Steve E
Hartman, Cranial osteopathy: its fate seems clear, Journal of
Chiropractic & Osteopathy 2006, 14:10.
Background:
According to the original model of cranial osteopathy, intrinsic
rhythmic movements of the human brain cause rhythmic fluctuations of
cerebrospinal fluid and specific relational changes among dural
membranes, cranial bones, and the sacrum. Practitioners believe they
can palpably modify parameters of this mechanism to a patient's health
advantage.
Discussion:
This treatment regime lacks a biologically plausible mechanism, shows
no diagnostic reliability, and offers little hope that any direct
clinical effect will ever be shown. In spite of almost uniformly
negative research findings, "cranial" methods remain popular with many
practitioners and patients.
Summary:
Until outcome studies show that these techniques produce a direct and
positive clinical effect, they should be dropped from all academic
curricula; insurance companies should stop paying for them; and
patients should invest their time, money, and health elsewhere.
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