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Randomized controlled study of premenstrual symptoms treated with ear, hand, and foot reflexology

Authors: Oleson T, Flocco WJournal: Obstetrics and gynecologyPublished: December 1, 1993
Moderate EvidenceRandomized Controlled Trialn=35 participants

In Plain Language: reflexology for PMS, explained

To determine whether reflexology therapy--the application of manual pressure to reflex points on the ears, hands, and feet that somatotopically correspond to specific areas of the body--can significantly reduce premenstrual symptoms compared to placebo treatment. Thirty-five women who complained of previous distress with premenstrual syndrome (PMS) were randomly assigned to be treated by ear, hand, and foot reflexology or to receive placebo reflexology. All subjects completed a daily diary, which monitored 38 premenstrual symptoms on a four-point scale. Somatic and psychological indicators of premenstrual distress were recorded each day for 2 months before treatment, for 2 months during reflexology, and for 2 months afterward. The reflexology sessions for both groups were provided by a trained reflexology therapist once a week for 8 weeks, and lasted 30 minutes each. Analysis of variance for repeated measures demonstrated a significantly greater decrease in premenstrual symptoms for the women given true reflexology treatment than for the women in the placebo group. These clinical findings support the use of ear, hand, and foot reflexology for the treatment of PMS.

Key Findings: what this randomised trial found about PMS

  • ✓Women receiving active reflexology treatment experienced significantly greater reduction in premenstrual symptoms compared to the placebo control group.
  • ✓The study tracked 38 different premenstrual symptoms across somatic and psychological indicators over a six-month period (two months baseline, two months treatment, two months follow-up).
  • ✓Weekly 30-minute reflexology sessions applied to the ears, hands, and feet for 8 weeks produced measurable improvements in premenstrual symptom severity.

What This Means for You

This small study shows reflexology may help reduce PMS symptoms better than placebo, though more research with larger groups is needed to confirm the benefit.

What This Means for Practitioners

This RCT provides evidence that ear, hand, and foot reflexology can produce measurable improvements in PMS symptoms beyond placebo effect, supporting its use as a treatment option.

Study Design: how this randomised trial was run

Sample Size
35 participants
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Reflexology for PMS: common questions

Does reflexology help with PMS?

This small study shows reflexology may help reduce PMS symptoms better than placebo, though more research with larger groups is needed to confirm the benefit.

What did this study find?

Women receiving active reflexology treatment experienced significantly greater reduction in premenstrual symptoms compared to the placebo control group. The study tracked 38 different premenstrual symptoms across somatic and psychological indicators over a six-month period (two months baseline, two months treatment, two months follow-up). Weekly 30-minute reflexology sessions applied to the ears, hands, and feet for 8 weeks produced measurable improvements in premenstrual symptom severity.

How strong is this evidence?

This is a randomised trial and we rate its evidence moderate. It covers 35 participants. It was published in Obstetrics and gynecology. Reflexology is a complementary therapy, not a replacement for medical treatment.

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