Żurowska Anna, Malak Roksana, Kołcz-Trzęsicka Anna, Samborski Włodzimierz, Paprocka-Borowicz Małgorzata
Department of Physiotherapy, Faculty of Health Sciences, Wrocław Medical University, 2 Grunwaldzka Street, 50-355 Wrocław, Poland.
Department of Rheumatology and Rehabilitation, Faculty of Health Sciences, Poznan University of Medical Sciences, 135/147 28 Czerwca 1956 Street, 61-545 Poznań, Poland.
Evid Based Complement Alternat Med. 2017;2017:2974962. doi: 10.1155/2017/2974962. Epub 2017 Oct 18.
Compression of the fourth ventricle (CV4) is a well-known osteopathic procedure, utilized by osteopaths, osteopathic physicians, craniosacral therapists, physical therapists, and manual therapists as part of their healthcare practice based on some evidence suggesting impact on nervous system functions. The main objective of the study was to identify randomized controlled trials (RCTs) assessing the clinical benefits of CV4 and to show the evidence supporting clinical prescriptions, guides, and advice in treating. A computerized search of the PubMed, CINAHL Complete, Scopus, Web of Science, and ScienceDirect databases was performed. Two filters were used (article type: RCTs; species: humans). The methodological quality of the trials was assessed using the Downs and Black quality checklist for healthcare intervention studies. Only six studies met the inclusion criteria, of which four were RCTs and two were observational studies. The Downs and Black score ranged from 17 to 24 points out of a maximum of 27 points. The present review revealed the paucity of CV4 research in patients with different clinical problems, as five out of six included studies investigated healthy adults. According to the results of the included studies, CV4 may be beneficial for patients with different functional problems.
第四脑室按压（CV4）是一种广为人知的整骨疗法，整骨师、整骨医师、颅骶疗法治疗师、物理治疗师和手法治疗师将其作为医疗实践的一部分加以运用，因为有一些证据表明其对神经系统功能有影响。本研究的主要目的是识别评估CV4临床益处的随机对照试验（RCT），并展示支持临床处方、指南及治疗建议的证据。我们对PubMed、CINAHL Complete、Scopus、Web of Science和ScienceDirect数据库进行了计算机检索。使用了两个筛选条件（文章类型：RCT；研究对象：人类）。采用唐斯和布莱克医疗保健干预研究质量检查表对试验的方法学质量进行评估。只有六项研究符合纳入标准，其中四项为RCT，两项为观察性研究。唐斯和布莱克评分在满分27分中为17至24分。本综述揭示了针对不同临床问题患者的CV4研究匮乏，因为六项纳入研究中有五项调查的是健康成年人。根据纳入研究的结果，CV4可能对有不同功能问题的患者有益。
