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so stretch Syncopy describes kind of what it sounds like itamp;#39;s people passing out from standing up stretching their arms overhead usually thereamp;#39;s like this little Val Salva thing that happens and in that time period itamp;#39;s enough to have blood escape the head to a point where can cause hypop perfusion and then people to be sinkle so this is kind of like a similar thing that people are looking at when we do a tilt test when we have you do a test where you put your hands over your head and we look for changes in profusion rates and on and on and to go so just a thing to be careful of if youamp;#39;re somebody thatamp;#39;s got an autonomic problem especially post infection post head injury just be careful of it you donamp;#39;t want to be standing up stretching and then find yourself falling through a glass table so hope it helps