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Physical manoeuvres for combating orthostatic dizziness in autonomic failure
Abstract
Some patients with orthostatic hypotension combat orthostatic dizziness by leg-crossing and squatting. Changes in blood pressure with these manoeuvres were studied in 7 patients with hypoadrenergic orthostatic hypotension and in 6 healthy subjects. Without leg-crossing, 5 of the patients reported dizziness within 10 min of standing up. Crossing of the legs allowed all to stand for 10 min or more, and there was an associated increase in mean blood pressure of 13 (SD 6) mm Hg compared with 1 (4) in healthy controls; the corresponding figures for squatting were 44 (18) and 8 (6) mm Hg. Patients with orthostatic intolerance should be told about these blood-pressure-raising manoeuvres.
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Studies attempting to decrease orthostatic hypotension due to autonomic failure noted that a small increase in blood pressure produced considerable improvements in orthostatic tolerance.
“Studies attempting to decrease orthostatic hypotension due to autonomic failure (e.g., ten Harkel et al., 1994; van Lieshout et al., 1992) noted that a small increase in BP produced considerable improvements in orthostatic tolerance.”
From The psychophysiology of blood-injection-injury phobia: Looking beyond the diphasic response paradigm (2010) · cites this paper as van Lieshout et al., 1992
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Research works printed but not linked: 7
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Metadata
- Authors
- van Lieshout, J. J., ten Harkel, A. D. J., & Wieling, W.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 1992-04
- Volume
- 339
- Issue
- 8798
- Pages
- 897-898
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2060452005
- Cited by
- 153
- References
- 0
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 3 · 2018: 7 · 2017: 10 · 2016: 6 · 2015: 3 · 2014: 6 · 2013: 2 · 2012: 3
- FWCI
- 3.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Syncope and Autonomic Disorders
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- orthostatic dizziness, orthostatic hypotension, autonomic failure, squatting, blood pressure response, orthostatic intolerance, postural blood pressure changes
- MeSH terms
- Adult, Aged, Blood Pressure, Female, Humans, Hypotension, Orthostatic, Male, Middle Aged, Posture
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