Influence de la kinésithérapie respiratoire sur le reflux gastro-œsophagien chez l’enfant
(2015) Revue des Maladies Respiratoires — Vol. 32, n° 5, p. 493-499 (2015)
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- (en) [Influence of chest physiotherapy on gastro-œsophageal reflux in children] 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 10minutes each with a 5minutes 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.
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Reychler, G., Jacques, L., Arnold, D., Scheers, I., Smets, F., Sokal, E., & Stephenne, X. (2015). Influence de la kinésithérapie respiratoire sur le reflux gastro-œsophagien chez l’enfant. Revue des Maladies Respiratoires, 32(5), 493-499. https://doi.org/10.1016/j.rmr.2015.02.004 (Original work published 2015)