Standard (head-down tilt) versus modified (without head-down tilt) postural drainage in infants and young children with cystic fibrosis

Abstract

Standard (head-down tilt) versus modified (without head-down tilt) postural drainage in infants and young children with cystic fibrosis.

Influence of intrapulmonary percussive ventilation in upright position on gastro‐oesophageal reflux in infants

“…Several long‐term studies have looked at the efficacy of different airway clearance techniques and reported a positive impact on airway clearance in maintaining health with no technique being superior to another . Some authors claim that certain airway clearance techniques could exacerbate GOR and even suggest that postural drainage with a head‐down tilt is contra‐indicated in patients with GOR …”

La evolución del manejo de la fibrosis quística. revisión bibliográfica

“…Una técnica utilizada en fisioterapia es el drenaje postural. Cuando se realiza un drenaje postural a 30 grados y la cabeza hacia arriba, los pacientes presentan menor riesgo de reflujo y menores complicaciones respiratorias (23).…”

Cystic Fibrosis and gastroesophageal reflux disease

“…Postural drainage techniques may also increase the frequency of GER episodes in infants [48]. It has been suggested that postural drainage with the 30°head-up tilt is associated with fewer long-term GERD complications and fewer long-term respiratory complications [49,50]. Inhaled beta (2) adrenergic agonists (such as albuterol) may lower LES tone, thereby increasing risk for GERD [51,52].…”