NCR(CFRT) 요법을 죽어라 싫어하는 의사가 쓴 글인데, 글쓴이의 의도와는 상관없이 비강교정술이 부적절하게 시술되었을때 위험 할 수 있다는 경고로 새겨볼만 합니다. 반드시 교육받은 의료인에게 시술받으세요.
Be Wary of NeuroCranial Restructuring (NCR)
Stephen Barrett, M.D.
NeuroCranial Restructuring (NCR) is said to involve manipulation of the sphenoid bone, which is between the facial bones and the front of the skull [1]. It is said to be an improved form of Bilateral Nasal Specific (BNS) developed by Dean Howell, N.D., a naturopath who is licensed in the state of Washington. His curriculum vitae indicates that he studied nutritional therapies and iridology with James D'Adamo, N.D., D.C., radionics with Galen Hieronymus, Ph.D., and BNS with J. Richard Stober, D.C., N.D. For many years, Howell's Web site has stated:
NeuroCranial Restructuring™ is the newest and most powerful therapy in physical medicine. NCR is a cumulative treatment process involving controlled release of the connective tissue tension to unwind the body and return it toward its original design. NCR utilizes careful analysis of the body's proprioception (patterns of balance) to determine the precise areas of the skull needing to be unlocked during each day's treatment. . . .
After receiving a form of deep muscle massage and external cranial manipulation, the patient is analyzed to determine the cranial treatment pattern for the day. Then the patient is positioned on a treatment table with one or two therapists helping to hold him/her in a very specific position. The skull is finally released by the action of small, inflatable endonasal balloons that are inserted through the nostril and inflated briefly into the throat. The inflation feels like getting water up the nose and rarely requires five seconds to complete. . . .
Frequently these treatments, such as Bilateral Nasal Specific therapy, gave relief of symptoms and some long-term results while using a generalized pattern of treatment. Many of the results, however, were temporary and the treatment was frequently painful.
With the specific treatment pattern found with NCR's careful analysis and the new addition of specific body positioning, the entire skeletal structure can be permanently changed. . . . This unlocking of the connective tissues' residual tensions combines with precise movements of the cranial bones to allow the structural systems of the body to move incrementally and cumulatively towards the body's original design.
NCR creates a permanent structural release for the changes triggered by traumatic events of a body's life. Birth trauma, accidents and falls, sports injuries, medical procedures, severe emotional and biochemical traumas are just some of the causes of musculoskeletal damage that are released with NCR [2].
Howell claims the conditions amenable to NCR include: "Alzheimer's; anxiety and nervousness; arthritis, bursitis, rheumatism; attention deficit disorder, dyslexia, hyperactivity and other learning disabilities; autism; cerebral palsy; concussion and other head injuries; depression, obsessive-compulsive disorder; Down's Syndrome; dystonia; ear infection and deafness; glaucoma, double vision and other vision problems; headaches, head pressure, migraines; insomnia; low energy, fibromyalgia, chronic fatigue; muscle spasms, neck and shoulder pain; organ functioning; orthodontic stress and bruxism; osteoporosis; Parkinson's disease and tremors; phobias; poor concentration and focus; relationship difficulties; sciatica, kyphosis (hunchback), lordosis (swayback), scoliosis (spiral spine), military spine & other back problems; seizures; sinusitis, sleep apnea, snoring, other breathing and sinus disorders; strokes; tinnitus; TMD, TMJ (mouth, head and jaw pains); vertigo and other balance problems; whiplash syndrome; wrinkles (NCR replaces a face lift)." [2]
Howell also states:
Starting with the birthing process, your head has received a series of traumas that impair the functioning of your entire nervous system. Falls, car accidents, sports injuries, fevers, infections as well as other physical and emotional traumas can all cause your head to move and lock into undesirable shapes and positions. We have found that the structural priority of the body is cranial stability, so your spine and muscles will assume whatever position necessary (however painful) to adequately support your head.
To achieve your most functional stability, then, your head —and through it your spine and entire nervous system—must be returned to its optimal shape and position. Side effects of NCR treatment include increased energy, happiness, inner peace, mental acuity, pleasant interpersonal relationships, youthful appearance, facial symmetry and beauty [3].
Howell practices, teaches, and offers "certification" in NCR. His basic course, which costs $10,000. includes 40 hours of instruction over a 7-day period [4]. In June, 2009, Howell's NCR Med site listed 21 "certified" practitioners in the United States, of whom 7 were chiropractors and 9 were naturopaths. Fees I have seen quoted on the Web have ranged from $500 to $900 for the initial 4-session "treatment sequence" and $450 to $600 for subsequent sequences.
Irrational and Unsafe
There is no published scientific evidence or logical reason to believe that NCR is effective for treating any of the conditions for which it is recommended. There is no reason to believe that the sphenoid bone can be safely manipulated or that moving it would provide health benefits. In addition, although few complications have been reported, there is good reason to believe that it can be harmful.
--NCR에서 치료한다고 주장하는 어떤 질환도 과학적 증거나 이론적 증거가 전혀 없다. 접형골이 안전하게 교정되거나 움직인다고해서 건강이 좋아진다는 어떤 근거도 없다. 게다가 몇몇의 케이스는 악화되었다는 보고도 있으며, NCR 시술이 위험할수도 있다는 좋은 이유도 있다.
In 1983, during treatment with Bilateral Nasal Specific (a variant in which a finger cot is used as the balloon), a Canadian baby was asphyxiated after the finger cot slipped off the syringe on which it was mounted and lodged in the child's windpipe. The practitioner was found guilty of manslaughter, fined $1,000, and ordered to stop using BNS [5].
-1983년 BNS를 시술받던 캐나다 아기가 풍선이 미끌어져 기도를막는 바람에 질식되어 시술자가 $1,000의 벌금과 다시는 BNS요법을 사용하지 못하도록 구형 받았다.
A case has reported of a 51-year-old woman who sustained fractures in two sectors of her nasal septum (the bone between the nostrils) during an NCR treatment in which balloons were inflated inside her nostrils. During the procedure, the patient heard a crunching sound and experienced severe midface pain accompanied by nosebleed. Surgery was required to reposition her nasal septum. The authors noted that if the balloons had been placed more deeply into the nose, disastrous complications could have occurred [6].
- 51세의 여성이 NCR 시술을 받는 중에 그녀의 콧구멍에서 풍선이 부풀면서 비중격을 부숴 뜨리는 사고를 당했다. 시술과정중에
빠바박하는 소리를 들었으며, 얼굴 중간에 심한 통증을 느끼고 코피를 쏟았다. 비중격재건을 위해 수술을 해야만 했다. 만약 풍선이 콧속으로 더 깊이 들어갔다면 더심한 비극적 상황을 맞이할 수도 있었을 것이다.
The Texas Board of Chiropractic Examiners has concluded that Nasal Specific Treatment is within chiropractic's scope as defined by state law. In 2001, the board stated:
Nasal Specific Treatment appears to be a correction of the cranial bones and, as such, appears to meet the criteria of being within the scope of practice of a Texas licensed chiropractor.
Please be advised that Occupations Code, 201.502 states that it is ground for refusing, revoking, or suspending a license for "failure to use proper diligence in the practice of chiropractic." In other words, the Board expects a licensee to be properly trained in any technique that the licensee uses on a patient. [7].
The board did not specify how one can get "proper training" in an improper procedure.
--텍사스주 카이로프랙틱 자격시험 시험관은 NST는 반드시 주법률에 규정된 카이로프랙틱 범주안에서 이루어져야 한다고 2001년에 공표했는데 내용은 아래와 같다 :
Nasal Specific Treatment(NST)는 두개골을 교정하는 요법으로 텍사스주 면허를 가진 카이로프랙터에 한한다.
직업코드 201,502에 의거 "만약 카이로프랙틱 치료에 주의를 기울이는 것에 실패할 경우" 면허를 박탈당하거나 정지를 먹거나 할수 있다. 다른말로 표현하자면 면허란 것은 환자에게 시술하는 어떤테크닉도 반드시 적절하게 교육되어져야 한다는 뜻이다.
하지만 자격시험에선 부당한 시술행위에서 어떻게 "적절한 교육을 받는지"는 일일이 조건을 들지는 않았다.
References
- Frequently asked questions. Caring Medical & Rehabilitation Services Web site, accessed July 12, 2003.
- Howell D. What is NeuroCranial Reastructing? Dr. Dean Howell Web site, accessed June 12, 2009.
- Howell D. NeuroCranial Restructuring Doctor Training Certification. Dr. Dean Howell Web site, accessed June 12, 2009.
- Howell D. Physicians training class overview. NCR Med site, accessed April 24, 2003.
- Lowell J. Bilateral nasal specific. NCAHF Newsletter 8(1):2, 1985.
- Davis GE and others. A complication from Neurocranial Restructuring: Nasal septum fracture. Archives of Otolaryngology Head and Neck Surgery 129:472-474, 2003.
- Scope of practice regarding Nasal Specific and Nasal Lavage. Texas Board of Chiropractic Examiners, Jan 15, 2001.
