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Thirty-Degree Prone Positioning Board for Children with Gastroesophageal Reflux: Suggestion from the Field

Ms. Bubenko is Clinical Supervisor, Physical Therapy Department, The University of Chicago Medical Center, 5841 S Maryland Ave, Chicago, IL 60637 (USA).
Ms. Flesch is Assistant Director, Physical Therapy Department, The University of Chicago Medical Center.
Ms. Kollar is Staff Physical Therapist, Physical Therapy Department, The University of Chicago Medical Center.

This excerpt was created in the absence of an abstract.

Gastroesophageal reflux (GER) or chalasia in infants can be defined simply as the regurgitation of gastric contents from the abdominal stomach into the thoracic esophagus.¹ Chief among its clinical manifestations is recurrent emesis during and after feedings.^1,2 This symptom is present in up to 95 percent of reported cases.² In addition, any or all of the following disorders may be present: anemia, failure to thrive, nocturnal wheeze or cough, recurrent pneumonia because of aspiration, recurrent bronchitis, near-miss sudden infant death syndrome, and abnormal head positioning (Sandifer syndrome).^1,2

An important aspect of the treatment regimen for these patients is positioning during and after feeding. Numerous reports in the literature suggest an upright posture in an infant seat at 45 to 60 degrees after feeding will decrease the incidence of GER.³ Other references suggest a prone posture at 30 degrees after feeding will also decrease the incidence of GER in infants.^2,4,5

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