AA

Key Points

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  • Midodrine hydrochloride should be included in the management protocol of OH in individuals with spinal cord injury.
  • There is limited evidence that fludrocortisone is effective for the management of OH in SCI.
  • There is limited evidence that ergotamine is effective for the management of OH in SCI.
  • There is little evidence that ephedrine is effective for the management of OH in SCI.
  • There is limited evidence that L-DOPS is effective for the management of OH in SCI.
  • There is limited evidence that L-NAME is effective for the management of OH in SCI
  • The benefits of salt loading have not been sufficiently proven in individuals with SCI.
  • There is insufficient evidence that elastic stockings or abdominal binders have any beneficial effect on cardiovascular responses in SCI
  • The use of FES is an effective adjunct treatment to minimize cardiovascular responses to changes in position.
  • Simultaneous arm exercise during a tilt test is not effective for improving orthostatic tolerance.
  • There is limited evidence that regular physical activity may improve orthostatic tolerance during a tilt test.
  • There is limited evidence that active stand training improves the response to orthostatic stress in cervical SCI.
  • The benefits of body-weight supported treadmill training for management of OH have not been sufficiently proven in SCI.