Effectiveness of craniosacral therapy in musculoskeletal pain disorders

Kacper Pajor, Justyna Szpyt, Agnieszka Turoń-Skrzypińska, Iwona Rotter

DOI: http://dx.doi.org/10.12775/JEHS.2020.10.09.112

Abstract


Introduction

Craniosacral therapy is becoming more and more popular among therapists around the world. Its activity is based on primary respiratory mechanism (PSM), a natural craniosacral rhythm consisting of two phases: flexion and extension. During therapy, the therapist, using appropriate manual techniques performed with minimal force, restores the physiological craniosacral rhythm, restores the mobility of the cranial sutures and affects the mobility of the central nervous system. Due to not fully understood mechanisms of action and controversial foundations, the effectiveness of craniosacral therapy is often questioned.

Purpose

The purpose of this research review is to determine the effectiveness of craniosacral therapy on musculoskeletal pain disorders.

Material and methods

The PubMed database was searched using "Craniosacral therapy" for clinical trials and randomized clinical trials. Studies with other forms of therapy or placebo, conducted on newborns and older than 15 years and were excluded. These exclusions narrowed the search results to 5 works.

Results

Each study reported statistically significant improvement in at least one type of perceived pain in intervention group. In all studies, in at least two of the assessed tests (assessing pain and functionality), the difference between the result before the therapy and the result achieved after the therapy improved more for the group undergoing craniosacral therapy. Moreover, a review of studies showed insufficient level of research explaining the physiological foundations of craniosacral therapy.

Conclusions

1. Craniosacral therapy can effectively reduce pain of musculoskeletal origin and increase the functionality of patients.

2. The mechanisms responsible for the effectiveness of craniosacral therapy and its theoretical foundations require further research.


Keywords


craniosacral therapy; manual therapies; osteopathic manipulative treatment

Full Text:

PDF

References


Chaitow L. Cranial Manipulation Theory and Practice: Osseous and Soft Tissue Approaches. Toronto: Churchill Livingstone; 1999.

Miszewski W, Miszewska A. Modern methods of physiotherapy – craniosacral therapy. Med Rodz. 2014;3:141-146.

Sommerfeld P, Kaider A, Klein P. Inter-and intraexaminer reliability in palpation of the “primary respiratory mechanism” within the “cranial concept”. Man Ther. 2004;9(1):22-29.

Haller H, Lauche R, Sundberg T, Dobos G, Cramer H. Craniosacral therapy for chronic pain: a systematic review and meta-analysis of randomized controlled trials. BMC Musculoskelet. Disord. 2020;21(1):1-14.

Upledger J. Your inner physician and you: CranioSacral therapy and SomatoEmotional release. North Atlantic Books; 1997.

Bialosky J, Bishop M, George S, Robinson M. Placebo response to manual therapy: something out of nothing?. J Man Manip Ther. 2011;19(1):11-19.

Castro-Sánchez A, Lara-Palomo I, Matarán-Penarrocha G, Saavedra-Hernández M, Pérez-Mármol J, Aguilar-Ferrándiz M. Benefits of Craniosacral therapy in patients with chronic low Back pain: a randomized controlled trial. J Altern Complement Med. 2016;22(8):650-657.

Elden H, Östgaard H, Glantz A, Marciniak P, Linnér A, Olsén M. Effects of craniosacral therapy as adjunct to standard treatment for pelvic girdle pain in pregnant women: a multicenter, single blind, randomized controlled trial. Acta Obstet Gynecol Scand. 2013;92(7):775-782.

Castro-Sánchez A, Matarán-Peñarrocha G, Sánchez-Labraca N, Quesada-Rubio J, Granero-Molina J, Moreno-Lorenzo C. A randomized controlled trial investigating the effects of craniosacral therapy on pain and heart rate variability in fibromyalgia patients. Clin Rehabil. 2011;25(1):25-35.

Haller H, Lauche R, Cramer H, Rampp T, Saha F, Ostermann T, Dobos G. Craniosacral therapy for the treatment of chronic neck pain: a randomized sham-controlled trial. Clin J Pain. 2016;32(5):441.

Nourbakhsh M, Fearon F. The effect of oscillating-energy manual therapy on lateral epicondylitis: a randomized, placebo-control, double-blinded study. J Hand Ther. 2008;21(1):4-14.

Bialosky J, Bishop M, Penza C. Placebo mechanisms of manual therapy: a sheep in wolf's clothing?. J Orthop Sports Phys Ther. 2017;47(5):301-304.

Bialosky J, Bishop M, George S, Robinson M. Placebo response to manual therapy: something out of nothing?. J Man Manip Ther. 2011;19(1):11-19.

Green C, Martin C, Bassett K, Kazanjian A. A systematic review of craniosacral therapy: biological plausibility, assessment reliability and clinical effectiveness. Complement Ther Med. 1999;7(4):201-207.

Rogers J, Witt P, Gross M, Hacke J, Genova P. Simultaneous palpation of the craniosacral rate at the head and feet: intrarater and interrater reliability and rate comparisons. Phys Ther. 1998;78(11):1175-1185.

Sommerfeld P, Kaider A, Klein P. Inter-and intraexaminer reliability in palpation of the “primary respiratory mechanism” within the “cranial concept”. Man Ther. 2004;9(1):22-29.

Billis E, Foster N, Wright C. Reproducibility and repeatability: errors of three groups of physiotherapists in locating spinal levels by palpation. Man Ther. 2003;8(4):223-232.

Flynn T, Cleland J, Schaible P. Craniosacral therapy and professional responsibility. J Orthop Sports Phys Ther. 2006;36(11):834-836.


Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM




Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

https://pbn.nauka.gov.pl/sedno-webapp/search?search&searchCategory=WORK&filter.inJournal=36616

POL-index 2011 - 2014

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-32a319c5-a850-4f44-ba70-1418a6087655

BASE 2011 - 2014

https://www.base-search.net/Search/Results?lookfor=Journal+of+Health+Sciences+%28Radom%29&type=all&oaboost=1&ling=1&name=&thes=&refid=dcrespl&newsearch=1

http://elibrary.ru/contents.asp?titleid=37467

http://journal.rsw.edu.pl/index.php/JHS/issue/archive

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska, EuroPub database, NLM Catalog Result - NCBI, BASE, Russian Sciences Index, Arianta.

https://zdb-katalog.de/title.xhtml?idn=1080187162

https://europub.co.uk/journals/22625

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

https://www.ncbi.nlm.nih.gov/nlmcatalog/101679844

Find a library that holds this journal: http://worldcat.org/issn/23918306

 

PBN Poland

https://pbn.nauka.gov.pl/sedno-webapp/journals/49068

POL-index

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-c39c8169-88d2-45db-9e7f-d948ce9981c4

BASE

https://www.base-search.net/Search/Results?join=AND&bool0[]=AND&lookfor0[]=2391-8306&type0[]=all&page=11&l=pl&oaboost=1&refid=dcpagepl

Redaction, Publisher and Editorial Office

Publisher and Editorial Office
Department of Physical Culture,
Faculty of Earth Sciences and Spatial Management,
Nicolaus Copernicus University in Toruń, Poland
Address: Str. Lwowska 1, 87-100 Toruń, Poland

  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at https://dbh.nsd.uib.no/publiseringskanaler/erihplus/periodical/info?id=485984

Indexed in Index Copernicus Journals Master List.

http://journals.indexcopernicus.com/Journal+of+Education+Health+and+Sport,p24782242,3.html

ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

RG Journal Impact: 0.18 *

*This value is calculated using ResearchGate data and is based on average citation counts from work published in this journal. The data used in the calculation may not be exhaustive.

RG Journal impact history

2020Available summer 2021
2018 / 20190.18
20170.07
20160.03

RG Journal impact over time

RG Journal impact
0.180.160.140.120.100.080.060.040.02201620172018
  

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (https://pbn.nauka.gov.pl/journals/36616)

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ) http://elibrary.ru/contents.asp?titleid=37467

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski

(http://www1.bg.us.edu.pl/bazy/czasopisma/czasop_full.asp?id=3595)

Partnerzy platformy czasopism