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StrokeVNS-StrokeNCT07736573

Invasive Vagus Nerve Stimulation Paired With Rehabilitation After Stroke

An observational study of Stroke and Upper Extremity Motor Function, run by Beijing Chao Yang Hospital at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record

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Trial summary

This study evaluated the feasibility, safety, and preliminary functional outcomes of invasive vagus nerve stimulation (iVNS) paired with upper-limb rehabilitation in participants with chronic stroke-related upper-limb motor dysfunction. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Invasive Vagus Nerve Stimulation
Type of treatment
Medical device
How many people
12 participants
Where
1 siteChina
Study dates
10 Jan 2025to 15 Mar 2026
Phase
Observational

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: Participants with chronic stroke-related upper-limb motor dysfunction who underwent invasive vagus nerve stimulation paired with rehabilitation at Beijing Chao-Yang Hospital, Capital Medical University.

Who may be able to join

  • Adults aged 18 years or older.
  • Documented history of stroke with persistent upper-limb motor dysfunction.
  • Completion of invasive vagus nerve stimulation implantation.
  • Completion of paired upper-limb rehabilitation after stimulation.
  • Availability of clinical assessments during follow-up.

Who cannot join

  • Other central nervous system disorders affecting motor function assessment.
  • Severe disturbance of consciousness or inability to complete standardized functional assessments.
  • Severe cognitive, communication, musculoskeletal, or peripheral nerve disorders interfering with upper-limb function evaluation.
  • Missing key clinical or follow-up data.

Trial locations and contacts

1 site in 1 country.

China1 site
  • Beijing Chao-Yang Hospital, Capital Medical University

    Beijing, Beijing Municipality, 100020

Other trials in China

About this study

Official title: A Retrospective Cohort Study of Invasive Vagus Nerve Stimulation Paired With Rehabilitation for Upper Limb Dysfunction After Stroke

This study evaluated the feasibility, safety, and preliminary functional outcomes of invasive vagus nerve stimulation (iVNS) paired with upper-limb rehabilitation in participants with chronic stroke-related upper-limb motor dysfunction. Participants received cervical iVNS implantation followed by a 6-week supervised rehabilitation program and subsequent home-based rehabilitation. Changes in upper-limb motor function, spasticity, quality of life, and safety outcomes were assessed. Exploratory neuroimaging assessments using positron emission tomography/computed tomography and arterial spin labeling were performed in selected participants to evaluate changes in brain metabolism and perfusion.

Read the detailed description

Stroke is a major cause of long-term disability, and upper-limb motor impairment is one of the most common and disabling consequences after stroke. Vagus nerve stimulation (VNS) paired with rehabilitation is a neuromodulation approach designed to enhance activity-dependent neural plasticity during motor training.

This single-center study investigated the clinical feasibility and preliminary effects of invasive vagus nerve stimulation paired with structured upper-limb rehabilitation in participants with chronic stroke-related upper-limb motor dysfunction. Participants underwent left cervical vagus nerve stimulation implantation and completed a 6-week supervised in-clinic rehabilitation program followed by a 90-day home-based rehabilitation phase.

Clinical outcomes included the Fugl-Meyer Assessment Upper Extremity score, additional motor and sensory functional assessments, Modified Ashworth Scale scores for spasticity evaluation, and health-related quality of life assessment. Safety and stimulation-related tolerability were also evaluated throughout follow-up.

Exploratory imaging analyses using positron emission tomography/computed tomography and arterial spin labeling were conducted in selected participants to describe changes in metabolic activity and cerebral perfusion within motor-related cortical and subcortical regions.

The study provides preliminary clinical observations regarding the application of invasive vagus nerve stimulation paired with rehabilitation for stroke-related motor recovery and may support future controlled clinical studies.

Being tested
Invasive Vagus Nerve Stimulation
Keywords
upper limb rehabilitation, invasive vagus nerve stimulation, intracerebral hemorrhage, neuromodulation
Medical subject headings
Stroke, Cerebral Hemorrhage

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Invasive Vagus Nerve StimulationDevice

    Participants received left cervical invasive vagus nerve stimulation using an implanted pulse generator and electrode system, combined with structured upper-limb rehabilitation. Stimulation parameters were adjusted according to individual tolerance. Rehabilitation included supervised in-clinic training followed by home-based rehabilitation.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Fugl-Meyer Assessment Upper Extremity (FMA-UE) Score

    Change in upper-limb motor function assessed by the Fugl-Meyer Assessment Upper Extremity score from baseline after invasive vagus nerve stimulation paired rehabilitation.

    Measured: 6 weeks after initiation of rehabilitation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jul 2026
  2. Study start10 Jan 2025
  3. Primary completion15 Dec 2025
  4. Study completion15 Mar 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
12 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07736573
Sponsor's protocol ID
CYH-VNS-Stroke-2025-001
Acronym
VNS-Stroke
Status last verified
Jul 2026
First submitted
26 Jul 2026
Last updated
30 Jul 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Wei D, Qing W, Zhang H, Ma C, Luan W, Peng Y, Yu C, Ji X, Liu J, Zhang J, Li S, Liang F, Liu C. Invasive vagus nerve stimulation paired with upper limb motor rehabilitation after intracerebral hemorrhage: A single-arm pilot cohort study. Neural Regen Res. 2026 Oct 20. doi: 10.4103/NRR.NRRONLINE-D-26-00873. Online ahead of print.

    PubMed 42899841

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