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Assessing the Impact of Walking on a Foot Reflexology Path on Autonomic Function: A Feasibility Study

Authors: Nanjeshgowda H L, Shetty Geetha B, Sujatha K J, Shetty PrashanthJournal: Integrative medicine (Encinitas, Calif.)Published: April 1, 2025
Limited EvidenceRandomized Controlled Trialn=24 participants

In Plain Language: reflexology for high blood pressure, explained

Traditional foot reflexology impacts autonomic function by applying pressure to the foot. However, evidence of walking on foot reflexology path and its influence on autonomic function was limited. The study aimed to ascertain whether walking on a foot reflexology path was feasible and how this would affect autonomic function. This was a randomized, counterbalanced, open-label crossover trial. 24 healthy volunteers recruited, aged 18 - 26 years, were randomly assigned into 2 groups (n = 12 in each). After a washout period of 2 days, they switched to receive the opposite phase of intervention. A holistic health centre in southern India. Walking on a foot reflexology path or walking on a plain surface for 15 minutes. Measures include feasibility, blood pressure, and heart rate variability. Participants were assessed at baseline, during walking, and 5 minutes after intervention. All participants completed the study with no adverse events, indicating the feasibility of the study. Participants were comfortable walking without any deviation in the horizontal and vertical accelerometry. There was a significant decrease in mean RR interval and percentage of differences between adjacent normal heartbeats that are greater than 50 milliseconds during walking on foot reflexology path and walking on plain surface compared to pre-intervention values (P P P < .05). The findings indicate that walking on foot reflexology path is feasible and potentially helps to regulate cardiac vagal tone by reducing blood pressure and increasing heart rate variability compared to walking on plain surface.

Key Findings: what this randomised trial found about high blood pressure

  • ✓Walking on a foot reflexology path was feasible with all 24 participants completing the study and no adverse events reported.
  • ✓Walking on a foot reflexology path for 15 minutes produced measurable changes in autonomic function indicators including blood pressure and heart rate variability compared to walking on a plain surface.
  • ✓The crossover study design successfully demonstrated that the effects of reflexology path walking could be assessed by measuring physiological responses at baseline, during walking, and 5 minutes post-intervention.

What This Means for You

While this small study shows walking on reflexology paths is safe and may affect heart function, the evidence is still early and limited to young, healthy people, so more research is needed before drawing firm conclusions about health benefits.

What This Means for Practitioners

This feasibility study supports that reflexology path walking is safe and tolerable for clients, with measurable effects on autonomic markers, providing a foundation for larger clinical trials to establish efficacy.

Study Design: how this randomised trial was run

Sample Size
24 participants
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Reflexology for high blood pressure: common questions

Does reflexology help with high blood pressure?

While this small study shows walking on reflexology paths is safe and may affect heart function, the evidence is still early and limited to young, healthy people, so more research is needed before drawing firm conclusions about health benefits.

What did this study find?

Walking on a foot reflexology path was feasible with all 24 participants completing the study and no adverse events reported. Walking on a foot reflexology path for 15 minutes produced measurable changes in autonomic function indicators including blood pressure and heart rate variability compared to walking on a plain surface. The crossover study design successfully demonstrated that the effects of reflexology path walking could be assessed by measuring physiological responses at baseline, during walking, and 5 minutes post-intervention.

How strong is this evidence?

This is a randomised trial and we rate its evidence limited. It covers 24 participants. It was published in Integrative medicine (Encinitas, Calif.). Reflexology is a complementary therapy, not a replacement for medical treatment.

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