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Effect of Foot Reflexology Protocol on Premenstrual Syndrome Symptoms in Nursing Students: a Pre-Post Pilot Study

Authors: Vieira Amanda K S, Nagumo Marisa T, Kuba Gisele, Kurebayashi Leonice F S, Turrini Ruth N TJournal: International journal of therapeutic massage & bodyworkPublished: December 1, 2021DOI: 10.3822/ijtmb.v14i4.631
Q3 JournalSJR: 0.25h-index: 18
Preliminary EvidencePilotn=17 participants

In Plain Language: reflexology for PMS, explained

Premenstrual syndrome is a highly prevalent cyclical disorder among women of childbearing age which interferes with daily activities, mood, and quality of life. To evaluate the effects of a foot reflexology protocol on relieving premenstrual syndrome symptoms in nursing students. Nursing School, São Paulo University, Brazil. A convenience sample of 17 nursing students, diagnosed with moderate-to-severe premenstrual syndrome as assessed by the Premenstrual Symptoms Screening Tool (PSST). A pre-post pilot intervention study. The intervention consisted of eight reflexology sessions lasting 30 minutes for eight weeks. Evaluation of the participants by the PSST applied at the beginning and at the end of the study. The participants had an average age of 21.7 (±2.6) years, ranging from 19 to 28 years; all were single, and most were in the third year of the course (58.8%); 75.6% lived with their family; 82.4% do not use contraceptives; 64.7% reported regular menstrual flow with an average duration of 5.1 (±1.1) days, and an average menstrual cycle interval of 29.3 (±4.9) days. The intervention significantly reduced the premenstrual symptoms assessed by the PSST (pp<.04), except for the item "your home responsibilities". Foot reflexology has shown promising results in reducing premenstrual syndrome symptoms.

Key Findings: what this pilot study found about PMS

  • ✓A foot reflexology protocol consisting of eight 30-minute sessions over eight weeks was implemented to treat premenstrual syndrome in nursing students.
  • ✓Premenstrual syndrome symptoms were assessed using the Premenstrual Symptoms Screening Tool (PSST) before and after the eight-week reflexology intervention.
  • ✓The study included 17 nursing students with an average age of 21.7 years who had been diagnosed with moderate-to-severe premenstrual syndrome.

What This Means for You

Foot reflexology showed promise for reducing PMS symptoms in this small pilot study, but larger and more rigorous research is needed before drawing firm conclusions about its effectiveness.

What This Means for Practitioners

This pilot study provides preliminary evidence that a structured 8-week foot reflexology protocol may help clients with moderate-to-severe PMS, supporting the rationale for offering this service while noting the need for controlled research.

Study Design: how this pilot study was run

Sample Size
17 participants
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Reflexology for PMS: common questions

Does reflexology help with PMS?

Foot reflexology showed promise for reducing PMS symptoms in this small pilot study, but larger and more rigorous research is needed before drawing firm conclusions about its effectiveness.

What did this study find?

A foot reflexology protocol consisting of eight 30-minute sessions over eight weeks was implemented to treat premenstrual syndrome in nursing students. Premenstrual syndrome symptoms were assessed using the Premenstrual Symptoms Screening Tool (PSST) before and after the eight-week reflexology intervention. The study included 17 nursing students with an average age of 21.7 years who had been diagnosed with moderate-to-severe premenstrual syndrome.

How strong is this evidence?

This is a pilot study and we rate its evidence preliminary. It covers 17 participants. It was published in International journal of therapeutic massage & bodywork, a Q3 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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