Evidence map›Paper›PMID 40365455›Full record

ReviewFrontiers in neurology2025

Impact of exercise to treat postural orthostatic tachycardia syndrome: a systematic review.

Melissa M Cortez, Kayla Aikins, Amy C Arnold, Jeffrey R Boris, Todd E Davenport, Katie Johnson, Hagar S Kattaya, Laurence Kinsella, Mary M McFarland, Ryan Pelo and 6 more

Abstract readReview
In one paragraph

Review in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Patient perspectives on exercise among adults with postural orthostatic tachycardia syndrome: a mixed methods study.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Melissa M CortezDepartment of Neurology, University of Utah, Salt Lake City, UT, United States.
Kayla AikinsReno School of Medicine, University of Nevada, Reno, NV, United States.
Amy C ArnoldDepartment of Neuroscience and Experimental Therapeutics, Pennsylvania State University College of Medicine, Hershey, PA, United States.
Jeffrey R BorisJeffrey R. Boris, MD LLC (clinic), Moylan, PA, United States.
Todd E DavenportDepartment of Physical Therapy, School of Health Sciences, University of the Pacific, Stockton, CA, United States.
Katie JohnsonDepartment of Neurology, University of Utah, Salt Lake City, UT, United States.
Hagar S KattayaDepartment of Neurology, Zaitoun Specialized Hospital, Cairo, Egypt.
Laurence KinsellaSSM Health Medical Group, Fenton, MO, United States.
Mary M McFarlandSpencer S. Eccles Health Sciences Library, University of Utah, Salt Lake City, UT, United States.
Ryan PeloSports Medicine Department, University of Utah, Salt Lake City, UT, United States.
Clayton D PowersDepartment of Physical Therapy, University of Utah, Salt Lake City, UT, United States.
Kelsi SchiltzDepartment of Health & Kinesiology/Physical Therapy, University of Utah, Salt Lake City, UT, United States.
Lauren E StilesDepartment of Neurology, Stony Brook University Renaissance School of Medicine, Stony Brook, NY, United States.
Lauren ZiaksRehabilitation Services, Park City Hospital, Intermountain Health, Park City, UT, United States.
Tae Hwan ChungDepartment of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD, United States.
Claudia Dal MolinDepartment of Orthopedics, University of Maryland School of Medicine, Baltimore, MD, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postural orthostatic tachycardia syndrome (POTS) is a chronic condition associated with a high symptom burden and decreased quality of life (QOL). Exercise is currently considered to be a first line non-pharmacological treatment for POTS. The purpose of this systematic review was to evaluate the impact of exercise on cardiovascular and patient-centered outcomes in patients with POTS. Purpose: To evaluate whether exercise benefits patients with POTS by synthesizing data from published clinical studies. Methods: Electronic databases, including Medline, Embase, CINAHL Complete, Cochrane CENTRAL, and others were searched and results were exported on May 2, 2023. Study inclusion: those that utilized an exercise program as an intervention for POTS and were conducted as experimental or quasi-experimental design. Exclusions: Non-English language papers and opinion-based/theoretical/non-empirical studies/case reports. Data extraction was based on Cochrane Handbook guidance and summarized according to Synthesis Without Meta-analysis (SWiM) guidelines; methodological quality and risk of bias was evaluated using the JBI Critical Appraisal tools. Standardized effects were calculated and summarized based on the direction of effect. Results: Seven studies included in the final review are described in the data summary and synthesis. Improvements in heart rate were reported across all studies reviewed, while stroke volume and QOL improvements were also found. Notably, not all studies reported on the latter two outcomes. Methodological variability across studies precluded meta-analysis, and risk of bias was considered moderate-high in all but a single study. Conclusion: While currently available evidence supports exercise as beneficial to QOL and cardiovascular features of POTS, we identified a major need for additional studies assessing the effect of exercise on symptom burden and daily function, including studies that consider patients with specific comorbidities that impact exercise tolerability and/or dosing.

Indexed as

autonomicexercise rehabilitation programPOTSsynthesissystematic review

Identifiers

PMID40365455
PMCPMC12071195

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.