CST Presentation - Dr Rachel Harrison

advertisement
CranioSacral Therapy
Dr Rachel Harrison
Rose Garden Medical Centre
Leith, Edinburgh
Complementary Therapy on NHS
(CAM)
•
•
•
•
•
General Practice
Physiotherapy
Mental Health Services
Hospices
Hospitals
Glasgow Homeopathic Hospital
Effective Safe Practice
• Cost of Patient’ Condition to
NHS
Family
Society
• Safety and cost of treatment
• Outcome - demonstrate effectiveness
Why Complementary Medicine?
•
•
•
•
•
Condition merits treatment.
Orthodox treatment effective?
Side effects?
Cost?
Other treatment?
Why CranioSacral Therapy?
•
•
•
•
•
Safe
Gentle
Addresses Structural Changes
Parents can participate
Evidence Based Medicine
Two consecutive studies
•
•
•
•
•
Multi Practitioner Study
Ten CranioSacral Therapists
Up to ten consecutive patients each
NHS patients (Single Practitioner)
Before and After Questionnaires
Conditions Treated With CST
Headaches and Migraine
Neck Pain
Depression/Anxiety/Stress
Number
23
22
18
Back Pain
Other Musculoskeletal Problems
Unsettled Babies
15
13
12
Sleep Problems
Gastrointestinal Problems
Jaw Tension/Dysfunction
Neuralgia
4
4
3
3
Dizziness/Tinnitus
Shoulder Pain
Other conditions
3
2
8
Glasgow Homeopathic Hospital
Outcome Score
•
•
•
•
•
•
•
•
•
+4
+3
+2
+1
0
-1
-2
-3
-4
Cure
Major Improvement
Improvement of value in Daily Living
Minor Improvement
No change
Minor Deterioration
Deterioration impacting on daily living
Major Deterioration
Death
46 patients with outcome data
• 34 (74%) valuable or better improvement in main
problem
• 31 (67%) valuable or better improvement in a
secondary problem
• 30 (65%) also valuable or more improvement in
general well-being.
• 15 (70%) of patients on medication for problem
decreased or stopped it.
Single practitioner patients
60% reduction in GP consultation rate
Patient Feedback Comments
• Our experience of CST was very positive and
the approach is very encouraging for a new
mum. (Mother of unsettled colicky baby)
• The treatment helped Max (2months old)
relax and become calmer in himself. It has
helped his breathing and ability to turn his
head.
Patients Feedback Comments
• Migraine has been a longstanding problem and I
am very happy with my improvement.
• I feel my improvement is totally due to CST, I feel
better after a few sessions than after six months
of GP and medicines. (Headaches)
• I felt better when the treatment started but now
it has reverted to what it was before. (Migraine )
Adolescents with ADHD
•
•
•
•
•
•
28 Adolescents
2 weeks Massage therapy
Self rated ‘happier’
Better concentration
Less fidgeting
Lower Hyperactivity rating
Use of CST in Physically Impaired
Population in Southern Ireland
•
•
•
•
•
•
46 service users
0 – 18 years old
20 item survey
100% feedback
Symptom control
Decrease stress in siblings, parent and
patients
• All parents wanted more treatment
Parent Feedback Comments
• The sessions have markedly improved his coordination
and concentration. This allows his siblings to have a
normal relationship with him.
• My Child is always so calm and relaxed after sessions.
When the treatment stopped in the holidays the anxiety
would start to rise again.
Why CST?
•
•
•
•
•
•
Structural tension
Anxiety/sleep
Co-ordination
Concentration
Wellbeing
Relaxation
References
• The Use of CST in a physically impaired population in
a disability service in Southern Ireland: Glikson M,
JACM, November 07
• Adolescents with ADHD benefit from Massage
Therapy, Adolescene, 1998
• Relationship of CranioSacral Findings in School
Children with Developmental Problems: Upledger,
Journal of American Osteopathic Association, 1978
This Service
•
•
•
•
•
Integrated support
Use CST
Ensure safety
Monitor outcome
Demonstrate Effectiveness
Dr Rachel Harrison
• Rose Garden Medical Centre
• Edinburgh
• rachelharrison@onetel.com
Download