Skip to main content

A Prospective Cohort Study on the Impact of Reflexology in Patients With Breast Cancer Using the MYCaW Scale

Authors: Kapila Ayush K, Herd Allison, Knife Natalie, Chaplin Pauly, Patel AshrafJournal: Clinical breast cancerPublished: April 1, 2019DOI: 10.1016/j.clbc.2018.12.007
Moderate EvidenceCohortn=52 participants

In Plain Language: reflexology for sleep, explained

Breast cancer treatment and recovery remain physically and psychologically challenging for patients. Reflexology has been studied as a complementary therapy to help relieve patients of the physical and psychological stresses involved with breast cancer. As a result of recent positive evidence, we studied its effects quantitatively from 2015 to 2016. Fifty-two patients completed pre- and post-reflexology intervention 'Measure Yourself Concerns and Wellbeing' (MYCaW) questionnaires. Patients were subdivided into breast cancer (BC) and non-breast cancer (NBC) groups. Concerns raised were subdivided in subcategory groups as per MYCaW guidelines and analyzed for improvements in each domain. Thirty (57.7%) patients in the BC group and 22 (42.3%) patients in the NBC group were analyzed. In the BC group, there was a 46.2% improvement in patients' concerns, and in the NBC group, a 41.4% improvement in concerns were noted. Overall, the symptoms improved by 44.2% (P < .0001). There was an improvement of 43.4% in patient well-being in the BC group, and a 37.8% change in the NBC group, signifying a total improvement in well-being of 41.2%. There was an improvement of 46.4% in the MYCaW scores; 46.4% in the BC group and 42.6% in the NBC group, signifying a combined average improvement of 42.4%. Patients with poor energy level, sleep problems, stress and tension, and hot flushes and sweats experienced the most improvement in their concerns. Our findings show that reflexology has significantly improved patient-reported outcomes using the MYCaW scale. These findings are encouraging and reflect that increased attention to strategies focusing on improving psychological well-being can help patients in managing their symptoms.

Key Findings: what this cohort study found about sleep

  • ✓Reflexology resulted in a 46.2% improvement in patient concerns among breast cancer patients as measured by the MYCaW scale.
  • ✓Overall symptoms improved by 44.2% across all study participants following reflexology intervention (P < .0001).
  • ✓Non-breast cancer control group patients showed a 41.4% improvement in concerns, demonstrating reflexology benefits extend beyond cancer-specific populations.

What This Means for You

This study suggests reflexology may help reduce stress, improve sleep, and boost energy in breast cancer patients, though as a single cohort study without a control group, the results should be viewed as promising but not yet definitive proof of effectiveness.

What This Means for Practitioners

This research provides evidence that reflexology may be particularly effective for breast cancer patients struggling with fatigue, insomnia, stress, and hot flashes, supporting its integration as a complementary therapy in oncology care.

Study Design: how this cohort study was run

Sample Size
52 participants
Read Full Paper↗

Reflexology for sleep: common questions

Does reflexology help with sleep?

This study suggests reflexology may help reduce stress, improve sleep, and boost energy in breast cancer patients, though as a single cohort study without a control group, the results should be viewed as promising but not yet definitive proof of effectiveness.

What did this study find?

Reflexology resulted in a 46.2% improvement in patient concerns among breast cancer patients as measured by the MYCaW scale. Overall symptoms improved by 44.2% across all study participants following reflexology intervention (P < .0001). Non-breast cancer control group patients showed a 41.4% improvement in concerns, demonstrating reflexology benefits extend beyond cancer-specific populations.

How strong is this evidence?

This is a cohort study and we rate its evidence moderate. It covers 52 participants. It was published in Clinical breast cancer. Reflexology is a complementary therapy, not a replacement for medical treatment.

Related Research

Looking for a reflexologist?

Find practitioners who can help with the conditions studied in this research.

Find a Reflexologist