WEEK 17- ARTICLE- THERAPY

I found the article very interesting, since it is the first case study to evaluate a physiotherapy plan that uses the management of rest breaks as a strategy for the progression of exercise in a diagnosed patient with POTS. Likewise, the authors theorize that the incorporation of multimodal training methods (aerobic, functional, strength) stimulate positive effects on the parasympathetic nervous system and thus improve subjective reports, means of lightheadedness, dizziness, chest palpitations and quality of life in a patient who is diagnosed with POTS.

POTS is a fast heart rate (tachycardia) that begins after you stand up. This can happen suddenly up to 10 minutes after you stand up.

With POTS, your body does not control your blood pressure and heart rate as it should after you stand up. So for a short time, not enough blood may get to the brain. This can make you dizzy and lightheaded. You could pass out. Sitting or lying down helps you feel better.

you may also have problems with:

Fatigue. You may feel so tired that you cannot do all of your usual daily activities.

Poor concentration and attention.

With respect to the article, orthostatic tachycardia syndrome is a new area for physiotherapists with the aim of improving, with multimodal aerobic and strength exercises, resulting in positive stimulatory effects on the parasympathetic nervous system, then finding improvements relevant in the signs of dizziness, chest palpitations and quality of life, it should be remembered that this type of exercise has not yet been validated for patients with this syndrome, but thanks to the study it is possible to show improvements.

After reading the article, I realized that traditionally, management of POTS utilizes established strategies aimed to improve the patient’s quality of life using non-pharmacological and pharmacological approaches, nonpharmacological management commonly includes physical counter maneuvers, increasing sodium and water intake, and wearing support garments. As the purpose of this case presentation is to report the outcomes of a multimodal exercise program for a patient with POTS, the primary focus of these visits was strength training and secondarily focused on functional activity training since the patient initially presented with symptoms of

syncope resulting in negative effects on the quality of life.

At the conclusion of the treatment , the patient demonstrated improved exercise tolerance and reported improved quality of life since the treatment includes physical training improved parasympathetic nervous activity in both patients who were healthy and with acute myocardial infarctions, and aerobic exercise training improved cardiac autonomic imbalances by increasing parasympathetic and/or decreasing sympathetic activity. I hope this topic gets more research so we can found out more about it and help people recover their quality life.

From the article I can conclude that in this orthostatic postural tachycardia syndrome it is necessary to monitor what exercises we send to the patients since there are physical changes and limitations that they will present and we must be very careful.

I also liked the fact that the article showed that the treatment was able to improve the quality of life of the patient and not only of her, but that the article mentions that this treatment can be used both in healthy patients and in patients with another disease such as acute myocardial infarction

I found it very interesting, as this is the first time they have done this type of study, in which the treatment plan focused on strength training and functional activity.

Rest breaks were used as a strategy for exercise progression in this POTS patient. The results demonstrated an improvement in exercise tolerance and quality of life.

Physical and aerobic exercise training improved cardiac autonomic imbalances with an improvement in parasympathetic nervous activity, this being an essential factor for people with POTS.

The article talks about the postural orthostatic tachycardia syndrome, it is a form of autonomic dysfunction that is characterized by the appearance of symptoms when standing up, such as headaches, fatigue, palpitations, nausea, syncope, among other symptoms

Through an experimental treatment to a 30-year-old patient who focused on aerobic training and secondly on functional training. At the end of the established sessions, the patient demonstrated a better tolerance to exercise and reported a better quality of life, for which it was concluded that by incorporating multimodal training methods (aerobic, functional, strength), they stimulate positive effects on the nervous system. parasympathetic improving the average subjective reports of dizziness, palpitations in the chest and quality of life in this patient diagnosed with this syndrome.

I found this article very interesting, since it shows us a research on postural tachycardia syndrome in which it does not specify a number of classified therapies to treat this syndrome. It tells us that it is a rare disease which is related to the reeduction of the blood volume when standing in bipedal position after lying down.

In conclusion, they indicate that the incorporation of multimodal training methods

aerobic, functional, strength stimulate positive effects on the parasympathetic nervous system and therefore improve the average subjective reports of lightheadedness, dizziness, chest palpitations and quality of life in this patient diagnosed with POTS.

I found this article interesting, the vast majority of people do not know the reason for these symptoms, since there may have been uan similarity when you stop quickly from a place that is sitting, and even more so this syndrome gives young people and that presents a higher heart rate and is evaluated and diagnosed dynamically , in the treatment of this syndrome with physical therapy is to make movements such as aerobic exercises that helps the blood volume, over time that greater frequency that presents decreases the elevated heart rate (30 beats per 10 minutes per beat).

In functional training will help to lose the symptoms when standing up since they can not walk because of dizziness, this will help the patient to the decrease or regulation of his heart rate, and we need the help of an occupational therapist to help him return to his activities of daily living since this syndrome comes to not be able to do his things or have a job and a good quality of life. In this article I teach us that by stimulating the positive effects of SNP in some symptoms presented by the improvement of postural orthostatic tachycardia syndrome (POTS) progressively decreases.

the article is really very interesting, particularly this is the first time I read about this syndrome and the case is of a very young patient, the fact that with the physiotherapy sessions his condition has improved a little is really very impressive, and I think that there should be more research regarding this syndrome to further improve the quality of life of people suffering from this syndrome.

I found the article very interesting because it talked about something new for me, POTS. This syndrome is characterized by the appearance of symptoms when standing up such as headaches, fatigue, dizziness, palpitations, sweating, nausea and syncope, making everyday life a bit complicated. The other point that I found interesting was that this syndrome could be addressed in a non-pharmacological way, showing that physical therapy can be a good option if pharmacological therapy isn't desired.

According to the article, postural orthostatic tachycardia syndrome (POTS) is characterized by the appearance of symptoms upon standing, such as headaches, fatigue, dizziness, palpitations, sweating and nausea, and other autonomic functions that may be affected by POTS include digestion, bladder control, temperature control, sweating and stress responses. In the case of the 25-year-old female patient, a multimodal exercise program (aerobic, functional, and strength) was employed that stimulated positive effects on the parasympathetic nervous system and thereby improved lightheadedness, dizziness, chest palpitations, and quality of life in this patient.

It is important for therapists to develop good treatment strategies, to achieve efficacy in patient outcomes and in this case they should keep in mind that the use of rest intervals controlled by the patient and the therapist, gives good results.

I can comment on the article that, while it is true, physiotherapists look for those bodily dysfunctions that the patient may have, to treat them with exercises and techniques appropriate to the patient's treatment, but it is also important to take into account, even the slightest headache, fatigue, dizziness, because as described in the article, these symptoms are orthostatic postural tachycardia syndrome, which is accompanied by palpitations, sweating and even nausea. That is why it is very important that the exercises are not so demanding in these patients and that there are timely breaks for a good treatment.

This week's article deals with a very interesting topic of postural orthostatic tachycardia syndrome, which treats a 25 years old patient who reported progressive episodes of lightheadedness, dizziness and palpitations in the chest. Two weeks before starting physiotherapy, she recommended starting pharmacological treatment but requested non-pharmacological options and was referred to physiotherapy. Where during 30 sessions of approximately 60 minutes each one, during 12 weeks. A marked improvement was found, but more detailed treatment

I found it very interesting that it was the first program that focused mainly on aerobic training and, in second place, in functional training

As far as the article mentions, it is the first case study to evaluate

a physical therapy treatment plan that uses the management of rest breaks as a strategy for progression of the exercise in a patient diagnosed with POTS

The incorporation of multimodal training methods (aerobic, functional, strength) stimulate positive effects on the nervous system parasympathetic and thus improve the diagnosis of the patient with POTS.

The article is very interesting and talks about orthopedic postural tachycardia causing dizziness, fainting, and other symptoms that can be very debilitating and disabling. Although the disease affects both men and women of all ages, most cases are diagnosed in women between the ages of 15 and 50 and have a variety of causes, no single treatment is effective for all affected individuals. Management of POTS aims to improve low blood pressure and problems with the heart and blood vessels that may be causing the condition.

I found this article interesting because it talks about POTS which is a rare condition in which there is an orthostatic intolerance, which is when a change from the supine position to an upright position results in rapid heartbeat and a decrease in blood pressure, in the article shows the therapy that was performed to a 25 year old woman who participated in a multimodal exercise program consisting of aerobic exercise, functional and strength giving positive results because due to the therapy increases blood flow and improves circulatory problems causing an improvement to the patient.

This article seemed interesting to me, it is an investigation on postural orthostatic tachycardia syndrome characterized by symptoms when standing up, such as headaches, fatigue, dizziness, palpitations, sweating, nausea and syncope. Some people experience syncopal episodes normally that are relieved by lying down. There is little research on physical therapy treatments for patients with orthostatic tachycardia syndrome. It is important for therapists to develop treatment strategies to effectively treat people with this syndrome. According to the investigation, the case presented was evaluated with a treatment plan in which it is given through certain rest breaks for the progression of exercise in the patient with postural orthostatic tachycardia syndrome, for which at the end of the treatment, the patient demonstrated good results.

Orthostatic postural tachycardia syndrome is a rare condition related to reduced blood volume when standing up after lying down.

Symptoms are dizziness, fainting, and others that can be very debilitating.

The article consists of a multimodal training (aerobic, functional and strength) that is favorable to improve the quality of life of the patient because it stimulates positive effects on the parasympathetic nervous system.

It is an article that was good and very interesting for the reader, since it was from a young patient with postural orthostatic tachycardia syndrome, who did not access pharmacological treatment, but therapeutic treatment, which included a multimodal training (aerobic, functional and strength) which was favorable to improve cardiac autonomic imbalances due to the increase of the parasympathetic system.