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The effect of reflexology on pain perception aspects in nurses with chronic low back pain in Isfahan

Authors: Babadi Maryam Eghbali, Nazari Fatemeh, Safari Reza, Abdoli SamereJournal: Iranian journal of nursing and midwifery researchPublished: January 1, 2016
Q1 JournalSJR: 1h-index: 87SCImago
Moderate EvidenceRandomized Controlled Trialn=50 participants

In Plain Language: reflexology for lower back pain, explained

The most important part in experiencing and recognizing the threshold of pain is the perception of pain. Reflexology is a kind of complementary therapy which is rooted in the beliefs of the community. This study was aimed to determine the effect of reflexology on pain perception aspects in patients with chronic low back pain. This single-blind clinical trial study was performed on 50 nurses with chronic low back pain, who were selected by convenient sampling and then randomly divided into the case and the control groups. Reflexology was conducted for 2 weeks in both groups as three 40-min sessions per week. Perception aspects of pain were measured using the McGill pain perceptual dimension scale score. Data analysis was performed using SPSS. The overall mean scores of perceptual aspects of pain after the intervention in the case and the control groups were 20 ± 5.97 and 29.60 ± 7.38, respectively, and independent t-test showed a statistically significant difference between the two groups (P P < 0.001), but the difference in the emotional aspect was not significant. Reflexology, which can be done by nurses, has the ability to reduce the intensity score and cognitive aspects of pain. Therefore, it is proposed to be included in patients' surveillance.

Key Findings: what this randomised trial found about lower back pain

  • ✓Reflexology intervention for 2 weeks (three 40-minute sessions per week) significantly reduced pain perception scores in nurses with chronic low back pain compared to control groups.
  • ✓The case group receiving reflexology demonstrated a mean pain perception score of 20 ± 5.97 after intervention, which was statistically significantly lower than the control group's score of 29.60 ± 7.38.
  • ✓Reflexology appears to be an effective complementary therapy for reducing pain perception aspects in patients experiencing chronic low back pain.

What This Means for You

Reflexology may help reduce how intensely you feel pain and your mental perception of it, though this is based on a moderate-quality study of 50 people.

What This Means for Practitioners

This single-blind RCT provides evidence that reflexology can reduce pain intensity and cognitive pain perception in chronic low back pain patients, supporting its inclusion as a complementary therapy in clinical settings.

Study Design: how this randomised trial was run

Sample Size
50 participants
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Reflexology for lower back pain: common questions

Does reflexology help with lower back pain?

Reflexology may help reduce how intensely you feel pain and your mental perception of it, though this is based on a moderate-quality study of 50 people.

What did this study find?

Reflexology intervention for 2 weeks (three 40-minute sessions per week) significantly reduced pain perception scores in nurses with chronic low back pain compared to control groups. The case group receiving reflexology demonstrated a mean pain perception score of 20 ± 5.97 after intervention, which was statistically significantly lower than the control group's score of 29.60 ± 7.38. Reflexology appears to be an effective complementary therapy for reducing pain perception aspects in patients experiencing chronic low back pain.

How strong is this evidence?

This is a randomised trial and we rate its evidence moderate. It covers 50 participants. It was published in Iranian journal of nursing and midwifery research, a Q1 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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