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A challenge to the concept of craniosacral interaction

Journal: The AAO Journal Date: 1996/12, 6(4):Pages: 15-20, type of study: Intra- inter rater reliability study

Free full text   (https://www.academyofosteopathy.org/assets/aaoj/AAOJ_Winter1996.pdf)

Keywords:

cranial rhythm [40]
cranio-sacral osteopathy [225]
cranium [82]
inter-examiner reliability [19]
observational study [228]
primary respiratory mechanism [38]
sacrum [19]

Abstract:

Current understanding of the primary respiratory mechanism includes the concept of a linkage between the movements of the cranium and the sacrum via the spinal dura. To test this model for craniosacral interaction, methods were developed to document and analyze the timing of cranial and sacral cycles in healthy human subjects. A dual-examiner protocol was utilized for a portion of this study, in which two examiners, one at the cranium and one at the sacrum, could simultaneously and independently document the cranial mechanism. A significant correlation was found between cranial and sacral cycle lengths documented separately by individual examiners, but pairs of examiners monitoring cranial and sacral cycle lengths of subjects simultaneously did not agree. These findings support predictions of the tissue pressure, or interactive, model for the cranial rhythm and do not support the concept of craniosacral interaction as described in the osteopathic literature.


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