Hanten W P, Dawson D D, Iwata M, Seiden M, Whitten F G, Zink T
Texas Woman's University, Houston 77030, USA.
J Orthop Sports Phys Ther. 1998 Mar;27(3):213-8. doi: 10.2519/jospt.1998.27.3.213.
Craniosacral rhythm (CSR) has long been the subject of debate, both over its existence and its use as a therapeutic tool in evaluation and treatment. Origins of this rhythm are unknown, and palpatory findings lack scientific support. The purpose of this study was to determine the intra- and inter-examiner reliabilities of the palpation of the rate of the CSR and the relationship between the rate of the CSR and the heart or respiratory rates of subjects and examiners. The rates of the CSR of 40 healthy adults were palpated twice by each of two examiners. The heart and respiratory rates of the examiners and the subjects were recorded while the rates of the subjects' CSR were palpated by the examiners. Intraclass correlation coefficients were calculated to determine the intra- and inter-examiner reliabilities of the palpation. Two multiple regression analyses, one for each examiner, were conducted to analyze the relationships between the rate of the CSR and the heart and respiratory rates of the subjects and the examiners. The intraexaminer reliability coefficients were 0.78 for examiner A and 0.83 for examiner B, and the interexaminer reliability coefficient was 0.22. The result of the multiple regression analysis for examiner A was R = 0.46 and adjusted R2 = 0.12 (p = 0.078) and for examiner B was R = 0.63 and adjusted R2 = 0.32 (p = 0.001). The highest bivariate correlation was found between the CSR and the subject's heart rate (r = 0.30) for examiner A and between the CSR and the examiner's heart rate (r = 0.42) for examiner B. The results indicated that a single examiner may be able to palpate the rate of the CSR consistently, if that is what we truly measured. It is possible that the perception of CSR is illusory. The rate of the CSR palpated by two examiners is not consistent. The results of the regression analysis of one examiner offered no validation to those of the other. It appears that a subject's CSR is not related to the heart or respiratory rates of the subject or the examiner.
颅骶节律（CSR）长期以来一直是争论的焦点，涉及到它的存在与否以及作为评估和治疗中的一种治疗工具的应用。这种节律的起源尚不清楚，触诊结果缺乏科学依据。本研究的目的是确定检查者之间和检查者自身对CSR速率触诊的可靠性，以及CSR速率与受试者和检查者的心率或呼吸率之间的关系。两名检查者分别对40名健康成年人的CSR速率进行了两次触诊。在检查者触诊受试者的CSR速率时，记录检查者和受试者的心率和呼吸率。计算组内相关系数以确定检查者之间和检查者自身触诊的可靠性。针对每位检查者进行了两次多元回归分析，以分析CSR速率与受试者和检查者的心率及呼吸率之间的关系。检查者A的检查者自身可靠性系数为0.78，检查者B为0.83，检查者之间的可靠性系数为0.22。检查者A的多元回归分析结果为R = 0.46，调整后R² = 0.12（p = 0.078），检查者B的结果为R = 0.63，调整后R² = 0.32（p = 0.001）。检查者A的CSR与受试者心率之间的双变量相关性最高（r = 0.30），检查者B的CSR与检查者心率之间的双变量相关性最高（r = 0.42）。结果表明，如果我们真正测量的是CSR速率，那么单个检查者可能能够一致地触诊到它。CSR的感知有可能是虚幻的。两名检查者触诊的CSR速率不一致。一名检查者的回归分析结果无法验证另一名检查者的结果。受试者的CSR似乎与受试者或检查者的心率或呼吸率无关。
