BiofeedbackExerciseSpinal CordStroke

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

Hi, I’m JR

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