Review Article

Compression of the Fourth Ventricle Using a Craniosacral Osteopathic Technique: A Systematic Review of the Clinical Evidence

Table 3

Main study outcomes and effects in comparison to control patients or baseline results.

StudyOutcomes and methods usedConditionEffect/result in comparison to control group and/or baseline

Cardoso-de-Mello-e-Mello-Ribeiro et al., 2015 [6]BP, HR, plasmatic catecholamine levelsHealthy adultsDopamine: no significant change
Norepinephrine: no significant change
Epinephrine: no significant change
SBP: significant decrease in intervention group after treatment
DBP: significantly lower in intervention group with nonsignificant tendency in postintervention comparison
HR: nonsignificant lower values after intervention in comparison to baseline

Cutler et al., 2005 [12]Multiple sleep latency test protocol, HR, BP, EEG, EOG, EMG,
postganglionic MSNA micrography
Healthy adultsMore rapid sleep onset in the CV4 treatment group
MSNA: decrease in comparison to prestillpoint phase of CV4
HR and BP were not significantly different at any time points during all three trials

Hanten et al., 1999 [11]Visual analog scaleSubjects with TTHSignificant improvement in the group treated with CV4 in comparison to the group with no treatment

Miana et al., 2013 [2]EEGHealthy adultsNo significant differences between pre- and postabsolute power levels for the control and sham CV4 conditions
Significant increase in the alpha absolute power in CV4 group when compared to moments before and after treatment

Martins et al., 2015 [13]EEGSubjects with LBPModulation of the brain cortex electrical activity measured by EEG mean change in the peak alpha frequency

Milnes and Moran, 2007 [14]Galvanic skin resistance, skin temperature, HRV, respiration rateHealthy adultsApplication of the CV4 technique had a minimal physiologic effect (not significant) in the autonomic variables recorded

Nelson et al., 2006 [15]Laser transcutaneous blood flow meterHealthy adultsThe CV4 procedure specifically affected the low-frequency oscillations in blood flow velocity; after application, the amplitude of the THMO, 0.10 Hz, frequency wave increased

BP: blood pressure; HR: heart rate; EEG: electroencephalography; EMG: electromyography; EOG: electrooculography; CV4: compression of the fourth ventricle; MSNA: muscle sympathetic nerve activity; TTH: tension-type headache; LBP: low back pain; THMO: Traube–Hering–Mayer oscillation; DBP: diastolic blood pressure; SBP: systolic blood pressure.