The Effect of Postural Correction On Gastroesophageal Reflux Disease

Cairo University (CU)

Status: Enrolling

Conditions: Gastro Esophageal Reflux; Gastro Esophageal Reflux Disease

Treatments: Other: Sham Postural Correction; Other: Spinal Strengthening Exercises; Other: Thoracic Spine Stretching; Other: Thoracic Spine Mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT06564558

GERD QoL

Details and patient eligibility

About

The main aim of this randomized controlled trial is to investigate the effects of postural correctional exercises and interventions on the severity of symptoms of gastroesophageal reflux disease (GERD) as well as the quality of life of patients afflicated with this disease. The main questions this study aims to answer is:

1. Do postural correctional exercises reduce the symptoms of GERD?
2. Do postural correctional exercises improve the quality of life of individuals afflicted with GERD?

The experimental group in this study will undergo real postural correctional exercises whereas the control group will undergo sham postural correctional interventions and then the two groups will be compared post-treatment based on GERD severity of symptoms as well as quality of life of the patients afflicted with GERD.

Full description

Gastroesophageal reflux disease (GERD) is a disease that occurs when the normal physiological process termed gastroesophageal reflux (GER) begins to cause painful, harmful, or irritating signs and symptoms to certain individuals. This happens when the defence lines composed mainly of the lower esophageal sphincter (LES) and the angle of His are affected by a multitude of factors. These include abnormal resting pressure of the LES, increase intra-abdominal pressure compared to the resting pressure of the LES, certain medication side effects, and certain body positioning. The latter combined with posture has also been pointed out as a factor that might affect GERD by affecting the angle of His that acts similar to a valve between the esophagus and the curvature of the stomach.

Several works of literature have found a link between GERD and postural abnormalities or deformities. Scoliosis, defined as a spinal deformity consisting of a lateral curvature with or without rotation of the vertebra, has been shown to be a risk factor of GERD. More specifically, a left-sided thoracolumbar or lumbar lateral curvature, especially when greater than 30 degrees, has been cited by several studies as a risk factor for consideration with regards to GERD.

Accordingly, a certain relationship might be present between spinal deformities and/or abnormal spinal positioning, more specifically in the thoracic and thoracolumbar regions, and severity as well as prevalence of GERD. As such, the aim of this study is to investigate the effect of postural correctional interventions (PCI) on severity of GERD symptoms and quality of life in patients afflicted with the disease.

The experimental group in this study will undergo real postural correctional exercises whereas the control group will undergo sham postural correctional interventions and then the two groups will be compared post-treatment based on GERD severity of symptoms as well as quality of life of the patients afflicted with GERD.

Enrollment: 30 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Ages between 18 and 60.
• Diagnosed with GERD by a primary medical doctor.
• Patients with a kyphosis angle greater than 30 degrees.
• A score of 8 or greater on the Frequency Scale for the Symptoms of GERD (FSSG) which is considered positive.

Exclusion criteria

• Individuals with recent spinal surgery.
• Recent spinal trauma in the thoracic or lumbar regions
• A score less than 8 on the FSSG
• Having no associated thoracic or thoracolumbar deformity or abnormal alignment.

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Double Blind

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30 participants in 2 patient groups

Real Postural Correction Group

Experimental group

Description:

The experimental group will receive real thoracic spine hyperkyphosis treatment. This treatment is focused around impairments that are linked with spinal kyphosis such as spinal extensor muscle weakness, anterior muscle chain tightness, and thoracic spine hypomobility. The participants will undergo spinal strengthening exercises, thoracic spine tight musculature stretching, and finally thoracic spine mobility exercises. All exercises will follow a 3 set parameter rule with patient tolerance kept in mind.

Treatment:

Other: Thoracic Spine Mobilization

Other: Thoracic Spine Stretching

Other: Spinal Strengthening Exercises

Sham Postural Correction Group

Sham Comparator group

Description:

The control group will receive sham thoracic kyphosis treatment comprised an hour of social interaction with similar participants where a blinded therapist will provide educational tips for dealing with kyphosis along with educational reading material for each participant.

Treatment:

Other: Sham Postural Correction