A Functional Neurological Approach to Postural Orthostatic Tachycardia Syndrome.

Abstract

Event Abstract Back to Event A Functional Neurological Approach to Postural Orthostatic Tachycardia Syndrome. TJ Graber1* 1 Fulda Family Chiropractic, PA, United States A review of cases of medically diagnosed Postural Orthostatic Tachycardia Syndrome (POTS) as treated from a functional neurological basis. 10 patients presented with medically diagnosed POTS and were treated medically with some reductions in heart rate, but no positive changes in symptoms. 7 patients were adolescent females age 12-17, 1 patient was a male age 17 and 2 patients were females age 30-36. Symptoms presented as headache, migraine, fatigue, fever, skin rashes, constipation, abdominal cramping/pain, behavioral changes, short term memory issues. Findings after an extensive neurological exam to demonstrate areas of neurological compromise when compared to the corresponding area on the opposite side. Included frontal lobe, parietal lobe, temporal lobe, cerebellum, mesencephelon, pontine, medulla areas; baroreceptor function for heart rate, Intermediolateral column. Assessing the areas mentioned through a comparative neurological exam: 9 out of ten POTS patients demonstrated right frontal, right parietal, right mesencephalon, left cerebellum neurologic compromise. One patient presented opposite following a concussion which during treatment reversed at visit 6 and she then presented the same as the other 9 POTS patients. 10 out of the 10 patients had altered baroreceptor responses to carotid sinus pressure while listening with stethoscope. The response consisted of no change to slightly decreased with no rebound heart rate increase. Treatment consisted of unilateral dynamic left body movements, left vestibular stimulation, balance training on a balance beam, parietal and frontal lobe eye exercises. 10 out of 10 reported improvement in symptoms and demonstrated decreased heart rate change with a change in body position from lying to standing to below 10 beats per minute change. 9 out of 10 patients were able to resume their activities of daily living and full classroom time without complication with improvement in all the symptoms. 1 adolescent female patient had improved activities of daily living, but no change in headache. The only improvement in headache came from amitriptyline which then made her heart rate increase more with changes in posture. Commitment to home exercises were also less than prescribed. In Discussion: Functional Neurology and Rehabilitation is shown to be a very effective therapy in treating individuals with POTS. Acknowledgements Limited abstract version. Thank the Carrick Institute for giving the knowledge to treat these dynamic patients and improving lives beyond what I thought was my potential. Keywords: POTS, Postural Orthostatic Tachycardia Syndrome, Functional Neurology, baroreceptors, Amitriptyline Conference: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function, Orlando, United States, 7 Oct - 9 Oct, 2016. Presentation Type: Citation: Graber T (2016). A Functional Neurological Approach to Postural Orthostatic Tachycardia Syndrome.. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: Clinical Neuroscience for Optimization of Human Function. doi: 10.3389/conf.fneur.2016.59.00099 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 27 Jul 2016; Published Online: 07 Sep 2016. * Correspondence: Dr. TJ Graber, Fulda Family Chiropractic, PA, Fulda, MN, 56131, United States, drtjgraber@gmail.com Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers TJ Graber Google TJ Graber Google Scholar TJ Graber PubMed TJ Graber Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.