Max Ebensperger’s Post

NEW ARTICLE: 💔 Will the Use of CPAP Reduce Heart Disease? ❤️ A patient with untreated obstructive sleep apnea has about two to three times greater risk of heart disease. i Of course, when treated, the prevalence of heart disease should logically decrease. BUT – this may not be the case. “CPAP machines are extremely effective in treating obstructive sleep apnea and are great for improving sleep and reducing daytime fatigue, but we haven’t seen a reduction in heart disease that we expected, and we haven’t understood why,” says Sanja Jelic, MD, a critical care medicine specialist and sleep researcher at Columbia University Vagelos College of Physicians and Surgeons, in a release. READ: https://lnkd.in/eZ9cAgB6

Yes it’s a real nerve in your body ⛑️ Vagus nerve stimulation (VNS) is a medical treatment that uses a surgically implanted device, similar to a pacemaker, to deliver regular, mild electrical pulses to the vagus nerve, primarily the left vagus nerve in the neck. These pulses travel to the brain to help control irregular electrical activity, and the U.S. Food and Drug Administration (FDA) has approved VNS for treating epilepsy and treatment-resistant depression. How it Works Device Placement: A small generator is implanted in the chest, and a wire connects it to an electrode wrapped around the left vagus nerve in the neck. Electrical Pulses: The device sends mild, painless electrical signals through the vagus nerve to the brain. Neuromodulation: These impulses modulate brain activity by stimulating certain areas involved in seizure control and depression. Potential Side Effects Common side effects, which often occur during stimulation and may lessen over time, include: Hoarse voice, Cough, Sore throat or tingling in the neck, Shortness of breath, and Headache and ear pain. Non-Implantable Methods While the primary treatment involves an implantable device, some non-medical methods can also stimulate the vagus nerve, such as: Deep Breathing and Meditation: Extending exhalations can help slow heart rate and calm the nervous system. Exercise: Regular physical activity can help tone and strengthen the vagus nerve. Cold Exposure: Short periods of cold, like a cold shower, can stimulate the vagus nerve. Massage: Gentle massage of the neck, shoulders, and feet can also stimulate the nerve.

SAFETY NOTICE: Pacemaker Programming Post AV Node Ablation Alert. SUMMARY: Risk of bradycardia-induced PMVT post AV node ablation in patients with pacemakers with sleep/hysteresis settings switched on. ACTION 1: Adhere to guidelines when programming lower rate limits post-AV node ablation (https://loom.ly/seYP2O8) ACTION 2: Check pacemaker patients after AV node ablation to ensure sleep/hysteresis settings are switched off. British Heart Rhythm Society (BHRS), Medicines & Healthcare products Regulatory Agency (MHRA) and Arrhythmia Alliance have become aware of a recent serious adverse event involving a pacemaker patient who had recently undergone atrio-ventricular node ablation. The device was found to be pacing below the recommended post ablation rate due to a pre-programmed sleep/hysteresis rate of 50ppm. This resulted in a sudden drop in pacing from 90 ppm to 50 ppm in the sleep mode, leading to a bradycardia-induced nocturnal ventricular arrhythmia and resuscitated cardiac arrest. The European Society of Cardiology (ESC) recommends an initial post-ablation pacing rate of 70-90ppm, gradually reduced over several weeks to avoid this phenomenon. More details and guidance: https://loom.ly/jGjLbJc #EPEEPS #Arrhythmia #Cardiology #Electrophysiology #Electrophysiologist #MedicalAlert #PatientSafetyNotice }

Dyshormia - spiky K complex ## Dyshormia is an EEG abnormality described by Niedermeyer as epileptiform discharges occurring in conjunction with K-complexes during arousal from sleep, most often seen in genetic generalized epilepsy, where K-complexes (microarousals) can promote seizures. Dyshormia were detected in 68.5% of patients with generalized epilepsy, 46.6% with focal epilepsy, and 44.4% with multifocal epilepsy. Dyshormia was more common in patients with poorly controlled epilepsy (70% vs 48%) Spikes typically appeared on the vertex K-complex (79%), and high spike loads during sleep correlated with spikes seen before or after spindle activity. Reference https://lnkd.in/gsQfmf57 https://lnkd.in/gm---VgA

Feeling that constant tingling, prickling, or pins-and-needles sensation in your feet or hands?  That’s called paresthesia, and it could be an early warning sign of neuropathy.⚠️ Unlike the occasional numbness when your foot “falls asleep,” neuropathy causes tingling without a clear reason, and it may persist or appear frequently. 🦶 Noticing it in both hands or both feet? That symmetrical pattern is a red flag.🚨 Start tracking when it happens and take steps to protect your nerves.  Have you experienced this? Comment below and save this post to monitor your nerve health!👇  #NeuropathyAwareness #EarlySignsOfNeuropathy #TinglingFeet #NerveHealth #Paresthesia #NumbnessAndTingling #PeripheralNeuropathy #ChronicPainRelief #SymmetricalNerveSymptoms #NerveCareTips

Balance Awareness Week One of the biggest barriers for people living with dizziness and imbalance is the diagnostic journey. Too often, patients bounce between services without clear answers. At Audiology Planet, we believe that early and accurate diagnostics are the foundation of effective treatment. Here are some of the essential vestibular diagnostic tests and why they matter: • Video Head Impulse Test (vHIT): Assesses semicircular canal function and high-frequency vestibulo-ocular reflex (VOR) integrity. Quick, non-invasive, and essential for detecting unilateral or bilateral vestibulopathy. • Vestibular Evoked Myogenic Potentials (VEMP): Measures otolith (saccule and utricle) function, providing crucial information about these linear acceleration sensors • Caloric Testing: A traditional but still valuable tool for identifying side-specific weaknesses in the horizontal canal • Videonystagmography (VNG): Tracks eye movements to analyse central vs peripheral causes of dizziness. • Audiological Testing: Hearing and balance are deeply interconnected; comprehensive audiometry helps differentiate inner ear causes from others. Why is this important? • Correct diagnosis means targeted therapy, not guesswork. • Reduces patient distress and time lost in uncertainty. • Prevents mismanagement and unnecessary interventions. • Provides the baseline to measure treatment outcomes. At Audiology Planet, our diagnostic protocols are designed to uncover what’s really happening in the balance system — so rehabilitation can be personalised, evidence-based, and effective. Also, we find that the diagnostic work leads to better patient compliance of the rehabilitation regime. Let’s make vestibular diagnostics a standard part of best practice, not an afterthought. #AudiologyPlanet #VestibularTesting #VestibularHealth #Dizziness #Vertigo #BalanceAwarenessWeek #VEDA

⏳ How can we increase #hypoglossal nerve stimulation success in 90 minutes or less? 🗝️ The key lies in what you can achieve prior to electrode implantation. We used a new, minimally invasive, ultrasound-guided approach which gave us the opportunity to determine the optimal location along the nerve to target and the required stimulus amplitude to improve the airway during a drug-induced sleep endoscopy procedure. 📜 Read more about it here: https://lnkd.in/gCFgwWRE 🔥 What we found: 1. 93% of participants had improvements to airflow, including three people with concentric collapse who would have been ineligible clinically for treatment 2. Restored airflow with stimulation from airway collapse (apnoeas), which we anticipated would be more difficult to achieve 3. In selected people we showed the upper airway is less collapsible with hypoglossal nerve stimulation (~7cmH₂O improvements), which suggests this technique could support clinically meaningful improvements 🌟 All of this was achieved without a surgical incision which means speedy recovery for patients, reduced cost and likely better therapeutic outcomes. #neurostimulation #sleepapnea #hypoglossalnervestimulation 

MCR method I will present at the International Reflexology Congress integrates facial and cranial reflexology techniques to deeply stimulate the nervous system and support its self-regulation. Where does it help? • Trigeminal nerve & teeth grinding (bruxism): Targeted stimulation on facial reflex zones reduces neural hypersensitivity and relaxes the jaw muscles. • Facial nerve palsy recovery: Supports the restoration of muscle tone and neuromuscular communication. • Vagus nerve activation: Through cranial points and diaphragmatic release techniques, parasympathetic activity is enhanced the body’s natural anti-stress mechanism. • Psychosomatic symptoms: MCR is highly effective for anxiety, insomnia, somatized stress, migraines, panic attacks, and chronic pain. • Support in reducing medication: The statistic results from my research shows that many individuals using the MCR method gradually reduce their dependency on anxiolytics, sleeping aids, muscle relaxants, and painkillers always with their doctor’s guidance.MCR is not just about relaxation. It is a neuro-reflexological approach, designed to “listen” to the body and support the repair of nervous system imbalances. More at the congress… and in my upcoming posts. Reflexology International Council of Reflexologists ICR #ReflexologyCongress2025 #FacialReflexology #TrigeminalRelief #VagusActivation #NeuroReflexology #PsychosomaticSupport #ReduceMedication #HolisticHealing

🌟 Empowering Lives Through Neuro Physiotherapy 🌟 As a Neuro Physiotherapist, I strongly believe that movement is medicine. 🧠✨ Working with patients suffering from conditions such as stroke, spinal cord injury, cerebral palsy, multiple sclerosis, and Parkinson’s disease, I have seen how tailored rehabilitation programs can restore mobility, rebuild confidence, and improve quality of life. Every small step matters – whether it’s regaining balance, improving walking, or simply becoming independent in daily activities. 💪💙 Neuro physiotherapy is not just about exercises; it’s about hope, recovery, and resilience. 👉 If you or someone you know is looking for guidance in neurological rehabilitation, feel free to connect. Together, we can work towards better mobility and independence. #NeuroPhysiotherapy #Rehabilitation #StrokeRecovery #CerebralPalsy #Parkinsons #SpinalCordInjury #QualityOfLife #Physiotherapy

🏠 Are patients really doing their home exercises correctly? At the end of rehabilitation sessions, physiotherapists often assign a few simple drills for patients to perform at home aiming to increase load between visits and support steady progression. However, in practice, many patients struggle to recall the correct technique just a few days later, making progress hard to measure and sometimes even risky. A study by Mitchell et al. (BMC Musculoskeletal Disorders, 2022) showed that exercise performance declined significantly within one week among healthy middle-aged and older adults, even when they were given printed instructions. This highlights a real challenge: ⚠️ Lack of feedback ⚠️ Poor technique retention ⚠️ High variability in unsupervised rehab That’s exactly why we built Replay, a digital rehab solution designed to support physiotherapists and empower patients at home. Our solution is: ✅ Safe — prevents incorrect motion execution ✅ Simple — seamless for patients and therapists ✅ Smart — combines motion capture and gamified rehab ✅ Effective — enhances motor control through external focus and intuitive feedback We believe rehab shouldn’t stop at the clinic. With the right tools, home therapy can be both engaging and reliable. Explained by our Physiotherapy Expert Yohann CASIN 📍 More to come: www.replay-connect.com/ #ReplayConnect #Physiotherapy #Neuroscience #Neurorehabilitation #RehabTech #Proprioception