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Breathing Exercises in Gastroesophageal Reflux Disease: A Systematic Review
L. Zdrhova, P. Bitnar, K. Balihar, P. Kolar, K. Madle, M. Martinek, JE. Pandolfino, J. Martinek
Jazyk angličtina Země Spojené státy americké
Typ dokumentu systematický přehled, časopisecké články, přehledy, práce podpořená grantem
Grantová podpora
R01 DK092217
NIDDK NIH HHS - United States
NLK
ProQuest Central
od 2002-01-01 do Před 1 rokem
Medline Complete (EBSCOhost)
od 2003-02-01 do Před 1 rokem
Nursing & Allied Health Database (ProQuest)
od 2002-01-01 do Před 1 rokem
Health & Medicine (ProQuest)
od 2002-01-01 do Před 1 rokem
- MeSH
- dechová cvičení MeSH
- gastroezofageální junkce MeSH
- gastroezofageální reflux * MeSH
- lidé MeSH
- manometrie metody MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- přehledy MeSH
- systematický přehled MeSH
The pathogenesis of gastroesophageal reflux disease (GERD) is multifactorial. The severity of abnormal reflux burden corresponds to the dysfunction of the antireflux barrier and inability to clear refluxate. The crural diaphragm is one of the main components of the esophagogastric junction and plays an important role in preventing gastroesophageal reflux. The diaphragm, as a skeletal muscle, is partially under voluntary control and its dysfunction can be improved via breathing exercises. Thus, diaphragmatic breathing training (DBT) has the potential to alleviate symptoms in selected patients with GERD. High-resolution esophageal manometry (HRM) is a useful method for the assessment of antireflux barrier function and can therefore elucidate the mechanisms responsible for gastroesophageal reflux. We hypothesize that HRM can help define patient phenotypes that may benefit most from DBT, and that HRM can even help in the management of respiratory physiotherapy in patients with GERD. This systematic review aimed to evaluate the current data supporting physiotherapeutic practices in the treatment of GERD and to illustrate how HRM may guide treatment strategies focused on respiratory physiotherapy.
Faculty of Physical Education and Sport Charles University Prague Prague Czech Republic
Pavel Kolar's Centre of Physical Medicine Prague Czech Republic
Citace poskytuje Crossref.org
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- $a Zdrhova, Lucie $u First Department of Internal Medicine, Pilsen University Hospital, Charles University in Prague, Alej Svobody 80, Pilsen, 304 06, Czech Republic. zdrhoval@fnplzen.cz $u Pavel Kolar's Centre of Physical Medicine, Prague, Czech Republic. zdrhoval@fnplzen.cz $1 https://orcid.org/0000000161934657
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- $a The pathogenesis of gastroesophageal reflux disease (GERD) is multifactorial. The severity of abnormal reflux burden corresponds to the dysfunction of the antireflux barrier and inability to clear refluxate. The crural diaphragm is one of the main components of the esophagogastric junction and plays an important role in preventing gastroesophageal reflux. The diaphragm, as a skeletal muscle, is partially under voluntary control and its dysfunction can be improved via breathing exercises. Thus, diaphragmatic breathing training (DBT) has the potential to alleviate symptoms in selected patients with GERD. High-resolution esophageal manometry (HRM) is a useful method for the assessment of antireflux barrier function and can therefore elucidate the mechanisms responsible for gastroesophageal reflux. We hypothesize that HRM can help define patient phenotypes that may benefit most from DBT, and that HRM can even help in the management of respiratory physiotherapy in patients with GERD. This systematic review aimed to evaluate the current data supporting physiotherapeutic practices in the treatment of GERD and to illustrate how HRM may guide treatment strategies focused on respiratory physiotherapy.
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- $a Balihar, Karel $u First Department of Internal Medicine, Pilsen University Hospital, Charles University in Prague, Alej Svobody 80, Pilsen, 304 06, Czech Republic
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- $a Pandolfino, John Erik $u Division of Gastroenterology and Hepatology, Feinberg School of Medicine, Northwestern University, Evanston, USA
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