The enigmatic case of cranial osteopathy: Evidence versus clinical practice

      A recent report

      Collectif de recherche transdisciplinaire esprit critique et sciences. L'ostéopathie crânienne. Available at: [Accessed 14.07.16].

      on cranial osteopathy from the Collectif de recherche transdisciplinaire esprit critique et sciences (CORTECS), requested by the French Physiotherapy Council highlighted the current lack of scientific evidence to support the clinical use of cranial techniques and recommended that French physiotherapists avoid them. Professional bodies often request reviews, either systematic or narrative, to formulate guidelines or recommendations that orient clinical practice in an evidence-based environment. Further, healthcare professionals should incorporate these recommendations into the clinical decision-making process to improve the outcomes of the care provided. Despite the role of these documents and the ethical attitudes of clinicians, care is required when reading, interpreting, and applying guidelines or recommendations. According to international scientific and public health authorities, third parties, such as national health bodies (e.g., National Institute of Health in Italy), who have no conflicts of interest and have excellent competencies, should provide guidelines and recommendations that respect the equity, validity, and specificity of the procedures applied. Following this model will increase the likelihood of producing documents that adhere to high scientific standards to improve healthcare systems in a person-centred environment. The CORTECS Report on cranial osteopathy was produced so recommendations could be applied by physiotherapists. However, all the studies included in the report involved osteopathic research that enrolled any physiotherapist operator and used any physiotherapy approach; therefore, the recommendations may cause confusion about the clinical impact of the report for manual practitioners.
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