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The aim of this study is to test the influence of manual cervical traction and chest stabilization maneuvers on pressures in upper and lower esophageal sphincters.
High Resolution Manometry (HRM) will be used to measure pressure changes in upper esophageal sphincter (UES) and lower esophageal sphincter (LES) during manual cervical traction and trunk stabilization maneuvers. 50-55 gastroesophageal reflux disease (GERD) subjects will participate in the study. UES and pressures will first be measured in relaxed supine position then, during manual cervical traction and finally, the subjects will undergo manual positioning of the trunk into neutral position and LES and UES pressures will be measured again.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| manual therapy | Procedure | Manual Cervical Traction, Trunk Stabilization Maneuver |
| Measure | Description | Time Frame |
|---|---|---|
| Pressure in upper and lower esophageal sphincter | Pressure in upper and lower esophageal sphincter at rest, during cervical manual traction, and during trunk stabilization maneuver | up to 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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Gastroesophageal reflux disease
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| Name | Affiliation | Role |
|---|---|---|
| Alena Kobesova, MD, PhD | Department of Rehabilitation and Sports Medicine, University Hospital Motol, Prague, Czech Republic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Rehabilitation and Sports Medicine, University Hospital Motol, Prague, Czech Republic | Prague | 15006 | Czechia |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27634073 | Background | Bitnar P, Stovicek J, Andel R, Arlt J, Arltova M, Smejkal M, Kolar P, Kobesova A. Leg raise increases pressure in lower and upper esophageal sphincter among patients with gastroesophageal reflux disease. J Bodyw Mov Ther. 2016 Jul;20(3):518-24. doi: 10.1016/j.jbmt.2015.12.002. Epub 2015 Dec 17. |
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| ID | Term |
|---|---|
| D005764 | Gastroesophageal Reflux |
| D000079564 | Globus Sensation |
| ID | Term |
|---|---|
| D015154 | Esophageal Motility Disorders |
| D003680 | Deglutition Disorders |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
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| ID | Term |
|---|---|
| D026201 | Musculoskeletal Manipulations |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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| D004066 | Digestive System Diseases |
| D003291 | Conversion Disorder |
| D013001 | Somatoform Disorders |
| D001523 | Mental Disorders |