Trimble Kristine Zeznick, Switzer Jennifer N, Blitshteyn Svetlana
Dysautonomia Clinic, Williamsville, NY 14221, USA.
Department of Neurology, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY 14203, USA.
J Clin Med. 2024 Nov 9;13(22):6747. doi: 10.3390/jcm13226747.
Exercise is a vital component of health and is commonly utilized as a non-pharmacologic therapy for many disorders, including postural orthostatic tachycardia syndrome (POTS). However, exercise intolerance is a key feature of POTS and other autonomic disorders and, therefore, presents a major barrier for many patients. Despite exercise being uniformly recommended as a therapeutic intervention, a majority of patients with POTS, especially those with severe orthostatic intolerance and fatigue, are unable to complete or sustain rigorous exercise programs or successfully integrate them into their daily routine. In this narrative review, we discuss the current literature on exercise and POTS and our clinical experience with a home-based exercise approach developed at the Dysautonomia Clinic. We conclude that individualized exercise programs that are delivered remotely by a certified physical therapist may be convenient, easily accessible, and safe for patients with POTS, especially those with severe symptoms who may be home- or bedbound. Future randomized controlled studies are needed to quantify and characterize the benefits of home-based exercise programs delivered remotely compared to standard therapy.
运动是健康的重要组成部分，常用于多种疾病的非药物治疗，包括体位性直立性心动过速综合征（POTS）。然而，运动不耐受是POTS和其他自主神经疾病的关键特征，因此对许多患者来说是一个主要障碍。尽管运动一直被推荐作为一种治疗干预措施，但大多数POTS患者，尤其是那些严重直立不耐受和疲劳的患者，无法完成或维持严格的运动计划，也无法成功地将其融入日常生活。在这篇叙述性综述中，我们讨论了关于运动和POTS的现有文献，以及我们在自主神经功能障碍诊所开发的一种居家运动方法的临床经验。我们得出结论，由认证物理治疗师远程提供的个性化运动计划可能对POTS患者方便、易于获得且安全，尤其是那些症状严重、可能居家或卧床的患者。未来需要进行随机对照研究，以量化和描述与标准治疗相比，远程提供的居家运动计划的益处。
