Modified inspiratory muscle training (m-IMT) as promising treatment for gastro-oesophageal reflux disease (GERD)

Moffa, Antonio; Oliveto, Giuseppe; Matteo, Francesco Di; Baptista, Peter; Cárdenas, Alicia Cabrera; Cassano, Michele; Casale, Manuele

doi:10.1016/j.otorri.2019.01.003

Cited by 8 publications

(2 citation statements)

References 10 publications

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“…10 In agreement with the current study, as a part of 1-month inspiratory muscle training, the duringtraining synchronized pressure by GERD patients' fingertips with inspiration and expiration significantly improved patients' GERD-related symptoms and quality of life (to be noted, patients' fingertips were placed few centimeters away from the patients' last costal arch bilaterally). 11 In addition to the enhancement in patients' quality of life, incorporating breathing exercises in the medical treatment of GERD significantly lowered GERD patients' use of PPIs . 12 and frequency/severity of GERD symptoms.…”

Section: Discussionmentioning

confidence: 99%

Effect of manual diaphragmatic activation on diaphragm function in patients with gastroesophageal reflux disease

Sherif,

Elnahass,

Rizk

et al. 2024

Benha International Journal of Physical Therapy

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Background:In gastroesophageal reflux disease (GERD), opposite to traditional medications which do not target the pathophysiological mechanism of GERD, manual diaphragmatic activation maneuver (MDAM) directly corrects the pathophysiological mechanism of GERD, as it strengthens/augments the anti-reflux barrier. Purpose: This study aimed to investigate the effect of MDAM on GERD patients' diaphragmatic excursion (DE), diaphragmatic thickness fraction (DTF), and 19-item Pittsburgh sleep quality index (PSQI). Methods: Thirty GERD sufferers were randomly assigned into two 15-patient groups, the MDAM group (study group) and the control group. Both GERD groups received for-GERD-designed medical routine/care for 2 months. A 30-minute manual diaphragmatic activation maneuver was applied to the MDAM group only three times per week for 2 months. For all GERD patients in both groups, DE, DTF, and PSQI were the outcomes of this randomized GERD trial. Results: All outcomes (DE, DTF, and PSQI) of this GERD trial significantly improved in both GERD groups. The percent of change in GERD patients' DE, DTF, and PSQI of the MDAM group was 8.65, 19.56, and 60.40%, respectively, and that in the GERD group that received only GERD routine medical care was 2.43, 5.80, and 34.82%, respectively. Conclusions: manual diaphragmatic activation maneuvers improve GERD in DE, DTF, and PSQI more than the other group who received only traditional medical care.

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Section: Discussionmentioning

confidence: 99%

Effect of manual diaphragmatic activation on diaphragm function in patients with gastroesophageal reflux disease

Sherif,

Elnahass,

Rizk

et al. 2024

Benha International Journal of Physical Therapy

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“…Moreover, as shown by Amhadi et al, standardised diaphragmatic breathing significantly improved quality of life and was able to induce significant change in LES pressure when evaluated by oesophageal manometry 24 . Preliminary data published by Moffa et al 25 emphasised how a specific inspiratory muscle training technique could be useful, alone or in association with diet/PPI, in significantly improving GERD symptoms, RSI and laryngeal endoscopy score after 4 weeks of treatment. This study includes some important limitations.…”

Section: Discussionmentioning

confidence: 99%

Is there a role for voice therapy in the treatment of laryngopharyngeal reflux? A pilot study

Barillari,

Nacci,

Bastiani

et al. 2024

Acta Otorhinolaryngol Ital

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SUMMARY Objective The aim of this study was to compare the efficacy of voice therapy combined with standard anti-reflux therapy in reducing symptoms and signs of laryngopharyngeal reflux (LPR). Methods A randomised clinical trial was conducted. Fifty-two patients with LPR diagnosed by 24 h multichannel intraluminal impedance-pH monitoring were randomly allocated in two groups: medical treatment (MT) and medical plus voice therapy (VT). Clinical symptoms and laryngeal signs were assessed at baseline and after 3 months of treatment with the Reflux Symptom Index (RSI), Reflux Finding Score (RFS), Voice Handicap Index (VHI) and GRBAS scales. Results Groups had similar scores at baseline. At 3-month follow-up, a significant decrease in RSI and RFS total scores were found in both groups although it appeared to be more robust in the VT group. G and R scores of the GRBAS scale significantly improved after treatment in both groups, with better results in the VT group. The VHI total score at 3 months improved more in the VT group (VHI delta 9.54) than in the MT group (VHI delta 5.38) (p < 0.001). Conclusions The addition of voice therapy to medications and diet appears to be more effective in improving treatment outcomes in subjects with LPR. Voice therapy warrants consideration in addition to medication and diet when treating patients with LPR.

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Breathing Exercises in Gastroesophageal Reflux Disease: A Systematic Review

et al. 2022

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Modified inspiratory muscle training (m-IMT) as promising treatment for gastro-oesophageal reflux disease (GERD)

Cited by 8 publications

References 10 publications

Effect of manual diaphragmatic activation on diaphragm function in patients with gastroesophageal reflux disease

Effect of manual diaphragmatic activation on diaphragm function in patients with gastroesophageal reflux disease

Is there a role for voice therapy in the treatment of laryngopharyngeal reflux? A pilot study

Breathing Exercises in Gastroesophageal Reflux Disease: A Systematic Review

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