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


OBJECTIVE
To evaluate the influence of two chest physiotherapy techniques on gastro-oesophageal reflux in children.


METHODS
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).


CONCLUSIONS
The use of these two chest physiotherapy techniques in children in a seated position can produce gastro-oesophageal reflux.
Service de pneumologie, cliniques universitaires Saint-Luc, avenue Hippocrate 10, 1200 Bruxelles, Belgique; Institut de recherche expérimentale et clinique (IREC), pôle de pneumologie, ORL et dermatologie, université catholique de Louvain, Bruxelles, Belgique. Electronic address: bruxelles-gregory.reychler@uclouvain.be.
G
G
Reychler
Institut d'enseignement supérieur Parnasse-Deux Alice, Bruxelles, Belgique.
L
L
Jacques
Service de gastroentérologie et hépatologie pédiatrique, cliniques universitaires Saint-Luc, université catholique de Louvain, Bruxelles, Belgique.
D
D
Arnold
Service de gastroentérologie et hépatologie pédiatrique, cliniques universitaires Saint-Luc, université catholique de Louvain, Bruxelles, Belgique.
I
I
Scheers
Service de gastroentérologie et hépatologie pédiatrique, cliniques universitaires Saint-Luc, université catholique de Louvain, Bruxelles, Belgique.
F
F
Smets
Service de gastroentérologie et hépatologie pédiatrique, cliniques universitaires Saint-Luc, université catholique de Louvain, Bruxelles, Belgique.
E
E
Sokal
Service de gastroentérologie et hépatologie pédiatrique, cliniques universitaires Saint-Luc, université catholique de Louvain, Bruxelles, Belgique.
X
X
Stephenne
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D045853:Exhalation; D005260:Female; D005745:Gastric Acidity Determination / Q000295:instrumentation; D005764:Gastroesophageal Reflux / Q000209:etiology*; D006801:Humans; D007223:Infant; D008297:Male; D026741:Physical Therapy Modalities / Q000009:adverse effects*; D011175:Positive-Pressure Respiration / Q000009:adverse effects; D011187:Posture; D011446:Prospective Studies
Chest physiotherapy; Children; Enfants; Gastro-oesophageal reflux; Kinésithérapie respiratoire; Positive expiratory pressure; Pression expiratoire positive; Reflux gastro-œsophagien