Evidence and Nursing

Article

Effects of Tilt Training Program for Neurocardiogenic Syncope Patients: A Systematic Review & Meta-analysis

Author
Ji-Su Kim,Jinyoung Lee,Choung Ryou,Jung Woo Kim,Sun Young Park,Junghwa Hwang,Yeonsoo Jang
Information
pp. 16~26 / 2017 Vol.5 No.1
e-ISSN2288-775X
Received2017-10-15
Revised2017-11-16
Accepted2017-12-12
DOIhttps://doi.org/10.54003/kebn.2017.5.1.16
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Abstract

Purpose: This study was a systematic review to evaluate the effects and identify intervention protocol, measurement, and outcomes of tilt training program for neurocardiogenic syncope. Methods: 8 electronic databases were searched using keyword in English and Korean in June 2016. The risk of bias was assessed using Cochrane criteria and NECA’s criteria was used for non-randomized controlled trial. For analysis of the data, a meta-analysis of the studies was performed. Results: Of 383 articles identified, 11 studies met inclusion criteria. The effect of tilt training on recurrence of syncope, recurrence of pre-syncope, result of follow up head-up-tilt test analyzed using meta-analysis with RevMan. 5 of studies which included randomized controlled trials testing of tilt training were used to estimate effect size of tilt training. Tilt training was favorably effective in reducing recurrence of syncope (n=260, OR=0.10, 95% CI: 0.02~0.57). Conclusion: There is limited evidence suggesting that tilt training may be effective in recurrent neurocardiogenic syncope.

Keywords

Syncope Neurocardiogenic syncope Tilt training Orthostatic training Systematic review