Comparative Effects of Diaphragmatic Breathing and Modified Inspiratory Muscle Training on Forced Expiratory Volume and Gerd Impact Scale in Patients with Gerd

ABSTRACT
INTRODUCTION: Gastroesophageal reflux disease is frequently occurring digestive system disorder and incidence has
been increasing year by year. Gastroesophaseal reflux disease is caused by disorder in they movement of upper digestive
tract and gastric acid reflux in the esophagus. There are two main reason of acid reflux; first increase abdominal cavity
pressure and second weakened anti- reflux mechanism.
AIM: Aim of the study is to compare the effectiveness of diaphragmatic breathing exercise and modified inspiratory
muscle training exercise among the patients with gastroesophageal reflux disease.
BACKGROUND: Breathing exercises can improve the symptoms of patients with gastro- esophageal reflux disease
(GERD), but their specific effect and function are disputed. To evaluate and conduct a meta-analysis on the effect of
breathing exercises on patients with GERD.
METHOD: A prospective randomized controlled study was performed. Patients with non- erosive GERD or healed
esophagitis without large hernia and/or previous surgery were included. Patients were randomized and allocated either to
active breathing training program or to a control group. Quality of life (QoL), pH-metry, and on-demand proton pump
inhibitor (PPI) usage were assessed at baseline and after 4 weeks of training. For long-term follow-up, all patients were
invited to continue active breathing training and were further assessed regarding QoL and PPI usage after 9 months.
CONCLUSION: We show that actively training the diaphragm by breathing exercise can improve GERD as assessed by
pH-metry, QoL scores and PPI usage. This non- pharmacological lifestyle intervention could help to reduce the disease
burden of GERD. To some extent, breathing exercises can relieve the symptoms of patients with GERD