Actively Recruiting

Phase Not Applicable
Age: 6Years - 18Years
All Genders
NCT05633693

Postural Sway and Counterpressure Maneuvers for Pediatric Syncope

Led by Simon Fraser University · Updated on 2026-04-23

30

Participants Needed

1

Research Sites

215 weeks

Total Duration

On this page

Sponsors

S

Simon Fraser University

Lead Sponsor

P

Provincial Health Services Authority British Columbia

Collaborating Sponsor

AI-Summary

What this Trial Is About

The investigators are interested in whether discrete counterpressure maneuvers, or muscle movements in the lower body, will boost blood pressure and cardiovascular control in children who faint. We will record cardiovascular responses to maneuvers of exaggerated sway, leg crossing, crouching, and gluteal muscle tensing in children who faint (N=20), as well as their height, weight, muscularity, and pubertal (Tanner) stage. Autonomic cardiovascular control will be measured using a Valsalva manoeuvre (expiration against a closed airway for 20 seconds) and a supine-stand test. The primary outcomes are noninvasive measures of cardiovascular responses to the maneuvers (blood pressure, cerebral blood flow, and stroke volume (volume of blood pumped per heartbeat). Comparisons will be made across levels of sex, diagnosis, Tanner stage, muscularity, height, and degree of autonomic control.

CONDITIONS

Official Title

Postural Sway and Counterpressure Maneuvers for Pediatric Syncope

Who Can Participate

Age: 6Years - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • English-speaking children aged 6 to 18 years
  • Diagnosed with recurrent fainting (at least two episodes in the past year) of vasovagal origin or associated with postural orthostatic tachycardia syndrome (POTS) as determined by a pediatric cardiologist
Not Eligible

You will not qualify if you...

  • History of suspected or confirmed cardiac arrhythmia (e.g., Wolff-Parkinson-White, Long QT)
  • History of traumatic head injury
  • New or recurrent seizure disorder or epilepsy
  • Overdose or intoxication
  • Structural heart disease
  • Cardiovascular diseases including hypertension, diabetes, or kidney disease
  • Hypoglycemia
  • Physical or psychological disabilities that prevent test completion
  • Female participants who are pregnant or think they might be pregnant
  • Taking cardiovascular or orthostatic syncope medications (e.g., fludrocortisone, beta-blockers, midodrine)
  • Not fully vaccinated against COVID-19 per Health Canada guidelines

AI-Screening

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Trial Site Locations

Total: 1 location

1

Simon Fraser University

Burnaby, British Columbia, Canada, V5A1S6

Actively Recruiting

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Research Team

E

Erin L Williams, BSc

CONTACT

V

Victoria E Claydon, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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