Green C, Martin C W, Bassett K, Kazanjian A
BC Office of Health Technology Assessment, University of British Columbia, Vancouver, Canada.
Complement Ther Med. 1999 Dec;7(4):201-7. doi: 10.1016/s0965-2299(99)80002-8.
The objective of this research was to review critically the scientific basis of craniosacral therapy as a therapeutic intervention.
A systematic search for and critical appraisal of research on craniosacral therapy was conducted. Medline, Embase, Healthstar, Mantis, Allied and Alternative Medicine, Scisearch and Biosis were searched from their start date to February 1999.
A three-dimensional evaluative framework with related appraisal criteria: (A) craniosacral interventions and health outcomes; (B) validity of craniosacral assessment; and (C) pathophysiology of the craniosacral system.
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.
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.
本研究的目的是严格审视颅骶疗法作为一种治疗干预手段的科学依据。
对颅骶疗法的研究进行了系统检索和批判性评价。检索了Medline、Embase、Healthstar、Mantis、联合与替代医学、Scisearch和Biosis数据库，检索时间从各数据库起始日期至1999年2月。
一个带有相关评价标准的三维评估框架：(A)颅骶干预措施与健康结果；(B)颅骶评估的有效性；(C)颅骶系统的病理生理学。
关于颅骶治疗效果的现有研究构成了使用不充分研究方案进行的低质量证据。一项研究报告了创伤性脑损伤门诊患者出现的负面副作用。发现评分者间信度较低。
本系统评价和批判性评价发现，没有足够的证据支持颅骶疗法。迄今为止，尚未应用能够最终评估疗效的研究方法。
