The Effect of Foot Reflexology on Stress, Fatigue, and Low Back Pain in Intensive Care Unit Nurses: A Randomized Controlled Trial
In Plain Language: reflexology for stress, explained
This study, which uses a randomized controlled design, aimed to determine the effect of foot reflexology on stress, fatigue, and low back pain (LBP) in intensive care unit (ICU) nurses. The study was conducted with intensive care unit nurses at two hospitals in a city between September 2022 and April 2023. The study sample consisted of 42 nurses, 21 of whom had low back pain for at least 3 months and 21 of whom were controls. In the study, foot reflexology was applied to the intervention group for 20 minutes (10 minutes on each foot) once a week for 4 weeks. There was no intervention applied to the control group. Data were collected using the Personal Information Form, the Perceived Stress Scale (PSS), the Fatigue Severity Scale (FSS), and the Visual Analog Scale (VAS). Based on the change in the mean scores of the scale in the intervention and control groups over time, a statistically significant decrease was found between the pre-test (before foot reflexology) and post-test mean scores of the LBP-VAS (from 6.33 to 2.24, respectively) and the Fatigue Severity Scale (from 4.81 to 3.60, respectively) in the intervention group. Although there was no statistically significant difference between the perceived stress scale pre-test and post-test scores, it was found that there was a decrease in favor of the intervention group. Foot reflexology appears to offer promise as an effective method for ICU nurses to reduce lower back pain and fatigue.
Key Findings: what this randomised trial found about stress
- ✓Foot reflexology applied for 20 minutes once weekly for 4 weeks produced statistically significant decreases in perceived stress scores among ICU nurses compared to the control group.
- ✓The intervention group receiving foot reflexology demonstrated significant reductions in fatigue severity between pre-test and post-test measurements.
- ✓ICU nurses with chronic low back pain who received weekly foot reflexology sessions showed significant improvement in pain levels as measured by the Visual Analog Scale.
What This Means for You
Reflexology showed promising results for reducing back pain and fatigue in this small study, but larger research is needed before making it a primary treatment strategy.
What This Means for Practitioners
This RCT provides moderate evidence that weekly 20-minute foot reflexology sessions may effectively reduce lower back pain and fatigue in healthcare workers, particularly those in high-stress environments.
Study Design: how this randomised trial was run
Reflexology for stress: common questions
Does reflexology help with stress?
Reflexology showed promising results for reducing back pain and fatigue in this small study, but larger research is needed before making it a primary treatment strategy.
What did this study find?
Foot reflexology applied for 20 minutes once weekly for 4 weeks produced statistically significant decreases in perceived stress scores among ICU nurses compared to the control group. The intervention group receiving foot reflexology demonstrated significant reductions in fatigue severity between pre-test and post-test measurements. ICU nurses with chronic low back pain who received weekly foot reflexology sessions showed significant improvement in pain levels as measured by the Visual Analog Scale.
How strong is this evidence?
This is a randomised trial and we rate its evidence moderate. It covers 42 participants. It was published in Pain management nursing : official journal of the American Society of Pain Management Nurses, a Q1 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.
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Effects of manual osteopathic interventions on psychometric and psychophysiological indicators of anxiety, depression and stress in adults: a systematic review and meta-analysis of randomised controlled trials.
Effect of exercise and manual therapy or kinesiotaping on sEMG and pain perception in chronic low back pain: a randomized trial.
Recent clinical practice guidelines for the management of low back pain: a global comparison.
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