Gonçalves Leite Rocco Patricia, Reategui-Rivera C Mahony, Finkelstein Joseph
Department of Biomedical Informatics, School of Medicine, University of Utah, Salt Lake City, UT, 84108, USA.
J Multidiscip Healthc. 2024 Dec 9;17:5867-5885. doi: 10.2147/JMDH.S495088. eCollection 2024.
This review aims to identify the exercise rehabilitation approaches used for patients with POTS (Postural Orthostatic Tachycardia Syndrome).
An electronic literature search was conducted using the PubMed database, covering January 2005 to October 2023. Studies were included if they reported an exercise rehabilitation intervention for POTS patients and resulting clinical outcomes. Eligible study designs included randomized and non-randomized clinical trials and case reports.
Initially, 34 publications were identified, but only 14 met the criteria for inclusion. After a thorough analysis, 7 studies were included in this scoping review. The majority of the studies stated aerobic exercise training significantly improves symptoms in most of the patients with orthostatic intolerance, reduces the frequency of syncope, enhances patient quality of life, and improves autonomic balance as assessed by heart rate variability analysis and cardiorespiratory endurance. Short-term exercise training was found to boost physical fitness and cardiorespiratory responses in patients with POTS. Therefore, exercise training can serve as an effective non-pharmacological therapy for managing POTS.
This scoping review identified different approaches used for exercise rehabilitation in POTS patients. However, more research is needed to identify the optimal exercise rehabilitation program for this patient population.
本综述旨在确定用于体位性直立性心动过速综合征（POTS）患者的运动康复方法。
使用PubMed数据库进行电子文献检索，涵盖2005年1月至2023年10月。如果研究报告了针对POTS患者的运动康复干预措施及由此产生的临床结果，则纳入研究。符合条件的研究设计包括随机和非随机临床试验以及病例报告。
最初确定了34篇出版物，但只有14篇符合纳入标准。经过全面分析，7项研究被纳入本范围综述。大多数研究表明，有氧运动训练能显著改善大多数直立不耐受患者的症状，减少晕厥频率，提高患者生活质量，并通过心率变异性分析和心肺耐力评估改善自主神经平衡。发现短期运动训练可提高POTS患者的身体素质和心肺反应。因此，运动训练可作为治疗POTS的有效非药物疗法。
本范围综述确定了用于POTS患者运动康复的不同方法。然而，需要更多研究来确定针对该患者群体的最佳运动康复方案。
