J - AUTONOMIC DYSREFLEXIA (AD)
Be aware that orthostatic hypotension, defined as a decrease in systolic blood pressure of = 20 mmHg, may occur in individuals with lesions at T6 and above on the assumption of an upright posture from a supine position, regardless of whether symptoms occur. (PVA-AD 2020, p.644; Level C)
To accurately diagnose orthostatic hypotension in individuals with SCI, perform an orthostatic challenge evaluation (e.g., sit-up test or head-up tilt test). (PVA-AD 2020, p.644; Level C)
To prevent or manage orthostatic hypotension in individuals with SCI, first, consider treating to maintain baseline blood pressure by using nonpharmacological interventions. (PVA-AD 2020, p.644; Level C)
Consider pharmacological interventions to treat both symptomatic and asymptomatic orthostatic hypotension in individuals with established SCI when nonpharmacological interventions prove to be ineffective. (PVA-AD 2020, p.644; Level C)