Resources For Aging Well

Why is Paired Vagus Nerve Stimulation Effective for Stroke Recovery ?Throughout her esteemed career as a board-certified neurological physical therapy specialist, lecturer and researcher, Kay Wing, PT, DPT, NCS, has always been interested in new technology that has the potential to benefit stroke survivors in her practice, SWAN Rehab (Phoenix, Arizona). When she learned about the Vivistim Paired VNS System, Wing was eager to enroll stroke survivors in the clinical trial based on the research supporting vagus nerve stimulation for ischemic stroke recovery. The results are clear; stroke survivors who participate in paired vagus nerve stimulation in conjunction with their physical therapy improve their hand and arm mobility two to three times more than those who had physical therapy alone. In this post, Wing explains how the FDA-approved Vivistim System works and why its a gamechanger for stroke recovery.By Kay Wing, PT, DPT, NCSWhat is the Vivistim Paired VNS System?The FDA-approved Vivistim Paired VNS System is a vagus nerve stimulation device that stroke rehabilitation therapists pair with rehabilitation exercises to help improve outcomes (or gains) for stroke survivors even years after theyve had a stroke, potentially generating two to three times more hand and arm function for ischemic stroke survivors than therapy alone.The small pacemaker-like device is placed just under the skin in the upper left chest area during an outpatient procedure. Soon after, the stroke survivor will begin physical or occupational therapy. The therapist will have the stroke survivor repeatedly perform specific rehabilitation exercises designed around each persons specific needs and goals to help them improve their function. During these exercises, the therapist will be sending signals to the persons Vivistim device to send a pulse through the vagus nerve to the brain that helps tell the brain what to relearn.This highly repetitious pairing of vagus nerve stimulation with stroke rehabilitation helps to increase what is known as neuroplasticity , the process of engaging other undamaged parts of the brain to take over the work that had previously been done by the parts of the brain damaged in the stroke.Surviving an Ischemic StrokeAbout 60% of stroke survivors experience persistent upper limb issues for 6 months or more. This fact has both inspired and challenged me personally and professionally. My grandfather survived a stroke when I was in high school but never fully recovered. The feeling that more couldve been done for my grandfather to regain function has guided me throughout my career specializing in neurological physical therapy. The passion that inspired me to open my private practice clinic, Southwest Advanced Neurological Rehabilitation (SWAN Rehab), 25 years ago has consistently been reinvigorated throughout my career as technology evolves and new medical devices are developed that make stroke rehabilitation more effective.My goal is to help stroke survivors experience a better quality of life, especially as it helps them regain the ability to do activities of daily life, such as brushing their teeth, getting dressed, cooking or enjoying a meal. Beyond that, I know its equally as important for stroke survivors to get back to the hobbies that are important to them.Like Joe, who came to SWAN Rehab through Vivistim and really wanted to be able to play his guitar again, restore his antique cars, swing a hammer, squeeze a screw gun and pull a tape measure for his construction projects.Kay performing Joes first assessment.Getting Back to Doing What You LoveThe Vivistim Paired VNS System enabled our SWAN Rehab team to help make these gains, that were so important to Joe, a reality. In traditional physical therapy, we concentrate on improving motor function in the hand and arm with repetitive tasks, such as reaching, buttoning, flipping, stacking, grasping and releasing. With Paired VNS Therapy, however, we incorporate these tasks as we signal the Vivistim device to send an electrical pulse through the vagus nerve to the brain.We repeat these specific repetitive movements over and over again. This repetition is continued with a home exercise program to help achieve the large number of repetitions required to help induce neuroplasticity and relearn how to move. The Vivistim Systems repetitive simultaneous pairing of hand and arm therapy with vagus nerve stimulation is a gamechanger in helping stroke survivors get better results faster because it directly stimulates the brain.Ive seen it firsthand in my clinic. Stroke survivors engaging in traditional therapy see incremental improvement in their hand and arm function over several months. For comparison, stroke survivors who do traditional therapy in conjunction with vagus nerve stimulation get greater improvement in their affected hands and arms within just six weeks.To help Joe get back to doing the things that are important to him, we dedicated some sessions to practice picking up, grasping and using a guitar pick while his therapist signaled the vagus nerve stimulation device with each hand and arm motion. We also had him practice picking up, grasping and swinging a hammer.As a car enthusiast, Joe didnt immediately recognize the correlation between practicing opening jars or cleaning the windows in our clinic as we signaled the Vivistim device during activities that he wanted to get back to, but when he was able to get in his garage and open the gas caps on his car or wash and polish the cars, he was excited about how the benefits of Paired VNS therapy related to his personal goals.Joe will tell you, though, its not an overnight change and doesnt just happen with a couple of hours of in-clinic therapy a few days a week. The Vivistim System also requires stroke survivors to engage in stroke therapy at home, using a magnet that activates the VNS device for 30 minutes at a time while theyre cooking, washing dishes, folding laundry, playing with their children, getting dressed, or any other daily activity.Video PlFirst Success, Then ProgressFirst Success, Then ProgressIts always been my philosophy that therapy has to be challenging to keep stroke survivors motivated. I like the Vivistim Paired VNS System because it fosters this philosophy by helping stroke survivors first achieve success by completing tasks in therapy and then continuing to make progress toward their functional goals with the at-home therapy. With Vivistim, stroke survivors are actively engaged, challenged and motivated throughout the recovery process.Paired VNS Therapy is such a breakthrough medical technology for stroke rehabilitation because it helps stroke survivors improve their hand and arm function two to three times more than traditional stroke rehabilitation alone. Of the hundreds of medical devices and innovative therapy techniques Ive implemented in my practice, nothing else has been clinically proven to help stroke survivors achieve this level of improvement in such a short timeframe and in the chronic phase of stroke.If youre a stroke survivor who wants to improve your level of hand and arm mobility even if its been some time since you had your stroke, I hope my experience, Joes improvements as well as those of other stroke survivors encourage you to take the Vivistim survey to see if Paired VNS Therapy is right for you.About Kay Wing PT, DPT, NCSKay Wing, PT, DPT, NCS, is the founder of Southwest Advanced Neurological Rehabilitation (SWAN Rehab) and an adjunct professor at Northern Arizona University and A.T. Still University. As a board-certified specialist in neurological physical therapy, Dr. Wing is passionate about working with clients recovering from strokes, traumatic brain injuries and other neurological diseases. Keen on innovation and advancing whats possible in neurological physical therapy, Dr. Wing has authored several peer-reviewed journal articles and led numerous clinical trials. As such, shes won prestigious awards throughout her 40-year-career, leading her peers to regard her as an esteemed physical therapist.

Aging is a journey that presents both challenges and opportunities, especially when it comes to finding the right living arrangements. Older adults and their families often face tough decisions when exploring housing options that balance independence, care, and engagement. One increasingly popular solution is the respite stay, a short-term stay that allows older adults to experience a community and its services on a temporary basis, offering all the benefits of senior living without a long-term commitment.Respite stays provide more than just a test drive for potential long-term residents; they also offer older adults a much-needed break, a chance to renew their sense of purpose, and a wonderful opportunity to explore a vibrant new lifestyle. Below, we explore the numerous benefits of respite stays, how they provide an ideal way to experience senior living, and why this approach can be such a transformative experience for seniors and their families.1. What Is a Respite Stay?Respite stays are short-term stays in a senior living community, typically lasting anywhere from a few days to several weeks. These stays offer older adults access to all of the communitys amenities, care services, and enrichment activities. Respite stays cater to a variety of needs: they serve as a break for caregivers, a transitional period for older adults recovering from illness or injury, and a chance for prospective residents to explore the community before committing to a long-term stay.This temporary stay allows older adults to experience the community and its amenities, engage with associates and other residents. Whether an older adult is simply curious about senior living or considering a permanent move, a respite stay is a great way to make a well-informed decision.2. The Many Benefits of Respite Stays for Older AdultsA respite stay is a powerful tool in helping older adults decide on a new community, but it also has distinct and immediate benefits beyond that. These include mental rejuvenation, social engagement, and physical renewal, creating an all-around enriching experience.a. A Renewed Sense of PurposeMany older adults who are aging at home feel isolated, and that isolation can lead to feelings of depression and a loss of direction. Moving into a new environment, even for a short period, introduces new experiences and opportunities to find meaning. Respite stays offer daily engagement activities, creative projects, and social gatherings that help older adults reignite their sense of purpose.At Grace Management, Inc. communities, life enrichment activities are designed to help residents tap into their passions and explore new hobbies, whether its painting, gardening, or learning something new. Being part of a community can refresh older adults perspectives and offer a boost of confidence as they reconnect with old interests or discover new ones.b. Physical and Emotional RenewalA change of scenery can do wonders for physical and emotional well-being, but a respite stay provides much more than just a different view. Guests at senior living communities enjoy access to on-site amenities like fitness centers, wellness programs, and scheduled activities that focus on physical health and relaxation. With these resources readily available, older adults can focus on their wellness goals, whether its increasing mobility, improving balance, or simply relaxing with a yoga class.In addition to structured wellness programs, many communities offer services like massage therapy, spa treatments, and relaxation spaces that contribute to overall physical and emotional renewal. These wellness opportunities support not only short-term guests but also give older adults a glimpse into how their long-term care could look within the community.c. Social Connection and BelongingLoneliness is one of the leading causes of mental health challenges among older adults, but respite stays offer the chance to forge connections with both residents and staff members. During their short-term stay, guests can participate in social events, group activities, and shared dining experiences that foster a sense of belonging. This social engagement goes a long way in improving overall mood, reducing stress, and creating lasting memories.At Grace Management, Inc. communities, older adults experience a welcoming, inclusive environment where residents and guests can share stories, make friends, and celebrate lifes moments together. The feeling of camaraderie that arises can be incredibly refreshing for seniors who may otherwise spend days in solitude. For many, the relationships formed during a respite stay lead to long-term friendships and an enhanced sense of community.3. The Practical Benefits of Respite StaysAlongside the personal rejuvenation and social perks, respite stays also provide practical benefits for older adults and their families, helping them make confident decisions about their living arrangements.a. A Preview of the Community LifestyleOne of the main advantages of a respite stay is the chance to try on the community. Older adults can experience the day-to-day lifestyle, sample the cuisine, and attend events, giving them a realistic view of what life would be like as a permanent resident.Moreover, the wide range of amenities and services available helps seniors explore various options that may enhance their daily lives, such as transportation services, in-home assistance, and health management programs. This firsthand experience helps to remove any uncertainty, allowing older adults to make an informed choice if they are considering a long-term stay.b. A Stress-Free Transition for CaregiversRespite stays are a great resource for caregivers, who often need a break themselves. Family caregivers work tirelessly to provide the best care possible for their loved ones, which can lead to caregiver burnout if left unaddressed. A short-term respite stay allows caregivers to recharge and focus on their well-being without worrying about the safety and happiness of their loved one.Knowing their family member is safe, supported, and engaged can provide caregivers with peace of mind. They can use this time to rest, attend to personal matters, or take a vacation. When caregivers are refreshed and ready to resume their role, they can continue to provide the best support possible.c. A Healing Environment for Post-Hospital RecoveryFor older adults recovering from surgery, illness, or injury, a respite stay offers a supportive and healing environment. Senior living communities are equipped to provide post-hospital recovery care, which includes assistance with day-to-day activities, medication management, and physical therapy. Respite care allows older adults to recover in a comfortable and engaging environment where help is readily available if needed.This recovery-focused care helps speed up the healing process, allowing older adults to regain their independence at their own pace. Many families find that the support provided during a respite stay is beneficial for easing the transition back home after a hospital stay.4. Discovering New Opportunities for EnrichmentAt Grace Management communities, respite guests have access to a wide array of life enrichment activities designed to invigorate mind, body, and spirit. From art classes to fitness sessions, book clubs to gardening projects, theres something for everyone to enjoy. These activities give seniors a taste of the fulfilling lifestyle that permanent residents experience every day.Guests can join as many activities as they like and are encouraged to try something new. Perhaps theyll discover a hidden talent, like painting or writing, or rekindle a passion for singing or dancing. The variety of options offered ensures that guests can engage in activities that speak to their interests and feel uplifted by the supportive, inclusive environment.The Comforts of HomeStaying in a senior living community doesnt mean sacrificing comfort. Grace Management, Inc. communities are designed to provide a home-like feel with beautifully decorated rooms, comfortable furniture, and inviting common areas. Older adults can relax in their private apartment or join others in a shared lounge, finding the balance of privacy and socialization that suits them best. This temporary living arrangement gives respite guests the comfort of home with the added security and peace of mind that come with having care just a step away.5. Deciding if Our Community is the Right FitA short-term respite stay is more than just a chance to relax and enjoy new experiencesits an opportunity for older adults to evaluate if a community is the right fit for their future. During their stay, guests can ask questions, interact with associates and residents, and get a feel for the communitys culture and values. This experience provides clarity for older adults who are considering a permanent move, helping them make a confident decision about their next steps.At Grace Management, Inc., we understand that choosing a senior living community is a major life decision, and we aim to make the process as welcoming and pressure-free as possible. By staying with us for a short-term visit, seniors can discover the unique spirit of our community, our commitment to quality care, and our dedication to making each resident feel valued and at home.Grace Management, Inc. has a long-standing tradition of providing exceptional senior living communities that focus on creating a home-like atmosphere where seniors can thrive. Our commitment to quality care and resident satisfaction is evident in everything we do, from our personalized approach to care to our wide range of life enrichment programs.We believe that each resident deserves respect, compassion, and the opportunity to live their life to the fullest. Our respite stays reflect this philosophy, offering seniors a refreshing, enriching, and relaxing experience in our communities. Whether theyre here to re-energize, explore, or find a potential new home, seniors will find Grace Management communities to be a place of warmth, connection, and growth.If you or your loved one is considering senior living, we invite you to take advantage of our respite stay option. Discover firsthand how Grace Management, Inc. can provide the support, care, and vibrant lifestyle youre looking for.