The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    Treating orthostatic hypotension after spinal injury

    Researchers from Belgium and Norway reviewed the evidence for non-pharmacological management of orthostatic hypotension (low blood pressure upon standing) during the early rehabilitation of people with spinal cord injury.

    Here’s what they found.

    • The quality of the study designs varied greatly.
    • 4 distinct non-pharmacological interventions for orthostatic hypotension were identified:
      • Compression and pressure to the abdominal region and/or legs
      • Upper body exercise
      • Functional electrical stimulation applied to the legs
      • Biofeedback
    • The value of compression/pressure, upper body exercise, and biofeedback to control orthostatic hypotension is not proven.
    • During orthostatic challenge, functional electrical stimulation consistently attenuated the fall in blood pressure.
      • However, its clinical application is less well established.

    More about functional electrical stimulation in patients with spinal cord injury can be found here.

    8/10/08 18:36 JR

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