ACPCF Infant Guideline - The Knowledge Network

treatment should be based on the specialist physiotherapist’s
evaluation of individual circumstances. [C]
• The use of a head down tilt with postural drainage should be carefully
considered with regard to both its efficacy in infants with relatively few
secretions and the potential for exacerbating gastro-oesophageal
reflux. If required, the use of modified chest physiotherapy, omitting the
head down tilt may be more appropriate. [B]
• When airway clearance (Appendix 3) is required parents/carers should be
advised as to the type and frequency of treatment needed, based on
clinical status. Families/carers should be fully involved in this decision
process. A more prescriptive physiotherapy regimen may be appropriate
for some families who feel or seem unable to confidently assess their
child’s chest. [C]
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