tailieunhanh - Báo cáo y học: "Cranial osteopathy: its fate seems clear"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Cranial osteopathy: its fate seems clear. | Chiropractic Osteopathy BioMed Central Debate Cranial osteopathy its fate seems clear Steve E Hartman Open Access Address Department of Anatomy College of Osteopathic Medicine University of New England Biddeford ME 04005 USA Email Steve E Hartman - shartman@ Corresponding author Published 08 June 2006 Received 01 May 2006 Chiropractic Osteopathy 2006 14 10 doi l746-l 340-14-10 Accepted 08 June 2006 This article is available from http content l4 l l0 2006 Hartman licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract 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. Background Truth is great certainly but considering her greatness it is curious what a long time she is apt to take about prevailing. -TH Huxley 1894 1 p218 With all I ve learned in recent years about human credulity it remains difficult for me to fathom how .