The effects of assisted autogenic drainage, combined or not with bouncing on gastroesophageal reflux in infants

Laure Lievens; Yvan Vandenplas; Sylvie Vanlaethem; Filip Van Ginderdeuren

doi:10.1111/apa.16224

The effects of assisted autogenic drainage, combined or not with bouncing on gastroesophageal reflux in infants

Laure Lievens, Yvan Vandenplas, Sylvie Vanlaethem, Filip Van Ginderdeuren

Onderzoeksoutput: Article › peer review

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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.

Originele taal-2	English
Pagina's (van-tot)	866-872
Aantal pagina's	7
Tijdschrift	Acta Paediatrica
Volume	111
Nummer van het tijdschrift	4
Vroegere onlinedatum	19 dec 2021
DOI's	https://doi.org/10.1111/apa.16224
Status	Published - apr 2022

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10.1111/apa.16224

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title = "The effects of assisted autogenic drainage, combined or not with bouncing on gastroesophageal reflux in infants",

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.",

keywords = "Airway clearance techniques, MII-pH monitoring, assisted autogenic drainage, bouncing, gastroesophageal reflux",

author = "Laure Lievens and Yvan Vandenplas and Sylvie Vanlaethem and {Van Ginderdeuren}, Filip",

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AU - Lievens, Laure

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AU - Vanlaethem, Sylvie

AU - Van Ginderdeuren, Filip

PY - 2022/4

Y1 - 2022/4

N2 - 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.

AB - 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.

KW - Airway clearance techniques

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KW - bouncing

KW - gastroesophageal reflux

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The effects of assisted autogenic drainage, combined or not with bouncing on gastroesophageal reflux in infants

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