(2017) Orthostatic Intolerance NASA Lean Test with Pelle Wall
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- čas přidán 8. 06. 2017
- A Simple Way to Assess Orthostatic Intolerance.
Orthostatic intolerance (OI) is an umbrella term used to describe abnormal autonomic nervous system response to orthostatic challenge. Orthostatic hypotension (OH), neurally mediated hypotension (NMH) [or neurogenic hypotension] and postural orthostatic tachycardia syndrome (PoTS) are terms used to describe variants of this response. The evidence-based IOM clinical criteria for ME/CFS establish that orthostatic intolerance is a common and often overlooked feature of illness that is objectively measurable. OI may contribute to dizziness, fatigue, cognitive dysfunction, chest and abdominal discomfort, and pain manifestations.
The Bateman Horne Center recommends that all ME/CFS and Fibromyalgia patients have a NASA 10-minute Lean Test to assess for orthostatic intolerance. In order to help facilitate the adoption of this test, BHC has put together some simple instructions for healthcare providers in order to educate them on the process and encourage them to utilize it with their patients.
In this education meeting, Pelle Wall, BHC Research Coordinator, reviews the procedure and shares information about the research underway in this area.
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This video is not intended to be a substitute for professional advice, diagnosis, treatment or the medical recommendations of your medical team.
We advise viewers to carefully review and understand the ideas presented and seek the advice of medical providers with any questions you may have as it relates to your patient-specific situation.
I have ME/CFS and OI so I am always looking for new info on the topic. This is an excellent presentation. The first two slides demonstrating the mechanisms involved with the blood flow in OI are excellent. I have significant cognitive impairment and I need images to illustrate concepts and these were great. More work needs to be done in this area and I applaud Dr. Bateman and her colleagues for providing this information and doing this research. Recently I saw a cardiologist hoping he would help me, but he didn't seem to know what I was talking about. Finally he told me I could come back for a follow up and "maybe" he would discuss it with me. The difficulty is getting them to educate themselves so they understand the issues. I am reluctant to blindly accept standard drug therapy from a doctor who does not fully comprehend the issues involved in my illness.
Thank you!
This is very encouraging
How long do you wait between the 2nd supine bp measurement and the 1st leaning measurement?
I want to perform the lean test at home. The electronic auto blood pressure cuff takes a minute to get a reading. I get blood pooling while the electronic auto cuff is taking a reading. We are considering a manual cuff on one arm & electronic auto cuff on the other.
This would mean I’m constantly in process of getting my BP taken & it’s apparent from the blood pooling that taking my BP effects my system.
Any suggestions, directions appreciated.
I’ve had a tilt table in 2016 & it’s not been utilized in any way, so hesitant to get another & make myself worse from it or expend financial energy.
how do I enroll in study?
Where can I get a simband? Thanks
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