A single-blind trial of reflexology for irritable bowel syndrome
In Plain Language: reflexology for IBS, explained
Irritable bowel syndrome (IBS) is a significant problem for primary care, as treatment options are limited and it can frequently develop into a chronic condition. Complementary and alternative medicine, including reflexology, is being turned to increasingly in an attempt to manage symptoms. There are currently no studies which address the effectiveness of reflexology for IBS. Despite this, it continues to be advocated and used. To provide the first evidence on the effectiveness of reflexology in the management of the core defining symptoms of IBS. A single-blind trial carried out in primary care settings. Thirty-four participants diagnosed with IBS on the basis of the Rome Criteria. Participants were allocated to receive either a reflexology foot massage or a non-reflexology foot massage control group. On none of the three symptoms monitored--abdominal pain, constipation/diarrhoea, and abdominal distention--was there a statistically or clinically significant difference between reflexology and control groups. On the basis of these results there is nothing to suggest that reflexology produces any specific benefit for patients with IBS. There is currently no evidence to support its use. However this was one (relatively) small scale study; further research that, for example, assesses the impact of therapist (professional and lay) versus therapy, is still needed.
Key Findings: what this randomised trial found about IBS
- ✓Reflexology showed no statistically or clinically significant difference compared to control massage for any of the three core IBS symptoms monitored: abdominal pain, constipation/diarrhea, and abdominal distention.
- ✓This was the first empirical evidence-based study to directly evaluate reflexology's effectiveness for managing irritable bowel syndrome despite its widespread use and advocacy.
- ✓The study used a single-blind trial design in primary care settings with 34 IBS participants diagnosed according to Rome Criteria, comparing reflexology foot massage to non-reflexology foot massage as a control.
What This Means for You
Based on this small study, reflexology did not show specific benefits for IBS symptoms, so the evidence does not currently support its use for this condition.
What This Means for Practitioners
This single-blind trial provides no evidence that reflexology produces specific therapeutic benefit for IBS, suggesting claims about its effectiveness for this condition require further rigorous research to support.
Study Design: how this randomised trial was run
Reflexology for IBS: common questions
Does reflexology help with IBS?
Based on this small study, reflexology did not show specific benefits for IBS symptoms, so the evidence does not currently support its use for this condition.
What did this study find?
Reflexology showed no statistically or clinically significant difference compared to control massage for any of the three core IBS symptoms monitored: abdominal pain, constipation/diarrhea, and abdominal distention. This was the first empirical evidence-based study to directly evaluate reflexology's effectiveness for managing irritable bowel syndrome despite its widespread use and advocacy. The study used a single-blind trial design in primary care settings with 34 IBS participants diagnosed according to Rome Criteria, comparing reflexology foot massage to non-reflexology foot massage as a control.
How strong is this evidence?
This is a randomised trial and we rate its evidence limited. It covers 34 participants. It was published in The British journal of general practice : the journal of the Royal College of General Practitioners. Reflexology is a complementary therapy, not a replacement for medical treatment.
Related Research
Exploring manual therapy in the management of irritable bowel syndrome in adults: A scoping review
[Irritable Bowel Syndrome treatment: a multidisciplinary approach]
Reflexology and irritable bowel syndrome
Looking for a reflexologist?
Find practitioners who can help with the conditions studied in this research.
Find a Reflexologist