Manual Therapy and Gastroesophageal Reflux Disease in Patients With Hiatal Hernia

Inclusion Criteria

• •Patients diagnosed with Gastroesophageal Reflux disease (Vakil et al, 2006)
• •Age between 18 and 90 years.
• •Patients with GERD due to hiatal hernia type I, without surgical indication.
• •Patients with GERD due to hiatal hernia type I, with surgical indication on the waiting list.
• •Patients with GERD due to hiatal hernia type I, with surgical contraindication.
• •Patients treated with Benzodiazepines (BZD)
• •Patients with previous surgical interventions at the abdominal level, especially of supramesocolic structures
• •Patients diagnosed with Barrett's esophagus
• •Patients with paraesophageal and mixed hiatus hernias
• •Diagnosed erosive esophagitis
• •Active neoplasm
• •Serious psychiatric disorders
• •Neuromuscular or neurological injuries
• •Aneurysms
• •Pregnancy
• •Hemophilia or treatment with anticoagulant therapy
• •Hypersensitivity of the skin or dermatological diseases in the trunk that prevent the performance of the techniques
• •Rejection of manual contact