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Reflexology in the management of low back pain: a pilot randomised controlled trial

Authors: Quinn F, Hughes C M, Baxter G DJournal: Complementary therapies in medicinePublished: February 1, 2008DOI: 10.1016/j.ctim.2007.05.001
Q2 JournalSJR: 0.7h-index: 88SCImago
Preliminary EvidencePilot

In Plain Language: reflexology for lower back pain, explained

The current study was designed as a pilot study for a randomised controlled trial to investigate the effectiveness of reflexology in the management of low back pain (LBP). Participants suffering non-specific LBP were recruited and randomised into either a reflexology or a sham group. Patients and outcome assessor were blinded to group allocation. Each patient received either a 40 min reflexology treatment or sham treatment (according to group allocation) once per week for six consecutive weeks. The primary outcome measure was pain (visual analogue scale), secondary outcome measures were the McGill pain questionnaire, Roland-Morris disability questionnaire, and SF-36 health survey. Outcome measures were performed at baseline, week 6, week 12 and week 18. VAS scores for pain reduced in the treatment group by a median value of 2.5 cm, with minimal change in the sham group (0.2 cm). Secondary outcome measures produced an improvement in both groups (McGill pain questionnaire: 18 points in the reflexology group and 11.5 points in the sham group). Results indicate that reflexology may have a positive effect on LBP. Reflexology appears to offer promise as a treatment in the management of LBP; however, an adequately powered trial is required before any more definitive pronouncements are possible.

Key Findings: what this pilot study found about lower back pain

  • ✓Reflexology treatment reduced pain on the visual analogue scale by a median of 2.5 cm compared to minimal change of 0.2 cm in the sham group.
  • ✓Secondary outcome measures including the McGill pain questionnaire showed improvements in both the reflexology treatment and sham control groups.
  • ✓The pilot randomised controlled trial used a blinded design with patients and outcome assessors unaware of group allocation to reduce bias.

What This Means for You

While this pilot study suggests reflexology may help with lower back pain more than placebo, the evidence is still preliminary and you should consider it as a potential complement to, not replacement for, established treatments until larger studies confirm its effectiveness.

What This Means for Practitioners

This pilot study provides early support for reflexology's effect on low back pain management, but you should view it as preliminary evidence that justifies pursuing larger, well-powered trials rather than as definitive proof of efficacy.

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Reflexology for lower back pain: common questions

Does reflexology help with lower back pain?

While this pilot study suggests reflexology may help with lower back pain more than placebo, the evidence is still preliminary and you should consider it as a potential complement to, not replacement for, established treatments until larger studies confirm its effectiveness.

What did this study find?

Reflexology treatment reduced pain on the visual analogue scale by a median of 2.5 cm compared to minimal change of 0.2 cm in the sham group. Secondary outcome measures including the McGill pain questionnaire showed improvements in both the reflexology treatment and sham control groups. The pilot randomised controlled trial used a blinded design with patients and outcome assessors unaware of group allocation to reduce bias.

How strong is this evidence?

This is a pilot study and we rate its evidence preliminary. It was published in Complementary therapies in medicine, a Q2 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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