Effect of respiratory physiotherapy on symptom severity in clinical laryngopharyngeal reflux disease: A controlled study

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00843989%3A_____%2F25%3AE0111991" target="_blank" >RIV/00843989:_____/25:E0111991 - isvavai.cz</a>

Alternative codes found

RIV/61988987:17110/25:A2603DL3 RIV/61989592:15510/25:73632012 RIV/00098892:_____/25:10159536

Result on the web

<a href="https://doi.org/10.1007/s00405-025-09775-1" target="_blank" >https://doi.org/10.1007/s00405-025-09775-1</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00405-025-09775-1" target="_blank" >10.1007/s00405-025-09775-1</a>

Result language

angličtina

Original language name

Effect of respiratory physiotherapy on symptom severity in clinical laryngopharyngeal reflux disease: A controlled study

Original language description

Purpose: Inspiratory muscle training (IMT) has demonstrated efficacy in improving symptoms and oesophageal sphincter function in patients with gastroesophageal reflux disease (GERD). However, evidence for its use in laryngopharyngeal reflux (LPR), a related but distinct condition, remains limited and inconclusive. We aim to assess the efficacy of an eight-week respiratory physiotherapy program – comprising IMT and diaphragmatic breathing – in reducing symptom severity in patients with clinical LPR. Methods: In this prospective, controlled clinical study, 37 patients with clinical LPR were allocated into three groups: a control group receiving dietary and pharmacological treatment and intervention groups receiving the same treatment supplemented with respiratory physiotherapy using either Threshold IMT or Airofit. Maximal inspiratory pressure (PImax) was used to evaluate inspiratory muscle strength. Symptom severity was measured using the Reflux Symptom Index (RSI) and Hull Airway Reflux Questionnaire (HARQ) at baseline and after 8 weeks.Results: Both experimental groups showed a significant increase in inspiratory muscle strength (36.3% for Airofit, p = 0.005; 38.3% for Threshold IMT, p < 0.001), unlike the control group (p = 0.260). RSI scores decreased significantly in all groups but was more pronounced in the intervention groups compared to the control group (p < 0.05). HARQ scores improved across all groups without any significant between-group difference. Conclusions: Standard care supplemented with respiratory physiotherapy integrating IMT significantly reduced symptom severity in LPR. Both the Threshold IMT and Airofit devices proved effective. These findings support respiratory physiotherapy as a feasible, non-pharmacological therapeutic option in LPR management.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30206 - Otorhinolaryngology

Project

—

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

European archives of oto-rhino-laryngology and Head & Neck

ISSN

0937-4477

e-ISSN

1434-4726

Volume of the periodical

282

Issue of the periodical within the volume

11

Country of publishing house

DE - GERMANY

Number of pages

9

Pages from-to

5805-5813

UT code for WoS article

001595129700001

EID of the result in the Scopus database

2-s2.0-105019352856