Document Type : Original Article
Authors
1
Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
2
Cardiovascular/ Respiratory Disorder and Geriatrics department, faculty of physical therapy, Cairo university.
3
Assistant professor, Department of Internal Medicine, Faculty of Medicine, Benha University, Benha, Al Qalyubiyah , Egypt.
4
Lecturer, Department of Chest Diseases, Faculty of Medicine, Benha University, Benha, Al Qalyubiyah, Egypt.
5
Lecturer, Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Abstract
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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