A Simple Way to Assess Orthostatic Intolerance.

Orthostatic intolerance (OI) is an umbrella term used to describe abnormal autonomic nervous system response to orthostatic challenge. Orthostatic hypotension (OH), neurally mediated hypotension (NMH) [or neurogenic hypotension] and postural orthostatic tachycardia syndrome (PoTS) are terms used to describe variants of this response. The evidencebased IOM clinical criteria for ME/CFS establish that orthostatic intolerance is a common and often overlooked feature of illness that is objectively measurable. OI may contribute to dizziness, fatigue, cognitive dysfunction, chest and abdominal discomfort, and pain manifestations.

The Bateman Horne Center recommends that all ME/CFS and Fibromyalgia patients have a NASA 10minute Lean Test to assess for orthostatic intolerance. In order to help facilitate the adoption of this test, BHC has put together some simple instructions for healthcare providers in order to educate them on the process and encourage them to utilize it with their patients.

In this education meeting, Pelle Wall, BHC Research Coordinator, reviews the procedure and shares information about the research underway in this area.

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This video is not intended to be a substitute for professional advice, diagnosis, treatment or the medical recommendations of your medical team.

We advise viewers to carefully review and understand the ideas presented and seek the advice of medical providers with any questions you may have as it relates to your patientspecific situation.