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