational Therapy to help you regain strength, control, and independence.



Our trained therapists provide personalized, one-on-one sessions designed to support functional recovery and guide you through every step of your rehabilitation journey.

What is Vivistim® Paired VNS Therapy?

It is an FDA-approved implantable system that stimulates the vagus nerve during Occupational Therapy to enhance motor recovery after an ischemic stroke.

Motor Learning Challenges

Supports enhanced neuroplasticity by pairing stimulation with task-specific movement.

Movement Control and Coordination Difficulties

Helps improve accuracy, strength, and movement quality during rehabilitation activities.

Stroke-Related Upper Extremity Impairment

Improves motor recovery for those who experienced an ischemic stroke and continue to have arm or hand weakness.

Reduced Daily Function

Designed to increase independence in dressing, grooming, household activities, and fine motor tasks.

Weakness After Traditional Therapy Alone

For survivors who need a more effective, research-supported approach to breakthrough recovery.

Personalized Techniques to Support Your Goals

Neuromuscular Re-Education

Retrains brain-to-muscle pathways using movement repetition paired with vagus nerve stimulation.

Home Exercise Program Development

Your therapist will create a structured home program that reinforces progress between sessions.

Therapeutic Exercises

Builds strength, flexibility, and improved arm function through guided, task-based activities.

Activity Modification for ADLs

Tailored strategies to help you successfully complete daily activities with improved comfort and function.

Modalities (Heat, Ice, TENS)

Applied when needed to support muscle activation, comfort, or movement preparedness.

A man and a woman are sitting on the floor in a gym . the woman is bandaging the man 's ankle.

Commonly Asked Questions

  • How does therapy work once the device is implanted?

    During therapy, your trained clinician triggers the Vivistim® system to send a gentle stimulation signal paired with specific arm and hand movements, helping your brain relearn motor tasks.

  • Who is a good candidate?

    Adults who have experienced an ischemic stroke and continue to experience upper limb weakness or limited function.

  • What improvements can I expect?

    Research shows Vivistim® therapy may help patients achieve up to 3× greater motor improvement compared to therapy alone.

  • Is it safe?

    Yes — it is FDA-approved and managed in collaboration with your neurological team and trained therapists.