Doing CPT (clapping) on your infant

[LisaGreene]

Hi All,
Think twice about doing chest physical therapy (CPT) on your baby in the "head down" position. Parents are currently advised not to do head down CPT "if your child has acid reflux (GERD)."

The problem is, infants can have acid reflux and parents might not know it (symptoms might not be obvious). In fact, more than half of all babies experience infant acid reflux during the first three months after birth, according to the National Digestive Diseases Information Clearinghouse.

The concern is that if you do CPT in the head down position and your baby has reflux, it might be forced into the lungs by the clapping and cause damage. Infant acid reflux typically goes away on its own by ages 12 to 18 months (might be different for kids with CF, though).

In the meantime, just to be safe, talk with your doctor about doing CPT with your infant in a flat or sitting up position. I heard there is some new research out about this but I can't put my hands on it yet. Hopefully, the CFF will start putting out the word to the clinics soon.

 

[LisaGreene]

Hi All,
Think twice about doing chest physical therapy (CPT) on your baby in the "head down" position. Parents are currently advised not to do head down CPT "if your child has acid reflux (GERD)."

The problem is, infants can have acid reflux and parents might not know it (symptoms might not be obvious). In fact, more than half of all babies experience infant acid reflux during the first three months after birth, according to the National Digestive Diseases Information Clearinghouse.

The concern is that if you do CPT in the head down position and your baby has reflux, it might be forced into the lungs by the clapping and cause damage. Infant acid reflux typically goes away on its own by ages 12 to 18 months (might be different for kids with CF, though).

In the meantime, just to be safe, talk with your doctor about doing CPT with your infant in a flat or sitting up position. I heard there is some new research out about this but I can't put my hands on it yet. Hopefully, the CFF will start putting out the word to the clinics soon.

 

[LisaGreene]

Hi All,
<br />Think twice about doing chest physical therapy (CPT) on your baby in the "head down" position. Parents are currently advised not to do head down CPT "if your child has acid reflux (GERD)."
<br />
<br />The problem is, infants can have acid reflux and parents might not know it (symptoms might not be obvious). In fact, more than half of all babies experience infant acid reflux during the first three months after birth, according to the National Digestive Diseases Information Clearinghouse.
<br />
<br />The concern is that if you do CPT in the head down position and your baby has reflux, it might be forced into the lungs by the clapping and cause damage. Infant acid reflux typically goes away on its own by ages 12 to 18 months (might be different for kids with CF, though).
<br />
<br />In the meantime, just to be safe, talk with your doctor about doing CPT with your infant in a flat or sitting up position. I heard there is some new research out about this but I can't put my hands on it yet. Hopefully, the CFF will start putting out the word to the clinics soon.
<br />

 

[SarahProcter]

Our CF clinic (UCSF) specifically trained us to never do CPT on an infant at a downward angle - they had us always do it flat, for exactly this reason (reflux and aspiration). So it seems the information is getting out there, however spottily.

 

[SarahProcter]

Our CF clinic (UCSF) specifically trained us to never do CPT on an infant at a downward angle - they had us always do it flat, for exactly this reason (reflux and aspiration). So it seems the information is getting out there, however spottily.

 

[SarahProcter]

Our CF clinic (UCSF) specifically trained us to never do CPT on an infant at a downward angle - they had us always do it flat, for exactly this reason (reflux and aspiration). So it seems the information is getting out there, however spottily.

 

[dyza]

The steer in the UK just now seems to be away from CPT towards the use of PEP and breathing exercises. Wee craig has been using a Pep mask for about a year, we done CPT for just short of 4 years, so it has been a bit of a transition from cpt to mask, Although I understand the mechanics of PeP and huffing etc, it still took me some convincing and I still wonder wether we should still be doing CPT on a more regular basis. Just last month when craig had a bit of a cough, he actually asked me for CPT.

But to get back to the OP, we were always told never to have infant head down while doing CPT.

Craig

 

[dyza]

The steer in the UK just now seems to be away from CPT towards the use of PEP and breathing exercises. Wee craig has been using a Pep mask for about a year, we done CPT for just short of 4 years, so it has been a bit of a transition from cpt to mask, Although I understand the mechanics of PeP and huffing etc, it still took me some convincing and I still wonder wether we should still be doing CPT on a more regular basis. Just last month when craig had a bit of a cough, he actually asked me for CPT.

But to get back to the OP, we were always told never to have infant head down while doing CPT.

Craig

 

[dyza]

The steer in the UK just now seems to be away from CPT towards the use of PEP and breathing exercises. Wee craig has been using a Pep mask for about a year, we done CPT for just short of 4 years, so it has been a bit of a transition from cpt to mask, Although I understand the mechanics of PeP and huffing etc, it still took me some convincing and I still wonder wether we should still be doing CPT on a more regular basis. Just last month when craig had a bit of a cough, he actually asked me for CPT.
<br />
<br />But to get back to the OP, we were always told never to have infant head down while doing CPT.
<br />
<br />Craig

 

[Ratatosk]

Our instructions 7 years ago from children's indicated not to use the downward position on infants and our doctor indicated that even with older children and adults the downward position isn't necessary because the percussions force the cillia to move mucus up and out.

 

[Ratatosk]

Our instructions 7 years ago from children's indicated not to use the downward position on infants and our doctor indicated that even with older children and adults the downward position isn't necessary because the percussions force the cillia to move mucus up and out.

 

[Ratatosk]

Our instructions 7 years ago from children's indicated not to use the downward position on infants and our doctor indicated that even with older children and adults the downward position isn't necessary because the percussions force the cillia to move mucus up and out.

 

[kitomd21]

We were also instructed never to use "head down" positions...

 

[kitomd21]

We were also instructed never to use "head down" positions...

 

[kitomd21]

We were also instructed never to use "head down" positions...

 

[LisaGreene]

Thx for the replies all. It sounds like at least some of the clinics have been "banning" head down cpt for awhile. That's great! Although there is still info out there that shows head down CPT with children "unless reflux is an issue" (do a google and you'll see).

I think the problem is that reflux might not be diagnosed because there might not always be symptoms of it.

Anyways, I hope that others who might not know this are getting the info to check out with docs. It sounds like we just shouldn't be doing head down CPT with younger kids at all.

 

[LisaGreene]

Thx for the replies all. It sounds like at least some of the clinics have been "banning" head down cpt for awhile. That's great! Although there is still info out there that shows head down CPT with children "unless reflux is an issue" (do a google and you'll see).

I think the problem is that reflux might not be diagnosed because there might not always be symptoms of it.

Anyways, I hope that others who might not know this are getting the info to check out with docs. It sounds like we just shouldn't be doing head down CPT with younger kids at all.

 

[LisaGreene]

Thx for the replies all. It sounds like at least some of the clinics have been "banning" head down cpt for awhile. That's great! Although there is still info out there that shows head down CPT with children "unless reflux is an issue" (do a google and you'll see).
<br />
<br />I think the problem is that reflux might not be diagnosed because there might not always be symptoms of it.
<br />
<br />Anyways, I hope that others who might not know this are getting the info to check out with docs. It sounds like we just shouldn't be doing head down CPT with younger kids at all.

 

[SadiesMom]

we always did it flat or sitting up, that's how they showed us at the clinic...I can't imagine anyone just keeping their child in a head-down position for any extended length of time for any reason.

 

[SadiesMom]

we always did it flat or sitting up, that's how they showed us at the clinic...I can't imagine anyone just keeping their child in a head-down position for any extended length of time for any reason.