ClinicalTrials.gg
CompletedNCT03299985GERDUpdated Oct 5, 2018

Diaphragmatic Myofascial Release in Gastroesophageal Reflux Disease

An interventional study of Diaphragmatic myofascial release and Sham myofascial release in Gastroesophageal Reflux Disease, sponsored by Cardenal Herrera University. Completed at 1 site in Spain. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2018-10-05.

Sponsored by Cardenal Herrera University · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 23 studies in Gastroesophageal Reflux with a site in Spain — 2 open to participants now, 3 under way, none of them phase 3. Gastroesophageal Reflux · Spain.

Enrollment
17th of 18
30 · median 172
Started
2017
with 1 other
No phase
11 of 23
2 open now
Registered
12th of 23
by date
Lead sponsor
1 of 23
Cardenal Herrera University

Among the 23 studies in Gastroesophageal Reflux with a site in Spain, this one is the 17th largest by enrollment of the 18 interventional ones that give a count, is one of 2 that started in 2017, is one of 11 with no phase, and was the 12th registered.

Gastroesophageal Reflux

1,213 studies on the registry are indexed under Gastroesophageal Reflux; 203 are open to participants now.

Browse Gastroesophageal Reflux studies →

Open to participants now

2 of the 23 studies in Gastroesophageal Reflux with a site in Spain are open now. Recruiting first, the newest first:

All 2 open studies →

A study can be open while its sites in Spain have not opened yet or have stopped. Only those recruiting at a site in Spain →

Who these studies take

Of the 133 Gastroesophageal Reflux studies recruiting now, 57 (43%) set no upper age limit and 53 (40%) stop at 75 or younger; 22 take children under 18; 20 take healthy volunteers.

This study: 18 Years to 70 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 23 studies in Gastroesophageal Reflux with a site in Spain, or all of them as a file.
02

Study summary

This study is a double blinded randomized clinical trial with two arms which aims to study the effects of diaphragmatic myofascial release in patients with gastroesophageal reflux disease (GERD).

GERD has become in the last decades a common disease at the occidental world affecting between 10 to 15% of this population. That implies a high socio-health cost and the decline of the quality of life of those patients.

The diaphragm muscle surrounds the lower esophageal sphincter, and helps to prevent gastroesophageal reflux. If one or both structures become incompetent, it may appear GERD. Until the moment, the treatment for GERD begins by lifestyle modification, and if it fails, the treatment becomes medical and, in selected cases, surgical.

It exists some studies that have demonstrate that diaphragmatic breathing training can have a positive effect in GERD and the need of drug usage. But until the moment, the effects of a myofascial release of the diaphragm haven't been explored on these patients.

Thirty patients with GERD referred from different hospitals of Valencia will be randomized into two groups:

  • Intervention with myofascial release for the diaphragm
  • Sham treatment group which is going to receive the same number of session treatments with the same manual techniques, but without the myofascial stimulus The protocol that will be applied consists of 4 identical sessions of myofascial release techniques aimed to normalize the myofascial tension of the diaphragmatic muscle. These sessions will be distributed in two weeks.

The study focuses on the analysis of the following variables:

  • Frequency and intensity of the symptoms of GERD: Reflux Disease Questionnaire (RDQ)
  • Specific quality of life for gastrointestinal disease: Gastrointestinal Quality of life Index (GIQLI)
  • Drug usage: weekly milligrams usage of proton pomp inhibitors (PPI) The results of these pre-intervention and post-intervention variables will be compared between the two groups at baseline (first session), at week 3 and at week 6.
03

Conditions studied

  • Gastroesophageal Reflux Disease

Keywords

  • Gastroesophageal reflux Disease
  • Myofascial release
  • Diaphragm
04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with the diagnostic of GERD

Exclusion criteria

Exclusion Criteria:

  • hiatal hernia >2 cm
  • previous operation at the LES
  • actual erosive esophagitis
  • Congenital or acquired immune disorders.
  • Allergic status of any kind.
  • Systemic diseases (rheumatic, infectious conditions, febrile state, vascular alterations, endocrine including diabetes, metabolic and neoplastic).
  • Leukemia.
  • Severe psychiatric disorders.
  • Neuromuscular or neurological injuries.
  • Aneurysms.
  • Abdominal or spine surgery.
  • Vertebral fractures.
  • Osteoporosis (advanced stage).
  • Acute lesions of soft tissues or in an inflammatory state.
  • Open wounds.
  • Pregnancy.
  • Intrauterine device.
  • Patients with therapy.
  • Hemophilia or treatment with anticoagulant therapy.
  • of the skin or dermatological diseases in the trunk that impossibilities the application of the techniques.
  • Rejection of manual contact.
  • Non-Spanish speaking patients.
  • Patients who have previously received some treatment of myofascial release.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    Diaphragmatic myofascial release

    Subjects in this arm will receive different myofascial release techniques aimed to normalize the myofascial tension of the diaphragmatic muscle

    Other: Diaphragmatic myofascial release

  • Sham comparator
    Sham myofascial release

    Subjects in this arm will receive the same manual techniques of the diaphragmatic myofascial release group, but without the myofascial stimulus

    Other: Sham myofascial release

Interventions

  • OtherDiaphragmatic myofascial release

    Subjects in this arm will receive different myofascial release techniques aimed to normalize the myofascial tension of the diaphragmatic muscle

  • OtherSham myofascial release

    Subjects in this arm will receive the same manual techniques of the diaphragmatic myofascial release group, but without the myofascial stimulus

06

What researchers measure

Primary outcomes

  1. GERD symptoms

    Frequency and intensity of GERD symptoms measured by the Reflux Disease questionnaire (RDQ)

    Time frame: 6 weeks

Secondary outcomes

  1. Specific quality of life for gastrointestinal disease

    Gastrointestinal Quality of life Index (GIQLI)

    Time frame: 6 weeks

  2. Drug Usage

    Weekly milligrams usage of proton pomp inhibitors (PPI)

    Time frame: 6 weeks

07

Study locations

1 site
  • Universidad CEU Cardenal Herrera
    Valencia, 46113, Spain
08

References and documents

Publications

  • Eypasch E, Williams JI, Wood-Dauphinee S, Ure BM, Schmulling C, Neugebauer E, Troidl H. Gastrointestinal Quality of Life Index: development, validation and application of a new instrument. Br J Surg. 1995 Feb;82(2):216-22. doi: 10.1002/bjs.1800820229. PubMed 7749697 ↗
  • Quintana JM, Cabriada J, Lopez de Tejada I, Varona M, Oribe V, Barrios B, Perdigo L, Bilbao A. Translation and validation of the gastrointestinal Quality of Life Index (GIQLI). Rev Esp Enferm Dig. 2001 Nov;93(11):693-706. English, Spanish. PubMed 11995369 ↗
  • Shaw M, Dent J, Beebe T, Junghard O, Wiklund I, Lind T, Johnsson F. The Reflux Disease Questionnaire: a measure for assessment of treatment response in clinical trials. Health Qual Life Outcomes. 2008 Apr 30;6:31. doi: 10.1186/1477-7525-6-31. PubMed 18447946 ↗
  • Nuevo J, Tafalla M, Zapardiel J. [Validation of the Reflux Disease Questionnaire (RDQ) and Gastrointestinal Impact Scale (GIS) in patients with gastroesophageal reflux disease in the Spanish population]. Gastroenterol Hepatol. 2009 Apr;32(4):264-73. doi: 10.1016/j.gastrohep.2008.12.004. Epub 2009 Apr 16. Spanish. PubMed 19371971 ↗
  • da Silva RC, de Sa CC, Pascual-Vaca AO, de Souza Fontes LH, Herbella Fernandes FA, Dib RA, Blanco CR, Queiroz RA, Navarro-Rodriguez T. Increase of lower esophageal sphincter pressure after osteopathic intervention on the diaphragm in patients with gastroesophageal reflux. Dis Esophagus. 2013 Jul;26(5):451-6. doi: 10.1111/j.1442-2050.2012.01372.x. Epub 2012 Jun 7. PubMed 22676647 ↗
  • Eherer AJ, Netolitzky F, Hogenauer C, Puschnig G, Hinterleitner TA, Scheidl S, Kraxner W, Krejs GJ, Hoffmann KM. Positive effect of abdominal breathing exercise on gastroesophageal reflux disease: a randomized, controlled study. Am J Gastroenterol. 2012 Mar;107(3):372-8. doi: 10.1038/ajg.2011.420. Epub 2011 Dec 6. PubMed 22146488 ↗
  • Arguisuelas MD, Lison JF, Sanchez-Zuriaga D, Martinez-Hurtado I, Domenech-Fernandez J. Effects of Myofascial Release in Nonspecific Chronic Low Back Pain: A Randomized Clinical Trial. Spine (Phila Pa 1976). 2017 May 1;42(9):627-634. doi: 10.1097/BRS.0000000000001897. PubMed 28441294 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Oct 2017 to primary completion in Mar 2018, 5 months.

Of 193 non-industry interventional studies with no phase under Gastroesophageal Reflux, half reached primary completion within 31 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 68. This study's 5 months is below that.

Counting every sponsor, half of 227 studies reached it within 31 months; a quarter within 12 and three quarters within 64.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 25, 2017
First posted
Oct 3, 2017
StartActual
Oct 5, 2017
Primary completionActual
Mar 15, 2018
CompletionActual
Mar 15, 2018
Last update
Oct 5, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 5, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03299985
Responsible party
Juan F. Lisón Párraga, Dr (Head of medicine department, Cardenal Herrera University) — Principal investigator
First posted
Oct 3, 2017
Start date
Oct 5, 2017
Primary completion
Mar 15, 2018
Completion
Mar 15, 2018
Last update
Oct 5, 2018

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2018. You cannot join it, but the record below documents what was studied.

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