Physiotherapy Interventions in Postural Orthostatic Tachycardia Syndrome – A Literature Review.

Background: Postural orthostatic tachycardia syndrome (POTS) is a condition that causes a number of symptoms when you transition from lying down to standing up. It is characterized by symptoms of orthostatic tachycardia including tachycardia, palpitations, syncope or presyncope, lightheadedness, cognitive dysfunction, nausea, exercise or heat intolerances, and fatigue. Aim: This systematic review aims to evaluate current literature on physiotherapy interventions for Postural orthostatic tachycardia syndrome (POTS) focusing on studies published between 2010 and 2025. The review seeks to identify effective physiotherapy approaches that enhances cardiovascular functions, helps in daily life activities and improves the quality of life. Methods: A comprehensive literature search was conducted using databases such as Google Scholar, Research gate, PubMed, and Medline. Keywords included "POTS," "physiotherapy management”, "physical intervention," "orthostatic syndrome," and "lifestyle intervention" Articles published in English and meeting inclusion criteria were considered for review. Selection criteria: Studies on POTS patients (all stages) using physiotherapy, multimodal approaches, or combined with medication, assessed with validated tools, including cohort studies, case reports, and systematic reviews, published in English since 2010 was included. Results: Out of 44 initially identified articles, 6 met the inclusion criteria for detailed analysis. These studies employed various physiotherapy techniques such as aquatic therapy, aerobic exercises, cardiovascular training and multidisciplinary rehabilitation. The reviewed literature highlightens the improvements in the overall quality of life. Conclusion: The interventions included that aquatic therapy and reconditioning programs may be effective treatment options for patients with postural orthostatic tachycardia syndrome (POTS). It highlights that exercise progression tailored to patient tolerance, under physician supervision can improve outcomes. The training program helped normalize heart rate and improved quality of life for patients. Additionally, the study identified that fatigue in POTS patients is a complex, multidimensional issue.