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The intervention included eight 50-min weekly sessions using an interdisciplinary, multimodal approach, including education, movement, and mindful self-compassion. Participants completed demographic and medical history and assessment for baseline orthostatic intolerance. At pre-training, post-training, and follow-up, participants completed the Modified Fatigue Impact Scale (MFIS), Lower Extremity Functional Scale (LEFS), Rand 36-Item Health Survey 1.0 (RAND-36), Trail Making Test (A and B) (TMT-A, TMT-B), 10-Meter Walk Test (10MWT), and grip strength testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At baseline, participants were significantly below norms in daily function (p\u2009&lt;\u20090.001), grip strength (p\u2009\u2264\u20090.001) gait speed (p\u2009&lt;\u20090.001), fatigue (p\u2009&lt;\u20090.001), and quality of life (p\u2009&lt;\u20090.001). Between pre-training and follow-up, participants showed significant improvement across function in daily life tasks (p\u2009&lt;\u20090.01); grip strength in the dominant (p\u2009&lt;\u20090.01) and non-dominant (p\u2009&lt;\u20090.01) hands; gait speed (p\u2009&lt;\u20090.05); levels of fatigue (p\u2009&lt;\u20090.05); cognitive performance (p\u2009&lt;\u20090.05); and quality of life (p\u2009&lt;\u20090.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Individuals with POTS face functional challenges that can be significantly and objectively improved through multimodal rehabilitation. There is a need for provider education and further research to optimize care and quality of life for individuals with POTS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538135251395291","type":"journal-article","created":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T18:23:30Z","timestamp":1764267810000},"page":"103-119","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Community-based Multimodal Rehabilitation Improves Function and Performance in Postural Orthostatic Tachycardia Syndrome (POTS)"],"prefix":"10.1177","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7763-2290","authenticated-orcid":false,"given":"Emily M","family":"Rich","sequence":"first","affiliation":[{"name":"School of Occupational Therapy, Texas Woman's University"},{"name":"Rehabilitation, Tucson Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asha","family":"Vas","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy, Texas Woman's University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cynthia","family":"Evetts","sequence":"additional","affiliation":[{"name":"School of Occupational Therapy, Texas Woman's University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geneva","family":"Kaplan-Smith","sequence":"additional","affiliation":[{"name":"Rehabilitation, Tucson Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brent","family":"Goodman","sequence":"additional","affiliation":[{"name":"Neurology, Mayo Clinic"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,11,27]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1519\/JPT.0b013e318264b8ed"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2014.04.012"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fphys.2014.00230"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1042\/CS20140251"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrn2648"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.28110"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.4081\/itjm.2021.1340"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.12691\/jpar-4-1-4"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.4065\/77.6.531"},{"issue":"4","key":"e_1_3_3_11_1","first-page":"371","article-title":"The lower extremity functional scale (LEFS): Scale development, measurement properties, and clinical application","volume":"79","author":"Binkley J. 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