- MeSH
- Diffuse Noxious Inhibitory Control physiology MeSH
- Shoulder Pain * diagnosis etiology MeSH
- Diagnosis, Differential MeSH
- Humans MeSH
- Palpation methods MeSH
- Connective Tissue physiopathology MeSH
- Shoulder Joint physiopathology MeSH
- Reflexotherapy methods MeSH
- Physical Therapy Modalities MeSH
- Visceral Pain * diagnosis rehabilitation MeSH
- Viscera physiopathology MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- MeSH
- Chest Pain * etiology pathology rehabilitation MeSH
- Diaphragm pathology MeSH
- Diagnosis, Differential MeSH
- Thorax pathology MeSH
- Humans MeSH
- Joint Diseases diagnosis etiology pathology rehabilitation MeSH
- Spinal Diseases diagnosis etiology pathology rehabilitation MeSH
- Nociceptive Pain etiology pathology rehabilitation MeSH
- Scheuermann Disease diagnosis complications pathology rehabilitation MeSH
- Trigger Points MeSH
- Myofascial Pain Syndromes diagnosis etiology pathology rehabilitation MeSH
- Physical Therapy Modalities * MeSH
- Tietze's Syndrome diagnosis etiology rehabilitation MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
- MeSH
- Anal Canal pathology MeSH
- Humans MeSH
- Pubic Bone pathology MeSH
- Digital Rectal Examination methods MeSH
- Pelvic Floor * pathology MeSH
- Trigger Points physiopathology MeSH
- Muscles pathology MeSH
- Myofascial Pain Syndromes * diagnosis physiopathology rehabilitation MeSH
- Physical Therapy Modalities MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
OBJECTIVES: Dysfunctions in the lower esophageal sphincter (LES) and the upper esophageal sphincter (UES) levels can occur owing to poor muscle coordination, contraction, or relaxation. Such condition can possibly be addressed by functional rehabilitation. The aim of this study was to measure pressure changes in the UES and LES at rest and during routine rehabilitation techniques, that is, cervical manual traction and trunk stabilization maneuver. METHODS: This study was conducted in a University Hospital Gastrointestinal Endoscopy Center. Cervical manual traction and a trunk stabilization maneuver were performed in a convenient group of 54 adult patients with gastroesophageal reflux disease. High-resolution manometry was used to measure pressure changes in the LES and UES at rest and during manual cervical traction and trunk stabilization maneuver. RESULTS: Average initial resting UES pressure was 90.91 mmHg. A significant decrease was identified during both cervical traction (average UES pressure = 42.13 mmHg, P < .001) and trunk stabilization maneuver (average UES pressure = 62.74 mmHg, P = .002). The average initial resting LES pressure was 14.31 mmHg. A significant increase in LES pressure was identified both during cervical traction (average LES pressure = 21.39 mmHg, P < .001) and during the trunk stabilization maneuver, (average pressure = 24.09 mmHg, P < .001). CONCLUSION: Cervical traction and trunk stabilization maneuvers can be used to decrease pressure in the UES and increase LES pressure in patients with gastroesophageal reflux disease.
- MeSH
- Esophageal Sphincter, Lower physiology MeSH
- Adult MeSH
- Gastroesophageal Reflux physiopathology rehabilitation MeSH
- Esophageal Sphincter, Upper physiology MeSH
- Muscle, Skeletal innervation MeSH
- Middle Aged MeSH
- Humans MeSH
- Manipulation, Spinal methods MeSH
- Manometry methods MeSH
- Muscle Relaxation physiology MeSH
- Pressure MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Randomized Controlled Trial MeSH
- Geographicals
- Czech Republic MeSH
- MeSH
- Headache * diagnosis etiology rehabilitation MeSH
- Diagnosis, Differential MeSH
- Pharyngeal Muscles MeSH
- Paraspinal Muscles MeSH
- Neck Muscles MeSH
- Humans MeSH
- Musculoskeletal Manipulations methods MeSH
- Oculomotor Muscles MeSH
- Hyoid Bone MeSH
- Palpation methods MeSH
- Trigger Points * MeSH
- Myofascial Pain Syndromes diagnosis etiology rehabilitation MeSH
- Check Tag
- Humans MeSH
- MeSH
- Pain rehabilitation MeSH
- Child MeSH
- Fecal Incontinence * rehabilitation MeSH
- Humans MeSH
- Anus Diseases rehabilitation MeSH
- Rectal Diseases rehabilitation MeSH
- Rehabilitation methods MeSH
- Constipation * rehabilitation MeSH
- Check Tag
- Child MeSH
- Humans MeSH
- Publication type
- Review MeSH
