TY - JOUR
T1 - Influence of bouncing and assisted autogenic drainage on acid gastro-oesophageal reflux in infants
AU - Van Ginderdeuren, Filip
AU - Vandenplas, Yvan
AU - Deneyer, Michel
AU - Vanlaethem, Sylvie
AU - Buyl, Ronald
AU - Kerckhofs, Eric
N1 - © 2017 Wiley Periodicals, Inc.
PY - 2017/8
Y1 - 2017/8
N2 - OBJECTIVES: To determine the influence of modern airway clearance techniques using assisted autogenic drainage (AAD), whether or not combined with bouncing, on acid gastro-oesophageal reflux (GOR) in infants <1 year.METHODS: In this controlled trial with intra-subject design infants were studied using oesophageal pH monitoring over 24 h, during which they received one 15 min session of bouncing, AAD or bouncing combined with AAD (BAAD). The number of reflux episodes (RE) and the refluxindex (RI) were the outcome measures. The results obtained during (T15) and 15 min after the intervention (T30) were compared to a period of 15 min before treatment (T0).RESULTS: The results of 150 infants, evenly distributed over the three treatment groups, were analyzed. No significant differences were found in number of RE at T15 and T30 compared to T0 in the bouncing group (P = 0.42), the AAD group (P = 0.14), and the BAAD group (P = 0.91). RI was significantly lower in the AAD group at T15 compared to T0 (P < 0.01). No differences in RI were found in the bouncing group (P = 0.28), nor in the BAAD group (P = 0.81).CONCLUSION: Bouncing, AAD and BAAD do not induce, nor aggravate acid GOR in infants under the age of 1 year.
AB - OBJECTIVES: To determine the influence of modern airway clearance techniques using assisted autogenic drainage (AAD), whether or not combined with bouncing, on acid gastro-oesophageal reflux (GOR) in infants <1 year.METHODS: In this controlled trial with intra-subject design infants were studied using oesophageal pH monitoring over 24 h, during which they received one 15 min session of bouncing, AAD or bouncing combined with AAD (BAAD). The number of reflux episodes (RE) and the refluxindex (RI) were the outcome measures. The results obtained during (T15) and 15 min after the intervention (T30) were compared to a period of 15 min before treatment (T0).RESULTS: The results of 150 infants, evenly distributed over the three treatment groups, were analyzed. No significant differences were found in number of RE at T15 and T30 compared to T0 in the bouncing group (P = 0.42), the AAD group (P = 0.14), and the BAAD group (P = 0.91). RI was significantly lower in the AAD group at T15 compared to T0 (P < 0.01). No differences in RI were found in the bouncing group (P = 0.28), nor in the BAAD group (P = 0.81).CONCLUSION: Bouncing, AAD and BAAD do not induce, nor aggravate acid GOR in infants under the age of 1 year.
KW - airway clearance techniques
KW - infants
KW - respiratory physiotherapy
KW - Esophageal pH Monitoring
KW - Humans
KW - Infant
KW - Male
KW - Esophagus/chemistry
KW - Gastroesophageal Reflux/therapy
KW - Drainage
KW - Physical Therapy Modalities
KW - Female
KW - Infant, Newborn
KW - Hydrogen-Ion Concentration
KW - Respiratory Therapy
UR - http://www.scopus.com/inward/record.url?scp=85013427595&partnerID=8YFLogxK
U2 - 10.1002/ppul.23677
DO - 10.1002/ppul.23677
M3 - Article
C2 - 28221719
VL - 52
SP - 1057
EP - 1062
JO - Pediatric Pulmonology
JF - Pediatric Pulmonology
SN - 8755-6863
IS - 8
ER -