Abnormal esophageal motility can cause associated esophageal dyskinesia, and the main manifestations are acid regurgitation, heartburn, dysphagia, and chest pain, which can also appear outside digestive tract symptom. Some scales can evaluate gastroesophageal reflux, and the dynamic state of the esophagus can be reflected from the side. Common evaluation scales include gastroesophageal reflux disease questionnaire (GerdQ, Table 7.1) and the reflux disease questionnaire (RDQ, Table 7.2). For the GerdQ, a total score greater than 8 is considered positive, with a sensitivity of 65% and a specificity of 71% [1]. For the RDQ, a total score of more than 12 is considered positive [2]. The use of both scales will improve diagnostic specificity, and one study showed higher sensitivity for single GerdQ than RDQ [3]. Throat reflux disease laryngopharyngeal reflux disease (LPRD) is one of the multisystem manifestations of gastroesophageal reflux. The gastric contents reflux to the upper esophageal sphincter, causing local mucosal damage, a disease characterized by a series of symptoms such as pharyngeal foreign body sensation, cough, hoarseness, esophageal dyskinesia. Removal function decline is part of the cause of LPDR. Although some current views suggest that throat reflux is present alone in gastroesophageal reflux, but a study suggests this may be due to low laryngoscopy [4]. The total score of reflux symptom index (RSI, Table 7.3) was greater than 13, and the sensitivity was 82.6% and specificity was 84.6%. For the Reflux Signs Score (RFS, Table 7.4), a total score greater than 7 suggests sore throat reflux. One correlation study of 3932 cases suggested that RSI and RFS could be included in the LPRD study as objective, consistent low-cost, and practical parameters [6]. Anxiety is an independent risk factor for symptoms of gastroesophageal reflux disease and laryngopharyngeal reflux [7, 8]. The total score of Self-rating Anxiety Scale (SAS) was more than 50 (Table 7.5). A study of chest pain patients showed higher SAS positive rates associated with gastroesophageal reflux [9]. The above scale does not directly reflect esophageal motility, and esophageal dyskinesia is only one of the causes of its positive manifestations. However, the evaluation of the above scale can be used as a reference for esophageal dynamic abnormalities.