CST Discussion
Since I don't foresee funding for evaluation of CST to improve
breastfeeding in infants anytime soon, Who in this group are recommending
it?
 And perhaps more importantly, when a parent wants to utilize this care,
does insurance ever pay?
I'm going to ask the woman who does CST In my community: I'm wondering if
she will get paid by insurance since she's also an Occupational Therapist.
And I wonder what ICD-9 codes will be covered by insurance for this
care. Anyone with experience in getting CST covered by insurance?
Melinda Harris-Moulton, ARNP IBCLC
Olympia, WA


On Tue, Jan 7, 2014 at 3:14 AM, heather <[log in to unmask]> wrote:

> " I think the evidence is that conventional medicine can learn a lot from
>> the way confident, caring practitioners outside the mainstream relate to
>> their clients, how these clients are empowered and how they gain in
>> confidence. We have *tons* of good, biologically-plausible, testable
>>  evidence of the immense value of touch and human connection, emotional and
>> physical. I think it is vastly more likely that this is what is 'working' -
>> when it 'works' . Heather Welford Neil NCT bfc, tutor, UK" Okay.  Is this
>> statement testable?
>>
>
> Yes - you give dummy/sham treatment to babies in one group, and actual
> treatment to the babies in the other group, with no difference between the
> mode of interaction except this.
>
>
>   Can psychological impact be subjected to double blind studies?  If so,
>> how would you design a CST study that differentiates between any physical
>> benefit and any psychological benefit?
>>
>
>
> This would be difficult, especially with crying/fussy/sleepless babies and
> stressed parents. But yes, psychological impact is testable, with objective
> measures which relate to parents' self-reported effects (stress index,
> parent daily hassles index....there are a few of these about).
>
> One interesting study http://adc.bmj.com/content/
> early/2011/02/23/adc.2010.199877.abstract into the effects of cranial
> osteopathy on children with cerebral palsy found no objective improvement
> in the group who had had the treatment, compared to the group who had not
> (they did  not have sham treatment either - no treatment at all)....not one
> improvement in motor skils, quality of life, and no improvement in carers'
> quality of life, either etc.
>
> But the parents of the treated children thought there *were* differences -
> vague, unspecified and 'global'.  One might say 'oh well, if the parents
> believed the kids showed some improvement, even if they couldn't say what
> it was, then obviously something has worked and even if it hasn't worked,
> then it's ok for people to delude themselves'.  Or one might say 'this is a
> fairly strong indication that just being treated makes people believe that
> something improves, and it may well not be an improvement, and actually
> it's not ok for people to delude themselves.'
>
>
>  For example, acupuncture has been tested by having some patients
>> receiving real acupuncture and some receiving real acupuncture needles at
>> fake points, and the real acupuncture has won.
>>
>
>  Indeed - some studies do show this, but others do not. Not all are
> well-designed, but it is difficult to do a well-designed fully blinded
> study. A major study http://archinte.jamanetwork.
> com/article.aspx?articleid=413107 found real and sham to give the same
> (positive) results in relieving pain, which indicates a role of placebo.
> Another study http://archinte.jamanetwork.com/article.aspx?articleid=
> 414934  showed similar positive results for both.
>
>
>
>
>
> Heather Welford Neil
> NCT bfc, tutor,UK
> --
>
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