颅骨整骨疗法：其命运似乎已清晰明了。
Cranial osteopathy: its fate seems clear.
作者信息
Hartman Steve E
机构信息
Department of Anatomy, College of Osteopathic Medicine, University of New England, Biddeford, ME 04005, USA.
出版信息
Chiropr Osteopat. 2006 Jun 8;14:10. doi: 10.1186/1746-1340-14-10.
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.
背景
根据颅骨整骨疗法的原始模型，人类大脑的内在节律运动导致脑脊液的节律波动以及硬脑膜、颅骨和骶骨之间特定的关系变化。从业者认为他们可以通过触诊改变这种机制的参数，从而对患者的健康产生有益影响。
讨论
这种治疗方法缺乏生物学上合理的机制，没有诊断可靠性，也几乎没有希望证明其具有任何直接的临床效果。尽管研究结果几乎一致为阴性，但“颅骨”疗法在许多从业者和患者中仍然很受欢迎。
总结
在结果研究表明这些技术能产生直接且积极的临床效果之前，它们应从所有学术课程中剔除；保险公司应停止为其支付费用；患者应将时间、金钱和健康投入到其他地方。
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