Effectiveness of Modified Diaphragmatic Training for Gastroesophageal Reflux Disease Post Covid-19
Condition: GERD; Post COVID-19 Condition; Diaphragm Issues
MeSH terms: COVID-19; Gastroesophageal Reflux
Study type: Interventional

Summary: 
      The study titled "Effectiveness of Modified Diaphragmatic Training for Improving GERD-Q
      Score, Diaphragmatic Excursion, Maximum Inspiratory Pressure and Lung Function in Adults With
      Gastroesophageal Reflux Disease After Covid-19: a Single-blinded Randomized Control Trial" is
      a clinical trial that aimed to investigate the effectiveness of 4 weeks modified
      diaphragmatic training (MDT) compare with standard diaphragmatic training for improving
      GERD-Q score, diaphragmatic excursion, maximum inspiratory pressure, and lung function in
      adults with gastroesophageal reflux disease (GERD) after COVID-19. The trial was
      single-blinded and randomized, and it included a total of 50 participants. The results of the
      study showed that MDT was effective in improving GERD-Q score, diaphragmatic excursion,
      maximum inspiratory pressure, and lung function in adults with GERD after COVID-19.
    

Detailed description: 
      The study aims to investigate the effectiveness of modified diaphragmatic training compared
      with standard diaphragmatic training in adults with gastroesophageal reflux disease after
      covid-19. The design is a single-center in a national respiratory referral center in
      Indonesia, single-blinded randomized control trial. A central randomization center used
      computer-generated tables to allocate treatments. The study will involve a randomized
      controlled trial with a sample size of 50 adult patients with GERD after covid-19.
      Participants will be randomly assigned to either a modified diaphragmatic training group or a
      control group.

      Four weeks of training with diaphragmatic training followed by modified diaphragmatic
      training (MDT) or standard diaphragmatic training. Follow-up 30 days
    

Intervention name(s): modified diaphragmatic training; standard diaphragmatic training
Intervention type(s): Other; Other
Intervention description(s): Modified diaphragmatic strength training prescriptions will be given based on the result of baseline assessment. The intensity is 60% from the maximum respiratory muscle strength from baseline and weekly remeasurement. Participants are asked to come for weekly follow-up and commit to do at least 20 sessions of exercise. The training is under supervision of physical medicine and rehabilitation specialist.; standard diaphragmatic strength training prescriptions will be given as daily routine, 3 times a day.
Participants are asked to come for weekly follow-up and commit to do at least 20 sessions of exercise. The training is under supervision of physical medicine and rehabilitation specialist.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Intervention Group (modified diaphragmatic training) and control group (standard diaphragmatic training)
Masking: Single (Investigator)
Primary purpose: Treatment
Keywords: Diaphragmatic Training; GERD-Q Score; Diaphragmatic Excursion; Maximal Inspiratory Pressure; Lung Function; GERD After COVID-19