Postural Hypotension
A drop in blood pressure of at least 20 mmHg systolic or 10 mmHg diastolic upon moving from lying to standing, which is a common complication in rehabilitation populations affecting therapy participation.
Full Definition
Postural hypotension, also called orthostatic hypotension, is a significant clinical issue in rehabilitation settings, particularly following prolonged bed rest, spinal cord injury, or cardiovascular deconditioning. It can cause dizziness, syncope, or falls during mobilisation, limiting therapy intensity and progression. Management may include graduated elevation, compression garments, and pharmacological agents. Editors should be aware that both 'postural hypotension' and 'orthostatic hypotension' are accepted clinical terms and may be used interchangeably; however, house style should be applied consistently within a document.
Usage
Usage note: Both 'postural hypotension' and 'orthostatic hypotension' are clinically accepted. Apply the author's preferred term consistently throughout the document. Hyphenate neither term.
In Context
- "Postural hypotension was identified as a limiting factor in the patient's ability to participate in standing-based therapy." — Physiotherapy progress note
- "The team implemented a tilt-table protocol to address orthostatic hypotension prior to initiating upright mobility training." — Inpatient spinal cord injury rehabilitation plan