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Brief Descriptions:
Reflexology Research & Case Studies

Barbara and Kevin Kunz, Reflexology Research Project

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Directory

*Controlled study

 

Absenteeism/Employee morale

Acne

*Alzheimer's

*Amenorrhea

Anemia

Angina

Arteriosclerosis

Arthritis

Asthma

Biofeedback assessment

Birthing

Bronchitis

*Cancer

*Cardio-vascular system (baroreceptor reflex sensitivity, blood pressure and sinus arrhythmia)

*Cerebral palsy

*Cervical spondylosis

Chest pain

Children / mentally retarded

*Constipation

*Coronary heart disease

*Diabetes

Diagnosis

Dysmenorrhea

*Dyspepsia

Ear disorders in children

Eczema

Edema in Pregnancy

Emotional needs

Encopresis

Enuresis

Fatigue

*Free radicals

Headache

Hospice / palliative care

*Hyperlipimia

* Impotence

*Infantile pneumonia

Infertility

Irritable bowel syndrome

*Kidney function

*Kidney and ureter stones

*Leukopenia

*Menopause

Mental health

Migraine headache

*Milk secretion in new mothers

Multiple sclerosis

*Neurodermatitis

Nervous exhaustion

Pain

Pain (kidney & ureter stones)

Pain of herniated disc

Pain (post surgical)

Pain (shoulder)

Paralysis

*Post surgical recovery

*Premenstrual syndrome

*Prostate (hyperplasia)

Prostate (hypertrophy - enlarged)

Psoriasis

Rhinitis

*Sexual dysfunction

*Sinusitis

Stroke

*Toothache

*Urinary tract stones

*Urinary tract infection

*Uroschesis (retention of urine)

Google
 

Absenteeism/Employee morale/Specific health benefits/General health benefits

* Reflexology work saved a Danish employer US$3,300 a month in fewer sick days for employees in addition to improving the work environment. "… Reflexology had been used to help the staff of the Scandinavian Airline's Cargo Department. They employ approximately 60 people and handle 2.4 million documents a year. Here is a statement made by the employees:

" 'Our work is done through computers and people spending many hours in a chair doing their work, resulting in aching shoulders and back. Since we employed our reflexologist … we have experienced a substantial decrease of people being ill and away from work. The approximate amount is 20,000 Danish kroner a month (US$3,300). It has not only a physical effect, but also a psychological effect. There is a much better atmosphere in the department, because the employees feel there is something being done about their problems... Before we used to stay at home when ill, now we see the staff go to work anyway because they know they can get a treatment and feel better.'" Eriksen, Leila, Reflexology: Research and Effect Evaluation in Denmark, Danish Reflexologists Association, Denmark, August 1995, pp. 15 - 16

• "Over a 2 year period a reflexologist employed by the Telecom firm of Taastrup, Denmark treated 156 employees who expeienced postive effects on back pains, the musculo-skeltal sustem, headache, migraine, stomache/intestinal sufferings. Sickness leave was reduced." (http://www.fdz-intranet.dk/english/research/results.htm) Eriksen, Leila, "A Close-up View on Company Reflexology," Danish Reflexologists Association Research Committee Report, Feb., 1995

• "Three reflexologissts employed by the municipality treated 143 patients over a 6 month period. 79% were either cured or helped with their primary health problem. 57% were helped with secondary problems. 30% became more satified with their jobs and 92% wanted to continue reflexology." (http://www.fdz-intranet.dk/english/research/results.htm)

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Kristensen, Karin, Rasmussen, Inge, and Møller, Elsebeth, "Take Good Care of Your Fellow Employees, Reflexology as personnel care in the Århus District Corporation," Danish Reflexologists Association Research Committee Report, Feb., 1995 (Originally published in Zonetherapeuten, (The FDZ Journal), No. 1, 1996)

• "Staff of the municipality of Ishoj was treated by a reflexologist. During 6 month the municipality saved DKK 215,00 as absenteeism was reduced with 2,500 hours as compared to the provious year." (http://www.fdz-intranet.dk/english/research/results.htm) Eriksen, Leila, "Municipal Reflexology," Danish Reflexologists Association Research Committee Report, Feb., 1995

• "In a three year peiod 235 employees were treated for a variety of health problems. 170 reported a good effect. 60 had some effect whereas 5 had no effect. Absenteeism was reduced from 11.4 to 8.5 days per person per year, implying savings of more than 1 million Danish kroner." (http://www.fdz-intranet.dk/english/research/results.htm) Madsen, Synnøve and Andersen, Jette, "Postal Reflexology," Danish Reflexologists Association Research Committee Report, Feb., 1995

• "A report on Company Reflexology as appled in the Danish municipality of Svendborg. Involves 52 female employees. 97.5% had positive effects on their primary ailments. 77.5% on secondary problems. Meidince intake was reduce with 27.5% and absenteeism with 65.9%" (http://www.fdz-intranet.dk/english/research/results.htm) Terp, Hanne, "Municipal Reflexology in Svendborg, A study of the effect of reflexology treatment in the eastern district of the municipality.

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Acne

Thirty eight cases of acne were ages 18 to 29. All were treated with a daily reflexology session for 10 days as a course of treatment. All were successfully cured by foot reflexotherapy work: 5 after 3 courses, 26 after 4 courses, 4 after 5 courses and 3 after 6 courses.

Dong Dahai, Xiang Xiangdong, Shi Yanling, Kong Zhifeng, Dong Congjun, "Treatment of 38 Cases of Acne with Foot Reflexotherapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 62-6

Alzheimer's

Alzheimer's patients saw a reduction in body stiffness and arthritis as well as alleviation of the illness's symptoms of restlessness and wandering following reflexology work.

"Old age converts to the New Age," Daily Mail (England), September 14, 1995

Amenorrhea

* Ninety-five cases of amenorrhea were divided into two groups, a foot reflex therapy treatment group of 50 and a control group of 45 with participants using traditional Chinese medicine tablets. The effective rate of the foot reflex therapy group was 96% compared to the control group rate of 33%.

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Xiu-hua, Xu, "Analysis of 50 Cases of Amenorrhea Treated by Foot Reflex Therapy," (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996, p. 36

Anemia

A forty-six year-old woman with megaloblastic anemia was treated with foot reflexology. At the start of foot reflexology treatment her WBC/mm measured 4200 and hemoplobin 5.5. After three months of foot reflexology treatment she could walk. WBC/mm measured 8200 and hemoglobin measured 11.0.
Yong-gui, Yang, "A Case Report on Treatment of Megaloblastic Anemia with Paraplegia by Foot Reflexology," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 48 (Worker's Hospital of Zhuhai Chentang Enterprise, Tianjin, China)

Angina

Foot reflexology applied during an active onset of angina and observed with EKG showed disappearance of symptoms and a change to T-waves in V1.3 elevated from depressed T-waves and T-waves in V5 inverted upright from an inversion of T-waves. Following a 10-day course of daily 50 minute foot reflexology sessions, nocturnal attacks of premature beats were relieved though premature beats still occurred occasionally.
Bing-zhao, Zhang, "Effect of Foot Massage on a Patient with Angina Observing with EKG; A Case Report," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 53 (Outpatient Dept., Senile Convalescent Hospital, Shenyang, China)

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* Anxiety in cataract surgery (Hand Massage)

"To evaluate the effects of hand massage on patient anxiety during cataract surgery. SETTING: Kangnam St. Mary's Hospital, Seoul, Korea. METHODS: This study comprised 59 patients having cataract surgery from December 11, 1996, to February 12, 1997. The patients were divided into those having a hand massage 5 minutes before surgery (experimental group, n = 29) and those not receiving a hand massage (control group, n = 30). Patients' anxiety levels were measured using the Visual Analog Scale and by assessing the systolic blood pressure, diastolic blood pressure, and pulse rate before and after the hand massage and 5 minutes before the end of surgery. Epinephrine, norepinephrine, cortisol, blood sugar levels, neutrophil, and lymphocyte percentages in white blood cells were also measured. RESULTS: After the hand massage, the psychological anxiety levels, systolic and diastolic blood pressures, and pulse rate were significantly lower than before the massage. The hand massage significantly decreased epinephrine and norepinephrine levels in the experimental group. Epinephrine, norepinephrine, and cortisol levels increased in the control group. The differences between groups were significant. There were no significant between-group differences in blood sugar levels or neutrophil and lymphocyte percentages in white blood cells. CONCLUSION: The findings indicate that hand massage decreases the psychological and physiological anxiety levels in patients having cataract surgery under local anesthesia."

Kim MS, Cho KS, Woo H, Kim JH, "Effects of hand massage on anxiety in cataract surgery using local anesthesia," J Cataract Refract Surg. 2001 Jun;27(6):884-90 (Department of Ophthalmology, Kangnam St. Mary's Hospital, Medical College, The Catholic University of Korea, Seoul, South Korea) PMID: 11408136

 

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Arteriosclerosis

See Hyperlipimia, Shou-qing, Gui; Yuna-zhong, Li; Xian-qing, Xiao; Chen Shengping and Gu Xuejauna (The People's Hospital, Xianning District, Hubei Province), Zhu Shanhan, Liao Enguang (The People's Hospital of Hubei Province) and Luo Desheng (Xianning College of Medicine, Hubei Province), "Impact of the Massotherapy Applied to Foot Reflexes on Blood Fat of Human Body," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 34-37

Arthritis

Forty-two cases of acromioclaviclar (shoulder) arthritis received thirty minute sessions of foot reflexology once a day for 15 days. At the finish, 8 were "cured," 20 were "distinctly effective" and 14 cases were "improved."
Zhi-xian, Ma and Jin-li, Zhang, "Foot Reflexology in the Treatment of Acromioclavicular Arthritis, (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996, p. 55

Asthma

* "Ten weeks of either active or simulated (placebo) reflexology were compared in an otherwise blind, controlled trial of 40 patients with asthma. Results: Objective lung function tests did not change. Subjective scores and bronchial sensitivity to histamine improved on both regimens but no differences were found in the groups receiving active or placebo reflexology. However, a trend in favour of reflexology became significant when a supplementary analysis of symptom diaries was carried out. At the same time a significant pattern compatible with subconscious un-blinding was found. Discussion: We found no evidence that reflexology has a specific effect on asthma beyond a placebo influence." (Brygge T, Heinig JH, Collins P, Ronborg SM, Gehrchen PM, Hilden J, Heegaard S, Poulsen LK "Zone Therapy and Asthma," Ugeskr Laeger, 2002, Apr. 29; 164(18):2405-10- Danish language)(PMID: 12024846)

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• Following the daily application of foot reflexology for 40 to 50 minutes over a period of two to twelve weeks, all 45 patients with infantile bronchial asthma (ages 1 to 7) experienced a disappearance of symptoms.
Hui-xian, Duanmu, "A Clinical Analysis of Foot Reflexomassage for Treatment of 45 Cases with Infantile Asthma, 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, October 1994, pp. 41 - 43 (Health Center for Women and Children, Haimen, Jiangsu Province, China)

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Biofeedback assessment

"Proactive health-care services emphasize health promotion and the prevention of disabling conditions, Currently in Thai society, the number of elderly with deteriorating health has increased. Therefore, self-care health promotion activities have become essential in order for the elderly to maintain their well-being. The purpose of this study was to investigate the effects of foot massage with biofeedback. Foot massage, a Thai primary self-care custom, has been found to enhance blood circulation, relaxation, and one's own healing power. In addition, touch has been found to stimulate secretion of endorphins and reduce pain and anxiety. It appears therefore that foot massage, or reflexology, promotes a healthy lifestyle for all age groups. An experimental study, utilizing a pilot project in elderly health care, was employed to investigate the effects of biofeedback using foot massage A pretest/post-test quasi-experimental design was used. The sample consisted of four mean and 16 women (age group 61-69). Four trained researchers massaged the feet of the subjects and measured vital-sign changes. Biofeedback was also investigated before and after the foot massages. Results showed that the average biofeedback and temperature were lower before than after the foot massage (P<0.01). The average pulse rate, respiratory rate and blood pressure, however, were found to be higher before rather than after the foot massage (P<0.01). It was concluded that the foot massage provided good circulation, relaxation and comfort. All subjects expressed positive feelings when they received the foot massage (i. e. "It is very nice that foot massage can relieve my joint pain, I an happy and comfortable.") These findings appear to indicate that foot massage is beneficial both for physical and mental conditions. Foot massage, however, is just one key to achieving a full range of primary health-care services. It needs to no only be performed by nurses. Families also, can provide foot massage for the elderly, anywhere and anytime."

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Jirayingmongkol P, Chantein S, Phengchomjan N, Bhanggananda N, "The effect of foot massage (reflexology) with biofeedback: a pilot study to enhance health promotion," Nurs Health Sci, 2002 Aug;4(Suppl):A4 (PMID: 12153420)

Birthing

• Of 593 women who gave birth at Gentofte County Hospital (Great Britain) in 1988, 103 chose reflexology as an alternative to both pain killing drugs and to labor stimulating and inducing drugs. Of sixty-eight women who chose reflexology with no analgesic drugs, sixty one (89.71%) stated that reflexology had helped reduce pain., six (8.82%) felt no effect, and, one had increased pain in spite of reflexology treatment. Four of the sixty-one women who were helped by reflexology also required pain medication. Of forty-nine women who chose reflexology to stimulate labor, twenty-four gave birth without additional drug treatment. Fourteen women who were candidates for surgical delivery, received reflexology treatment between 30 and 60 minutes of birth. Eleven (78.57%) were then able to discharge the placenta. The other three had it surgically removed. All participants, except one, found the reflexology treatments extremely pleasant.

"Easier Births Using Reflexology." by Gabriella Bering Liisberg, "Tidsskrift for Jordemodre," No. 3, 1989.

• Thirty-seven of 64 pregnant women, who were offered free reflexology, completed the set course of ten treatments. The effects of reflexology on labor outcomes were perceived as outstanding. Some had labor times of only 2 hours, some 3 hours. The 20 - 25 year olds had an average time of First stage labor of 5 or 6 hours. The 26 - 30 year olds seemed to have the longest labors. In total, the average first stage was 5 hours, second stage 16 minutes, and third stage 7 minutes. This is compared to textbook figures of 16 to 24 hours' first stage, and, 1 to 2 hour's second stage.

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"The Effects of Reflexology on Labour Outcome," Dr. Gowri Motha and Dr. Jane McGrath, Forest Gate, London, England, Nursing Times, Oct. 11, 1989

• Midwives of the Central Coast of New South Wales in Australia "are conducting a randomized single-blind controlled trial on the effect of reflexology on foot and ankle edema in late pregnancy (over 32 weeks). A total of 80 women are randomized into" one of three groups: normal pregnancy visit (control), relaxation reflexology (placebo) or lymphatic drainage reflexology (treatment.). The sessions are 15-20 minutes at least once a week. The information gathered are pre- and post-treatment measurement of the ankle and instep, and blood pressure. The women answer a questionnaire at each session about comfort, changes in mood/feelings, and changes in relationship with midwife."

One quarter of the midwifery staff at the hospital are trained in reflexology, a 40-hour certificate course on reflexology and uses in midwifery practice endorsed by the national midwifery board. The staff trained with Susanne Enzer, author of Maternity Reflexology (1997) and Reflexology; A Tool for Midwives (2000). ("Midwifery around the World, Midwives of the Central Coast of New South Wales, Australia, Midwifery Today E-News, Vol. 3, Issue 7, February, 14, 2001)

• "90% of 68 women had a positive effect of reflexology as a pain killer during delivery. 11 out of 14 with retention of the placentea avoided operation." (http://www.fdz-intranet.dk/english/research/results.htm) Sorrig, Kirsten, "Easier Births Using Reflexology, "Danish Reflexologists Association, Research Committee Report, Feb., 1995 (Originally published in the Danish daily newspaper "Berlingske Tidende," July 15, 1988)

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Bronchitis

Three different methods were used to work with pneumonia and bronchitis in children. Foot reflexology was utilized in 103 cases, antibiotics in 40 cases and antibiotica with Chinese herbs in 68 cases. Foot reflexology was found to be more effective than either of the others.
Hui-ming, Wu, "Perspectives of foot reflex based on foot massage for treatment of pneumonia and bronchitis in childhood," (19)96 Beijing International Reflexology Conference (Report), the China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, p. 42

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Cancer

* Results of study: Reflexology modifies the distressing symptoms of pain and nausea in patients hospitalized with cancer. "87 patients participated in the study and each received a 10-minute reflexology foot massage (5 minutes per foot). The results revealed that the treatments produced a significant and immediate effect on the patients' perceptions of pain, nausea and relaxation when measured with a visual analog scale. The use of reflexology foot massage as a complementary method is recommended as a relatively simpler nursing intervention for patients experiencing nausea or pain related to the cancer experience. The results were so positive that the researchers recommend that further research using larger numbers of patients in controlled clinical trials into its effectiveness of reflexology in alleviating pain, nausea and anxiety in the management of these symptoms by the family at home is warranted."

Grealish, L. Lomasney, A., Whiteman, B., "Foot Massage: A nursing intervention to modify the distressing symptoms of pain and nausea in patients hospitalized with cancer," Cancer Nurse 2000, June;23(3):237-43 (On-line review: "Reflexology Used for Cancer Patients," Internet Health Library, October 11, 2000)

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* Results of study: 100% of the reflexology group benefited from an improvement in quality of life: appearance, appetite, breathing, communication (doctors), communication (family), communication (nurses), concentration, constipation, diarrhoea, fear of future, isolation, micturition, mobility, mood, nausea, pain, sleep and tiredness. Within the reflexology group, the participants reported an improvement in all components of the quality of life scale compared to 67. 5 in the placebo group. Nevertheless, this study would suggest that the provision of reflexology for palliative patients within the general setting could be beneficial. Not only did the patients in this study enjoy the intervention, they were also 'relaxed,' 'comforted' and achieved relief from some of their symptoms.

Hodgson, H. "Does reflexology impact on cancer patients' quality of life?," Apr. 2000, Nursing Standard, 14, 31, pp. 33-38

* Results of study: Foot reflexology alleviated anxiety and pain for twenty-three patients with breast and lung cancer. Researchers noted a significant decrease in anxiety for patients diagnosed with breast or lung cancer and a significant decrease in pain for patients with breast cancer. "This has important implications for nursing practice as both professionals and lay people can be taught reflexology. Reflexology is a simple technique for human touch which can be performed anywhere, requires no special equipment, is non-invasive and does not interfere with patients' privacy."

Stephenson, N. L., Weinrich, S. P. and Tavakoli, A. S., "The effects of foot reflexology on anxiety and pain in patients with breast and lung cancer," OncolNursForum 2000, Jan.-Feb.;27(1):67-72

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• "In Switzerland, many new nurses are taught this approach. When applied skillfully, a reflexology massage is pleasantly relaxing and able to diminish painful sensations in the body. Given the number of uncontrollable variables involved in the decrease of pain and the establishment of a feeling of relaxation, our small study has no scientific value. It was only intended to motivate nurses to look for ways to integrate aspects of alternative care in the management of terminal patients. ... "Our purpose for using reflexology with these patients was to decrease their pain but we soon realized the beneficial effect of reflexology on the morale of patients and families. Something was being done for them. Patients expressed feelings of being less abandoned and the families expressed satisfaction at seeing that something painless existed that could aid their relative. In three situations we taught a relative how to use reflexology and the benefit seemed to have been as important for the relative as for the patient. ... "Patients' comments about reflexology seem to show that it could be one way for them to feel this support and to have a helping presence near them in their last days."(Dobbs, Barbara Zeller, "Alternative health approaches," Nursing Mirror (England), Vol. 160, No. 9, Feb. 27, 1985)(Can Nurse 82: 39-41 (1986)\Reflexology\Dobbs-Zeller B\MeSH Terms:\ * Aged\ * English Abstract\ * Female\ * Foot\ * Human\ * Male\ * Middle Age\ * Neoplasms/physiopathology*\ * Pain, Intractable/therapy*\ * Reflexotherapy/methods*\ * Terminal Care\ PMID: 3634658, MUID: 86189470)

Cardio-vascular system

* B. S. M. Frankel of the Department of Physiology, University of Leeds, England has conducted a pilot study "to identify if reflexology and foot massage affect the physiology of the body by measuring baroreceptor reflex sensitivity, blood pressure, and sinus arrhythmia." Ten recipients of reflexology work and ten recipients of foot massage work were compared to a control group of four individuals in a single blind study.

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Frankel found that "The reflexology and foot massage groups showed significantly greater reductions in baroreceptor reflex sensitivity compared to the control group. This study found no significant difference in blood pressure after intervention. The frequency of sinus arrhythmia after reflexology and foot massage increased by 43.9% and 34.1% respectively."

The study examines the link between pressure to the feet and baroreceptors of the heart. The baroreceptor reflex "maintains blood pressure and homeostasis by changes in the autonomic outflow." It effects behavior such as "sleep, mental arithmetic and exercise" and "physiological processes and reflexes such as aging and the defense reflex." It also interacts with certain diseases such as heart failure. The implication of the study is that pressure to the feet impacts these behaviors and processes. Frankel's conclusion is that a neuro theory of reflexology should be considered. He states that "foot massage and reflexology could alter the baroreceptor sensitivity by stimulating the sensory nervous system in the feet." He suggests a mechanism in the nervous system by which reflexology and touch itself may be "therapeutic." The pressure sensors in the feet are linked to the same part of the brain as the baroreceptor reflex. He hypothesizes that this could be the point of influence.
Frankel, B. S. M., "The effect of reflexology on baroreceptor reflex sensitivity, blood pressure and sinus arrhythmia," Complementary Therapies in Medicine, Churchill, London, 1997, Vol. 5, pp. 80-84

For more information.

Cerebral palsy

* 16 cases of cerebral palsy ages 3 months to 3 years with Gessel growth rate scores of 41 to 55 were divided into two groups. The treatment group received foot massage for 30 days. In the treated group and there was an increase in growth quotient of 30-35 in those 3 to 9 months old and 10-15 with those form 1.5 to 3 years. In the control group the increase in growth quotient was 10-16 for 3-9 months and 9-15 for 1.5 to 3 years. It was suggested that the younger the patient, the better the effect.

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Rong-zhi, Wang, "An Approach to Treatment of Cerebral Palsy of Children by Foot Massage," A Clinical Analysis of 132 Cases," (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996, p. 26

Cervical spondylosis

* A total of 80 cases diagnosed with nerve root type or vertebral artery type of cervical spondylopathy were divided into a control group of 28 and a treatment group to 52. The control group was treated with traction while in a seated position "with the neck flexed anteriorly of 20-30 degrees in a traction frame with the occipus and maxilla fixed with bandage" for twenty minutes once a day. The treatment group received a 30 - 40 minute session of foot reflexology once a day for twelve days (except Sunday). Results: There was no significant difference between the control (92.1% effectiveness) and treatment (98.1% effectiveness) groups for clinical effectiveness but the clinical cure rate was higher in the treatment group (48.1%) than the control group (28.95%). A difference was also found in free radicals in the two groups. Before the study the two groups showed no significant difference in blood SOD, GHtal antioxidation activities and MDA content. After treatment the parameters related to free radicals showed significant or quite significant in comparison of the treatment group to the control group. Of the 52 in the treatment group, 25 were cured of their cervical problem, 19 were significantly effected, 7 were effected and 1 experienced no effect.
Shouqing, Gui; Changlong, Zhang and Desheng, Luo, "A Controlled Clinical Observation on Foot Reflexology Treatment for Cervical Spondylopathy," 1996 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 99-103

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Chest pain

Margaret Berker, a qualified reflexologist and member of the British Reflexology Association conducted an interesting small-scale study at the Cardiac Unit of the Queen Elizabeth hospital, Birmingham, UK, into the effects of reflexology on a group of four patients suffering from chest pain.

The patients were obtained from a consultant; all had all experienced pain for periods ranging between 18 months and 13 years and, cardiac catheterizations revealed that none of the patients had any identifiable disease of the cardiac arteries. Furthermore, none of the patients had had reflexology treatment prior to the study, nor were they encouraged to believe that the treatment would 'cure' their condition.

Reflexology treatments were given weekly over a period of eight weeks and the patients were asked to keep a diary to record their chest pain before and after treatments which specified (a) the number of episodes, (b) the intensity of the pain and (c) the duration of the pain.

Analysis of the data revealed that all of the patients recorded positive results; three of the four experienced a complete relief from their original symptoms after nine months and the remaining patient reported a reduction in pain.

Constipation

* Forty residents of a "lodging house of the aged people" were studied for effects of foot reflexology on digestive processes. 20 were diagnosed as constipated and 20 were not. Five days before the foot reflexology treatment all were given a carbon tablet and observed for the length of time required to begin and end black stool. All received 10 days of foot reflexology treatment. The carbon tablet was administered again and a comparison was made between the elimination times before the treatment and after. After treatment, the interval between taking the carbon tablet and first black stool for the constipation group changed from an average of 45 hours to an average of 34 hours. The interval until last black stool changed from 77 hours to 51.5 hours. The non-constipation group remained unchanged in average times for first black stool and changed from 57.5 hours to 46 for last black stool after hours after treatment.
Yuru, Yang; Lingyun, Chao; Guangling, Meng; Scuwe, Cao; Jia-Mo, Hao and Suhui, Zhang, "Exploring the Application of Foot Reflexology to the Preventions and Treatment of Functional Constipation," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 62

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Coronary heart disease

* 58 cases of coronary heart disease were treated with foot reflexotherapy and 67 cases with pharmacotherapy. Four indexes were examined before and after treatment for both groups: (1) clinical symptoms, (2) blood pressure/heart rate, (3) blood fat and (4) ECG. After 30-40 days of treatment, average results were:

(1) symptoms, reflexotherapy group: chest distress and angina pectoris disappeared

symptoms, pharmacotherapy group: chest distress and angina pectoris disappeared

(2) blood pressure/heart rate, reflexotherapy group (before): +185/80 / 86-74 and (after): +160/75 / 72-70 blood pressure/heart rate, pharmacotherapy group (before): +180/80 / 78-72 and (after): +160/80 / 76-70

(3) blood fat, reflexotherapy group (before): high in some and (after): slightly changed

blood fat, pharmacotherapy group (before): high in some and (after): slightly changed

(4) ECG, reflexotherapy group (before): slight change in T-wave and (after): improved remarkably ECG, pharmacotherapy group (before): change in ST-T wave and (after): certain improvement

Zhongzheng, Li and Yuchun, Liu, "Clinical observation on Treatment of Coronary Heart Disease with Foot Reflexotherapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 38 - 41

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Diabetes

* 32 cases of type II diabetes mellitus were randomly divided into two groups. One group was treated with conventional Western medicine hypoglycemic agent plus foot reflexotherapy (FR), the other group with the same medicine only (WM). After 30 days' treatment, fasting blood glucose levels, platelet aggregation, length and wet weight of the thrombus, senility symptom scores and serum lipid peroxide (LPO) were greatly reduced in the FR group (P,0.05-0.01), while no significant change was observed in the WM group. The study suggested that foot reflexotherapy was an effective treatment for type II diabetes mellitus.

Wang, X. M., "Type II diabetes mellitus with foot reflexotherapy," Chuang Koh Chuang Hsi I Chief Ho Teas Chi, Beijing, Vol. 13, Sept. 1993, pp 536-538 (First Teaching Hospital, Beijing) (PMID: 8111210)

* Double blind study with a control group. 22 cases with non-insulin dependent diabetes split into two groups. The patients of both groups had taken hypoglycemic agents for a long time. Foot reflexotherapy was applied once a day for thirty days.

Results: Indexes of the scores of senility, thrombocyte aggregation rates (TAR), the length and wet weights of thrombosis in vitro, and the serum oxidative lipids were measured to judge curative effect. The foot reflexotherapy group showed a "marked improvement" with a 66.7% "effective rate" in the measured indices. It is termed a "satisfactory curative effect." The non-foot reflexolotherapy showed no significant change 20% effective rate.

The study demonstrates that "FRT (foot reflex therapy) can lessen the abnormal hemorrheology, symptoms of senility, concentration of serum oxidative lipids and number of nodes in the main reflex zones. In addition, FRT can enhance the effects of hypolglycemic agents on blood sugar … "Systematic application seems necessary to achieve an effect. The exact mechanism to describe this effect is "waiting further exploration"
Zhi-qin, Duan et. al., "Foot Reflexology Therapy Applied On Patients with NIDDM (non-insulin dependent diabetic mellitus)," 1993 China Reflexology Symposium, p. 24

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* 20 cases of type II diabetes mellitus formed a treatment group and 15 individuals with normal health formed a control group. All were provided with foot reflexotherapy. "Before and after treatment, the blood flow rate, time and acceleration were tested by HP850GP Doppler ultrasonic equipment." Results: The blood flow rate of the 20 cases was improved.

Ying, Ma, "Clinical Observation on Influence upon Arterial Blood Flow in the Lower Limbs of 20 Cases with Type II Diabetes Mellitus Treated by Foot Reflexology," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 97 - 99

Diagnosis

• A study at the Department of Complementary Medicine, School of Postgraduate Medicine & Health Sciences, University of Exeter in England has resulted in a conclusion that "diagnosis based on reflexology examination is no better than chance." The objective stated: "Reflexologists believe that disease of different organs of the body cause tenderness in corresponding areas of the soles of the feet. We undertook to determine whether reflexology is a valid diagnostic tool.... "Three reflexologists chose six medical conditions which could be detected most easily and reliably. Eighteen adults with one or two of these conditions were examined by two reflexologists, blinded to the patients' condition(s). ... "Results: There were 72 opportunities to make a correct positive diagnosis. The reflexologists made a definitive diagnosis 9 times. Of these, 3 were correct." (Fact: Focus on Alternative and Complementary Therapies 1998; 3(4), Fifth Annual Symposium on Complementary Health Care)

• "Three reflexologists took part in the study. Eighteen adults with one or more of six specified conditions were identified from primary care records. Two reflexologists, who were blinded to the patients' conditions and monitored, then examined each patient's feet and rated the probability that each of the of the six conditions was present. Results: There is little evidence that the distribution of ratings vary with the status of the condition. Receiver operating curves suggest that this diagnostic method is very poor at distinguishing between the presence and absence of conditions. Interrater reliability (kappa) scores were very low, providing no agreement between the examiners. Conclusion: Despite certain limitations to the data provided by this study, the results do not suggest that reflexology are a valid method of diagnosis."

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A. White, J. Williamson, Hart A, Ernst E, "A blinded investigation into the accuracy of reflexology charts, Complementary Therapy Medicine, 8, 2000: 166-7

"We wanted to test the specific theory behind foot reflexology. Three reflexotherapists examined 76 patients of whom they had no previous knowledge. They were to localize the patients' problems and complaints by examination of the foot soles only; they had no other informtion about the patients. Each patient and the therapist graded problems related to 13 different parts of the body. Interrater agreement, measured by weighted Kappa, ranged from 0.04 to 0.22, and was significantly better than chance (p<0.05) for six parts of the body. The overall Kappa was 0.11 (95% CI: 0.08-o.14). A score based on a detailed examination of the 'colon zone' showed no significant difference between patients with many or few data; intestinal complaints. Generally the therapists tended to score higher than the patients thus overdiagnosing problems. The statistical agreement may be better than pure chance, but is too low to be of any clinical significance."

Baerheim A, Algroy R, Skogedal KR, Stephansen R, Sandvik H, "Feet - a diagnostic too?" Tidsskr Nor Laegeforen 1998 Feb 20;118(5):753-5 (PMID: 9528375) (Norwegian)

For more information.

Dysmenorrhea (See also Amenorrhea)

• Thirty six cases of dysmenorrhea showing abdominal pain during menstruation were treated with foot reflexology. Following treatment, those who were cured (showed disappearance of all conceal sometimes with no relapse in 3 months) included (a) 3 of the 4 cases experiencing dysmenorrhea under 1 year (average: 9.4 sessions), (b) 14 of the 22 cases experiencing dysmenorrhea from 1 to 10 years (average 13.1 sessions), (c), 7 of the 11 over 10 years (average: 17.3 sessions). Those who showed marked effectiveness (showed improvement of clinical symptoms, most of which disappear) included (a) 1 under 1 year, (b) 5 from 1 to 10 years and (c) 3 over 10 years. Those who shoed effectiveness (amelioration of symptoms, some pain) included (a) 3 from 1 to 10 years and (b) 1 over ten years. All cases showed effect (change after treatment).

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Wang Jixizng, "Clinical Observation on the Treatment for 36 Cases with Dysmenorrhea by Foot Reflexotherapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 56-57

• Foot reflexology was applied to 17 teenagers, 14-17 years old with a history of amenorrhea for 1 to 4 years. Foot reflexology was applied twice for thirty to forty minutes. Application to the 17 during the first menstrual cycle showed a cured rate of 3, a significant rate of 13 and an effective rate of 1. Application to the 14 during the second menstrual cycle, showed a cured rate of 6, a significant rate of 7 and an effective rate of a. Application to the 8 during a third cycle showed 8 cured, 2 significantly effected and 1 effected.
Wang Lan-xian, "Treatment of Amenorrhea by Foot Reflex Therapy during Menstruation," (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996, p. 36

Dyspepsia

* Two groups of Dyspepsia cases were studied (upper abdominal; discomfort, bloating, satiety, belching, nausea, acid reflux, heartburn) with peptic ulcer, gastric carcinoma, gastritis reflux esophagatitis and hiatal hernia ruled out by barium studies and gastroscopy. Hepatobiliary disease and pancreatic disease were ruled out by ultrasonography. One group of 132 individuals received foot reflexology for 30 minutes once or twice a day for two weeks. One group of 98 individuals received drug therapy for two weeks. The foot reflexology group was found to be: very effective (98 or 74.2%), effective (30 o 22.7%), failure (4 or 0.3%). The drug therapy group was found to be very effective (58 or 60.4%), effective (14 or 14.5%), failure (24 or 25%). Foot reflexology was seen to be effective, simple, and economical.
Zhi-wen, Gong and Wei-song, Xin, "Foot Reflexology in the Treatment of Functional Dyspepsia: A Clinical Analysis of 132 Cases," (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996, p. 37

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Ear disorders in children

"The aim of the study was to describe similarities and differences in health, quality of life, and diagnosed morbidity in 0-6 year-old children whose parents contact either a reflexologist or a general practitioner (GP) due to their child's ear disorder. MATERIAL AND METHODS: A total of 98 children who received reflexology treatment and 57 children who received treatment by a GP were included. Reflexologists and GPs described the child's symptoms, the parents completed a questionnaire about health status and ear disorders and a specialist examined and diagnosed the child. RESULTS: The most prevalent symptoms were colds and troubled sleep and the least prevalent were inflammation of the throat and poor spoken language. Parents in the reflexology group considered their children to be more ill than parents in the GP group (measured by number of ear disorders, number of antibiotic treatments, number of sickness days during the past year and the duration of the acute ear disorder). Furthermore, parents in the reflexology group reported that their children had more physical discomfort, more activity limitations and more emotional problems than children treated by GPs and the parents themselves were also more troubled by the ear disorder. The specialist examination showed no differences between the two groups of children, neither according to tympanometry nor according to diagnosis. DISCUSSION: According to a medical evaluation there was no difference in morbidity between children treated by a reflexologist and a GP. According to the parents' evaluation, children in reflexology treatment were more ill and their health-related quality of life was more affected by the ear disorder than that of children treated by a GP."

Kjoller M, "Children with ear disorders who are treated by reflexologists or general practitioners" [Article in Danish] Ugeskr Laeger. 2003 May 5;165(19):1994-9 (Statens Institut for Folkesundhed, Svanemollevej 25, DK-2100 Kobenhavn o. mk@si-folkesundhed.dk) PMID: 12795075

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Eczema

Reflexology was applied to the feet of 32 cases of eczema daily. 28 cases fully recovered, 2 got better and 2 showed no improvement.
Gu Hanqing, Xu Yazhen, "Treatment of Eczema with Reflexology - Report of 32 Cases," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 66-68

* Edema in Pregnancy

"Fifty-five women in the third trimester (of pregnancy) were randomly assigned to one of three groups: a period of rest, 'relaxing' reflexology techniques or a specific "lymphatic' reflexology technique for 15 minute with pre and post-therapy ankle and foot circumference measurements and participant questionnaire. There was no statistically significant difference in the circumference measurements between the three groups; however, the lymphatic technique reflexology group mean circumference measurements were all decreased. … A 'perceived wellbeing' score revealed the lymphatic technique group significantly increased their wellbeing the most, followed closely by relaxing techniques and then the control rest group. (All groups) had a non-significant oedema-relieving effect. From the women's viewpoint, lymphatic reflexology was the preferred therapy with significant increase in symptom relief." (Mollart l., "Single Blind trial addressing the differential effects of two reflexology techniques versus rest, on ankle and foot oedema in late pregnancy," Complement Ther Nurs Midwifery, 2003 Nov;9(4):203-8) (Antenatal Services, M

Emotional Needs (See also Mental Health)

A recent British study found reflexology to provide beneficial effects on "women experiencing a need for emotional support." Fifteen women received 30-minute reflexology sessions for eight weeks. The findings included: physical improvements, emotional improvements, self-esteem and confidence, motivation, touch, increase in relaxation levels, being heard and taken seriously, concentration improvements. (Trousdale, Peta, "Reflexology meets emotional needs," International Journal of Alternative and Complementary Medicine, November, 1996, p. 9)

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Encopresis

Nurses at Ayshire & Arran Acute Hosptials Trust (six hospitals in the National Health System in Scotland) found that reflexology successfully treated children the condtion of encopresis or fecal incontinence, secondary to constipation / stool withholding. Encopresis is an "entremely distressing condition." Children are subject to ridicule from other children and misery is caused to the whole family. Typical treatment includes enemas and laxatives. "An observational study was carried out of 50 children between three and 14 years of age who had a diagnosis of encopresis/chronic constipation. The children received six sessions of 30-minutes of reflexology to their feet. With the help of their parents they completed questionnaires on bowel motions and soiling patterns before, during and after the treatment."

Methods

"Detailed histories of frequency of bowel motions and soiling were obtained from each participant on entering the study to establish a baseline. Existing medications were unaltered. The questionnaires were designed to record the number of bowel motions and incidence(s) of soiling in each seven-day period before, during and after the six-week period of treatment sessions. Parents were surveyed regarding their attitude towards the use of reflexology before and after the course of treatment."

Results

The incidence of soiling decreased and bowel motions increased following the application of reflexology:

Soiling before: 78% once daily; 16% once to three times a week; 6 % none in a seven day period
Soiling after: 20% once daily; 30% once to three times a week; 48% none in a seven day period; 2% (missing data)

Bowel motions before: 36% none in a seven day period; 46% 1-4 motions per week; 18% daily
Bowel motions after: 2% none in a seven day period; 72% more than 1-4 motions per week; 24% daily.

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"In the last two years (following the study conducted from June 1998 to July 1999) the community nurses have ceased giving enemas to children at home. Reflexology for childhood encopresis and chronic constipation is now an established service with five paediatricians and two staff grade doctors referring children of all ages for treatment"

"Reflexology in the management of encopresis and chronic constripation, Pedeatric Nursing, April 2003, Vol 15 No. 3

http://216.239.53.100/search?q=cache:ZbjisK7w7igJ:www.nursing-standard.co.uk/archives/pn_pdfs/pnvol15n3/pnv15n3p2021.pdf+reflexology+research+%2Bnursing&hl=en&ie=UTF-8

Enuresis

* The purpose of the study was to clarify whether reflexology is a relevant treatment for enuresis nocturna, and to test a research design applicable to controlled experiments with reflexology. An unblinded method was used comparing a treatment group (1) receiving reflexology to a non-treatment group (2) keeping the same record of symptoms. At the start of the study, the volumes of night urine in the two groups were comparable. By the end of the study, there was no significant decrease in the volume of night urine in either of the groups. Two children in the treatment group and one in the non-treatment group became dry during the night in the course of the study. In conclusion, reflexology given as 14 treatment sessions over a period of four months did not result in a significant fall in enuresis nocturna in children aged seven to eleven years old. It must be concluded that the treatment result can not be distinguished from the conditions in the non-treatment group even though the average night diuresis in group one showed a slightly decreasing tendency while morning diuresis increased, in contrast to group two which exhibited a slight increase in night diuresis. As the total diuresis remained constant, this could be interpreted as an increased urinary bladder capacity, but in both cases the changes were far from significant.

Comment in: Ugeskr Laeger 1999 Apr 12;161(15):2224 Sietam KS, Eriksen L Forenede Danske Zoneterapeuter, Kolding.

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Epilepsy

Nine cases of epilepsy were treated with foot reflexology in a daily regime ranging from two to three months. Of the 7 males and 2 females, eight "responded well" with one reported as ineffective. The work with a 28 year-old male was detailed. His attacked occurred roughly every 20 days and he was on medication. Reflex areas were very sensitive initially and light pressure was applied.After two weeks of reflexology application, his medication was halved. Two attacks recurred three weeks into treatment. After forty-six days, his reflexology treatments ended. He was advised to apply self-help techniques. He was off medicating. Four years after treatment, no attacks had occurred.
Ji-ming, Lu, "Therapeutic Recording of a Case of Epilepsy Treated with Reflexology," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 25 (Ningxia Reflexology Association)

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Fatigue

* Twelve athletes were divided into two groups: a foot reflexology group and a control group. The test group received daily reflexology sessions. Both groups underwent the same athletic training and were observed for sleeping, appetite and reactions to training. The reflexology group showed better qualities of sleep, better appetite and quicker recovery from fatigue and muscle soreness.

Jianguo, Liu and Jingshun, Zhang, "Foot Reflex Zone Massage in Recovery of Fatigue in Athletes," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 98 (Xian City, Shan'xi, China)

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Free radicals

* To consider the mechanism at work, Chinese researchers conducted a controlled study on the impact of foot reflexo-massage on "human antioxidation ability" The control group consisted of twenty medical students with normal health, 10 males and 10 females, ages 20 +1 years (M+SD). The treated group consisted of 56 patients with various disorders, 30 males and 26 females, ages 30 to 70 years.

The control group received a 30 to 40 minute session each day for 10 days. The treated groups received the same treatment but "symptomatic reflexes and related reflexes" were worked for a longer time and with more strength. For both groups, 3 ml. of heparininzed venous blood was collected before and after the session. Tests were conducted for measures of antioxidation: superoxide dismutase (SOD), glutathione peroxidase (GP) and malonyl (MDA).

The FRM increased the serum antioxidative enzymes and activities in both control and treated groups. The decrease of MDA, an end product of lipid peroxide, may be the result of physical stimulation of FRM on the nerve fibres and receptors, which relax the local tissue, improve the systemic blood circulation and metabolism, decrease the production of FRs, increase the production of antioxidative enzymes (SOD and GP) and achieve the therapeutic effect. On the other hand, the reduction in FRs can prevent the therapeutic effect on biological membranes, therefore decrease lipid peroxides, and the serum MDA as well. The decrease on FR production and increase in antioxidative enzymatic activity enhance the total antioxidative system (enzymatic and nonenzymatic), this mechanism underlies the increased TSAOA in our subjects."In generalization, Foot reflexo-massage can decrease the free radicals."
Shouqing, Gui; Changlong, Zhang; Jixai, Dong and Desheng, Luoof, "A Preliminary Study on the Mechanisms of Foot Reflexo-Massage; Its Effect on Free Radicals," 1996 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 128-135

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Gout

A male patient had been bed-ridden for several months due to the impact of gout and pain experienced in the knees ankles and big toes for five years. Foot reflexology was applied in twelve-day courses. After 4 courses of treatment the patient could move on his own. After 6 courses of treatment the patient could walk well with occasional return of symptoms. Following two more courses of treatment, the patient returned to work.
Wen-ying, Xuan, "Treatment of Gout with Foot Reflexomassage," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 114 - 6 (Yichang Jinguo Foot Massage Clinic of Hubei Province, China)

Headache

Results of study: 19% of headache sufferers ceased taking medication following reflexology work. According to a large nationwide research study undertaken in Denmark, reflexology treatment has a beneficial effect on patients suffering from migraine and tension headaches. The study was conducted at the Department of Social Pharmacy, The Royal Danish School of Pharmacy in co-operation with five reflexology associations. 220 patients participated with treatment being given by 78 fully trained reflexologist across the country. in cooperation with five different reflexology societies FDZ (Danish Reflexologists Association), LNF (National Forum for Natural Healing), SFFF, (Association of Scandinavian Reflexologists), SAB (Union of Complementary Therapists) and OZ (Union of Reflexologists). The project description was approved by the National Board of Health's Council concerning complementary treatment and the project was financed by the Ministry of Health, Director and Mrs. E. Danielsens's Fund together with Pool and Lottery Funds distributed by the Ministry of Education."

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Headaches remain the most common health problem amongst the adult population and it has been estimated that they are the reason for the loss of three million working days every year. Reflexology is renowned for its ability to help relax and calm patients and for this reason it was considered an interesting therapy to study for the treatment of tension headaches and migraine.

Of all the patients who took part in the study, 90 percent said that they had taken prescribed medication for their headaches within the month prior to the commencement of the study and, of them, 36 percent had experienced side effects from the medicines. 81 percent of the prescribed medicine in the acetvlsalicyclic acid and paracetamol group was taken at least twice a week and 72% of the stronger migraine medicines were taken at least once a fortnight which indicates that the majority of the patients were suffering from moderate to severe symptoms. 34 percent had taken medications for ailments other than headaches.

Three months after a completed series of reflexology treatments, 81 percent of patients confirmed that reflexology had either cured (16%) or helped (65%) their symptoms. 19 percent of the patients re-ported that they had been able to completely dispense with the medications they had been taking before the study.

The reflexologists also found that there was a strong link between headaches and the gall bladder, stomach, bladder, and endocrine hormone meridians. At the end of the study the patients who benefited from the treatment showed less stress on the reflex points for the ovaries, small intestine, bladder, stomach, liver and kidneys than they had experienced on their first treatment. The likelihood of successful cure was found to be greatest for: a) those patients whom the reflexologist found no stress on the reflex zones of the uterus or gall bladder, and b) younger patients who had suffered from headaches for a short period of time.

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Brendstrup, Eva and Launsø, Laila, "Headache and Reflexological Treatment," The Council Concerning Alternative Treatment, The National Board of Health, Denmark, 1997

Heart See Angina, Cardio-Vascular System, Chest pain, Coronary heart disease

Hospice / Palliative care

See Cancer: Hodgson, H. "Does reflexology impact on cancer patients' quality of life?," Nursing Standard, 14, 31, pp. 33-38

See Cancer: Dobbs, Barbara Zeller, "Alternative health approaches," Nursing Mirror (England), Vol. 160, No. 9, Feb. 27, 1985

• A recent study found that reflexology as applied to palliative care cancer patients did not warrant the hiring of a reflexologist to provide services. "While patients greatly enjoyed the treatments, there was no discernible defiance in outcome between those receiving reflexology and those receiving standard foot massage.... "Both treatments were administered weekly for six weeks by any one of three therapist, who had agreed standardised methods."

Cornbleet, Michael A.M "Research in complementary medicine is essential (Letter to the Editor), British Medical Journal, March 24, 2001

• "Complementary therapies are being accessed increasingly by cancer patients. The aims of this audit were to investigate the impact of reflexology on the qulaity of life of 20 cancer patients, to determine their satisfaction with the service provided and to investigate the availability of this therapy within Scottish hospices. The audit findings suggest that the clients were staisfied with the service received. Respondents noted that their quality of life was improved through a reduction in pahysical and emotional symptoms. It was found that the provision of reflexology within Scottish hospices varied, with less than half providing this service. The results of this audit suggest that reflexology may be a worthwhile tratment for othwer cancer patients and requires further research to evaluate the benefits."

Milligan M, Fanning M, Hunter S, Tadjali M, Stevens E, Int J Oalliat Nurs 2002 Oct;8(10):489-96 (PMID: 12419988)

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Hospice

"Complementary therapies are being increasingly used in palliative care in the drive to improve patients' emotional, psychological and spiritual health, and enhance the quality of their lives. The importance of seeking the 'user' perspective when evaluating such services is becoming increasingly acknowledged. However, it is also extremely important that we elicit such perspectives in an ethically sensitive manner. This study used a simple semi-structured questionnaire to elicit the views of a convenience sample of 34 patients receiving palliative care at a specialist palliative core unit in the north of England who had completed a course of 4-6 sessions of reflexology. Patients' comments about the therapy and the service as a whole were overwhelmingly positive. They identified relaxation, relief from tension and anxiety, feelings of comfort and improved well-being as beneficial effects of their course of reflexology. Patients also spontaneously evaluated the experience holistically in terms of the wider therapeutic environment - the centre, the staff and the therapist as well as the therapy itself. The increasing demand for evidence based practice now challenges researchers to provide a relevant holistic assessment of complementary therapies using approaches that are both ethical and sensitive to the needs of this vulnerable patient population.

Gambles M, Crooke M, Wilkinson S, "Evaluation of a hospice based reflexology service: a qualitative audit of patient perceptions," Eur J Oncol Nurs. 2002 Mar;6(1):37-44. (Marie Curie Cancer Care, Marie Curie Centre Liverpool, Speke Road, Woolton, Liverpool, L25 8QA, UK) PMID: 12849608

"Complementary therapies are being accessed increasingly by cancer patients. The aims of this audit were to investigate the impact of reflexology on the quality of life of 20 cancer patients, to determine their satisfaction with the service provided and to investigate the availability of this therapy within Scottish hospices. The audit findings suggest that the clients were satisfied with the service received. Respondents noted that their quality of life was improved through a reduction in physical and emotional symptoms. It was found that the provision of reflexology within Scottish hospices varied, with less than half providing this service. The results of this audit suggest that reflexology may be a worthwhile treatment for other cancer patients and requires further research to evaluate the benefits."

Milligan M, Fanning M, Hunter S, Tadjali M, Stevens E. "Reflexology audit: patient satisfaction, impact on quality of life and availability in Scottish hospices," In

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Hyperlipimia

* Doctors Shou-qing, Xian-qing, Yuna-zhong, and Wan-yan, conducted a study of 72 cases of hyperlipemia with a treated group of 41 and a control group of 31. Before and after the treatment session, 4 ml of "empty stomach blood" was collected. One group received a series of reflexo-therapy sessions of more strength and lasting 30 to 40 minutes. The control group received a 20 minute session with a forehead pillow application of iodineiontophoresis. The reflexo-therapy group showed an improvement of symptoms of 78% as opposed to 32% for the second group. The treatment group showed a reduction in cholesterol and monoglyceride with a marked statistical difference.
Shou-qing, Gui; Xian-qing, Xiao; Yuna-zhong, Li; and Wan-yan, Fu, "Impact of the Massotherapy Applied to Foot Reflexes on Blood Fat of Human Body," 1996 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 21

* 186 cases of hyperlipemia were randomly divided into four groups: (A) foot reflexology, (B) kinesitherapy, (C) ion-introduction therapy, and (D) pharmacology (the drug lipunthyl). Groups A, C and D showed remarkable reduction in cholesterol. Group A and D had strong effect on triglyceride. "If one can insist on proper physical exercises and/reflexotherapy plus a balanced diet (low fat, low calorie), it is possible to prevent and treat arteriosclerosis, coronary atherosclerotic cardiopathy, cerebral thrombosis and cerebral apoplexy efficiently."
Shou-qing, Gui; Yuna-zhong, Li; Xian-qing, Xiao; Chen Shengping and Gu Xuejauna (The People's Hospital, Xianning District, Hubei Province), Zhu Shanhan, Liao Enguang (The People's Hospital of Hubei Province) and Luo Desheng (Xianning College of Medicine, Hubei Province), "Impact of the Massotherapy Applied to Foot Reflexes on Blood Fat of Human Body," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 34-37

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Impotence

* Thirty-seven patients with sexual dysfunction (15: impotence, 9: premature ejaculation, 6: emission, and 7: ejaculation deficiens) were randomly assigned to two groups: 19 individuals were treated with foot reflexology and 18 with traditional Chinese medicine. No statistical difference was found between the two groups on age, occupation, education, degree of disease, spirit status, affection between the couple, sexual desire, and sexual intercourse for marital cases. In addition to foot reflex areas, massage was applied to specific acupuncture points of the body in the foot reflexology group. The effective rate of the foot reflexology treatment group was found to be 87.5% for impotence and 100% for the others. The effective rate of the traditional Chinese medicine group was found to be 85.7% for impotence and 100% for the others.
Jianhua, Sun, "The Comparison of Curative Effects Between Foot Reflexology and Chinese Traditional Medicine in Treating 37 Cases with Male's Sexual Dysfunction," 1996 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 75

Infertility

The four women had unsuccessfully tried to become pregnant for 1 to 3 years and were between the ages of 26 and 30. Each received a thirty to forty minute session daily for ten days, one course of treatment. One woman became pregnant after 6 courses of treatment, two after seven course and one after nine courses.

Dong Dahai, Xu Ping, Dong Congjun, Wei Lihua, "Treatment of 4 Cases of Infertility with Foot Reflexotherapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 58-59

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Irritable Bowel Syndrome

* "Reflexology does not help patients with Irritable Bowel Syndrome (IBS), a study has found. the complementary therapy, in which points in the feet are massaged in a particular way to ease discomfort in other parts of the body, was assessed in a study published in the British Journal of General Practice."

"Thirty-four patients with IBS were recruited from four GP practices. The study was approved and carried out in consultation with reflexologists. Half the patients received six 30 minute reflexology treatment sessions. The other half saw heath care staff for the same amount of time but received no reflexology treatment. Patients were asked to record symptoms for two weeks before their first session, two weeks after and for a fortnight three months after their treatment had ended. Severity of abdominal pain, constipation or diarrhoea and bloating were measured but the Leeds team, led by Dr. Philip Tovey, said none showed reflexology made no positive difference."

Dr. Tovey of the School for Healthcare Studies at the University of Leeds (p.a.tovey@leeds.ac.uk), noted that "While due caution would be exercised in generalising from a single study, the nature of the data is such that clear conclusions can be drawn. However, more research is needed, not only to test these initial findings but also to extend the range of participants to, for instance, those newly diagnosed with IBS Reflexology in particular remains not just under-researched but almost un-researched - something that is quite startling given the extent of its use." (Reported December 31, 2001 at http://news.bbc.co.uk/hi/english/health/newsid_1723000/17232900.stm)

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Kidney function

* Results of study: Kidney function improves after the application of reflexology work. "Using colour (sic) Doppler sonography blood flow changes of the right kidney during foot reflexology were determine in a placebo-controlled, double blind, randomised (sic) study. 32 healthy young adults (17 women, 15 men) were randomly assigned to the verum or placebo group. The verum group received foot reflexology at zones corresponding to the right kidney, the placebo group was treated on other foot zones. Before, during and after foot reflexology, the blood flow of three vessels of the right kidney was measured using colour Doppler sonography. Systolic peak velocity and end diastolic peak velocity was measured in cm/s, and the resistive index a parameter of the vascular resistance, was calculated. The resistive index in the verum group showed a highly significant decrease (p</=0.001) during and an increase (p=0.001) after foot reflexology. There was no difference between men and women and no difference between smokers and non-smokers. Verum and placebo groups significantly differed concerning alterations of the restive index, both between the measuring points before versus during foot reflexology (p=0.002) and those during versus after reflexology (p=0.031). The significant decrease of the resistive index during foot reflexology in the verum (treatment) group indicates a decrease of flow resistance in the renal vessels and an increase of renal blood flow. These findings support the hypothesis that organ-associate foot reflexology is effective in changing renal blood flow during therapy."

(PMID: 14060981, UI: 99392031)Sudmeier, I., Bodner, G., Egger, I., Mur, E., Ulmer, H. and Herold, M. (Universitatsklinik fur Innere Medizin, Inssbruk, Austria) "Anderung der nierendurchblutung durch organassoziierte reflexzontherapie am fuss gemussen mit farbkodierter doppler-sonograhpie," Forsch Komplementarmed 1999, Jum;6(3):129-34 (PMID: 14060981, UI: 99392031)

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Kidney and Ureter Stones (Recovery from Lithotrity)

* In a controlled trial, 96 individuals were followed after receiving lithotrity (externally crushing kidney or ureter stones). 46 cases receiving foot reflexology were compared to 50 cases not receiving foot reflexology. A comparison was made between the beginning time to excrete the fragmented calculus (stones) between the treatment group and untreated group. Results: Members of the treated group experienced less pain, began excretion earlier, and completed the excretion process earlier. (1) 39 of 46 treated cases began excretion in less than 10 days compared to 13 of the 50 in the control group, (2) All members of the treated group completed the excretion process at 20 days, compared to 38 of the 50 in the untreated group.

Xiaojian, Ying, "Foot Reflexology as an Accessory Treatment after External Lithotrity a Clinical Observation of 46 Cases," 1996 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 58 - 59

Kidney stones

* A few years ago, researchers at Glostrop hospital, Copenhagen, demonstrated that reflexology can help relieve the acute pain suffered by patients with kidney stones. 30 patients participated in the study and were divided equally into three groups: one group received reflexology treatment, one group received placebo treatment and the remaining groups were used as controls.

If no pain relief was experienced within 5 minutes, the treatment would end for analgesic medications, but those who experienced a benefit within 5 minutes, treatment was continued for a further 10 minutes. The results showed that 9 out of the 10 patients in the reflexology group experienced complete pain relief after the treatment which lasted for over an hour and in 5 of the patients pain was relieved for 4 hours.

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Medical doctors Niels Baekgaard and Vibe Hansen, who conducted the study, concluded that "Reflexology treatment of acute ureterolithiasis has a pain relieving effect" and when compared to Baralgin (a commonly administered analgesic), the findings revealed that reflexology actually works faster at alleviating pain although the effects last for a shorter duration.

Eriksen, Leila, "Reflexology use in (Pain Caused by) Ureter and Kidney Stone Attacks, Danish Reflexologists Association Research Committee Report, Feb. 1995 (Originally published in Zonetherapeuten, No. 6, 1993

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Leukopenia

* Results of study: Foot reflexology work was found to be more effective than medication in effecting leukopenia, low white blood cell count. (A pathological level of white blood cell count) Ya-zhen, Xu, "Treatment of Leukopenia with Reflexotherapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 32-37

*Menopause

* "Seventy-six women between 45 and 60 years, reporting menopausal symptoms. Methods: Women were randomised to receive nine sessions of either reflexology or nonspecific foot massage (control) by four qualified reflexologists over a period of 19 weeks. Main outcome measures: The Women's Health Questionnaire (WHQ), the primary measure s being the subscores for anxiety and depression. Severity (visual analog scale (VAS) a n frequency of flushes and night sweats. Results: Mean (SD) scores for anxiety fell from 0.43 (0.29) to 0.22 (0.25) in the reflexology group and from 0.37 (0.27) to 0.27 (0.29) in the control group over the course of treatment. Mean (SD) scores for depression fell from 0.37 (0.25) to 0.20 (0.24) in the reflexology group and from 0.36 (.023) to 0.20 (0.21) in the control (foot massage) group over the same period. For both scores there was strong evidence of a time effect (P<0.001) but no evidence of a time-group interaction (P>0.2). Similar changes were found for severity of hot flashes and night sweats. In the control group, 14/37 believed they had not received reflexology. Conclusion: Foot reflexology was not shown to be more effective than non-specific foot massage in the treatment of psychological symptoms occurring during menopause."

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(Williamson J, White A, Hart A, Ernst E., "Randomised controlled trial of reflexology for menopausal symptoms," BJOG, 2002 Sep; 109(9):1050-5)

* Eighty-two women diagnosed with menopause were randomly divided into two groups. Forty-two women received foot reflexology and forty received foot reflexology with auricular point magnet adhesion. Thirty minute session were provided daily for 60 days.
Among women provided with foot reflexology at the conclusion of the study, 17 (40.48%) of the women had fully recovered, 20 (47.62%) had significantly recovered, 4 (9.25%) had effective results and 1 had ineffective results.

Among women provided with foot reflexology and auricular magnet adhesion at the conclusion of the study, 9 (22.5%) of the women had fully recovered, 16 (40%) had significantly recovered, 9 (22.50) had effective results and 6 (15%) had ineffective results.

Sun Jianhua, "Observation on the Therapeutic Effect of 82 Cases of Climacterium Syndrome (menopause) Treated with Reflexotherapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 60-61

Mental Health (See also Emotional Needs)

"It is clear by the end of the research period that a significant number of participants had experienced many positive effects from the reflexology treatments." The findings of a study of "those in need of emotional support" were reported by Mind Affiliated Local Association Worthing in a publication titled "Making Connections, User Perception of the Effects of Reflexology & Counselling: an evaluation of a complementary health care project at Worthing Mind." Mind Worthing is an affiliate of national charity Mind.

The study was conducted at a day centre or a drop-in centre. "The people included in the study were all in need of emotional support." They ranged in age from 18 to 65. Forty-nine individuals participated in the reflexology project and twenty-five in the counselling project between May 1996 and August 1997. "Most of the reflexology sample received reflexology once a week for eight weeks, and each treatment lasted thirty minutes. Qualitative data collection included "Confidential profiles" (individual responses to questions) and "Focus group questions" (responses gathered in groups of four to eight individuals).

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Findings from participant responses included: Improvement in physical aspects, significant improvement in emotional state, improvement in ability to concentrate, increase in motivation for a significant number of participants, significant increase in confidence and self-esteem levels, improvement in communication and ability to articulate ideas more effectively and readily, "importance of being touched during treatment in a safe non-intrusive / abusive manner," and reduction of medication by several.

Reports of benefits by the centre's staffs were noted: "Both services (reflexology and counselling), it was reported, have in addition (to positive feedback from members) helped to alleviate pressure on staff and avert crises because some members becoming more relaxed and at ease as a result of having had reflexology and/or counselling."

Assessment of cost-effectiveness included questions related to the cost of not providing reflexology and/or counselling services. At issue were expenses related to the cost of typical interventions such as psychotropic medications or consultation with a GP or Psychiatrist. Adverse outcomes for individual were noted to potentially include "psychiatric breakdown, attempted suicide, physical / sexual abuse of children, and inappropriate health care seeking behaviors."

Trousdale, Peta and Uphoff-Chmielnik, Andrea, Making Connections, User Perception of the Effects of Reflexology & Counselling: an evaluation of a complementary health care project at Worthing Mind, September 1997

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Mentally retardation

* Results of study: The feet of mentally retarded children were found to be of abnormal color and to show abnormal toe shapes as opposed to other children.

Feng, Gu; Zhao, Lingyun; Yuru, Yang; Jiamo, Hao; Shuwen, Cao and Xiulan, Zhang, "Comparative Study of Abnormal Signs in the Feet of Feebleminded Children," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 9 - 13

* Results of study: Mentally retarded children were shown to improve significantly in height, weight, health states, social living abilities, and intellectual development when receiving foot reflexology as opposed to those not receiving treatment. (G)

Lingyun, Yuru, Zhao; Yang Yuru, Feng gu; Jiamo, Hao; Shuwen, Cao and Xiulan, Zhang, "Observation on Improvement of Feeble-Minded Children's Social Abilities by Foot Reflexo-Therapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 24 - 28

Migraine headache

"Foot reflexology is defined as massage of zones on the feet which correspond to different parts of the body. A medline-search yielded no literature in the field of foot reflexology. Indications for and results of foot reflexology have been extrapolated from case-descriptions and two pilot studies with small samples. One study (Lafuente et al.) found foot reflexology to be as helpful to patients with headaches as medication (flunarizine), yet foot reflexology was fraught with less side-effects than medication. In a second study (Eichelberger et al.) foot reflexology was used postoperatively on gynecological patients. The intervention group showed a lesser need for medication to enhance bladder tonus than did the control group. The literature describes foot reflexology as enhancing urination, bowel movements and relaxation." Foot reflex zone massage (Kesselring A, Institut fur Pflegeforschung, Bern.)

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In a blind random trial, (Lafuente) "examined 32 patients between the ages of 15 and 57. There were 25 women and 7 men randomly assigned to two groups. One group was given a placebo and received reflexology treatments two times a week for two or three monthes, The other group received Flunarizin traterment ( a slecetive calcium entry blocker with calmodulin binding properties and histamine blocking activity that has been efective in preventing migraines) and massage of a non -specific area twice a week for 12 sessions. patients were evaluated at the end of the study and again three months after the study. It was concluded that the reflexology treatment was at least as effective as the Flunarizin treatment and may be clasifed as an alternative non-pharmacological therapeutic treatment that would be particularly appropriate to thsoe patiet\nts that were unable to follow pharmacological treatment." (Testa, Gail W., "A Study on the Effects of Reflexology on Migraine Headaches" August 2000 (http://members.tripod.com/GTesta/Dissertationall.htm)

Lafuente A et al (1990). Effekt der Reflex zonenbehandlung am FuB bezuglich der prophylaktischen Behandlung mit Flunarizin bei an Cephalea-Kopfschmerzen leidenden Patieten.Erfahrungsheilkunde. 39, 713-715.

Heydenreich A., Institution: Abteilung Neurologie, Wilhelm-Pieck-Universitat, Rostock, "Treatment of migraine with controlled reflex methods and stimulation therapy," Schweiz Med Wochenschr Suppl, 62: 88-93 (1994) Authors:. [Review] [0 refs] [German] Zeitschrift fur Arztliche Fortbildung. 82(24):1247-9, 1988.

MeSH Terms: English Abstract; Female; Flunarizine/therapeutic use; Foot*; Genital Diseases, Female/surgery; Headache/therapy; Headache/drug therapy; Human; Massage/methods*; Postoperative Complications/therapy; Reflexotherapy/methods*; Urination Disorders/therapy

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Milk secretion in new mothers

* Two groups of new mothers were followed for satisfactory lactation. A treated group of 100 was given foot massage within 30 hours after delivery and 17 were given foot massage from 30 to 120 hours after for 10 to 15 minutes a day. No treatment was given to a group of 100 women. In the treatment group, lactation was initiated in 43.47 hours (+12.39 hours). In the control group it was 66.97 hours (+28.16 hours). In 72 hours satisfactory lactation was documented in 98% and 67% respectively in the two groups. Foot massage was found help avoid use of drugs in lactation that may be harmful to the baby.
Siu-lan, Li, "Galactagogue Effect of Foot Reflexology in 217 Parturient Women," (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996 p. 14

Multiple sclerosis

Following a number of reports by reflexologists of MS patients benefiting from reflexology treatment, a small scale study was initiated backed by the Grampian branch of the Charity Action and Research for Multiple Sclerosis (GARMS) and the Scottish Institute of Reflexology.

GARMS provides regular hyperbaric oxygen therapy and physiotherapy for people with MS, and volunteers were asked to participate in reflexology study. Fourteen were assigned to a treatment group to receive a one hour reflexology treatment every week, and 13 patients were selected to act as a control group (one member dropped out leaving twelve who completed the study in the control group)

At the commencement of the study, participants were asked to asses nineteen of the most common symptoms as either minor, major or not applicable. The assessment was repeated after 6 weeks and 12 weeks when the participants also noted whether their symptoms had improved, worsened or not changed. The control were assessed using the same form at the same intervals as the treatment group, and both the treatment and control groups were asked at the time of the assessment whether on not their medication or diet had changed to assess possible external factors.

After 6 weeks, a significant number of people in the treatment group showed an improvement in their symptoms, and most of these improvements were maintained. During the second 6 week period, however, many of the participants had lost some of the improvements they had gained in the first 6 weeks; but after 18 weeks, the results revealed that those patients in the treatment group experienced some improvements in 45% of the symptoms compared to a much lower rate of 13% in the control group.

The results indicate that reflexology does offer some therapeutic benefit to MS patients especially in the first 6 weeks of treatment, although the treatment sessions need to be regular, and the benefits seem to diminish after twelve weeks.

Joyce M, Richardson R., "Reflexology helps multiple sclerosis." JACM July 1997 10-12 (www.internethealthlibrary) (MS Centre (Glasgow), Unit 16, Chapel Hill Industrial Estate, Maryhill, Glasgow G20 9BD, Tel: 0141 945 3344)

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Multiple sclerosis

"To evaluate the effect of reflexology on symptoms of multiple sclerosis (MS) in a randomized, sham-controlled clinical trial. METHODS: Seventy-one MS patients were randomized to either study or control group, to receive an 11-week treatment. Reflexology treatment included manual pressure on specific points in the feet and massage of the calf area. The control group received nonspecific massage of the calf area. The intensity of paresthesias, urinary symptoms, muscle strength and spasticity was assessed in a masked fashion at the beginning of the study, after 1.5 months of treatment, end of study and at three months of follow-up. RESULTS: Fifty-three patients compl