Community-based Multimodal Rehabilitation Improves Function and Performance in Postural Orthostatic Tachycardia Syndrome (POTS).

This study looked at a small group of 19 adult women with POTS, many with neurologic impairment (for example after brain injury), who took part in an 8‑week, once‑weekly, 50‑minute, group-based outpatient rehabilitation program. The program was "multimodal": it combined education (about the condition and self-management), movement-based therapy (functional activities, gait and strength work), and mindful self‑compassion practices, led by an interdisciplinary team. At the start, participants were functioning far below normal in basic daily activities, walking speed, grip strength, fatigue, and quality of life. By the end of the program, and at follow-up, they showed statistically significant objective and self‑reported improvement in daily function, hand strength, walking speed, fatigue, cognitive performance (on Trail Making tests), and overall quality of life. The paper concludes that people with POTS – including those with neurologic comorbidities – can make meaningful functional gains with structured, community-based, multimodal rehabilitation, and highlights the need for more clinician education and research to expand access to this type of program.