Tag Archives: Cerebrospinal fluid

Alzheimer’s and the Brain

Not conspiratorial, but still fascinating stuff from VSauce (Michael Stevens) 🙂

Craniosacral Therapy

Via The Skeptic’s Dictionary

“…craniosacral therapy bears approximately the same relationship to real medicine that astrology bears to astronomy…. [it] is medical fiction….” — Steve E Hartman and James M Norton*

craniosac_250pxCraniosacral therapy (a.k.a. craniopathy and cranial osteopathy) is a holistic therapy that involves the manipulation of the skull bones (the cranium) and the sacrum to relieve pain and a variety of other ailments, including cancer. (The sacrum is a bone between the lumbar vertebrae and tail vertebrae, composed of five fused vertebrae that form the posterior pelvic wall.) The therapy was invented by osteopath William G. Sutherland in the 1930s. Another osteopath, John Upledger, is the leading proponent of craniosacral therapy today. Like other holistic therapies, this one emphasizes subjective concepts such as energy, harmony, balance, rhythm, and flow.

Craniosacral therapists claim to be able to detect a craniosacral “rhythm” in the cranium, sacrum, cerebrospinal fluid and the membranes which envelop the craniosacral system. The balance and flow of this rhythm is considered essential to good health. The rhythm is measured by the therapist’s hands. Any needed or effected changes in rhythm are also detected only by the therapist’s hands. No instrument is used to measure the rhythm or its changes, hence no systematic objective measurement of healthy versus unhealthy rhythms exists. The measurement, the therapy, and the declared cure are all subjectively based. As one therapist put it:

During the treatment, the client is usually supine on a table. The therapist assesses the patterns of energy in the body through touch at several “listening stations” and then decides where to start that day and how to focus the treatment. [Woodruff]

agy4-3The same therapist maintains that the therapy is “a waste of time and money” for people who do not have faith in the therapy. Successful treatments, however, may well be due to the placebo effect and subjective validation. Since there is no plausible biological basis for the claims made by therapists for craniosacral rhythms, it is likely that the therapists are deluded, i.e., imagining they are detecting and manipulating a subtle energy.

Skeptics note that the skull does not consist of moveable parts (unlike the jaw) and brain cells lack actin and myosin (the things in muscle cells that make them move). The only rhythm detectable in the cranium and cerebrospinal fluid is related to the cardiovascular system, but craniosacral therapists deny craniosacral rhythms are due to blood pressure. When tested, therapists have been unable to consistently come up with the same measurements of the alleged craniosacral rhythm. (Dr. Ben Goldacre says there have been five such published studies and “in none of them did the osteopaths give similar answers.”) In a systematic review of the scientific evidence for craniosacral therapy, the British Columbia Office of Health Technology Assessment (BCOHTA) concluded that

The available research on craniosacral treatment effectiveness constitutes low-grade evidence conducted using inadequate research protocols. One study reported negative side effects in outpatients with traumatic brain injury. Low inter-rater reliability ratings were found. CONCLUSIONS: This systematic review and critical appraisal found insufficient evidence to support craniosacral therapy. Research methods that could conclusively evaluate effectiveness have not been applied to date. (1999)

The fact that there is no objective measurement of craniosacral rhythms and that the subjective measurements of practitioners show much disharmony, imbalance, and lack of unity far outweighs the anecdotes of people who give credit to the therapy for relieving them of some malady. If the anecdotes were backed by scientific studies, using proper controls and randomization techniques, the weight of the evidence would swing in favor of the therapy. Such studies are lacking. Six studies have been done, but only one was done with proper controls and that study was negative. There is simply no good evidence for the claims made by practitioners of craniosacral therapy about cranial rhythms being either measurable or an important factor in anyone’s health and well-being.

CSTflowCNS-1

Craniosacral therapists claim to be able to detect a craniosacral “rhythm” in the cranium, sacrum, cerebrospinal fluid and the membranes which envelop the craniosacral system.

As one research professor at a college of osteopathy put it:

since interexaminer reliability is zero, and since no properly randomized, blinded, and placebo-controlled outcome studies demonstrating clinical efficacy have been published, cranial osteopathy should be removed from the required curricula of colleges of osteopathic medicine and from osteopathic licensing examinations.

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[END] via The Skeptic’s Dictionary

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