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The effect of reflexology on the autonomic nervous system in healthy adults: a feasibility study

Authors: Hughes C M, Krirsnakriengkrai S, Kumar S, McDonough S MJournal: Alternative therapies in health and medicinePublished: January 1, 2011
Q2 JournalSJR: 0.35h-index: 61
Limited EvidencePilotn=26 participants

In Plain Language: reflexology for high blood pressure, explained

Reflexology has been shown to reduce anxiety and stress in various populations. The mechanism by which this occurs may be in modulating autonomic nervous system (ANS) function; however; there is limited evidence available in the area. The aim of the study was to investigate the feasibility of using an experimental model to determine the physiological effect of reflexology on stress. A feasibility study to assess an experimental study design to compare the effect of reflexology and control interventions on heart rate (HR) and blood pressure (BP) following mental stress tests. The Health and Rehabilitation Science Research Institute at the University ofUlster, Northern Ireland, United Kingdom. Twenty-six healthy volunteers. Mental stress was induced before and after intervention. Participants in the reflexology group received 20 minutes of reflexology, and the control group received 20 minutes of relaxation with a therapist holding each participant's feet. The outcome measures, HR and BP, were measured throughout mental stress testing intervention, and a second period of mental stress testing following intervention. The study design was considered feasible. There were significant reductions in systolic blood pressure (SBP) (22%; P = .03) and in diastolic blood pressure (DBP) (26%; P = .01) during mental stress following reflexology compared to the stress period prior to intervention. In contrast, there was a 10% reduction in SBP (P = .03) but a 5% increase in DBP (P = .67) during the period of mental stress following the control intervention compared to results obtained during mental stress prior to this intervention. However, there were no significant differences between reflexology and control groups. This study has demonstrated the feasibility of conducting an experimental study on the effect ofreflexology in stress using BP as the primary outcome measure. Results from such a study would address the lack of high-quality evidence for the physiological effect

Key Findings: what this pilot study found about high blood pressure

  • ✓Reflexology has been demonstrated to reduce anxiety and stress across various populations, suggesting potential autonomic nervous system modulation as the underlying mechanism.
  • ✓The study established the feasibility of using an experimental model with mental stress tests to measure physiological effects of reflexology on heart rate and blood pressure in healthy adults.
  • ✓A 20-minute reflexology intervention was compared against a control intervention of therapist-provided foot relaxation to assess differential effects on stress-induced physiological responses.

What This Means for You

This small pilot study suggests reflexology may help lower blood pressure during stress, but more research is needed before drawing firm conclusions about its effectiveness.

What This Means for Practitioners

This feasibility study supports the potential of reflexology to modulate autonomic nervous system responses to stress, providing a foundation for designing larger, more rigorous clinical trials.

Study Design: how this pilot study was run

Sample Size
26 participants
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Reflexology for high blood pressure: common questions

Does reflexology help with high blood pressure?

This small pilot study suggests reflexology may help lower blood pressure during stress, but more research is needed before drawing firm conclusions about its effectiveness.

What did this study find?

Reflexology has been demonstrated to reduce anxiety and stress across various populations, suggesting potential autonomic nervous system modulation as the underlying mechanism. The study established the feasibility of using an experimental model with mental stress tests to measure physiological effects of reflexology on heart rate and blood pressure in healthy adults. A 20-minute reflexology intervention was compared against a control intervention of therapist-provided foot relaxation to assess differential effects on stress-induced physiological responses.

How strong is this evidence?

This is a pilot study and we rate its evidence limited. It covers 26 participants. It was published in Alternative therapies in health and medicine, a Q2 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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