[Influence of chest physiotherapy on gastro-œsophageal reflux in children].

Abstract:

INTRODUCTION:Chest physiotherapy is regularly prescribed for children, particularly in cystic fibrosis. Gastro-oesophageal reflux is common in this disease and is associated with certain chest physiotherapy manoeuvres. AIM OF THE STUDY:To evaluate the influence of two chest physiotherapy techniques on gastro-oesophageal reflux in children. MATERIAL AND METHOD:Twenty-nine children were investigated by routine pHmetry. During the examination, they performed two chest physiotherapy manoeuvres in a seated position for 10 minutes each with a 5 minutes rest between them. The two manoeuvres used were a slow expiration technique (ELPr) and positive expiratory pressure (PEP). It was a prospective study and the order of manoeuvres was randomised. The pH traces were analysed blindly when all the studies had been completed. RESULTS:In the sample, 21% of children had gastro-oesophageal reflux during the physiotherapy session. No relationship was found between reflux during physiotherapy and pathological reflux (P=0.411) nor the physiotherapy technique used (P=0.219). CONCLUSION:The use of these two chest physiotherapy techniques in children in a seated position can produce gastro-oesophageal reflux.

journal_name

Rev Mal Respir

authors

Reychler G,Jacques L,Arnold D,Scheers I,Smets F,Sokal E,Stephenne X

doi

10.1016/j.rmr.2015.02.004

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

493-9

issue

5

eissn

0761-8425

issn

1776-2588

pii

S0761-8425(15)00039-X

journal_volume

32

pub_type

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