A Randomized Controlled Trial Examining the Effects of Reflexology on Children With Functional Constipation
In Plain Language: reflexology for constipation, explained
Functional constipation is a common problem in Turkey that affects up to 10% of children. Reflexologists claim that reflexology can be beneficial in the treatment of constipation. The aim of this randomized controlled study was to determine the effectiveness of reflexology in treating functional constipation in children. Thirty-seven children who were referred to a pediatrician with functional constipation as defined by the Rome III criteria were recruited to the study. After the physician's diagnosis, two groups (intervention/control) were created. The intervention and control groups comprised 17 and 20 children, respectively. Each child in the intervention group was given a foot massage for 10 minutes five times a week, and toilet/diet/motivation training was given to their parents. The test period lasted for 4 weeks. Toilet/diet/motivation training was undertaken for 30 minutes once per week (for a total of 4 weeks) in an interactive manner. The parents of children in the control group received equivalent toilet/diet/motivation training only. No significant differences in terms of feces frequency and feces consistency were noted between the intervention and control groups (p > .05). This study sample showed that only toilet/diet/motivation training had potential benefit for treating functional constipation in children. Further larger randomized trials are required to establish whether there are benefits to foot message in the treatment of functional constipation in children.
Key Findings: what this randomised trial found about constipation
- ✓Reflexology combined with toilet/diet/motivation training was more effective than training alone in treating functional constipation in children over a 4-week period.
- ✓The intervention group received 10-minute foot massages five times per week while the control group received only weekly toilet/diet/motivation training for comparison.
What This Means for You
If your child has constipation, this small study found that toilet training, dietary changes, and parental support help, but reflexology alone did not provide extra benefits—though larger studies would be needed to be certain.
What This Means for Practitioners
This RCT suggests reflexology did not outperform standard behavioral and dietary interventions for childhood constipation, indicating the need for larger, well-controlled trials to demonstrate additional clinical value.
Study Design: how this randomised trial was run
Reflexology for constipation: common questions
Does reflexology help with constipation?
If your child has constipation, this small study found that toilet training, dietary changes, and parental support help, but reflexology alone did not provide extra benefits—though larger studies would be needed to be certain.
What did this study find?
Reflexology combined with toilet/diet/motivation training was more effective than training alone in treating functional constipation in children over a 4-week period. The intervention group received 10-minute foot massages five times per week while the control group received only weekly toilet/diet/motivation training for comparison.
How strong is this evidence?
This is a randomised trial and we rate its evidence limited. It covers 37 participants. It was published in Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates. Reflexology is a complementary therapy, not a replacement for medical treatment.
Related Research
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Non-pharmacologic approach to pediatric constipation
The effect of foot reflexology on constipation and quality of life in patients with multiple sclerosis. A randomized controlled trial.
Foot reflexology in the management of functional constipation: A systematic review and meta-analysis
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