NCT05340049

Brief Summary

Craniosacral exploration and therapy is one of the innovative palpation and treatment techniques in specialized physiotherapy, which can contribute in an efficient, subtle and sudden way to the detection of dysfunctions in the cranial sutures or fontanelles and/or alterations or blockages that may exist in the frontal lobes and other areas of the skull and body. Objective: To compare the effectiveness of craniosacral therapy with respect to traditional primitive reflex treatment therapy and how it influences the neurodevelopment of the healthy child through the Battelle scale, and to test the effectiveness of both therapies witn their placebos. Methodology: 120 children were treated without excluding sex divided into four groups: placebo group of craniosacral therapy (n=30), Placebo group of rythmic Movement Therapy (n=30), rhytmic movement therapy (n=30) and craniosacral therapy group (n=30).

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
120

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Dec 2021

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 18, 2021

Completed
Same day until next milestone

Study Start

First participant enrolled

December 18, 2021

Completed
4 months until next milestone

First Posted

Study publicly available on registry

April 21, 2022

Completed
Same day until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 21, 2022

Completed
9 days until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2022

Completed
Last Updated

January 22, 2025

Status Verified

January 1, 2025

Enrollment Period

4 months

First QC Date

December 18, 2021

Last Update Submit

January 17, 2025

Conditions

Keywords

Craniosacral treatmentprimitive reflexescranial blockschildhoodphysiotherapy

Outcome Measures

Primary Outcomes (1)

  • Previous teachers' test by means of the "Battelle Development Inventory" (BDI).

    The school teachers examined neurobehavioral aspects of the students using the "Battelle Developmental Inventory" (BDI), which assesses five areas of development (personal/social, adaptive, motor, communicative and cognitive) between 2 and 8 years of age. The results are assigned in age-adjusted percentages, classified as: low (0-50%), normal (50-80%) and high (80-100%). Low and high values are considered impairments in one or more of the evaluated areas. The minimum and maximum values are 0-341. 170.5-272.8 in item scores are ideal values that indicate normal behavior according to their age.

    five months

Secondary Outcomes (1)

  • Presence of active primitive reflex and cranial blocks

    two months

Study Arms (4)

Primary Group "Placebo of craniosacral therapy"

PLACEBO COMPARATOR

30 patients of the total sample are part of one of the the placebo group, being these patients active primitive reflexes and/or cranial blocks in smaller quantities than the other participants of the study. The hands were placed imitating craniosacral techinques without having any type of benefit.

Procedure: Academic behavioral intervention of teachersProcedure: Therapy sessions

Tertiary group "Rhythmic Movement Therapy"

ACTIVE COMPARATOR

30 patients of the total sample are part of the rhythmic movement therapy group, having 1 or all of the primitive reflexes active and/or cranial blocks studied. Exercises were applied to inhibit primitive reflex

Procedure: Academic behavioral intervention of teachersProcedure: Therapy sessions

Quaternary group "Craniosacral Therapy"

EXPERIMENTAL

30 patients of the total sample are part of the rhythmic movement therapy group, having 1 or all of the primitive reflexes active and/or cranial blocks studied. Craniosacral tecniques were applied to eliminate cranial blocks and inhibit primitive reflexes

Procedure: Academic behavioral intervention of teachersProcedure: Therapy sessions

Secondary group "Placebo of Rhythmic Movement Therapy"

PLACEBO COMPARATOR

30 patients of the total sample are part of one of the the placebo group, being these patients without active primitive reflexes and/or cranial blocks, or in smaller quantities than the other participants of the study. Exercise were applied that pretend to inhibit primitive reflex, but there is no benefit

Procedure: Academic behavioral intervention of teachersProcedure: Therapy sessions

Interventions

the school teachers examined neurobehavioral aspects of the students using the "Battelle Developmental Inventory" (BDI), which evaluates five areas of development (personal/social, adaptive, motor, communicative and cognitive) between 2 and 8 years of age. Evaluation of the Battelle scale was carried out before and after the therapy sessions.

Primary Group "Placebo of craniosacral therapy"Quaternary group "Craniosacral Therapy"Secondary group "Placebo of Rhythmic Movement Therapy"Tertiary group "Rhythmic Movement Therapy"

Seven sessions were given to each of the three groups according to their classification (PCST, PMRT, TMR, TCS), being able to obtain a stable value in each of the treatments carried out. Before each session, the effect of the previous session was explored in order to evaluate its efficacy (from the second session onwards). Each of the therapies had the same number of sessions (1 per week for 7 weeks) in order to have equality in all the parameters evaluated. The effectiveness values of the cranial blocks and primitive reflexs therapies were expressed as block or normal and active or inactive, depending on what finds the physiotherapist in his evaluation

Primary Group "Placebo of craniosacral therapy"Quaternary group "Craniosacral Therapy"Secondary group "Placebo of Rhythmic Movement Therapy"Tertiary group "Rhythmic Movement Therapy"

Eligibility Criteria

Age3 Years - 8 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Apparently healthy children
  • School group
  • Within age range

You may not qualify if:

  • Children with possible pathologies
  • Older than the established age

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Gema LeĂ³n Physiotherapy and Rehabilitation Clinic

CĂ³rdoba, Andalusia, 14011, Spain

Location

Related Publications (38)

  • Tomassini A, Spinelli D, Jacono M, Sandini G, Morrone MC. Rhythmic oscillations of visual contrast sensitivity synchronized with action. J Neurosci. 2015 May 6;35(18):7019-29. doi: 10.1523/JNEUROSCI.4568-14.2015.

    PMID: 25948254BACKGROUND
  • Schaffert N, Janzen TB, Mattes K, Thaut MH. A Review on the Relationship Between Sound and Movement in Sports and Rehabilitation. Front Psychol. 2019 Feb 12;10:244. doi: 10.3389/fpsyg.2019.00244. eCollection 2019.

    PMID: 30809175BACKGROUND
  • Ortiz-Campoy S, Lirio-Romero C, Romay-Barrero H, Alvarez DM, Lopez-Munoz P, Palomo-Carrion R. The Role of Physiotherapy in Pediatric Palliative Care: A Systematic Review. Children (Basel). 2021 Nov 12;8(11):1043. doi: 10.3390/children8111043.

    PMID: 34828756BACKGROUND
  • Larsson I, Miller M, Liljedahl K, Gard G. Physiotherapists' experiences of physiotherapy interventions in scientific physiotherapy publications focusing on interventions for children with cerebral palsy: a qualitative phenomenographic approach. BMC Pediatr. 2012 Jul 2;12:90. doi: 10.1186/1471-2431-12-90.

    PMID: 22747596BACKGROUND
  • Lucas BR, Elliott EJ, Coggan S, Pinto RZ, Jirikowic T, McCoy SW, Latimer J. Interventions to improve gross motor performance in children with neurodevelopmental disorders: a meta-analysis. BMC Pediatr. 2016 Nov 29;16(1):193. doi: 10.1186/s12887-016-0731-6.

    PMID: 27899082BACKGROUND
  • Das SP, Ganesh GS. Evidence-based Approach to Physical Therapy in Cerebral Palsy. Indian J Orthop. 2019 Jan-Feb;53(1):20-34. doi: 10.4103/ortho.IJOrtho_241_17.

    PMID: 30905979BACKGROUND
  • Degerstedt F, Wiklund M, Enberg B. Physiotherapeutic interventions and physical activity for children in Northern Sweden with cerebral palsy: a register study from equity and gender perspectives. Glob Health Action. 2016 Jan-Dec;10(sup2):1272236. doi: 10.1080/16549716.2017.1272236.

    PMID: 28219314BACKGROUND
  • Hartley H, Cassidy E, Bunn L, Kumar R, Pizer B, Lane S, Carter B. Exercise and Physical Therapy Interventions for Children with Ataxia: A Systematic Review. Cerebellum. 2019 Oct;18(5):951-968. doi: 10.1007/s12311-019-01063-z.

    PMID: 31392562BACKGROUND
  • Gonzalez-Santos J, Gonzalez-Bernal JJ, De-la-Fuente Anuncibay R, Soto-Camara R, Cubo E, Aguilar-Parra JM, Trigueros R, Lopez-Liria R. Infant Cranial Deformity: Cranial Helmet Therapy or Physiotherapy? Int J Environ Res Public Health. 2020 Apr 10;17(7):2612. doi: 10.3390/ijerph17072612.

    PMID: 32290217BACKGROUND
  • Ryan JM, Cassidy EE, Noorduyn SG, O'Connell NE. Exercise interventions for cerebral palsy. Cochrane Database Syst Rev. 2017 Jun 11;6(6):CD011660. doi: 10.1002/14651858.CD011660.pub2.

    PMID: 28602046BACKGROUND
  • Sinha AG, Sharma R. Factors Influencing Utilization of Physiotherapy Service among Children with Cerebral Palsy in Jalandhar District of Punjab. J Neurosci Rural Pract. 2017 Apr-Jun;8(2):209-215. doi: 10.4103/0976-3147.203852.

    PMID: 28479794BACKGROUND
  • Okenwa W, Edeh A. A review of clinical presentation and physiotherapy management of cerebral palsy patients in Esut teaching hospital, Enugu, Nigeria. Afr Health Sci. 2019 Dec;19(4):3085-3090. doi: 10.4314/ahs.v19i4.30.

    PMID: 32127884BACKGROUND
  • Nielsen G, Stone J, Matthews A, Brown M, Sparkes C, Farmer R, Masterton L, Duncan L, Winters A, Daniell L, Lumsden C, Carson A, David AS, Edwards M. Physiotherapy for functional motor disorders: a consensus recommendation. J Neurol Neurosurg Psychiatry. 2015 Oct;86(10):1113-9. doi: 10.1136/jnnp-2014-309255. Epub 2014 Nov 28.

    PMID: 25433033BACKGROUND
  • Pecuch A, Gieysztor E, Telenga M, Wolanska E, Kowal M, Paprocka-Borowicz M. Primitive Reflex Activity in Relation to the Sensory Profile in Healthy Preschool Children. Int J Environ Res Public Health. 2020 Nov 6;17(21):8210. doi: 10.3390/ijerph17218210.

    PMID: 33172138BACKGROUND
  • Gieysztor EZ, Choinska AM, Paprocka-Borowicz M. Persistence of primitive reflexes and associated motor problems in healthy preschool children. Arch Med Sci. 2018 Jan;14(1):167-173. doi: 10.5114/aoms.2016.60503. Epub 2016 Jun 13.

    PMID: 29379547BACKGROUND
  • Bob P, Konicarova J, Raboch J. Disinhibition of Primitive Reflexes in Attention Deficit and Hyperactivity Disorder: Insight Into Specific Mechanisms in Girls and Boys. Front Psychiatry. 2021 Nov 8;12:430685. doi: 10.3389/fpsyt.2021.430685. eCollection 2021.

    PMID: 34819879BACKGROUND
  • Konicarova J, Bob P, Raboch J. Persisting primitive reflexes in medication-naive girls with attention-deficit and hyperactivity disorder. Neuropsychiatr Dis Treat. 2013;9:1457-61. doi: 10.2147/NDT.S49343. Epub 2013 Sep 20.

    PMID: 24092983BACKGROUND
  • Melillo R, Leisman G, Mualem R, Ornai A, Carmeli E. Persistent Childhood Primitive Reflex Reduction Effects on Cognitive, Sensorimotor, and Academic Performance in ADHD. Front Public Health. 2020 Nov 17;8:431835. doi: 10.3389/fpubh.2020.431835. eCollection 2020.

    PMID: 33282806BACKGROUND
  • Nguyen AT, Armstrong EA, Yager JY. Neurodevelopmental Reflex Testing in Neonatal Rat Pups. J Vis Exp. 2017 Apr 24;(122):55261. doi: 10.3791/55261.

    PMID: 28518104BACKGROUND
  • Sohn M, Ahn Y, Lee S. Assessment of Primitive Reflexes in High-risk Newborns. J Clin Med Res. 2011 Dec;3(6):285-90. doi: 10.4021/jocmr706w. Epub 2011 Nov 10.

    PMID: 22393339BACKGROUND
  • Marin Gabriel MA, Olza Fernandez I, Malalana Martinez AM, Gonzalez Armengod C, Costarelli V, Millan Santos I, Fernandez-Canadas Morillo A, Perez Riveiro P, Lopez Sanchez F, Garcia Murillo L. Intrapartum synthetic oxytocin reduce the expression of primitive reflexes associated with breastfeeding. Breastfeed Med. 2015 May;10(4):209-13. doi: 10.1089/bfm.2014.0156. Epub 2015 Mar 18.

    PMID: 25785487BACKGROUND
  • Futagi Y, Toribe Y, Suzuki Y. The grasp reflex and moro reflex in infants: hierarchy of primitive reflex responses. Int J Pediatr. 2012;2012:191562. doi: 10.1155/2012/191562. Epub 2012 Jun 11.

    PMID: 22778756BACKGROUND
  • Gieysztor E, Pecuch A, Kowal M, Borowicz W, Paprocka-Borowicz M. Pelvic Symmetry Is Influenced by Asymmetrical Tonic Neck Reflex during Young Children's Gait. Int J Environ Res Public Health. 2020 Jul 2;17(13):4759. doi: 10.3390/ijerph17134759.

    PMID: 32630679BACKGROUND
  • Huber SJ, Paulson GW. Relationship between primitive reflexes and severity in Parkinson's disease. J Neurol Neurosurg Psychiatry. 1986 Nov;49(11):1298-300. doi: 10.1136/jnnp.49.11.1298.

    PMID: 3794736BACKGROUND
  • Haller H, Lauche R, Cramer H, Rampp T, Saha FJ, Ostermann T, Dobos G. Craniosacral Therapy for the Treatment of Chronic Neck Pain: A Randomized Sham-controlled Trial. Clin J Pain. 2016 May;32(5):441-9. doi: 10.1097/AJP.0000000000000290.

    PMID: 26340656BACKGROUND
  • Curtis P, Gaylord SA, Park J, Faurot KR, Coble R, Suchindran C, Coeytaux RR, Wilkinson L, Mann JD. Credibility of low-strength static magnet therapy as an attention control intervention for a randomized controlled study of CranioSacral therapy for migraine headaches. J Altern Complement Med. 2011 Aug;17(8):711-21. doi: 10.1089/acm.2010.0277. Epub 2011 Jul 6.

    PMID: 21732734BACKGROUND
  • Mann JD, Faurot KR, Wilkinson L, Curtis P, Coeytaux RR, Suchindran C, Gaylord SA. Craniosacral therapy for migraine: protocol development for an exploratory controlled clinical trial. BMC Complement Altern Med. 2008 Jun 9;8:28. doi: 10.1186/1472-6882-8-28.

    PMID: 18541041BACKGROUND
  • Haller H, Lauche R, Sundberg T, Dobos G, Cramer H. Craniosacral therapy for chronic pain: a systematic review and meta-analysis of randomized controlled trials. BMC Musculoskelet Disord. 2019 Dec 31;21(1):1. doi: 10.1186/s12891-019-3017-y.

    PMID: 31892357BACKGROUND
  • Mataran-Penarrocha GA, Castro-Sanchez AM, Garcia GC, Moreno-Lorenzo C, Carreno TP, Zafra MD. Influence of craniosacral therapy on anxiety, depression and quality of life in patients with fibromyalgia. Evid Based Complement Alternat Med. 2011;2011:178769. doi: 10.1093/ecam/nep125. Epub 2011 Jun 15.

    PMID: 19729492BACKGROUND
  • Parnell Prevost C, Gleberzon B, Carleo B, Anderson K, Cark M, Pohlman KA. Manual therapy for the pediatric population: a systematic review. BMC Complement Altern Med. 2019 Mar 13;19(1):60. doi: 10.1186/s12906-019-2447-2.

    PMID: 30866915BACKGROUND
  • Golanska P, Saczuk K, Domarecka M, Kuc J, Lukomska-Szymanska M. Temporomandibular Myofascial Pain Syndrome-Aetiology and Biopsychosocial Modulation. A Narrative Review. Int J Environ Res Public Health. 2021 Jul 23;18(15):7807. doi: 10.3390/ijerph18157807.

    PMID: 34360099BACKGROUND
  • Levy SE, Hyman SL. Complementary and alternative medicine treatments for children with autism spectrum disorders. Child Adolesc Psychiatr Clin N Am. 2008 Oct;17(4):803-20, ix. doi: 10.1016/j.chc.2008.06.004.

    PMID: 18775371BACKGROUND
  • Guillaud A, Darbois N, Monvoisin R, Pinsault N. Reliability of Diagnosis and Clinical Efficacy of Cranial Osteopathy: A Systematic Review. PLoS One. 2016 Dec 9;11(12):e0167823. doi: 10.1371/journal.pone.0167823. eCollection 2016.

    PMID: 27936211BACKGROUND
  • Park Y, Kabariti J, Tafler L. Craniosacral Therapy Use in Normal Pressure Hydrocephalus. Cureus. 2021 May 7;13(5):e14886. doi: 10.7759/cureus.14886.

    PMID: 34109075BACKGROUND
  • Wittman RA, Vallone SA. Inclusion of chiropractic care in multidisciplinary management of a child with Prader-Willi syndrome: a case report. J Chiropr Med. 2009 Dec;8(4):193-9. doi: 10.1016/j.jcm.2009.08.001.

    PMID: 19948310BACKGROUND
  • Kuc J, Szarejko KD, Golebiewska M. Evaluation of Soft Tissue Mobilization in Patients with Temporomandibular Disorder-Myofascial Pain with Referral. Int J Environ Res Public Health. 2020 Dec 21;17(24):9576. doi: 10.3390/ijerph17249576.

    PMID: 33371343BACKGROUND
  • Adragna V, Bertino AS, Carano M, Soru A, Taranto G, Desideri R. O052. Migraine without aura and osteopathic medicine, a non-pharmacological approach to pain and quality of life: open pilot study. J Headache Pain. 2015 Dec;16(Suppl 1):A180. doi: 10.1186/1129-2377-16-S1-A180. No abstract available.

    PMID: 28132208BACKGROUND
  • Do TP, Heldarskard GF, Kolding LT, Hvedstrup J, Schytz HW. Myofascial trigger points in migraine and tension-type headache. J Headache Pain. 2018 Sep 10;19(1):84. doi: 10.1186/s10194-018-0913-8.

    PMID: 30203398BACKGROUND

MeSH Terms

Conditions

Developmental Disabilities

Condition Hierarchy (Ancestors)

Neurodevelopmental DisordersMental Disorders

Study Officials

  • Irene Cantarero Carmona, Study chair

    Universidad de CĂ³rdoba

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
CROSSOVER
Model Details: 120 pupils aged 3-8 years were divided into four treatment groups set as follows: Placebo craniosacral group (n=30) Rhythmic Movement Therapy Group (n=30) Placebo of Rhythmic Movement Therapy Group (n=30) Craniosacral Therapy Group (n=30) Such participants were included according to the number of Active Primitive Reflexes (Moro, asymmetric and symmetric cervical) and/or Cranial Blocks (swaying of the dura mater, sphenoid bone and cranial parietal areas) presented by each of them
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator

Study Record Dates

First Submitted

December 18, 2021

First Posted

April 21, 2022

Study Start

December 18, 2021

Primary Completion

April 21, 2022

Study Completion

April 30, 2022

Last Updated

January 22, 2025

Record last verified: 2025-01

Data Sharing

IPD Sharing
Will not share

: No The request for data will be studied and considered upon justified request.

Locations