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Single-blind trial addressing the differential effects of two reflexology techniques versus rest, on ankle and foot oedema in late pregnancy

Authors: Mollart LJournal: Complementary therapies in nursing & midwiferyPublished: November 1, 2003
Q1 JournalSJR: 1h-index: 87SCImago
Strong EvidenceRandomized Controlled Trialn=55 participants

In Plain Language: reflexology for pregnancy, explained

This single-blind randomised controlled trial explored the differential effects of two different foot reflexology techniques with a period of rest on oedema-relieving effects and symptom relief in healthy pregnant women with foot oedema. Fifty-five women in the third trimester were randomly assigned to one of the three groups: a period of rest, 'relaxing' reflexology techniques or a specific 'lymphatic' reflexology technique for 15 min with pre- and post-therapy ankle and foot circumference measurements and participant questionnaire. There was no statistically significant difference in the circumference measurements between the three groups; however, the lymphatic technique reflexology group mean circumference measurements were all decreased. A significant reduction in the women's symptom mean measurements in all groups (p<0.0001) was apparent. A 'perceived wellbeing' score revealed the lymphatic technique group (p<0.0001) significantly increased their wellbeing the most, followed closely by relaxing techniques (p<0.001) and then the control rest group (p<0.03). Lymphatic reflexology techniques, relaxing reflexology techniques and a period of rest had a non-significant oedema-relieving effect. From the women's viewpoint, lymphatic reflexology was the preferred therapy with significant increase in symptom relief.

Key Findings: what this randomised trial found about pregnancy

  • ✓While no statistically significant difference in ankle and foot circumference was found between the three groups, the lymphatic technique reflexology group showed decreased mean circumference measurements.
  • ✓All three groups (rest, relaxing reflexology, and lymphatic reflexology) experienced a significant reduction in symptom measurements (p<0.0001).
  • ✓The lymphatic technique reflexology group reported significantly greater improvements in perceived wellbeing compared to the other groups (p<0.0001).

What This Means for You

Reflexology may help you feel better and experience symptom relief during pregnancy-related foot swelling, though it may not physically reduce the swelling itself.

What This Means for Practitioners

Lymphatic reflexology techniques appear more effective than general relaxing techniques for improving perceived wellbeing and symptom relief in pregnant clients with foot oedema, despite similar physical measurement outcomes.

Study Design: how this randomised trial was run

Sample Size
55 participants
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Reflexology for pregnancy: common questions

Does reflexology help with pregnancy?

Reflexology may help you feel better and experience symptom relief during pregnancy-related foot swelling, though it may not physically reduce the swelling itself.

What did this study find?

While no statistically significant difference in ankle and foot circumference was found between the three groups, the lymphatic technique reflexology group showed decreased mean circumference measurements. All three groups (rest, relaxing reflexology, and lymphatic reflexology) experienced a significant reduction in symptom measurements (p<0.0001). The lymphatic technique reflexology group reported significantly greater improvements in perceived wellbeing compared to the other groups (p<0.0001).

How strong is this evidence?

This is a randomised trial and we rate its evidence strong. It covers 55 participants. It was published in Complementary therapies in nursing & midwifery, a Q1 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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