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Breakthrough Device Gives Hope to Survivors Struggling with Stroke Rehabilitation

When Chuck Schram had his first stroke in 2006, he had no idea that his stroke rehabilitation journey would feel so daunting. The long-term loss of mobility and strength on his left side made routine tasks feel nearly impossible; and, like most stroke survivors, his rehabilitation therapy eventually plateaued – leaving Schram and his family wondering whether his limited hand and arm function would ever improve.  

Fast forward to present day in 2023 and there is renewed hope for Schram and other ischemic-stroke survivors. That’s because AdventHealth, based in Florida, recently became the first health care system in the Southeast to expand long-term stroke recovery care with six successful implantations of a new FDA-approved device that’s shown to improve the effectiveness of rehabilitation therapy and significantly enhance patients’ hand and arm function. 

Chuck Schram and his medical providers are pleased that long-term stroke rehabilitation advancements are now available.
Chuck Schram and his medical providers are pleased that long-term stroke rehabilitation advancements are now available. (AdventHealth)

Schram was one of the first Orlando Neurosurgery patients to receive treatment with the Vivistim® Paired VNS™ System at AdventHealth. The device, which is implanted under the skin in the upper left chest area, connects through a stimulation lead to the vagus nerve. Combined with rehabilitation therapy aimed at increasing mobility and control of the upper extremities, this innovative medical technology can offer patients the chance to improve their recovery even after significant time has passed.  

“Before now, effective treatments for long-term stroke recovery were limited,” said Dr. Ravi H. Gandhi, medical director of the AdventHealth Neuroscience Institute and partner at Orlando Neurosurgery, who led the team in bringing this breakthrough device to stroke survivors in the Sunshine State. “By combining a well-established surgical procedure for vagus nerve stimulation (VNS) with intensive, goal-oriented rehabilitation, we are transforming stroke recovery with the potential for greater independence and better quality of life overall.” 

Occupational or physical therapists use a wireless remote to activate the Vivistim device while the patient completes various functional skills that are important to them like folding clothes, opening containers and cutting food. Once patients have graduated from the intensive program, they are then able to continue their progress through a self-directed, home-based stroke rehabilitation program using a magnet to activate the Vivistim System daily. 

Chuck Schram works with his therapists on stroke rehabilitation.
Chuck Schram works with his therapists on stroke rehabilitation. (AdventHealth)

“This innovation may give patients who have plateaued in their recovery a new chance to fundamentally change their quality of life for the better,” said Dr. Chandan Reddy, head of the Deep Brain Stimulation program at AdventHealth Celebration and a board-certified neurosurgeon. “We are pleased to offer this breakthrough device to our patients and to be on the cutting-edge of helping improve long-term stroke recovery outcomes.”  

Since completing his initial six-week stroke rehabilitation protocol, Schram says he’s experienced significant improvement in his shoulder, forearm and elbow movement, including rotation and flexion that were inaccessible prior to his implantation and therapy with Vivistim.  

“He has had tremendous results,” said Dr. Gandhi. “Chuck is one of our first Vivistim success stories, and we expect many more just like him.” 

If you think this breakthrough device is an option for your rehabilitation needs, speak with your health care providers. For full safety information, please see 

For more content about stroke, read: 

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