Compression of the Fourth Ventricle Using a Craniosacral Osteopathic Technique: A Systematic Review of the Clinical Evidence

Anna Żurowska, Roksana Malak, Anna Kołcz-Trzęsicka, Włodzimierz Samborski, Małgorzata Paprocka-Borowicz, Anna Żurowska, Roksana Malak, Anna Kołcz-Trzęsicka, Włodzimierz Samborski, Małgorzata Paprocka-Borowicz

Abstract

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.

Figures

Figure 1
Figure 1
Flow chart of the review process according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines.

References

    1. Sutherland W. G. The Cranial Bowl. Mankato, Minn, USA: Free Press; 1939.
    1. Miana L., Hugo do Vale Bastos V., Machado S., et al. Changes in alpha band activity associated with application of the compression of fourth ventricular (CV-4) osteopathic procedure: a qEEG pilot study. Journal of Bodywork and Movement Therapies. 2013;17(3):291–296. doi: 10.1016/j.jbmt.2012.10.002.
    1. Jäkel A., von Hauenschild P. A systematic review to evaluate the clinical benefits of craniosacral therapy. Complementary Therapies in Medicine. 2012;20(6):456–465. doi: 10.1016/j.ctim.2012.07.009.
    1. Ferguson A. A review of the physiology of cranial osteopathy. Journal of Osteopathic Medicine. 2003;6(2):74–84. doi: 10.1016/S1443-8461(03)80017-5.
    1. Matarán-Peñarrocha G. A., Castro-Sánchez A. M., García G. C., Moreno-Lorenzo C., Carreño T. P., Zafra M. D. O. Influence of craniosacral therapy on anxiety, depression and quality of life in patients with fibromyalgia. Evidence-Based Complementary and Alternative Medicine. 2011;2011:9. doi: 10.1093/ecam/nep125.178769
    1. Cardoso-de-Mello-e-Mello-Ribeiro A. P., Rodríguez-Blanco C., Riquelme-Agulló I., Heredia-Rizo A. M., Ricard F., Oliva-Pascual-Vaca Á. Effects of the fourth ventricle compression in the regulation of the autonomic nervous system: a randomized control trial. Evidence-Based Complementary and Alternative Medicine. 2015;2015:6. doi: 10.1155/2015/148285.148285
    1. Malliani A. Cardiovascular variability is/is not an index of autonomic control of circulation. Journal of Applied Physiology. 2006;101(2):p. 684. doi: 10.1152/japplphysiol.00562.2006.
    1. Shi X., Rehrer S., Prajapati P., Stoll S. T., Gamber R. G., Downey H. F. Effect of cranial osteopathic manipulative medicine on cerebral tissue oxygenation. The Journal of the American Osteopathic Association. 2011;111(12):660–666.
    1. Wyatt K., Edwards V., Franck L., et al. Cranial osteopathy for children with cerebral palsy: A randomised controlled trial. Archives of Disease in Childhood. 2011;96(6):505–512. doi: 10.1136/adc.2010.199877.
    1. Raviv G., Shefi S., Nizani D., Achiron A. Effect of craniosacral therapy on lower urinary tract signs and symptoms in multiple sclerosis. Complementary Therapies in Clinical Practice. 2009;15(2):72–75. doi: 10.1016/j.ctcp.2008.12.006.
    1. Hanten W. P., Olson S. L., Hodson J. L., Imler V. L., Knab V. M., Magee J. L. The effectiveness of CV-4 and resting position techniques on subjects with tension-type headaches. Journal of Manual & Manipulative Therapy. 1999;7(2):64–70. doi: 10.1179/106698199790811816.
    1. Cutler M. J., Holland B. S., Stupski B. A., Gamber R. G., Smith M. L. Cranial manipulation can alter sleep latency and sympathetic nerve activity in humans: a pilot study. The Journal of Alternative and Complementary Medicine. 2005;11(1):103–108. doi: 10.1089/acm.2005.11.103.
    1. Martins W. R., Diniz L. R., Blasczyk J. C., et al. Immediate changes in electroencephalography activity in individuals with nonspecific chronic low back pain after cranial osteopathic manipulative treatment: Study protocol of a randomized, controlled crossover trial. BMC Complementary and Alternative Medicine. 2015;15(1, article no. 223) doi: 10.1186/s12906-015-0732-2.
    1. Milnes K., Moran R. W. Physiological effects of a CV4 cranial osteopathic technique on autonomic nervous system function: A preliminary investigation. International Journal of Osteopathic Medicine. 2007;10(1):8–17. doi: 10.1016/j.ijosm.2007.01.003.
    1. Nelson K. E., Sergueef N., Glonek T. The effect of an alternative medical procedure upon low-frequency oscillations in cutaneous blood flow velocity. Journal of Manipulative and Physiological Therapeutics. 2006;29(8):626–636. doi: 10.1016/j.jmpt.2006.08.007.
    1. Downs S. H., Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology and Community Health. 1998;52(6):377–384. doi: 10.1136/jech.52.6.377.
    1. Burt A., Morgan L., Petrinic T., Young D., Watkinson P. Usability evaluation methods employed to assess information visualisations of electronically stored patient data for clinical use: a protocol for a systematic review. Systematic Reviews. 2017;6(1) doi: 10.1186/s13643-017-0544-1.
    1. Cerritelli F., Lacorte E., Ruffini N., Vanacore N. Osteopathy for primary headache patients: Asystematic review. Journal of Pain Research. 2017;10:601–611. doi: 10.2147/JPR.S130501.
    1. Cerritelli F., Ruffini N., Lacorte E., Vanacore N. Osteopathic manipulative treatment in neurological diseases: Systematic review of the literature. Journal of the Neurological Sciences. 2016;369:333–341. doi: 10.1016/j.jns.2016.08.062.
    1. Licciardone J. C. Systematic review of comparative effectiveness and health economics research relating to osteopathic manipulative treatment. Musculoskeletal Science and Practice. 2017;29:e16–e17. doi: 10.1016/j.msksp.2017.01.006.
    1. Ernst E. Craniosacral therapy: A systematic review of the clinical evidence. Focus on Alternative and Complementary Therapies. 2012;17(4):197–201. doi: 10.1111/j.2042-7166.2012.01174.x.
    1. Mulcahy J., Vaughan B. Sensations Experienced and Patients’ Perceptions of Osteopathy in the Cranial Field Treatment. Evidence-Based Complementary and Alternative Medicine. 2014;19(4):235–246. doi: 10.1177/2156587214534263.
    1. Alcantara J., Anderson R. Chiropractic care of a pediatric patient with symptoms associated with gastroesophageal reflux disease, fuss-cry-irritability with sleep disorder syndrome and irritable infant syndrome of musculoskeletal origin. The Journal of the Canadian Chiropractic Association. 2008;52(4):248–255.
    1. Evans S., Tsao J. C., Zeltzer L. K. Paediatric Pain Management: Using Complementary and Alternative Medicine. Reviews in Pain. 2008;2(1):14–20. doi: 10.1177/204946370800200104.
    1. Hundscheid H. W. C., Pepels M. J. A. E., Engels L. G. J. B., Loffeld R. J. L. F. Treatment of irritable bowel syndrome with osteopathy: Results of a randomized controlled pilot study. Journal of Gastroenterology and Hepatology. 2007;22(9):1394–1398. doi: 10.1111/j.1440-1746.2006.04741.x.
    1. Attali T.-V., Bouchoucha M., Benamouzig R. Treatment of refractory irritable bowel syndrome with visceral osteopathy: Short-term and long-term results of a randomized trial. Journal of Digestive Diseases. 2013;14(12):654–661. doi: 10.1111/1751-2980.12098.
    1. Smith M., Clark K., Shi X. Manual medicine and the autonomic nervous system: assessing autonomic function in humans. In: King H., Janig W., Patterson M., editors. The Science and Clinical Application of Manual Therapy. Edinburgh, UK: Churchill Livingstone Elsevier; 2010. pp. 85–92.
    1. Henley C. E., Ivins D., Mills M., Wen F. K., Benjamin B. A. Osteopathic manipulative treatment and its relationship to autonomic nervous system activity as demonstrated by heart rate variability: a repeated measures study. Osteopathic Medicine and Primary Care. 2008;2, article 7 doi: 10.1186/1750-4732-2-7.

Source: PubMed

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