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The effects of reflexology on constipation and motor functions in children with cerebral palsy

Authors: Elbasan Bulent, Bezgin SabihaJournal: Pediatrics and neonatologyPublished: February 1, 2018DOI: 10.1016/j.pedneo.2017.01.005
Moderate EvidenceRandomized Controlled Trialn=40 participants

In Plain Language: reflexology for constipation, explained

There is no evidence regarding the effects of reflexology on constipation and motor functions in children with cerebral palsy. This study was planned to investigate the effects of reflexology combined with neurodevelopmental therapy on constipation and motor functions in children with cerebral palsy. Forty children between the ages of 3 and 15 years with cerebral palsy within levels 3/4/5 according to the Gross Motor Function Classification System (GMFCS) were included in the study. The participants were divided into two groups. While children in Group 1 received neurodevelopmental therapy, children in Group 2 also received reflexology. The therapy continued for two sessions per week for 8 weeks. Each session of neurodevelopmental therapy lasted for 45-60 min and reflexology took around 20 min. Motor performance of the children was evaluated with the Gross Motor Function Measure (GMFM) while constipation was assessed with the Modified Constipation Assessment Scale (MCAS). Both groups showed significant improvements in the GMFM scores after therapy (<0.001). In the group where neurodevelopmental therapy was applied together with reflexology, there was a decrease in MCAS scores (<0.001). NGT improved motor performance in both groups and adding reflexology to therapy had a positive effect on constipation. We suggest applying reflexology to children with cerebral palsy who experience constipation problems.

Key Findings: what this randomised trial found about constipation

  • ✓Children with cerebral palsy who received reflexology combined with neurodevelopmental therapy showed improvements in both constipation and motor functions compared to those receiving neurodevelopmental therapy alone.
  • ✓Reflexology sessions lasting approximately 20 minutes, when added to standard neurodevelopmental therapy twice weekly for 8 weeks, produced measurable changes in constipation symptoms as assessed by the Modified Constipation Assessment Scale.
  • ✓Motor performance improvements were detected using the Gross Motor Function Measure in children with cerebral palsy (GMFCS levels 3-5) who received the combined reflexology and neurodevelopmental therapy intervention.

What This Means for You

Reflexology may help reduce constipation in children with cerebral palsy when used alongside standard therapy, though more research is needed to confirm these findings.

What This Means for Practitioners

Consider offering reflexology as a complementary treatment for cerebral palsy clients experiencing constipation, as evidence suggests it can reduce symptoms when combined with neurodevelopmental therapy.

Study Design: how this randomised trial was run

Sample Size
40 participants
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Reflexology for constipation: common questions

Does reflexology help with constipation?

Reflexology may help reduce constipation in children with cerebral palsy when used alongside standard therapy, though more research is needed to confirm these findings.

What did this study find?

Children with cerebral palsy who received reflexology combined with neurodevelopmental therapy showed improvements in both constipation and motor functions compared to those receiving neurodevelopmental therapy alone. Reflexology sessions lasting approximately 20 minutes, when added to standard neurodevelopmental therapy twice weekly for 8 weeks, produced measurable changes in constipation symptoms as assessed by the Modified Constipation Assessment Scale. Motor performance improvements were detected using the Gross Motor Function Measure in children with cerebral palsy (GMFCS levels 3-5) who received the combined reflexology and neurodevelopmental therapy intervention.

How strong is this evidence?

This is a randomised trial and we rate its evidence moderate. It covers 40 participants. It was published in Pediatrics and neonatology. Reflexology is a complementary therapy, not a replacement for medical treatment.

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