Effects of diaphragmatic myofascial release on gastroesophageal reflux disease: a preliminary randomized controlled trial

I Martínez-Hurtado, M D Arguisuelas, P Almela-Notari, X Cortés, A Barrasa-Shaw, J C Campos-González, J F Lisón, I Martínez-Hurtado, M D Arguisuelas, P Almela-Notari, X Cortés, A Barrasa-Shaw, J C Campos-González, J F Lisón

Abstract

The purpose of this study is to investigate whether implementing a myofascial release (MFR) protocol designed to restore the myofascial properties of the diaphragm has any effect on the symptoms, quality of life, and consumption of proton pump inhibitors (PPI) drugs by patients with non-erosive gastroesophageal reflux disease (GERD). We randomized 30 patients with GERD into a MFR group or a sham group. Changes in symptomatology and quality of life were measured with the Reflux Disease Questionnaire and the Gastrointestinal Quality of Life Index. Need of PPIs was measured as the milligrams of drug intake over the 7 days prior to each assessment. All variables were assessed at baseline, one week and 4 weeks after the end of the treatment. At week 4, patients receiving MFR showed significant improvements in symptomatology (mean difference-1.1; 95% CI: -1.7 to -0.5), gastrointestinal quality of life (mean difference 18.1; 95% CI: 4.8 to 31.5), and PPIs use (mean difference-97 mg; 95% CI: -162 to -32), compared to the sham group. These preliminary findings indicate that the application of the MFR protocol we used in this study decreased the symptoms and PPIs usage and increased the quality of life of patients with non-erosive GERD up to four weeks after the end of the treatment.

Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Myofascial release protocol for the intervention group. (A) Diaphragmatic transverse plane. (B) Anteroposterior equilibrium technique. (C) Supra and infrahyoid fascial induction. (D) Psoas fascial induction. (E) Diaphragm stretching technique: first step. (F) Diaphragm stretching technique: second step. (G) Phrenic centre inhibition.
Figure 2
Figure 2
Progression of the participants through the trial.

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