Respiratory physiotherapy can increase lower esophageal sphincter pressure in GERD patients

Chaves, Renata Carvalho de Miranda; Suesada, Milena; Polisel, Fabiane; Sá, Cláudia C.; Navarro–Rodriguez, Tomás

doi:10.1016/j.rmed.2012.08.023

Cited by 19 publications

(8 citation statements)

References 18 publications

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“…They found that respiratory exercise could result in LES pressure enhancement. 26 Studies that focused on the effects of PPIs on the reflux symptom showed that omeprazole could improve the QOL of the patients, but the QOL of the control group in the present study did not significantly change. Maybe the normal dosage of PPIs should be 40 mg daily to improve the QOL of the patients with reflux.…”

Section: Discussioncontrasting

confidence: 63%

Different Effects of Aerobic Exercise and Diaphragmatic Breathing on Lower Esophageal Sphincter Pressure and Quality of Life in Patients with Reflux: A Comparative Study

Ahmadi

Amiri

Rezaeian

et al. 2021

Middle East J Dig Dis

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BACKGROUND Gastroesophageal reflux disease (GERD) is a worldwide disorder with an increasing prevalence. The quality of life (QOL) of the patients may be influenced by reflux disease. Diaphragmatic breathing (DB), as well as aerobic exercise (AE), may improve the symptoms of reflux disease, although it remains a controversial issue. The aim of this study was to compare the effects of AE and DB on QOL and lower esophageal sphincter (LES) pressure of patients with moderate to severe reflux. METHODS This was a case-control study that was conducted for 8 weeks among patients with moderate to severe GERD. The block randomization method was designed to randomize patients into three groups (AE, DB, and control) to achieve equal sample sizes. The control group received omeprazole 20 mg once daily. The other groups, in addition to omeprazole, received AE and DB. QOL and LES pressure were measured before and after the study by Questionary and Manometry method, respectively. RESULTS 75 patients were enrolled in this study. Positive effects of DB on LES pressure was approved (p = 0.001). DB had significantly more effects on QOL than aerobic exercise (p = 0.003). AE can significantly improve QOL in patients (p = 0.02) but no significant change in LES pressure (p = 0.38). There was no change in the control group for both variables. CONCLUSION AE had no effects on LES pressure but can improve QOL of the patients. DB had more effects on QOL than AE, so injured or disable patients with reflux who cannot do AE, can benefit from DB to improve their reflux symptoms.

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Section: Discussioncontrasting

confidence: 63%

Different Effects of Aerobic Exercise and Diaphragmatic Breathing on Lower Esophageal Sphincter Pressure and Quality of Life in Patients with Reflux: A Comparative Study

Ahmadi

Amiri

Rezaeian

et al. 2021

Middle East J Dig Dis

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“…The extrinsic crural diaphragm surrounding LES is the other fundamental component to maintain the normal function of anti‐reflux defense line. Previous studies have demonstrated that inspiratory muscle training can increase LES pressure , decrease acid reflux assessed by pH‐metry, improve quality of life and reduce the PPI usage in GERD patients . In the current acute study, however, the elevation of LESP with STEA was not attributed to enhanced diaphragmatic pressure because STEA was performed before but not during the HRM test.…”

Section: Discussioncontrasting

confidence: 62%

Elevation of Lower Esophageal Sphincter Pressure With Acute Transcutaneous Electrical Acustimulation Synchronized With Inspiration

Liu

Guo

et al. 2019

Neuromodulation: Technology at the Neural Interface

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“…More recently laryngeal rehabilitation therapies have been applied in cases of chronic cough associated with GERD, with significant symptom improvement [Pacheco et al 2013]. Carvalho de Miranda Chaves and colleagues [Carvalho de Miranda Chaves et al 2012] showed, by performing esophageal manometry, that inspiratory muscle training incremented LES pressure in patients with GERD after an 8-week program. Eherer and colleagues [Eherer et al 2012], in a randomized controlled study, showed that actively training the diaphragm muscle by breathing exercise, can improve reflux disease.…”

Section: Speech Therapy and Rehabilitation Techniquesmentioning

confidence: 99%

Optimal treatment of laryngopharyngeal reflux disease

Martinucci

Bortoli

Savarino

et al. 2013

Therapeutic Advances in Chronic Disease

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Laryngopharyngeal reflux is defined as the reflux of gastric content into larynx and pharynx. A large number of data suggest the growing prevalence of laryngopharyngeal symptoms in patients with gastroesophageal reflux disease. However, laryngopharyngeal reflux is a multifactorial syndrome and gastroesophageal reflux disease is not the only cause involved in its pathogenesis. Current critical issues in diagnosing laryngopharyngeal reflux are many nonspecific laryngeal symptoms and signs, and poor sensitivity and specificity of all currently available diagnostic tests. Although it is a pragmatic clinical strategy to start with empiric trials of proton pump inhibitors, many patients with suspected laryngopharyngeal reflux have persistent symptoms despite maximal acid suppression therapy. Overall, there are scant conflicting results to assess the effect of reflux treatments (including dietary and lifestyle modification, medical treatment, antireflux surgery) on laryngopharyngeal reflux. The present review is aimed at critically discussing the current treatment options in patients with laryngopharyngeal reflux, and provides a perspective on the development of new therapies.

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Respiratory physiotherapy can increase lower esophageal sphincter pressure in GERD patients

Abstract: 0922/09.

Cited by 19 publications

References 18 publications

Different Effects of Aerobic Exercise and Diaphragmatic Breathing on Lower Esophageal Sphincter Pressure and Quality of Life in Patients with Reflux: A Comparative Study

Different Effects of Aerobic Exercise and Diaphragmatic Breathing on Lower Esophageal Sphincter Pressure and Quality of Life in Patients with Reflux: A Comparative Study

Elevation of Lower Esophageal Sphincter Pressure With Acute Transcutaneous Electrical Acustimulation Synchronized With Inspiration

Optimal treatment of laryngopharyngeal reflux disease

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