Inspiratory muscle training improves antireflux barrier in GERD patients.

@article{NobreeSouza2013InspiratoryMT,
  title={Inspiratory muscle training improves antireflux barrier in GERD patients.},
  author={Miguel Angelo Nobre e Souza and Maria Josire Vitorino Lima and Giovanni Bezerra Martins and Rivianny Arrais Nobre and Marcellus Henrique Loiola Ponte Souza and Ricardo Brandt de Oliveira and Arm{\^e}nio Aguiar dos Santos},
  journal={American journal of physiology. Gastrointestinal and liver physiology},
  year={2013},
  volume={305 11},
  pages={
          G862-7
        }
}
The crural diaphragm (CD) is an essential component of the esophagogastric junction (EGJ), and inspiratory exercises may modify its function. [...] Key Method Twelve GER disease [GERD; 7 males, 20-47 yr, 9 esophagitis, and 3 nonerosive reflex disease (NERD)] and 7 healthy volunteers (3 males, 20-41 yr) performed esophageal pH monitoring, manometry, and heart rate variability (HRV) studies.Expand
Increased inspiratory esophagogastric junction pressure in systemic sclerosis: an add-on to antireflux barrier.
TLDR
SSc patients had increased inspiratory EGJ pressure and indicates that the antireflux barrier can be trained, as well asSinus arrhythmia maneuver pressure normalized to IDL was higher in SSc patients than in controls. Expand
Modified inspiratory muscle training (m-IMT) as promising treatment for gastro-oesophageal reflux disease (GERD).
TLDR
It seems that IMT is able to increase the pressure generated by the lower oesophageal sphincter (LES), reduce spontaneous releases of LES, acid exposure, use of PPIs, and improve symptoms and quality of life for GERD patients. Expand
LOWER ESOPHAGEAL SPHINCTER PRESSURE MEASUREMENT UNDER STANDARDIZED INSPIRATORY MANEUVEURS
TLDR
This maneuver is a standardization of the inspiratory LES pressure and may better differentiate patients with reflux disease from healthy individuals, and may also be useful for monitoring the treatment of these patients through inspiratory muscle training. Expand
Effects of diaphragmatic myofascial release on gastroesophageal reflux disease: a preliminary randomized controlled trial
TLDR
Preliminary findings indicate that the application of the MFR protocol 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. Expand
Breathing training on lower esophageal sphincter as a complementary treatment of gastroesophageal reflux disease (GERD): a systematic review.
TLDR
Among the non-surgical, non-pharmacological treatment modalities, the breathing training on diaphragm could play an important role in selected patients to manage the symptoms of GERD. Expand
Anatomical and functional deficiencies of the crural diaphragm in patients with esophagitis
TLDR
The aim of this study was to assess the EGJ activity during inspiratory maneuvers and the crural diaphragm thickness in GERD through high‐resolution manometry and endoscopic ultrasound. Expand
Effects of upper airway obstruction or hypoxia on gastroesophageal reflux in newborn lambs
TLDR
A moderate-to-severe upper airway obstruction for 6’h results in a mild, inconsistent increase in the number of gastroesophageal refluxes, and a hypoxia of 10% for 3 h had no significant impact on gastroeastern reflux. Expand
Manual Cervical Traction and Trunk Stabilization Cause Significant Changes in Upper and Lower Esophageal Sphincter: A Randomized Trial.
TLDR
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. Expand
Current insights of inspiratory muscle training on the cardiovascular system: a systematic review with meta-analysis
TLDR
IMT is an effective treatment for inspiratory muscle weakness in several populations and could be considered as a complementary treatment to improve the cardiovascular system, mainly HR and DBP. Expand
Respiratory disease and the oesophagus: reflux, reflexes and microaspiration
TLDR
This Review comprehensively examines the possible mechanisms that might link pulmonary disease and oesophageal reflux, highlighting the gaps in current knowledge and limitations of previous research, and helping to shed light on the frequent failure of antireflux treatments in pulmonary disease. Expand
...
1
2
3
...

References

SHOWING 1-10 OF 34 REFERENCES
Positive Effect of Abdominal Breathing Exercise on Gastroesophageal Reflux Disease: A Randomized, Controlled Study
TLDR
It is shown that actively training the diaphragm by breathing exercise can improve GERD as assessed by pH-metry, QoL scores and PPI usage, and this non-pharmacological lifestyle intervention could help to reduce the disease burden of GERD. Expand
High-Resolution Manometry of the EGJ: An Analysis of Crural Diaphragm Function in GERD
TLDR
Although both LES pressure and LES-CD separation are associated with GERD, the strongest association and the only independent predictor of GERD as a categorical outcome in a logistic regression analysis was impaired CD function as indicated by reduced inspiratory augmentation of EGJ pressure. Expand
Inspiratory muscle training in adults with chronic obstructive pulmonary disease: a systematic review.
TLDR
Results indicate that targeted resistive or threshold IMT was associated with significant improvements in some outcomes of inspiratory muscle strength and endurance and endurance, exercise capacity, dyspnea and quality of life for adults with chronic obstructive pulmonary disease. Expand
Esophagogastric junction opening during relaxation distinguishes nonhernia reflux patients, hernia patients, and normal subjects.
TLDR
At pressures </=0 mm Hg, EGJ opening was observed only in HH patients, making it plausible for these patients to reflux during deglutitive relaxation, and Anatomic degradation of the EGJ distinguishes GERD patients from normal subjects, and these changes may impact on both the observed mechanisms of reflux and the constituents ofReflux during transient LES relaxation. Expand
Inspiratory muscle training for diaphragm dysfunction after cardiac surgery.
TLDR
Inspiratory muscle training may improve inspiratory muscle strength and increases paralyzed diaphragm mobility in patients with diaphagm paralysis after major cardiac surgery. Expand
Effect of intragastric volume and osmolality on mechanisms of gastroesophageal reflux in children with gastroesophageal reflux disease
TLDR
Gastroesophageal reflux is worsened by increasing the volume and osmolality of meals through significant changes of LESP, and this finding correlates with a high postfeeding antral distension. Expand
Electrical and mechanical activity in the human lower esophageal sphincter during diaphragmatic contraction.
TLDR
It is concluded that the contraction of the diaphragm exerts a sphincteric action at the LES, and that this effect is an important component of the antireflux barrier. Expand
Gastroesophageal reflux and obstructive sleep apnea in childhood.
TLDR
Ger is frequent and should be assessed in children from 6 to 12 years with OSAS with polysomnographic alterations and symptom severity and emotional distress and daytime problems are correlated to increased GER severity. Expand
Disturbances of the parasympathetic branch of the autonomic nervous system in patients with gastroesophageal reflux disease (GERD) estimated by short-term heart rate variability recordings.
TLDR
The observed HRV spectra changes in both groups of patients support the hypothesis that the parasympathetic activity impairment associated with the pathogenesis of GERD but it is also the primary factor contributing to the pathophysiological mechanism of reflux. Expand
Prolonged measurement of lower oesophageal sphincter function in patients with intestinal metaplasia at the oesophagogastric junction
TLDR
Examination of lower oesophageal sphincter (LOS) function by means of prolonged recording in patients with IM limited to a normal appearing OGJ found a higher prevalence of postprandial acid reflux compared with patients without IM. Expand
...
1
2
3
4
...