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Reflexology Research & Science

Does reflexology work? The honest answer from 808 peer-reviewed studies: the evidence is mixed and mostly early-stage. 245 are randomized controlled trials and 221 are systematic reviews or meta-analyses. The strongest signals are for relaxation, anxiety, and pain, not for curing disease. Every study is below, graded by evidence strength and pulled from PubMed.

808 studies · page 7 of 68

Effect of acupressure and acupuncture on sleep quality in cancer patients with insomnia: A systematic review and meta-analysis.

Yasamin Khosravaninezhad, Reza Moshfeghinia, Leila Liaghat, Hamid Ghazipoor, Yasamin Kaheni, Amin Javidan et al.Explore (New York, N.Y.)2025

Researchers reviewed multiple studies testing whether acupressure and acupuncture could help cancer patients sleep better. They combined the results from these studies to see if these techniques actually work for treating insomnia in this patient population.

strong evidenceMeta-AnalysisQ2 JournalInsomniaCancer Pain Management

Chinese Medicines Treatment for Sleep Disturbance in Breast Cancer Survivors: A Network Meta-Analysis.

Chia-Wen Chuang, Ming-Yen Tsai, Shih-Chung Wu, Wen-Chun LiaoIntegrative cancer therapies2024

Researchers reviewed multiple studies on Chinese herbal medicines used to help breast cancer survivors with sleep problems. They analyzed which treatments worked best by comparing results across different studies to identify the most effective herbal options for improving sleep.

strong evidenceMeta-AnalysisQ2 JournalInsomniaCancer Pain Management

Efficacy of mobilization with movement (MWM) for shoulder conditions: a systematic review and meta-analysis.

Kiran Satpute, Sue Reid, Thomas Mitchell, Grant Mackay, Toby HallThe Journal of manual & manipulative therapy2022
strong evidenceMeta-AnalysisQ2 Journal

Effect of Prenatal Perineal Massage on Postpartum Perineal Injury and Postpartum Complications: A Meta-Analysis.

Qiuxia Chen, Xiaocui Qiu, Aizhen Fu, Yanmei HanComputational and mathematical methods in medicine2022

Researchers combined results from multiple studies to examine whether massaging the perineum (the area between the vagina and anus) during pregnancy could reduce tears and complications after childbirth. They found that prenatal perineal massage was associated with reduced perineal trauma and fewer postpartum complications in women giving birth vaginally.

strong evidenceMeta-AnalysisQ2 JournalPregnancy Discomfort

Perineal massage during labor: a systematic review and meta-analysis of randomized controlled trials.

Carmen Imma Aquino, Maurizio Guida, Gabriele Saccone, Yuri Cruz, Amerigo Vitagliano, Fulvio Zullo et al.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians2020

This study examined whether perineal massage during vaginal delivery can reduce the incidence of severe perineal trauma, such as significant lacerations. The findings revealed that women who received perineal massage had a 51% lower risk of severe perineal trauma compared to those who did not receive the massage. These results suggest that perineal massage could be an effective technique to minimize injury during childbirth.

strong evidenceMeta-Analysisn=3374Q2 JournalPregnancy Discomfort

Massage therapy research review.

Tiffany FieldComplementary therapies in clinical practice2015

A review of studies found that moderate pressure massage has many positive effects, such as aiding weight gain in preterm infants and reducing pain in conditions like fibromyalgia. It also helps reduce anxiety and depression by affecting brain areas responsible for emotional regulation, showing the importance of this type of massage in therapeutic settings.

strong evidenceMeta-AnalysisQ2 Journal

Effect of aromatherapy on sleep quality of adults and elderly people: A systematic literature review and meta-analysis.

Jihoo Her, Mi-Kyoung ChoComplementary therapies in medicine2021

The study examined the impact of aromatherapy on sleep quality in adults and the elderly. Results showed that aromatherapy significantly improves sleep quality, reduces stress, pain, anxiety, depression, and fatigue. This is important because better sleep can enhance overall health and well-being.

strong evidenceMeta-Analysisn=30Q2 JournalInsomnia

Manual Therapy as a Management of Cervical Radiculopathy: A Systematic Review.

Sergio Borrella-Andrés, Isabel Marqués-García, María Orosia Lucha-López, Pablo Fanlo-Mazas, Mar Hernández-Secorún, Albert Pérez-Bellmunt et al.BioMed research international2021

This study reviewed various clinical trials to evaluate the effectiveness of manual therapy for treating cervical radiculopathy, which is a condition causing pain and dysfunction due to problems with the cervical nerves. The findings suggest that manual therapy can help reduce pain and improve function, regardless of the specific techniques used, highlighting its potential value in treating this condition.

strong evidenceMeta-Analysisn=17Q2 Journal

Massage therapy as a complementary treatment for Parkinson's disease: A Systematic Literature Review

Angelopoulou Efthalia, Anagnostouli Maria, Chrousos George P, Bougea AnastasiaComplementary therapies in medicine2020

There is no definite cure for Parkinson's disease (PD); therefore, the goals for symptomatic treatment are to improve quality of life and manage the motor and non-motor symptoms of the disease. Although massage is the one of the commonest used forms of complementary and alternative medicine (CAM), there is no systematically-oriented review focusing specifically on the efficacy of the different massage techniques on PD.Aim of this review was to evaluate the quality of evidence referring to massage therapy for PD. A systematic search was conductedin the MEDLINE database to identify the efficacy of massage on PD between 01/01/1970 and 06/12/2019. A total of 12 studies were analyzed in this systematic review. Massage therapy seems to induce relaxation in most cases, which is accompanied by biological measures involving urine stress hormones. Quality of life has been shown to be improved upon various therapeutic massage styles, involving classical whole-body therapeutic massage and reflexology. Non-motor symptoms, such as sleep disturbances, pain, fatigue, anxiety and depressive symptoms have been demonstrated to be improved upon different massage techniques, including classical deep therapeutic massage, Traditional Japanese (Anma) massage, Thai massage, neuromuscular therapy and Yin Tui Na massage. Regarding motor symptoms, classical therapeutic massage, Traditional Japanese (Anma) massage, Thai massage, and neuromuscular therapy seemed to improve motor symptoms, whereas Yin Tui Na technique combined with acupuncture was associated with worse motor scores. Despite the methodological concerns regarding the existing evidence, there is a wide range of safe massage techniques with beneficial effects on both motor and non-motor symptoms of PD. Longitudinal studies are needed to justify the introduction of massage therapy into clinical practice.

strong evidenceSystematic ReviewQ2 JournalInsomnia

A Systematic Review of Potentially Effective Nonpharmacological Interventions for Reducing Fatigue among Iranian Patients Who Receive Hemodialysis

Ghazanfari Mohammad Javad, Karkhah Samad, Emami Zeydi Amir, Mortazavi Hamed, Tabatabaee Amir, Adib-Hajbaghery MohsenComplementary medicine research2022

Fatigue control in hemodialysis (HD) patients requires a multidisciplinary approach. This study aimed to comprehensively review the available research literature regarding the nonpharmacological interventions used for reducing fatigue among Iranian HD patients. In this systematic review, an extensive search of the literature was conducted on PubMed, Web of Science, and Scopus databases, using the keywords related to the purpose. Also, the Persian equivalent of these keywords was searched in Iranian databases, such as Iranmedex and Scientific Information Database (SID) from the inception to June 16, 2020. Of 2,761 articles, 25 studies were included in the review. Among a total of 1,748 Iranian HD patients with a mean age of 54.17 (SD = 12.27) years, 61.38% were male. Interventions such as educational-based programs (n = 5), nutrition-based programs (n = 2), massage therapy (n = 3), exercise-based programs (n = 4), relaxation technique (n = 3), combination of relaxation technique and inhalation aromatherapy (n = 1), energy therapy (reflexology and acupressure) (n = 3), and mind-guided imagery (n = 1) were effective in reducing fatigue in Iranian HD patients. These simple, low-cost, and practical interventions can be used for the reduction of fatigue among HD patients by nurses. However, future well-designed studies are recommended to confirm the efficacy of these and other potentially effective interventions for reducing fatigue in HD patients. Hintergrund und Zielsetzung: Um die im Zusammenhang mit Hämodialyse (HD) auftretende Müdigkeit zu beherrschen, ist ein interdisziplinäres Vorgehen erforderlich. Das Ziel dieser Studie ist es, einen umfassenden Überblick über die vorliegende Forschungsliteratur zu nicht-pharmakologischen Maßnahmen zur Reduktion der Müdigkeit bei iranischen HD-Patienten zu geben. Methoden: Für diese systematische Übersichtsarbeit wurde eine umfassende Literaturrecherche in den Datenbanken PubMed, W

strong evidenceSystematic Reviewn=1748Q2 Journal

Effect of complementary and alternative medicine interventions on cancer related pain among breast cancer patients: A systematic review

Behzadmehr Razieh, Dastyar Neda, Moghadam Mahdieh Poodineh, Abavisani Mahnaz, Moradi MandanaComplementary therapies in medicine2020

This systematic review aimed to evaluate the efficacy of CAM interventions for cancer-related pain in breast cancer patients. Databases (PubMed, Scopus, Web of Science, and EMBASE) were searched from January 1, 2000, up to April 31, 2019, using the keywords: Complementary and alternative medicine therapies and cancer related pain. Standard tools were used to evaluate the quality of the studies included. Of the 3742 articles found, 46 articles comprising 3685 participants entered the final phase. Our results indicate that interventions including acupuncture/acupressure, tai chi/qi gong, hypnosis, meditation, music therapy, yoga, massage, reflexology, and Reiki improve cancer-related pain in breast cancer patients. However, aromatherapy had no effect on the same. Despite the positive effect of various CAM interventions in reducing cancer-related pain, necessary precautions should be adopted to use them alongside other treatments to control cancer pain in the clinical setting.

strong evidenceSystematic Reviewn=3685Q2 JournalCancer Pain Management

Efficacy of Musculoskeletal Manipulation for Endoscopic Discomfort in Patients Undergoing Upper Gastrointestinal Endoscopy and Colonoscopy: A Systematic Review and Meta-Analysis

Kitamura Satoru, Komiya Shinnosuke, Kaneko Takao, Tsuge Takahiro, Watanabe JunCureus2025

Patients undergoing upper gastrointestinal endoscopy (UGIE) and colonoscopy often experience discomfort, including anxiety, abdominal pain, and bloating. The efficacy of musculoskeletal manipulation (e.g., massage) for these symptoms remains unclear. This systematic review and meta-analysis aimed to clarify its efficacy in patients undergoing UGIE and colonoscopy. We searched major electronic databases (MEDLINE (PubMed), CENTRAL, EMBASE, CINAHL, and PEDro) and trial registries up to July 17, 2025, for randomized controlled trials (RCTs). Meta-analyses employed a random-effects model, and risk of bias was formally assessed. Four trials were included. Two trials on reflexology showed a non-significant effect on pre-procedural anxiety, with the evidence being highly variable and leading to very low certainty findings. Two trials on abdominal massage following colonoscopy suggested a possible benefit for reduced abdominal pain, but this finding was limited by substantial heterogeneity. The overall evidence for musculoskeletal manipulation on anxiety, abdominal pain, and bloating is generally low or very low certainty due to imprecision and high risk of bias. While the overall evidence is insufficient for routine clinical recommendations, future high-quality, large-scale trials that standardize outcome assessments are essential to establish definitive conclusions. This review was registered with PROSPERO (CRD420251104522).

strong evidenceSystematic ReviewQ2 Journal

Does reflexology work? Common questions

Is reflexology scientifically proven?

No. The most careful reviews conclude reflexology isn't a proven treatment for any specific medical condition. What the research more consistently supports is relaxation and short-term relief of anxiety and pain. We track 808 studies here, graded by evidence strength, so you can judge for yourself.

Does reflexology actually work?

It depends what you mean. For curing or treating a disease, the evidence doesn't support it. For helping people relax and feel less anxious or in less pain during a session, a number of small studies are positive, including 245 randomized controlled trials and 221 systematic reviews or meta-analyses in this library.

Is reflexology a pseudoscience?

Reflexology's core idea, that specific points on the feet map to distant organs, isn't backed by anatomy or physiology, and that's why critics call it pseudoscience. The relaxation and comfort people feel during a session are real, though. It's best understood as a complementary relaxation practice, not a medical treatment.

What is reflexology best supported for?

The strongest and most consistent evidence is for relaxation and short-term reduction in anxiety and pain, plus some cancer-care symptoms like nausea and fatigue. Evidence for treating specific diseases is weak. Use the evidence-strength filter to sort studies by how solid they are.

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