For more information about the author, click to view their website: Medical Guardian
A recent study by the U.S.
Government Accountability Office (GAO), found that while federal agencies
have programs designed to prevent falls or improve accessibility for older
adults and those with disabilities, the programs:
For example, the study found that adults with disabilities
between the ages of 45 and 59 reported fall injuries at higher rates than those
60 and up. However, CDC analysis of data on falls focuses on older adults
only.
According to CDC, falls were the leading cause of death
from unintentional injury among older adults in 2020. They cost billions of
dollars in medical expenses. However, studies also show that assessing and
modifying the home environment or using other interventions can help prevent
falls.
Currently programs provide home safety assessments,
railings, ramps, exercise programs and more. However, GAO says that these
federal programs are not doing a good enough job sharing their findings and
other information. It also recommended the CDC examine falls data for adults of
various ages.
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Why is Paired Vagus Nerve Stimulation (VNS) 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, NCS What 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 Player00:0000:29 First 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.Video Player00:0000:09 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.
As a trusted leader in personal safety and medical alert systems, Medical Guardian has been empowering seniors and their families for over two decades. With a mission to provide safety, security, and peace of mind, Medical Guardian offers state-of-the-art solutions that enable seniors to maintain independence while staying connected to immediate help whenever needed.Who We AreFounded on the belief that everyone deserves to feel safe at home and on the go, Medical Guardian has grown into one of the most recognized names in the personal emergency response industry. With a focus on innovation, accessibility, and reliability, we are committed to delivering products and services that enhance the quality of life for seniors nationwide.Our Solutions: Tailored for Every LifestyleMedical Guardian understands that no two lifestyles are the same, which is why we provide a wide range of medical alert systems to meet unique needs. From home-based devices to on-the-go wearable technology, our solutions are designed to fit seamlessly into daily life. Key offerings include:In-Home Medical Alert SystemsPerfect for seniors who spend most of their time at home, these systems provide 24/7 monitoring through easy-to-use base stations and wearable help buttons. With features like fall detection and two-way communication, help is always just a button press away.Mobile Medical Alert SystemsFor active seniors, our mobile systems offer GPS tracking and nationwide coverage, ensuring safety wherever life takes you. These portable devices are lightweight and discreet, providing peace of mind without compromising mobility.Wearable TechnologyCombining functionality with style, our wearable devices include medical alert watches and pendants equipped with cutting-edge technology. These devices are not only lifesaving tools but also fashionable accessories that integrate seamlessly into any wardrobe.Fall Detection TechnologyFalls are one of the leading causes of injury among seniors. Medical Guardians advanced fall detection sensors can automatically alert our monitoring center in case of a fall, even if the user is unable to press the button.Caregiver ToolsMedical Guardians products are complemented by innovative caregiver tools, such as activity tracking and location monitoring, to keep loved ones informed and reassured.PERS Solutions for Senior Living CommunitiesMedical Guardian proudly partners with senior living communities to provide Personal Emergency Response Systems (PERS) tailored specifically to the unique needs of Affordable Housing, Independent Living, and Assisted Living environments.Our solutions are designed to increase resident safety, empower staff with reliable tools, and deliver added value to your community. By integrating Medical Guardians systems, senior living communities can enhance their reputation as safety-focused environments while offering peace of mind to residents and their families.With flexible plans, seamless integration, and ongoing support, Medical Guardian makes it easy for senior living operators to implement top-tier safety solutions for their residents.Commitment to ExcellenceAt Medical Guardian, safety is more than a productits a promise. Our U.S.-based monitoring centers are staffed by highly trained professionals who are ready to respond within seconds of an alert. With multiple monitoring centers, we ensure redundancy and reliability, so no call goes unanswered.Each product undergoes rigorous testing to meet the highest standards of quality and performance. Additionally, our customer care team is available to guide families and senior living communities through every step, from choosing the right device to troubleshooting and technical support.Why Choose Medical Guardian?National Reach, Local Care: While Medical Guardian serves clients nationwide, our services are personalized to meet the needs of each individual and their community.Proactive Safety Solutions: Our devices go beyond emergency response, offering proactive monitoring and tools that support overall well-being.Affordable Plans: We believe safety should be accessible to everyone, which is why we provide flexible and affordable plans without hidden fees.Trusted by Millions: With thousands of 5-star reviews and endorsements from leading senior-focused organizations, Medical Guardian is a name families and communities can rely on.Empowering IndependenceSeniors face many challenges as they age, but losing independence doesnt have to be one of them. Medical Guardians medical alert systems are designed to empower seniors to live life on their terms, with the freedom to pursue their passions and the confidence that help is always within reach.Whether youre a senior seeking greater independence, a caregiver looking for peace of mind, or a senior living community exploring safety solutions, Medical Guardian is here to support you every step of the way.For more information, visit MedicalGuardian.com or call 1-800-734-2092 to speak with a representative.
As a trusted leader in personal safety and medical alert systems, Medical Guardian has been empowering seniors and their families for over two decades. With a mission to provide safety, security, and peace of mind, Medical Guardian offers state-of-the-art solutions that enable seniors to maintain independence while staying connected to immediate help whenever needed.Who We AreFounded on the belief that everyone deserves to feel safe at home and on the go, Medical Guardian has grown into one of the most recognized names in the personal emergency response industry. With a focus on innovation, accessibility, and reliability, we are committed to delivering products and services that enhance the quality of life for seniors nationwide.Our Solutions: Tailored for Every LifestyleMedical Guardian understands that no two lifestyles are the same, which is why we provide a wide range of medical alert systems to meet unique needs. From home-based devices to on-the-go wearable technology, our solutions are designed to fit seamlessly into daily life. Key offerings include:In-Home Medical Alert SystemsPerfect for seniors who spend most of their time at home, these systems provide 24/7 monitoring through easy-to-use base stations and wearable help buttons. With features like fall detection and two-way communication, help is always just a button press away.Mobile Medical Alert SystemsFor active seniors, our mobile systems offer GPS tracking and nationwide coverage, ensuring safety wherever life takes you. These portable devices are lightweight and discreet, providing peace of mind without compromising mobility.Wearable TechnologyCombining functionality with style, our wearable devices include medical alert watches and pendants equipped with cutting-edge technology. These devices are not only lifesaving tools but also fashionable accessories that integrate seamlessly into any wardrobe.Fall Detection TechnologyFalls are one of the leading causes of injury among seniors. Medical Guardians advanced fall detection sensors can automatically alert our monitoring center in case of a fall, even if the user is unable to press the button.Caregiver ToolsMedical Guardians products are complemented by innovative caregiver tools, such as activity tracking and location monitoring, to keep loved ones informed and reassured.PERS Solutions for Senior Living CommunitiesMedical Guardian proudly partners with senior living communities to provide Personal Emergency Response Systems (PERS) tailored specifically to the unique needs of Affordable Housing, Independent Living, and Assisted Living environments.Our solutions are designed to increase resident safety, empower staff with reliable tools, and deliver added value to your community. By integrating Medical Guardians systems, senior living communities can enhance their reputation as safety-focused environments while offering peace of mind to residents and their families.With flexible plans, seamless integration, and ongoing support, Medical Guardian makes it easy for senior living operators to implement top-tier safety solutions for their residents.Commitment to ExcellenceAt Medical Guardian, safety is more than a productits a promise. Our U.S.-based monitoring centers are staffed by highly trained professionals who are ready to respond within seconds of an alert. With multiple monitoring centers, we ensure redundancy and reliability, so no call goes unanswered.Each product undergoes rigorous testing to meet the highest standards of quality and performance. Additionally, our customer care team is available to guide families and senior living communities through every step, from choosing the right device to troubleshooting and technical support.Why Choose Medical Guardian?National Reach, Local Care: While Medical Guardian serves clients nationwide, our services are personalized to meet the needs of each individual and their community.Proactive Safety Solutions: Our devices go beyond emergency response, offering proactive monitoring and tools that support overall well-being.Affordable Plans: We believe safety should be accessible to everyone, which is why we provide flexible and affordable plans without hidden fees.Trusted by Millions: With thousands of 5-star reviews and endorsements from leading senior-focused organizations, Medical Guardian is a name families and communities can rely on.Empowering IndependenceSeniors face many challenges as they age, but losing independence doesnt have to be one of them. Medical Guardians medical alert systems are designed to empower seniors to live life on their terms, with the freedom to pursue their passions and the confidence that help is always within reach.Whether youre a senior seeking greater independence, a caregiver looking for peace of mind, or a senior living community exploring safety solutions, Medical Guardian is here to support you every step of the way.For more information, visit MedicalGuardian.com or call 1-800-734-2092 to speak with a representative.