Abstract
AIM: This study aimed to determine the effect of assisted autogenic drainage (AAD) with or without bouncing (BAAD) on both acid and non-acid gastroesophageal reflux (GER) in infants <1 year.
METHODS: During a 24-hour multichannel intraluminal impedance-pH monitoring (MII-pH), infants were treated with a 20 minutes intervention of AAD (in supine position) or BAAD (in upright position), two hours postprandial. In this controlled trial with intra-subject design, the number of reflux episodes (REs) was the primary outcome measure. The results during AAD and BAAD were compared to a baseline period before intervention and 20 minutes after intervention.
RESULTS: Fifty infants were included in both groups. During AAD a significant decrease of RE's was found compared to baseline (P= 0.001). No significant differences were found in the BAAD group compared to baseline (P=0.125).
CONCLUSION: AAD and BAAD do not cause or increase GER in infants under the age of one year.
| Original language | English |
|---|---|
| Pages (from-to) | 866-872 |
| Number of pages | 7 |
| Journal | Acta Paediatrica |
| Volume | 111 |
| Issue number | 4 |
| Early online date | 19 Dec 2021 |
| DOIs | |
| Publication status | Published - Apr 2022 |
Bibliographical note
© 2021 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.Keywords
- Airway clearance techniques
- MII-pH monitoring
- assisted autogenic drainage
- bouncing
- gastroesophageal reflux