Evidence map›Paper›PMID 38540643›Full record

ReviewHealthcare (Basel, Switzerland)2024

Is Craniosacral Therapy Effective? A Systematic Review and Meta-Analysis.

Luis Ceballos-Laita, Edzard Ernst, Andoni Carrasco-Uribarren, Sara Cabanillas-Barea, Jaime Esteban-Pérez, Sandra Jiménez-Del-Barrio

Open access · goldAbstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
13.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Immediate Effect of Craniosacral Therapy on Postpartum Neck Pain-An Experimental Study.International journal of therapeutic massage & bodywork · 2026
    Article
  7. Review
  8. Article
  9. Review
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Luis Ceballos-LaitaDepartment of Surgery, Ophthalmology and Physiotherapy, University of Valladolid, 42004 Soria, Spain.ORCID 0000-0002-2170-8783
Edzard ErnstComplementary Medicine, University of Exeter, Exeter EX4 4SB, UK.
Andoni Carrasco-UribarrenFaculty of Medicine and Health Sciences, International of Cataluña University, 8195 Sant Cugat del Vallés, Spain.ORCID 0000-0002-0906-9114
Sara Cabanillas-BareaFaculty of Medicine and Health Sciences, International of Cataluña University, 8195 Sant Cugat del Vallés, Spain.ORCID 0000-0002-3755-5646
Jaime Esteban-PérezDepartment of Surgery, Ophthalmology and Physiotherapy, University of Valladolid, 42004 Soria, Spain.
Sandra Jiménez-Del-BarrioDepartment of Surgery, Ophthalmology and Physiotherapy, University of Valladolid, 42004 Soria, Spain.ORCID 0000-0002-7460-3061
Universidad de Valladolid · ESUniversitat Internacional de Catalunya · ESUniversity of Exeter · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to evaluate the clinical effectiveness of craniosacral therapy (CST) in the management of any conditions.

methodsTwo independent reviewers searched the PubMed, Physiotherapy Evidence Database, Cochrane Library, Web of Science, and Osteopathic Medicine Digital Library databases in August 2023, and extracted data from randomized controlled trials (RCT) evaluating the clinical effectiveness of CST. The PEDro scale and Cochrane Risk of Bias 2 tool were used to assess the potential risk of bias in the included studies. The certainty of the evidence of each outcome variable was determined using GRADEpro. Quantitative synthesis was carried out with RevMan 5.4 software using random effect models. DATA SYNTHESIS: Fifteen RCTs were included in the qualitative and seven in the quantitative synthesis. For musculoskeletal disorders, the qualitative and quantitative synthesis suggested that CST produces no statistically significant or clinically relevant changes in pain and/or disability/impact in patients with headache disorders, neck pain, low back pain, pelvic girdle pain, or fibromyalgia. For non-musculoskeletal disorders, the qualitative and quantitative synthesis showed that CST was not effective for managing infant colic, preterm infants, cerebral palsy, or visual function deficits.

conclusionsThe qualitative and quantitative synthesis of the evidence suggest that CST produces no benefits in any of the musculoskeletal or non-musculoskeletal conditions assessed. Two RCTs suggested statistically significant benefits of CST in children. However, both studies are seriously flawed, and their findings are thus likely to be false positive.

Indexed as

complementary therapiesmeta-analysisosteopathysystematic review

Identifiers

PMID38540643
PMCPMC10970181
OpenAlexW4392911975

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.