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

Kód výsledku v 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>

Nalezeny alternativní kódy

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

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30206 - Otorhinolaryngology

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2025

Kód důvěrnosti údajů

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

Název periodika

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

ISSN

0937-4477

e-ISSN

1434-4726

Svazek periodika

282

Číslo periodika v rámci svazku

11

Stát vydavatele periodika

DE - Spolková republika Německo

Počet stran výsledku

9

Strana od-do

5805-5813

Kód UT WoS článku

001595129700001

EID výsledku v databázi Scopus

2-s2.0-105019352856