Comparative effects of diaphragmatic myofascial release versus diaphragmatic breathing in post operative patients diagnosed with Gastroesophaegeal reflux disease (GERD)

To determine the comparative effects of Diaphragmatic breathing exercises and diaphragmatic myofascial release in post-operative patients diagnosed with GERD.

Randomized clinical trial

Following hospitals of FAISALABAD Allied hospital DHQ hospital Madina Teaching Hospital Aziz Fatima hospital

Inclusion Criteria  Both genders .  Age 25 to 45 years,  Participants with a confirmed diagnosis of GERD after 1 week of surgery.  Willingness to participate  Participants who have not responded well to conventional treatments for GERD  Patients with stable cardiovascular and respiratory system. Exclusion criteria:  Participants with significant comorbidities that may confound the study results or interfere with the ability to perform diaphragmatic interventions. For example, serious cardiovascular or respiratory diseases.  Diagnosed febrile condition  Individuals who have undergone recent abdominal or thoracic surgeries, as these may affect diaphragmatic function and introduce variability in the study population .  Diagnosed malignancy  Diagnosed psychiatric disorder.  Unwillingness to Participate in Physiotherapy  Osteoporosis  Participants with Smoking and excessive alcohol intake history will be excluded because it can impact GERD symptoms and may influence the study outcomes.  Pregnancy  Diagnosed dermatological condition  Participants who are currently enrolled in other clinical trials to avoid potential confounding factors.  Underline stomach conditions

Diaphragmatic group (DB group) Diaphragmatic Myofascial release group (MFR group)

Gastrointestinal symptom rating score(GSRS) Reflux Disease Questionaire (RDQ)

Lottery method was used. subjects were distributed in the groups randomly. The lottery method of randomization is a technique used to randomly assign participants or items to different groups or conditions. Here's a step-by-step description of the process: 1.Identification of participants or items: Identify the individuals or items that need to be randomized. 2. Assignment of unique identifiers: Assign a unique identifier (e.g., number, code, or name) to each participant or item. 3. Creation of a lottery pool: Create a pool of unique identifiers, similar to a lottery drawing. 4. Random drawing: Randomly draw identifiers from the pool, using a method such as a random number generator or a physical drawing. 5. Assignment to groups: Assign the drawn identifiers to different groups or conditions, based on the random order in which they were drawn. 6. Repeat the process: Continue drawing and assigning identifiers until all participants or items have been assigned to a group. The lottery method ensures that: - Each participant or item has an equal chance of being assigned to any group. - The assignment is random and unbiased. - The process is transparent.

Participants were unaware of the intervention which was applied.Assesor was unaware of the group of interventions