GERD and MFR Study: Time for Protocols?

Hot off the press is a study that caught my eye, for a variety of reasons. While no study checks all of the boxes this one seems quite credible. The study looks at whether the application of an MFR-style of interaction can reduce reliance on prescription medications, PPIs specifically, and improve overall comfort/quality of life. They had a control group which seems adequately addressed with sham therapy. The researchers used a 6-sequence protocol, each timed for a certain interval. While I was taught that MFR is never done via a protocol, I am seeing that they do have their place. Therapists who are working under strict guidelines of evidence-based practice (EVP) often feel compelled to seek out only interventions that have an in-place protocol to best satisfy the dictates of EVP. Also, therapists new to manual therapy/MFR may feel that a protocol allows them one direction, at least to begin with.

I do understand that the historical roots of the brand of MFR I learned strongly advised against protocols as if one used one you might miss the extemporaneous opportunities that more spontaneous work inspires. But such a comfort level in the work often takes time to develop and protocols might ease the transition from feeling like a novice. I can see a place for protocols in this work, but I would like to hear your thoughts. Might a protocol help you in moving into this work more smoothly?

You can read the full-text study at the following link: