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Abstracts: Reflexology Research & Case Studies

Kevin and Barbara Kunz, Reflexology Research Project

Directory

*Controlled study

 

Absenteeism/Employee morale

Absenteeism/Employee morale

Absenteeism/Employee morale

Absenteeism/Employee morale

Absenteeism/Employee morale

Absenteeism/Employee morale

Acne

Agitated elderly (Hand massage and calming music)

Alzheimer's

Amenorrhea*

Anemia

Angina

Arteriosclerosis

Arthritis

Asthma*

Asthma*

Asthma

Biofeedback assessment (Pulse rate, respiratory rate, blood pressure for senior citizens)

Birthing

Birthing (Labor outcomes)

Birthing (Pain killing during delivery)

Birthing (Pain killing, alternative to labor stimulating and inducing drugs)

Birthing* (Milk secretion in new mothers)

Blood pressure, pain, control over falls in senior citizens*

Bronchitis (Children)

Cancer

Cancer (pain)

Cancer* (pain and anxiety)

Cancer*(quality of life)

Cancer*(pain and nausea)

Cancer (Hand massage; Nausea, vomiting, anxiety, pulse rate, blood pressure for children undergoing high dose chemo therapy)

Cardio-vascular system* (Baroreceptor reflex sensitivity, blood pressure and sinus arrhythmia)

Cerebral palsy*

Cervical spondylosis*

Chest pain

Children / mentally retarded

Circulation

Colic*

Constipation*

Coronary heart disease*

Critical care (Foot massage)

Diabetes*

Diabetes*

Diabetes*

Diabetes*

Diagnosis

Diagnosis

Diagnosis

Diagnosis

Diagnosis

Dysmenorrhea

Dyspepsia*

Ear disorders in children

Eczema

Edema in Pregnancy

Emotional needs

Encopresis

Enuresis*

Falls, Control over in senior citizens

Fatigue

Fetal activity during gestation* (Foot and hand massage)

Free radicals* (Mechanism of action)

Gout

Headache

Hospice / palliative care

Hyperlipimia*

Impotence*

Infertility

Irritable bowel syndrome

Kidney function* (Mechanism of action)

Kidney and ureter stones*

Leukopenia*

Menopause*

Mental health

Mental retardation*

Migraine headache*

Milk secretion in new mothers*

Multiple sclerosis*

Multiple sclerosis

Neurodermatitis*

Nervous exhaustion

Pain

Pain, Cancer

Pain, Chronic (Hand massage)

Pain of herniated disc

Pain (kidney & ureter stones)

Pain (post surgical)

Pain, Senior citizens

Pain (shoulder)

Paralysis

*Pneumonia (Infantile )

Post surgical care* (foot massage)

Post surgical pain*

Post surgical nausea and vomiting (Hand acupressure)

Post surgical nausea and vomiting, Children (Hand acupressure)

Post surgical recovery*

Premenstrual syndrome*

Prostate* (hyperplasia)

Prostate (hypertrophy - enlarged)

Psoriasis

Reflexology Chart

Rhinitis

Sexual dysfunction*

Sinusitis*

Smoking cessation (Hand and ear massage)

Stroke

Surgery, anxiety during* (Hand Massage)

Toothache*

Urinary tract stones*

Urinary tract infection*

Uroschesis* (retention of urine)

Absenteeism/Employee morale/Specific health benefits/General health benefits

Absenteeism/Employee morale/Specific health benefits/General health benefits

* Reflexology work saved a Danish employer US$3,300 a month in fewer sick days for employees in addition to improving the work environment. "… Reflexology had been used to help the staff of the Scandinavian Airline's Cargo Department. They employ approximately 60 people and handle 2.4 million documents a year. Here is a statement made by the employees:

" 'Our work is done through computers and people spending many hours in a chair doing their work, resulting in aching shoulders and back. Since we employed our reflexologist … we have experienced a substantial decrease of people being ill and away from work. The approximate amount is 20,000 Danish kroner a month (US$3,300). It has not only a physical effect, but also a psychological effect. There is a much better atmosphere in the department, because the employees feel there is something being done about their problems... Before we used to stay at home when ill, now we see the staff go to work anyway because they know they can get a treatment and feel better.'" Eriksen, Leila, Reflexology: Research and Effect Evaluation in Denmark, Danish Reflexologists Association, Denmark, August 1995, pp. 15 - 16

Absenteeism/Employee morale/Specific health benefits/General health benefits

"Over a 2 year period a reflexologist employed by the Telecom firm of Taastrup, Denmark treated 156 employees who expeienced postive effects on back pains, the musculo-skeltal sustem, headache, migraine, stomache/intestinal sufferings. Sickness leave was reduced." (http://www.fdz-intranet.dk/english/research/results.htm) Eriksen, Leila, "A Close-up View on Company Reflexology," Danish Reflexologists Association Research Committee Report, Feb., 1995

Absenteeism/Employee morale/Specific health benefits/General health benefits

"Three reflexologists employed by the municipality treated 143 patients over a 6 month period. 79% were either cured or helped with their primary health problem. 57% were helped with secondary problems. 30% became more satified with their jobs and 92% wanted to continue reflexology." (http://www.fdz-intranet.dk/english/research/results.htm)

Kristensen, Karin, Rasmussen, Inge, and Møller, Elsebeth, "Take Good Care of Your Fellow Employees, Reflexology as personnel care in the Århus District Corporation," Danish Reflexologists Association Research Committee Report, Feb., 1995 (Originally published in Zonetherapeuten, (The FDZ Journal), No. 1, 1996)

Absenteeism/Employee morale/Specific health benefits/General health benefits

"Staff of the municipality of Ishoj was treated by a reflexologist. During 6 month the municipality saved DKK 215,00 as absenteeism was reduced with 2,500 hours as compared to the provious year." (http://www.fdz-intranet.dk/english/research/results.htm) Eriksen, Leila, "Municipal Reflexology," Danish Reflexologists Association Research Committee Report, Feb., 1995

Absenteeism/Employee morale/Specific health benefits/General health benefits

"In a three year peiod 235 employees were treated for a variety of health problems. 170 reported a good effect. 60 had some effect whereas 5 had no effect. Absenteeism was reduced from 11.4 to 8.5 days per person per year, implying savcings of more than 1 million Danish kroner." (http://www.fdz-intranet.dk/english/research/results.htm) Madsen, Synnøve and Andersen, Jette, "Postal Reflexology," Danish Reflexologists Association Research Committee Report, Feb., 1995

Absenteeism/Employee morale/Specific health benefits/General health benefits

"A report on Company Reflexology as appled in the Danish municipality of Svendborg. Involves 52 female employees. 97.5% had positive effects on their primary ailments. 77.5% on secondary problems. Meidince intake was reduce with 27.5% and absenteeism with 65.9%" (http://www.fdz-intranet.dk/english/research/results.htm) Terp, Hanne, "Municipal Reflexology in Svendborg, A study of the effect of reflexology treatment in the eastern district of the municipa

Acne

Thirty eight cases of acne were ages 18 to 29. All were treated with a daily reflexology session for 10 days as a course of treatment. All were successfully cured by foot reflexotherapy work: 5 after 3 courses, 26 after 4 courses, 4 after 5 courses and 3 after 6 courses.

Dong Dahai, Xiang Xiangdong, Shi Yanling, Kong Zhifeng, Dong Congjun, "Treatment of 38 Cases of Acne with Foot Reflexotherapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 62-6

Agitated elderly (Hand massage and calming music)

BACKGROUND: Agitated behavior is a widespread problem that adversely affects the health of nursing home residents and increases the cost of their care. OBJECTIVE: To examine whether modifying environmental stimuli by the use of calming music and hand massage affects agitated behavior in persons with dementia.
METHOD: A four group, repeated measures experimental design was used to test the effect of a 10-minute exposure to either calming music, hand massage, or calming music and hand massage simultaneously, or no intervention (control) on the frequency and type of agitated behaviors in nursing home residents with dementia (N = 68). A modified version of the Cohen-Mansfield Agitation Inventory was used to record agitated behaviors.
RESULTS: Each of the experimental interventions reduced agitation more than no intervention. The benefit was sustained and increased up to one hour following the intervention (F = 6.47, p<.01). The increase in benefit over time was similar for each intervention group. When types of agitated behaviors were examined separately, none of the interventions significantly reduced physically aggressive behaviors (F = 1.93, p=.09), while physically nonaggressive behaviors decreased during each of the interventions (F = 3.78, p< 01). No additive benefit resulted from simultaneous exposure to calming music and hand massage. At one hour following any intervention, verbally agitated behavior decreased more than no intervention. CONCLUSION: Calming music and hand massage alter the immediate environment of agitated nursing home residents to a calm structured surrounding, offsetting disturbing stimuli, but no additive benefit was found by combining interventions simultaneously.

PMID: 12352780 [PubMed] Remington R. ,"Calming music and hand massage with agitated elderly," Nurs Res. 2002 Sep-Oct;51(5):317-23, University of Massachusetts, Lowell 01854, USA. rem@rem.ultranet.com

Alzheimer's

Alzheimer's patients saw a reduction in body stiffness and arthritis as well as alleviation of the illness's symptoms of restlessness and wandering following reflexology work.

"Old age converts to the New Age," Daily Mail (England), September 14, 1995

Amenorrhea

* Ninety-five cases of amenorrhea were divided into two groups, a foot reflex therapy treatment group of 50 and a control group of 45 with participants using traditional Chinese medicine tablets. The effective rate of the foot reflex therapy group was 96% compared to the control group rate of 33%.

Xiu-hua, Xu, "Analysis of 50 Cases of Amenorrhea Treated by Foot Reflex Therapy," (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996, p. 36

Anemia

A forty-six year-old woman with megaloblastic anemia was treated with foot reflexology. At the start of foot reflexology treatment her WBC/mm measured 4200 and hemoplobin 5.5. After three months of foot reflexology treatment she could walk. WBC/mm measured 8200 and hemoglobin measured 11.0.
Yong-gui, Yang, "A Case Report on Treatment of Megaloblastic Anemia with Paraplegia by Foot Reflexology," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 48 (Worker's Hospital of Zhuhai Chentang Enterprise, Tianjin, China)

Angina

Foot reflexology applied during an active onset of angina and observed with EKG showed disappearance of symptoms and a change to T-waves in V1.3 elevated from depressed T-waves and T-waves in V5 inverted upright from an inversion of T-waves. Following a 10-day course of daily 50 minute foot reflexology sessions, nocturnal attacks of premature beats were relieved though premature beats still occurred occasionally.
Bing-zhao, Zhang, "Effect of Foot Massage on a Patient with Angina Observing with EKG; A Case Report," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 53 (Outpatient Dept., Senile Convalescent Hospital, Shenyang, China)

 

Arteriosclerosis

See Hyperlipimia, Shou-qing, Gui; Yuna-zhong, Li; Xian-qing, Xiao; Chen Shengping and Gu Xuejauna (The People's Hospital, Xianning District, Hubei Province), Zhu Shanhan, Liao Enguang (The People's Hospital of Hubei Province) and Luo Desheng (Xianning College of Medicine, Hubei Province), "Impact of the Massotherapy Applied to Foot Reflexes on Blood Fat of Human Body," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 34-37

Arthritis

Forty-two cases of acromioclaviclar (shoulder) arthritis received thirty minute sessions of foot reflexology once a day for 15 days. At the finish, 8 were "cured," 20 were "distinctly effective" and 14 cases were "improved."
Zhi-xian, Ma and Jin-li, Zhang, "Foot Reflexology in the Treatment of Acromioclavicular Arthritis, (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996, p. 55

Asthma

Asthma

* "Ten weeks of either active or simulated (placebo) reflexology were compared in an otherwise blind, controlled trial of 40 patients with asthma. Results: Objective lung function tests did not change. Subjective scores and bronchial sensitivity to histamine improved on both regimens but no differences were found in the groups receiving active or placebo reflexology. However, a trend in favour of reflexology became significant when a supplementary analysis of symptom diaries was carried out. At the same time a significant pattern compatible with subconscious un-blinding was found. Discussion: We found no evidence that reflexology has a specific effect on asthma beyond a placebo influence."

Brygge T, Heinig JH, Collins P, Ronborg SM, Gehrchen PM, Hilden J, Heegaard S, Poulsen LK "Zone Therapy and Asthma," Ugeskr Laeger, 2002, Apr. 29; 164(18):2405-10- Danish language(PMID: 12024846)

Asthma

* "Thirty patients with proved bronchial asthma receiving treatment with inhaled steroid in dosages of less than 1,000 micrograms daily were subdivided at random into two groups of 15 patients. One group received foot zone therapy and the other merely uniform clinical care but without "placebo foot zone therapy". The "active" group received a total of ten foot zone therapy sessions of one hour at intervals of one week. The asthmatic symptoms, consumption of medicine and the objective pulmonary function parameters were followed-up during the subsequent six months. Decrease in consumption of beta-2-agonists and increase in peak-flow levels were observed in the group which had received foot zone therapy, but the same changes were observed in the control group. The authors do not find that this investigation demonstrates that foot zone therapy is of effect on the disease bronchial asthma. They conclude, however, that the favourable effect in both of the groups are due to increased care and control which occurred in both patient groups."

Petersen LN, Faurschou P, Olsen OT, Svendsen UG. Ugeskr Laeger. 1992 Jul 20;154(30):2065-8. Ugeskr Laeger. 1993 Feb 1;155(5):329-31. Lungemedicinsk/allergologisk afdeling Y, Kobenhavns Amts Sygehus i Gentofte.

PMID: 1509577

Asthma

Following the daily application of foot reflexology for 40 to 50 minutes over a period of two to twelve weeks, all 45 patients with infantile bronchial asthma (ages 1 to 7) experienced a disappearance of symptoms.
Hui-xian, Duanmu, "A Clinical Analysis of Foot Reflexomassage for Treatment of 45 Cases with Infantile Asthma, 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, October 1994, pp. 41 - 43 (Health Center for Women and Children, Haimen, Jiangsu Province, China)

Biofeedback assessment (Pulse rate, respiratory rate, blood pressure for senior citizens)

"Proactive health-care services emphasize health promotion and the prevention of disabling conditions, Currently in Thai society, the number of elderly with deteriorating health has increased. Therefore, self-care health promotion activities have become essential in order for the elderly to maintain their well-being. The purpose of this study was to investigate the effects of foot massage with biofeedback. Foot massage, a Thai primary self-care custom, has been found to enhance blood circulation, relaxation, and one's own healing power. In addition, touch has been found to stimulate secretion of endorphins and reduce pain and anxiety. It appears therefore that foot massage, or reflexology, promotes a healthy lifestyle for all age groups.

"An experimental study, utilizing a pilot project in elderly health care, was employed to investigate the effects of biofeedback using foot massage A pretest/post-test quasi-experimental design was used. The sample consisted of four mean and 16 women (age group 61-69). Four trained researchers massaged the feet of the subjects and measured vital-sign changes. Biofeedback was also investigated before and after the foot massages. Results showed that the average biofeedback and temperature were lower before than after the foot massage (P<0.01). The average pulse rate, respiratory rate and blood pressure, however, were found to be higher before rather than after the foot massage (P<0.01). It was concluded that the foot massage provided good circulation, relaxation and comfort. All subjects expressed positive feelings when they received the foot massage (i. e. "It is very nice that foot massage can relieve my joint pain, I an happy and comfortable.") These findings appear to indicate that foot massage is beneficial both for physical and mental conditions. Foot massage, however, is just one key to achieving a full range of primary health-care services. It needs to no only be performed by nurses. Families also, can provide foot massage for the elderly, anywhere and anytime."

Jirayingmongkol P, Chantein S, Phengchomjan N, Bhanggananda N, "The effect of foot massage (reflexology) with biofeedback: a pilot study to enhance health promotion," Nurs Health Sci, 2002 Aug;4(Suppl):A4 (PMID: 12153420)

Birthing

Birthing, Pain killing; Alternative to labor stimulating and inducing drugs

Of 593 women who gave birth at Gentofte County Hospital (Great Britain) in 1988, 103 chose reflexology as an alternative to both pain killing drugs and to labor stimulating and inducing drugs. Of sixty-eight women who chose reflexology with no analgesic drugs, sixty one (89.71%) stated that reflexology had helped reduce pain., six (8.82%) felt no effect, and, one had increased pain in spite of reflexology treatment. Four of the sixty-one women who were helped by reflexology also required pain medication. Of forty-nine women who chose reflexology to stimulate labor, twenty-four gave birth without additional drug treatment. Fourteen women who were candidates for surgical delivery, received reflexology treatment between 30 and 60 minutes of birth. Eleven (78.57%) were then able to discharge the placenta. The other three had it surgically removed. All participants, except one, found the reflexology treatments extremely pleasant.

"Easier Births Using Reflexology." by Gabriella Bering Liisberg, "Tidsskrift for Jordemodre," No. 3, 1989.

Birthing, Labor outcomes

Thirty-seven of 64 pregnant women, who were offered free reflexology, completed the set course of ten treatments. The effects of reflexology on labor outcomes were perceived as outstanding. Some had labor times of only 2 hours, some 3 hours. The 20 - 25 year olds had an average time of First stage labor of 5 or 6 hours. The 26 - 30 year olds seemed to have the longest labors. In total, the average first stage was 5 hours, second stage 16 minutes, and third stage 7 minutes. This is compared to textbook figures of 16 to 24 hours' first stage, and, 1 to 2 hour's second stage.

"The Effects of Reflexology on Labour Outcome," Dr. Gowri Motha and Dr. Jane McGrath, Forest Gate, London, England, Nursing Times, Oct. 11, 1989

Use by Midwives

One quarter of the midwifery staff at the hospital are trained in reflexology, a 40-hour certificate course on reflexology and uses in midwifery practice endorsed by the national midwifery board. The staff trained with Susanne Enzer, author of Maternity Reflexology (1997) and Reflexology; A Tool for Midwives (2000). ("Midwifery around the World, Midwives of the Central Coast of New South Wales, Australia, Midwifery Today E-News, Vol. 3, Issue 7, February, 14, 2001)

Birthing, Delivery; Retention of placenta

"90% of 68 women had a positive effect of reflexology as a pain killer during delivery. 11 out of 14 with retention of the placentea avoided operation." (http://www.fdz-intranet.dk/english/research/results.htm) Sorrig, Kirsten, "Easier Births Using Reflexology, "Danish Reflexologists Association, Research Committee Report, Feb., 1995 (Originally published in the Danish daily newspaper "Berlingske Tidende," July 15, 1988)

* Blood pressure, pain, control over falls in senior citizens

The tradition of stone stepping first came to the attention of Oregon Research Institute (ORI) researchers when researcher Fuzhong Li, a native of China, visited Shangha and saw people walking along cobblestone paths in bare or stocking feet. When he was told they did it for health reasons, he saw the potential for studying its impact on the aging.

A radomized, controlled study of 48 individuals was conducted at non-profit ORI in Eugene, Oregon. It tested the results of cobblestone-mat walking three times a week with 45 minute sessions over 8 weeks. Made of a synthetic material, the mats are 6 feet long and 1.5 feet wide.

The study "indicated that older adults experienced significant improvements in mental and physical well-being, including reductions in blood pressure and pain levels. … Elderly participants in the study experienced considerable improvements in their ability to perform 'activities of daily living,' increased psychosocial well-being, and significantly reduced daytime sleepiness and pain. Participants also reported greatly improved perceptions of control over falls and had reductions in resting diastolic blood pressure." http://www.eurekalert.org/pub_releases/2004-01/ori-cmw010704.php)

Perhaps most importantly for those who work with the elderly, the cobblestone-mat walking meets a need "to develop simple, convenient, and readily accessible exercise programs that will reduce health problems and improve the quality of life of the aging population." Exit interviews indicated that participants "enjoyed the activity (90%), … "would continue the activity if it were available (75%)… and "(90%) would recommend the activity to friends or relatives."

Bronchitis

Three different methods were used to work with pneumonia and bronchitis in children. Foot reflexology was utilized in 103 cases, antibiotics in 40 cases and antibiotica with Chinese herbs in 68 cases. Foot reflexology was found to be more effective than either of the others.
Hui-ming, Wu, "Perspectives of foot reflex based on foot massage for treatment of pneumonia and bronchitis in childhood," (19)96 Beijing International Reflexology Conference (Report), the China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, p. 42

Cancer

* Cancer, Pain and nausea

Results of study: Reflexology modifies the distressing symptoms of pain and nausea in patients hospitalized with cancer. "87 patients participated in the study and each received a 10-minute reflexology foot massage (5 minutes per foot). The results revealed that the treatments produced a significant and immediate effect on the patients' perceptions of pain, nausea and relaxation when measured with a visual analog scale. The use of reflexology foot massage as a complementary method is recommended as a relatively simpler nursing intervention for patients experiencing nausea or pain related to the cancer experience. The results were so positive that the researchers recommend that further research using larger numbers of patients in controlled clinical trials into its effectiveness of reflexology in alleviating pain, nausea and anxiety in the management of these symptoms by the family at home is warranted."

Grealish, L. Lomasney, A., Whiteman, B., "Foot Massage: A nursing intervention to modify the distressing symptoms of pain and nausea in patients hospitalized with cancer," Cancer Nurse 2000, June;23(3):237-43 (On-line review: "Reflexology Used for Cancer Patients," Internet Health Library, October 11, 2000)

* Cancer, Quailty of life

Results of study: 100% of the reflexology group benefited from an improvement in quality of life: appearance, appetite, breathing, communication (doctors), communication (family), communication (nurses), concentration, constipation, diarrhoea, fear of future, isolation, micturition, mobility, mood, nausea, pain, sleep and tiredness. Within the reflexology group, the participants reported an improvement in all components of the quality of life scale compared to 67. 5 in the placebo group. Nevertheless, this study would suggest that the provision of reflexology for palliative patients within the general setting could be beneficial. Not only did the patients in this study enjoy the intervention, they were also 'relaxed,' 'comforted' and achieved relief from some of their symptoms.

Hodgson, H. "Does reflexology impact on cancer patients' quality of life?," Apr. 2000, Nursing Standard, 14, 31, pp. 33-38

* Cancer, Pain and anxiety

Results of study: Foot reflexology alleviated anxiety and pain for twenty-three patients with breast and lung cancer. Researchers noted a significant decrease in anxiety for patients diagnosed with breast or lung cancer and a significant decrease in pain for patients with breast cancer. "This has important implications for nursing practice as both professionals and lay people can be taught reflexology. Reflexology is a simple technique for human touch which can be performed anywhere, requires no special equipment, is non-invasive and does not interfere with patients' privacy."

Stephenson, N. L., Weinrich, S. P. and Tavakoli, A. S., "The effects of foot reflexology on anxiety and pain in patients with breast and lung cancer," OncolNursForum 2000, Jan.-Feb.;27(1):67-72

Cancer, Pain

"Thirty-six oncology inpatients participated in this third pilot study investigating the effects of foot reflexology in which equianalgesic dosing was calculated. Foot reflexology was found to have a positive immediate effect for patients with metastatic cancer who report pain, although there was no statistically significant effect at 3 hours after intervention or at 24 hours after intervention. Further study is suggested for foot reflexology delivered by family in the homes for management of cancer pain."

Stephenson N, Dalton JA, Carlson J, "The effect of foot reflexology on pain in patients with metastatic cancer," Appl Nurs Res. 2003 Nov;16(4):284-6 PMID: 14608562

* Cancer (Hand massage) Vomiting, nausea, anxiety in children underoging chemotherapy

"The purpose of study was to determine the effects of hand massage on nausea, vomiting and anxiety in acute lymphocytic leukemia children with high dose chemotherapy. The subjects of this study consist of 15 in experimental group and 15 in control group. All subjects were diagnosed as acute lymphocytic leukemia and admitted for high dose chemotherapy at the C University Medical Center in Seoul, Korea. The hand massage was performed for 10 minutes twice a day through three days in the experimental group, not in the control group. To evaluate the effects of hand massage, the Index of Nausea, Vomiting by Rhodes et al and State-Trait Anxiety Inventory for children by Spielberger were measured before and after the experiment in both groups. Also, the level of anxiety as measured by blood pressure, pulse rate were measured before and after hand massage therapy.

"Result of the study were as follows;1. The score of nausea, vomiting decreased in the experimental group, not in the control group. There was a significant difference of nausea, vomiting between the two groups. 2. The score of state anxiety decreased in the experimental group and increased in the control group. After hand massage, the state anxiety of the experimental group was significantly more positive than the control group at the 2nd measurement 3. There was no significant difference of pulse rate between the two groups. 4. systolic blood pressure decreased in the experimental group and some increased in the control group. There was a significant difference of systolic blood pressure between the two groups. 5. The level of diastolic blood pressure in the two groups was significantly decreased over time.

"In conclusion, hand massage could be effective in decreasing nausea, vomiting, state anxiety, pulse rate and blood pressure of acute leukemia children receiving high dose chemotherapy."

Ji-Eun Han, Master, RN, Young-Im Moon, PhD, and Ho-Ran Park, PhD. College of Nursing, Catholic University of Korea, Seoul, none, South Korea, "Effect of Hand Massage on Nausea, Vomiting and Anxiety of Childhood Acute Lymphocytic Leukemia with High Dose Chemotherapy," Presented at Back to Evidence-Based Nursing: Strategies for Improving Practice, Sigma Theta Tau International, July 21, 2004

• Cancer, End of life care

"In Switzerland, many new nurses are taught this approach. When applied skillfully, a reflexology massage is pleasantly relaxing and able to diminish painful sensations in the body. Given the number of uncontrollable variables involved in the decrease of pain and the establishment of a feeling of relaxation, our small study has no scientific value. It was only intended to motivate nurses to look for ways to integrate aspects of alternative care in the management of terminal patients. ... "Our purpose for using reflexology with these patients was to decrease their pain but we soon realized the beneficial effect of reflexology on the morale of patients and families. Something was being done for them. Patients expressed feelings of being less abandoned and the families expressed satisfaction at seeing that something painless existed that could aid their relative. In three situations we taught a relative how to use reflexology and the benefit seemed to have been as important for the relative as for the patient. ... "Patients' comments about reflexology seem to show that it could be one way for them to feel this support and to have a helping presence near them in their last days."(Dobbs, Barbara Zeller, "Alternative health approaches," Nursing Mirror (England), Vol. 160, No. 9, Feb. 27, 1985)(Can Nurse 82: 39-41 (1986)\Reflexology\Dobbs-Zeller B\MeSH Terms:\ * Aged\ * English Abstract\ * Female\ * Foot\ * Human\ * Male\ * Middle Age\ * Neoplasms/physiopathology*\ * Pain, Intractable/therapy*\ * Reflexotherapy/methods*\ * Terminal Care\ PMID: 3634658, MUID: 86189470)

Cardio-vascular system

* B. S. M. Frankel of the Department of Physiology, University of Leeds, England has conducted a pilot study "to identify if reflexology and foot massage affect the physiology of the body by measuring baroreceptor reflex sensitivity, blood pressure, and sinus arrhythmia." Ten recipients of reflexology work and ten recipients of foot massage work were compared to a control group of four individuals in a single blind study.

Frankel found that "The reflexology and foot massage groups showed significantly greater reductions in baroreceptor reflex sensitivity compared to the control group. This study found no significant difference in blood pressure after intervention. The frequency of sinus arrhythmia after reflexology and foot massage increased by 43.9% and 34.1% respectively."

The study examines the link between pressure to the feet and baroreceptors of the heart. The baroreceptor reflex "maintains blood pressure and homeostasis by changes in the autonomic outflow." It effects behavior such as "sleep, mental arithmetic and exercise" and "physiological processes and reflexes such as aging and the defense reflex." It also interacts with certain diseases such as heart failure. The implication of the study is that pressure to the feet impacts these behaviors and processes. Frankel's conclusion is that a neuro theory of reflexology should be considered. He states that "foot massage and reflexology could alter the baroreceptor sensitivity by stimulating the sensory nervous system in the feet." He suggests a mechanism in the nervous system by which reflexology and touch itself may be "therapeutic." The pressure sensors in the feet are linked to the same part of the brain as the baroreceptor reflex. He hypothesizes that this could be the point of influence.
Frankel, B. S. M., "The effect of reflexology on baroreceptor reflex sensitivity, blood pressure and sinus arrhythmia," Complementary Therapies in Medicine, Churchill, London, 1997, Vol. 5, pp. 80-84

Cerebral palsy

* 16 cases of cerebral palsy ages 3 months to 3 years with Gessel growth rate scores of 41 to 55 were divided into two groups. The treatment group received foot massage for 30 days. In the treated group and there was an increase in growth quotient of 30-35 in those 3 to 9 months old and 10-15 with those form 1.5 to 3 years. In the control group the increase in growth quotient was 10-16 for 3-9 months and 9-15 for 1.5 to 3 years. It was suggested that the younger the patient, the better the effect.

Rong-zhi, Wang, "An Approach to Treatment of Cerebral Palsy of Children by Foot Massage," A Clinical Analysis of 132 Cases," (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996, p. 26

Cervical spondylosis

* A total of 80 cases diagnosed with nerve root type or vertebral artery type of cervical spondylopathy were divided into a control group of 28 and a treatment group to 52. The control group was treated with traction while in a seated position "with the neck flexed anteriorly of 20-30 degrees in a traction frame with the occipus and maxilla fixed with bandage" for twenty minutes once a day. The treatment group received a 30 - 40 minute session of foot reflexology once a day for twelve days (except Sunday).

Results: There was no significant difference between the control (92.1% effectiveness) and treatment (98.1% effectiveness) groups for clinical effectiveness but the clinical cure rate was higher in the treatment group (48.1%) than the control group (28.95%). A difference was also found in free radicals in the two groups. Before the study the two groups showed no significant difference in blood SOD, GHtal antioxidation activities and MDA content. After treatment the parameters related to free radicals showed significant or quite significant in comparison of the treatment group to the control group. Of the 52 in the treatment group, 25 were cured of their cervical problem, 19 were significantly effected, 7 were effected and 1 experienced no effect.
Shouqing, Gui; Changlong, Zhang and Desheng, Luo, "A Controlled Clinical Observation on Foot Reflexology Treatment for Cervical Spondylopathy," 1996 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 99-103

Chest pain

Margaret Berker, a qualified reflexologist and member of the British Reflexology Association conducted an interesting small-scale study at the Cardiac Unit of the Queen Elizabeth hospital, Birmingham, UK, into the effects of reflexology on a group of four patients suffering from chest pain.

The patients were obtained from a consultant; all had all experienced pain for periods ranging between 18 months and 13 years and, cardiac catheterizations revealed that none of the patients had any identifiable disease of the cardiac arteries. Furthermore, none of the patients had had reflexology treatment prior to the study, nor were they encouraged to believe that the treatment would 'cure' their condition.

Reflexology treatments were given weekly over a period of eight weeks and the patients were asked to keep a diary to record their chest pain before and after treatments which specified (a) the number of episodes, (b) the intensity of the pain and (c) the duration of the pain.

Analysis of the data revealed that all of the patients recorded positive results; three of the four experienced a complete relief from their original symptoms after nine months and the remaining patient reported a reduction in pain.

Circulation

Why would stepping on a bumpy surface impact health? A study by Mr. Tauro Nakamura of Japanmay holds some answers. Mr. Nakamura measured the results of stepping on the Nii-Ichi wooden bead mat, measuring the participants' foot surface temperature, the speed of circulation and electrical potential before and after stepping on the mat. The test participants stepped on the bead mat for 5 minutes followed by a fifteen minute wait before testing. Testing was conducted in a room at 20 degrees Centigrade with a humidity of 60%.

The surface temperature of the foot was tested with thermography. The results of the test showed that the sure temperature of the foot improved. The thermograph measurement following the stimulus of the bead mat showed a more even distributin of temperature over the entire foot when compared to the measurement before the stimulus.

The speed of blood circulation was tested using ultra-sonic meaurements before and after exposure to the mat. Improvement was seen with an average "before" meaurement of 12.5 centimeters per second followed by an "after measurement of 29.0 cm. per second.

Electric potential was measured as a change in performance of electrical resistance at twelve vital meridian points on the feet and hands. Because cutaneal nerve response represents sympathetic nerve response, the test was taken to show the response to stimulus by the autonomic nervous system. After the stimulation of stepping on the mat, the neasuremet of electrical current showed improvement in the form of fewer deviations from the mean established before the stimulus.

Nakamura, Teuro, "Using Technical Measuring Machine," Rwo-Shr Health '90 Worldwide Conference Tokyo, Book of Theses, Tokyo, 1990, pp. 45-54)

Colic

*"INTRODUCTION: The aim of the study was to investigate and treat infants with colic by conventional medicine followed by an investigation of the effect of reflexological treatment.

"MATERIAL AND METHODS: The investigation was prospective, followed by a randomised, single-blind, double-controlled, prospective study of reflexological treatment with an interview and diary. Sixty-three infants aged 1-3 months referred by general practitioners with crying for > 90 minutes a day were given a paediatric examination and intervention. The cause of crying was discovered in 33 infants: Vitamin D (5), elimination of cow's milk protein (3), and anal stenosis (3); counselling on feeding, sleep, reduction of stimulation, and avoidance of passive smoking (22). Thirty infants without the benefit of paediatric consultation were randomised to three groups for a duration of two weeks: A: Presumed non-effective reflexological treatment vs B: Presumed effective reflexological treatment vs C: No treatment--only observation. The most important parameter was the number of crying hours over 24 hours. Cure was defined as crying for less than or equal to 30 minutes.

"RESULTS: Examination by the paediatrician: Thirty-three of 63 infants benefited with a reduction in crying of less than 90 minutes and 13 of these infants were cured. The randomised study: In group C (control), none of the patients was cured. In groups A and B (presumed non-effective reflexological treatment and presumed effective treatment), half the patients were cured, which was significantly better than in group C. There was no significant difference between groups A and B, but B seemed better than group A. B was significantly better than C.

"DISCUSSION: Infantile colic had a significant cure rate at paediatric consultation and the children who did not benefit from this intervention had a significantly better outcome after reflexological treatment than had the observation group. Further investigations in reflexological treatment in infants are recommended."

Författare: Bennedbaek O, Viktor J, Carlsen KS, Roed H, Vinding H, Lundbye-Christensen S., "Originalets titel: Infants with colic. A heterogeneous group possible to cure? Treatment by pediatric consultation followed by a study of the effect of zone therapy on incurable colic," Publicerad: Ugeskr Laeger 2001 Jul 2;163(27):3773-8). Article published in Danish.(Institution: Aalborg Universitet, Institut for Matematiske Fag

Constipation

* Forty residents of a "lodging house of the aged people" were studied for effects of foot reflexology on digestive processes. 20 were diagnosed as constipated and 20 were not. Five days before the foot reflexology treatment all were given a carbon tablet and observed for the length of time required to begin and end black stool. All received 10 days of foot reflexology treatment. The carbon tablet was administered again and a comparison was made between the elimination times before the treatment and after. After treatment, the interval between taking the carbon tablet and first black stool for the constipation group changed from an average of 45 hours to an average of 34 hours. The interval until last black stool changed from 77 hours to 51.5 hours. The non-constipation group remained unchanged in average times for first black stool and changed from 57.5 hours to 46 for last black stool after hours after treatment.
Yuru, Yang; Lingyun, Chao; Guangling, Meng; Scuwe, Cao; Jia-Mo, Hao and Suhui, Zhang, "Exploring the Application of Foot Reflexology to the Preventions and Treatment of Functional Constipation," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 62

Coronary heart disease

* 58 cases of coronary heart disease were treated with foot reflexotherapy and 67 cases with pharmacotherapy. Four indexes were examined before and after treatment for both groups: (1) clinical symptoms, (2) blood pressure/heart rate, (3) blood fat and (4) ECG. After 30-40 days of treatment, average results were:

(1) symptoms, reflexotherapy group: chest distress and angina pectoris disappeared
symptoms, pharmacotherapy group: chest distress and angina pectoris disappeared
(2) blood pressure/heart rate, reflexotherapy group (before): +185/80 / 86-74 and (after): +160/75 / 72-70 blood pressure/heart rate, pharmacotherapy group (before): +180/80 / 78-72 and (after): +160/80 / 76-70
(3) blood fat, reflexotherapy group (before): high in some and (after): slightly changed
blood fat, pharmacotherapy group (before): high in some and (after): slightly changed
(4) ECG, reflexotherapy group (before): slight change in T-wave and (after): improved remarkably ECG, pharmacotherapy group (before): change in ST-T wave and (after): certain improvement

Zhongzheng, Li and Yuchun, Liu, "Clinical observation on Treatment of Coronary Heart Disease with Foot Reflexotherapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 38 - 41

Critical care (Foot massage)

"Critical care can be considered to be a stressful environment at both physiological and psychological levels for patients. In this article, a research study in which a five-minute foot massage was offered to 25 patients (68 sessions in total) as a stress-reduction intervention is described. A quasi-experimental repeated measures design was used to collect data before, during and after the intervention. Physiological data (heart rate, mean arterial blood pressure, respirations and peripheral oxygen saturation) were obtained from the patient bedside monitoring system. Repeated measures analysis of variance indicated there was no significant effect from the intervention on peripheral oxygen saturation. However, a significant decrease in heart rate, blood pressure and respirations was observed during the foot massage intervention. Results indicated foot massage had the potential effect of increasing relaxation as evidenced by physiological changes during the brief intervention administered to critically ill patients in intensive care."

Hayes J, Cox C, "Immediate effects of a five-minute foot massage on patients in critical care," Intensive Crit Care Nurs. 1999 Apr;15(2):77-82. (University of Hertfordshire, Centre for Research in Primary and Community Care, Hatfield, UK) PMID: 10595045

Diabetes

Diabetes

* 32 cases of type II diabetes mellitus were randomly divided into two groups. One group was treated with conventional Western medicine hypoglycemic agent plus foot reflexotherapy (FR), the other group with the same medicine only (WM). After 30 days' treatment, fasting blood glucose levels, platelet aggregation, length and wet weight of the thrombus, senility symptom scores and serum lipid peroxide (LPO) were greatly reduced in the FR group (P,0.05-0.01), while no significant change was observed in the WM group. The study suggested that foot reflexotherapy was an effective treatment for type II diabetes mellitus.

Wang, X. M., "Type II diabetes mellitus with foot reflexotherapy," Chuang Koh Chuang Hsi I Chief Ho Teas Chi, Beijing, Vol. 13, Sept. 1993, pp 536-538 (First Teaching Hospital, Beijing) (PMID: 8111210)

Diabetes

* Double blind study with a control group. 22 cases with non-insulin dependent diabetes split into two groups. The patients of both groups had taken hypoglycemic agents for a long time. Foot reflexotherapy was applied once a day for thirty days.

Results: Indexes of the scores of senility, thrombocyte aggregation rates (TAR), the length and wet weights of thrombosis in vitro, and the serum oxidative lipids were measured to judge curative effect. The foot reflexotherapy group showed a "marked improvement" with a 66.7% "effective rate" in the measured indices. It is termed a "satisfactory curative effect." The non-foot reflexolotherapy showed no significant change 20% effective rate.

The study demonstrates that "FRT (foot reflex therapy) can lessen the abnormal hemorrheology, symptoms of senility, concentration of serum oxidative lipids and number of nodes in the main reflex zones. In addition, FRT can enhance the effects of hypolglycemic agents on blood sugar … "Systematic application seems necessary to achieve an effect. The exact mechanism to describe this effect is "waiting further exploration"
Zhi-qin, Duan et. al., "Foot Reflexology Therapy Applied On Patients with NIDDM (non-insulin dependent diabetic mellitus)," 1993 China Reflexology Symposium, p. 24

Diabetes

* 20 cases of type II diabetes mellitus formed a treatment group and 15 individuals with normal health formed a control group. All were provided with foot reflexotherapy. "Before and after treatment, the blood flow rate, time and acceleration were tested by HP850GP Doppler ultrasonic equipment." Results: The blood flow rate of the 20 cases was improved.

Ying, Ma, "Clinical Observation on Influence upon Arterial Blood Flow in the Lower Limbs of 20 Cases with Type II Diabetes Mellitus Treated by Foot Reflexology," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 97 - 99

Diagnosis

Diagnosis

A study at the Department of Complementary Medicine, School of Postgraduate Medicine & Health Sciences, University of Exeter in England has resulted in a conclusion that "diagnosis based on reflexology examination is no better than chance."

The objective stated: "Reflexologists believe that disease of different organs of the body cause tenderness in corresponding areas of the soles of the feet. We undertook to determine whether reflexology is a valid diagnostic tool.... "Three reflexologists chose six medical conditions which could be detected most easily and reliably. Eighteen adults with one or two of these conditions were examined by two reflexologists, blinded to the patients' condition(s). ...

"Results: There were 72 opportunities to make a correct positive diagnosis. The reflexologists made a definitive diagnosis 9 times. Of these, 3 were correct."

Fact: Focus on Alternative and Complementary Therapies 1998; 3(4), Fifth Annual Symposium on Complementary Health Care)

Diagnosis

"Three reflexologists took part in the study. Eighteen adults with one or more of six specified conditions were identified from primary care records. Two reflexologists, who were blinded to the patients' conditions and monitored, then examined each patient's feet and rated the probability that each of the of the six conditions was present.

Results: There is little evidence that the distribution of ratings vary with the status of the condition. Receiver operating curves suggest that this diagnostic method is very poor at distinguishing between the presence and absence of conditions. Interrater reliability (kappa) scores were very low, providing no agreement between the examiners.

Conclusion: Despite certain limitations to the data provided by this study, the results do not suggest that reflexology are a valid method of diagnosis."

A. White, J. Williamson, Hart A, Ernst E, "A blinded investigation into the accuracy of reflexology charts, Complementary Therapy Medicine, 8, 2000: 166-7

Diagnosis

"We wanted to test the specific theory behind foot reflexology. Three reflexotherapists examined 76 patients of whom they had no previous knowledge. They were to localize the patients' problems and complaints by examination of the foot soles only; they had no other informtion about the patients. Each patient and the therapist graded problems related to 13 different parts of the body. Interrater agreement, measured by weighted Kappa, ranged from 0.04 to 0.22, and was significantly better than chance (p<0.05) for six parts of the body. The overall Kappa was 0.11 (95% CI: 0.08-o.14). A score based on a detailed examination of the 'colon zone' showed no significant difference between patients with many or few data; intestinal complaints. Generally the therapists tended to score higher than the patients thus overdiagnosing problems. The statistical agreement may be better than pure chance, but is too low to be of any clinical significance."

Baerheim A, Algroy R, Skogedal KR, Stephansen R, Sandvik H, "Feet - a diagnostic tool?" Tidsskr Nor Laegeforen 1998 Feb 20;118(5):753-5 (PMID: 9528375) (Norwegian)

Diagnosis

The reliability and validity of the "reflexological diagnosis method" was tested. "Eighty patients from various clinics and departments of the Hillel Yaffe Medical Center, Hadera, were examined twice by two different reflexologists. The diagnostics were compared with the conventional medical diagnosis of the same patients. In addition, the level of correlation between the two reflexological examinations was tested. Results: Out of 18 body systems in 6 a statistically significant correlation was found between the conventional medical diagnosis and the two reflexological examinations. In body systems, there was a statistically significant correlation between the conventional medical diagnosis and one of the two reflexological examinations. The systems in which correlation was found are characterized by having a defined anatomic region. The examination of the significance of the diagnoses regarding the components of the body systems resulted in statistical significance in only 4 out of the 32 components. Between the two reflexological examinations, a statistically significant correlation was found in 14 out of the 18 body systems and in only 15 out of the 32 system components.

Conclusion: the reflexology method has the ability to diagnose (reliable and valid) at a systematic level only, and this is applicable only to those body systems that represent organs and regions with an exact anatomic location.

Raz I, Rosengarten Y, Carasso R, "Correlation study between conventional medical diagnosis and the diagnosis by reflexology (non conventional," (Article in Hebrew), Harefuah, 2003 Sep;142(8-9):600-5, 646) PMID: 14518162

Dysmenorrhea (See also Amenorrhea)

Dysmenorrhea

Thirty six cases of dysmenorrhea showing abdominal pain during menstruation were treated with foot reflexology. Following treatment, those who were cured (showed disappearance of all conceal sometimes with no relapse in 3 months) included (a) 3 of the 4 cases experiencing dysmenorrhea under 1 year (average: 9.4 sessions), (b) 14 of the 22 cases experiencing dysmenorrhea from 1 to 10 years (average 13.1 sessions), (c), 7 of the 11 over 10 years (average: 17.3 sessions). Those who showed marked effectiveness (showed improvement of clinical symptoms, most of which disappear) included (a) 1 under 1 year, (b) 5 from 1 to 10 years and (c) 3 over 10 years. Those who shoed effectiveness (amelioration of symptoms, some pain) included (a) 3 from 1 to 10 years and (b) 1 over ten years. All cases showed effect (change after treatment).

Wang Jixizng, "Clinical Observation on the Treatment for 36 Cases with Dysmenorrhea by Foot Reflexotherapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 56-57

Dysmenorrhea

Foot reflexology was applied to 17 teenagers, 14-17 years old with a history of amenorrhea for 1 to 4 years. Foot reflexology was applied twice for thirty to forty minutes. Application to the 17 during the first menstrual cycle showed a cured rate of 3, a significant rate of 13 and an effective rate of 1. Application to the 14 during the second menstrual cycle, showed a cured rate of 6, a significant rate of 7 and an effective rate of a. Application to the 8 during a third cycle showed 8 cured, 2 significantly effected and 1 effected.
Wang Lan-xian, "Treatment of Amenorrhea by Foot Reflex Therapy during Menstruation," (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996, p. 36

Dyspepsia

* Two groups of Dyspepsia cases were studied (upper abdominal; discomfort, bloating, satiety, belching, nausea, acid reflux, heartburn) with peptic ulcer, gastric carcinoma, gastritis reflux esophagatitis and hiatal hernia ruled out by barium studies and gastroscopy. Hepatobiliary disease and pancreatic disease were ruled out by ultrasonography. One group of 132 individuals received foot reflexology for 30 minutes once or twice a day for two weeks. One group of 98 individuals received drug therapy for two weeks. The foot reflexology group was found to be: very effective (98 or 74.2%), effective (30 o 22.7%), failure (4 or 0.3%). The drug therapy group was found to be very effective (58 or 60.4%), effective (14 or 14.5%), failure (24 or 25%). Foot reflexology was seen to be effective, simple, and economical.
Zhi-wen, Gong and Wei-song, Xin, "Foot Reflexology in the Treatment of Functional Dyspepsia: A Clinical Analysis of 132 Cases," (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996, p. 37

Ear disorders in children

"The aim of the study was to describe similarities and differences in health, quality of life, and diagnosed morbidity in 0-6 year-old children whose parents contact either a reflexologist or a general practitioner (GP) due to their child's ear disorder.

MATERIAL AND METHODS: A total of 98 children who received reflexology treatment and 57 children who received treatment by a GP were included. Reflexologists and GPs described the child's symptoms, the parents completed a questionnaire about health status and ear disorders and a specialist examined and diagnosed the child.

RESULTS: The most prevalent symptoms were colds and troubled sleep and the least prevalent were inflammation of the throat and poor spoken language. Parents in the reflexology group considered their children to be more ill than parents in the GP group (measured by number of ear disorders, number of antibiotic treatments, number of sickness days during the past year and the duration of the acute ear disorder). Furthermore, parents in the reflexology group reported that their children had more physical discomfort, more activity limitations and more emotional problems than children treated by GPs and the parents themselves were also more troubled by the ear disorder. The specialist examination showed no differences between the two groups of children, neither according to tympanometry nor according to diagnosis.

DISCUSSION: According to a medical evaluation there was no difference in morbidity between children treated by a reflexologist and a GP. According to the parents' evaluation, children in reflexology treatment were more ill and their health-related quality of life was more affected by the ear disorder than that of children treated by a GP."

Kjoller M, "Children with ear disorders who are treated by reflexologists or general practitioners" [Article in Danish] Ugeskr Laeger. 2003 May 5;165(19):1994-9 (Statens Institut for Folkesundhed, Svanemollevej 25, DK-2100 Kobenhavn o. mk@si-folkesundhed.dk) PMID: 12795075

Eczema

Reflexology was applied to the feet of 32 cases of eczema daily. 28 cases fully recovered, 2 got better and 2 showed no improvement.
Gu Hanqing, Xu Yazhen, "Treatment of Eczema with Reflexology - Report of 32 Cases," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 66-68

Edema in Pregnancy*

"Fifty-five women in the third trimester (of pregnancy) were randomly assigned to one of three groups: a period of rest, 'relaxing' reflexology techniques or a specific "lymphatic' reflexology technique for 15 minute with pre and post-therapy ankle and foot circumference measurements and participant questionnaire. There was no statistically significant difference in the circumference measurements between the three groups; however, the lymphatic technique reflexology group mean circumference measurements were all decreased. … A 'perceived wellbeing' score revealed the lymphatic technique group significantly increased their wellbeing the most, followed closely by relaxing techniques and then the control rest group. (All groups) had a non-significant oedema-relieving effect. From the women's viewpoint, lymphatic reflexology was the preferred therapy with significant increase in symptom relief."

Mollart l., "Single Blind trial addressing the differential effects of two reflexology techniques versus rest, on ankle and foot oedema in late pregnancy," Complement Ther Nurs Midwifery, 2003 Nov;9(4):203-8

Emotional Needs (See also Mental Health)

A recent British study found reflexology to provide beneficial effects on "women experiencing a need for emotional support." Fifteen women received 30-minute reflexology sessions for eight weeks. The findings included: physical improvements, emotional improvements, self-esteem and confidence, motivation, touch, increase in relaxation levels, being heard and taken seriously, concentration improvements.

Trousdale, Peta, "Reflexology meets emotional needs," International Journal of Alternative and Complementary Medicine, November, 1996, p. 9

Encopresis

Nurses at Ayshire & Arran Acute Hosptials Trust (six hospitals in the National Health System in Scotland) found that reflexology successfully treated children the condtion of encopresis or fecal incontinence, secondary to constipation / stool withholding. Encopresis is an "entremely distressing condition." Children are subject to ridicule from other children and misery is caused to the whole family. Typical treatment includes enemas and laxatives. "An observational study was carried out of 50 children between three and 14 years of age who had a diagnosis of encopresis/chronic constipation. The children received six sessions of 30-minutes of reflexology to their feet. With the help of their parents they completed questionnaires on bowel motions and soiling patterns before, during and after the treatment."

Methods

"Detailed histories of frequency of bowel motions and soiling were obtained from each participant on entering the study to establish a baseline. Existing medications were unaltered. The questionnaires were designed to record the number of bowel motions and incidence(s) of soiling in each seven-day period before, during and after the six-week period of treatment sessions. Parents were surveyed regarding their attitude towards the use of reflexology before and after the course of treatment."

Results

The incidence of soiling decreased and bowel motions increased following the application of reflexology:

Soiling before: 78% once daily; 16% once to three times a week; 6 % none in a seven day period
Soiling after: 20% once daily; 30% once to three times a week; 48% none in a seven day period; 2% (missing data)

Bowel motions before: 36% none in a seven day period; 46% 1-4 motions per week; 18% daily
Bowel motions after: 2% none in a seven day period; 72% more than 1-4 motions per week; 24%daily

"In the last two years (following the study conducted from June 1998 to July 1999) the community nurses have ceased giving enemas to children at home. Reflexology for childhood encopresis and chronic constipation is now an established service with five paediatricians and two staff grade doctors referring children of all ages for treatment"

"Reflexology in the management of encopresis and chronic constripation," Pedeatric Nursing, April 2003, Vol 15 No. 3

http://216.239.53.100/search?q=cache:ZbjisK7w7igJ:www.nursing-standard.co.uk/archives/pn_pdfs/pnvol15n3/pnv15n3p2021.pdf+reflexology+research+%2Bnursing&hl=en&ie=UTF-8

Enuresis

* The purpose of the study was to clarify whether reflexology is a relevant treatment for enuresis nocturna, and to test a research design applicable to controlled experiments with reflexology. An unblinded method was used comparing a treatment group (1) receiving reflexology to a non-treatment group (2) keeping the same record of symptoms. At the start of the study, the volumes of night urine in the two groups were comparable. By the end of the study, there was no significant decrease in the volume of night urine in either of the groups. Two children in the treatment group and one in the non-treatment group became dry during the night in the course of the study.

In conclusion, reflexology given as 14 treatment sessions over a period of four months did not result in a significant fall in enuresis nocturna in children aged seven to eleven years old. It must be concluded that the treatment result can not be distinguished from the conditions in the non-treatment group even though the average night diuresis in group one showed a slightly decreasing tendency while morning diuresis increased, in contrast to group two which exhibited a slight increase in night diuresis. As the total diuresis remained constant, this could be interpreted as an increased urinary bladder capacity, but in both cases the changes were far from significant.

Comment in: Ugeskr Laeger 1999 Apr 12;161(15):2224 Sietam KS, Eriksen L Forenede Danske Zoneterapeuter, Kolding.

Epilepsy

Nine cases of epilepsy were treated with foot reflexology in a daily regime ranging from two to three months. Of the 7 males and 2 females, eight "responded well" with one reported as ineffective. The work with a 28 year-old male was detailed. His attacked occurred roughly every 20 days and he was on medication. Reflex areas were very sensitive initially and light pressure was applied.After two weeks of reflexology application, his medication was halved. Two attacks recurred three weeks into treatment. After forty-six days, his reflexology treatments ended. He was advised to apply self-help techniques. He was off medicating. Four years after treatment, no attacks had occurred.
Ji-ming, Lu, "Therapeutic Recording of a Case of Epilepsy Treated with Reflexology," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 25 (Ningxia Reflexology Association)

Fatigue

* Twelve athletes were divided into two groups: a foot reflexology group and a control group. The test group received daily reflexology sessions. Both groups underwent the same athletic training and were observed for sleeping, appetite and reactions to training. The reflexology group showed better qualities of sleep, better appetite and quicker recovery from fatigue and muscle soreness.

Jianguo, Liu and Jingshun, Zhang, "Foot Reflex Zone Massage in Recovery of Fatigue in Athletes," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 98 (Xian City, Shan'xi, China)

Fetal activity during gestation (Foot and hand massage)

* "Fetal activity during midgestation (M age=19.8 weeks) was studied in response to vibratory stimulation of the mother's abdomen (at the height of the fetal head), foot massage, hand massage, or control condition (no stimulation). Consistent with previous research conducted during midgestation, the fetuses of mothers who received two trials of 3-sec, 60-Hz vibratory stimulation did not show changes in movement. In contrast, the fetuses of mothers who received a 3-min foot massage showed greater movement than the control fetuses. However, stimulating the mother's hand (another highly innervated area) did not increase fetal activity. By late gestation (M age=35.4 weeks), vibratory stimulation resulted in increased fetal activity. These findings replicate previous research indicating that vibratory stimulation to the mother's abdomen does not elicit fetal activity until later in gestation. Furthermore, our findings indicate that stimulating the mothers' feet, but not the hands, can evoke fetal activity in midgestation.

Diego MA, Dieter JN, Field T, Lecanuet JP, Hernandez-Reif M, Beutler J, Largie S, Redzepi M, Salman FA., "Fetal activity following stimulation of the mother's abdomen, feet, and hands," Dev Psychobiol. 2002 Dec;41(4):396-406 (Touch Research Institutes, University of Miami School of Medicine, Miami, FL 33101, USA.) Copyright 2002 Wiley Periodicals, Inc. Published online in Wiley InterScience (www.interscience.wiley.com). DOI 10.1002/dev.10071PMID: 12430163

Free radicals

* To consider the mechanism at work, Chinese researchers conducted a controlled study on the impact of foot reflexo-massage on "human antioxidation ability" The control group consisted of twenty medical students with normal health, 10 males and 10 females, ages 20 +1 years (M+SD). The treated group consisted of 56 patients with various disorders, 30 males and 26 females, ages 30 to 70 years.

The control group received a 30 to 40 minute session each day for 10 days. The treated groups received the same treatment but "symptomatic reflexes and related reflexes" were worked for a longer time and with more strength. For both groups, 3 ml. of heparininzed venous blood was collected before and after the session. Tests were conducted for measures of antioxidation: superoxide dismutase (SOD), glutathione peroxidase (GP) and malonyl (MDA).

The FRM increased the serum antioxidative enzymes and activities in both control and treated groups. The decrease of MDA, an end product of lipid peroxide, may be the result of physical stimulation of FRM on the nerve fibres and receptors, which relax the local tissue, improve the systemic blood circulation and metabolism, decrease the production of FRs, increase the production of antioxidative enzymes (SOD and GP) and achieve the therapeutic effect. On the other hand, the reduction in FRs can prevent the therapeutic effect on biological membranes, therefore decrease lipid peroxides, and the serum MDA as well. The decrease on FR production and increase in antioxidative enzymatic activity enhance the total antioxidative system (enzymatic and nonenzymatic), this mechanism underlies the increased TSAOA in our subjects."In generalization, Foot reflexo-massage can decrease the free radicals."
Shouqing, Gui; Changlong, Zhang; Jixai, Dong and Desheng, Luoof, "A Preliminary Study on the Mechanisms of Foot Reflexo-Massage; Its Effect on Free Radicals," 1996 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 128-135

For more information.

Gestation (Foot and hand massage)

"Fetal activity during midgestation (M age=19.8 weeks) was studied in response to vibratory stimulation of the mother's abdomen (at the height of the fetal head), foot massage, hand massage, or control condition (no stimulation). Consistent with previous research conducted during midgestation, the fetuses of mothers who received two trials of 3-sec, 60-Hz vibratory stimulation did not show changes in movement. In contrast, the fetuses of mothers who received a 3-min foot massage showed greater movement than the control fetuses. However, stimulating the mother's hand (another highly innervated area) did not increase fetal activity. By late gestation (M age=35.4 weeks), vibratory stimulation resulted in increased fetal activity. These findings replicate previous research indicating that vibratory stimulation to the mother's abdomen does not elicit fetal activity until later in gestation. Furthermore, our findings indicate that stimulating the mothers' feet, but not the hands, can evoke fetal activity in midgestation.

Diego MA, Dieter JN, Field T, Lecanuet JP, Hernandez-Reif M, Beutler J, Largie S, Redzepi M, Salman FA., "Fetal activity following stimulation of the mother's abdomen, feet, and hands," Dev Psychobiol. 2002 Dec;41(4):396-406 (Touch Research Institutes, University of Miami School of Medicine, Miami, FL 33101, USA.) Copyright 2002 Wiley Periodicals, Inc. Published online in Wiley InterScience (www.interscience.wiley.com). DOI 10.1002/dev.10071PMID: 12430163

Gout

A male patient had been bed-ridden for several months due to the impact of gout and pain experienced in the knees ankles and big toes for five years. Foot reflexology was applied in twelve-day courses. After 4 courses of treatment the patient could move on his own. After 6 courses of treatment the patient could walk well with occasional return of symptoms. Following two more courses of treatment, the patient returned to work.
Wen-ying, Xuan, "Treatment of Gout with Foot Reflexomassage," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 114 - 6 (Yichang Jinguo Foot Massage Clinic of Hubei Province, China)

Headache

Results of study: 19% of headache sufferers ceased taking medication following reflexology work. According to a large nationwide research study undertaken in Denmark, reflexology treatment has a beneficial effect on patients suffering from migraine and tension headaches. The study was conducted at the Department of Social Pharmacy, The Royal Danish School of Pharmacy in co-operation with five reflexology associations. 220 patients participated with treatment being given by 78 fully trained reflexologist across the country. in cooperation with five different reflexology societies FDZ (Danish Reflexologists Association), LNF (National Forum for Natural Healing), SFFF, (Association of Scandinavian Reflexologists), SAB (Union of Complementary Therapists) and OZ (Union of Reflexologists). The project description was approved by the National Board of Health's Council concerning complementary treatment and the project was financed by the Ministry of Health, Director and Mrs. E. Danielsens's Fund together with Pool and Lottery Funds distributed by the Ministry of Education."

Headaches remain the most common health problem amongst the adult population and it has been estimated that they are the reason for the loss of three million working days every year. Reflexology is renowned for its ability to help relax and calm patients and for this reason it was considered an interesting therapy to study for the treatment of tension headaches and migraine.

Of all the patients who took part in the study, 90 percent said that they had taken prescribed medication for their headaches within the month prior to the commencement of the study and, of them, 36 percent had experienced side effects from the medicines. 81 percent of the prescribed medicine in the acetvlsalicyclic acid and paracetamol group was taken at least twice a week and 72% of the stronger migraine medicines were taken at least once a fortnight which indicates that the majority of the patients were suffering from moderate to severe symptoms. 34 percent had taken medications for ailments other than headaches.

Three months after a completed series of reflexology treatments, 81 percent of patients confirmed that reflexology had either cured (16%) or helped (65%) their symptoms. 19 percent of the patients re-ported that they had been able to completely dispense with the medications they had been taking before the study.

The reflexologists also found that there was a strong link between headaches and the gall bladder, stomach, bladder, and endocrine hormone meridians. At the end of the study the patients who benefited from the treatment showed less stress on the reflex points for the ovaries, small intestine, bladder, stomach, liver and kidneys than they had experienced on their first treatment. The likelihood of successful cure was found to be greatest for: a) those patients whom the reflexologist found no stress on the reflex zones of the uterus or gall bladder, and b) younger patients who had suffered from headaches for a short period of time.

Brendstrup, Eva and Launsø, Laila, "Headache and Reflexological Treatment," The Council Concerning Alternative Treatment, The National Board of Health, Denmark, 1997

Heart See Angina, Cardio-Vascular System, Chest pain, Coronary heart disease

Hospice / Palliative care

See Cancer: Hodgson, H. "Does reflexology impact on cancer patients' quality of life?," Nursing Standard, 14, 31, pp. 33-38

See Cancer: Dobbs, Barbara Zeller, "Alternative health approaches," Nursing Mirror (England), Vol. 160, No. 9, Feb. 27, 1985

Hospice

A recent study found that reflexology as applied to palliative care cancer patients did not warrant the hiring of a reflexologist to provide services. "While patients greatly enjoyed the treatments, there was no discernible defiance in outcome between those receiving reflexology and those receiving standard foot massage.... "Both treatments were administered weekly for six weeks by any one of three therapist, who had agreed standardised methods."

Cornbleet, Michael A.M "Research in complementary medicine is essential (Letter to the Editor), British Medical Journal, March 24, 2001

Hospice

"Complementary therapies are being accessed increasingly by cancer patients. The aims of this audit were to investigate the impact of reflexology on the quality of life of 20 cancer patients, to determine their satisfaction with the service provided and to investigate the availability of this therapy within Scottish hospices. The audit findings suggest that the clients were staisfied with the service received. Respondents noted that their quality of life was improved through a reduction in pahysical and emotional symptoms. It was found that the provision of reflexology within Scottish hospices varied, with less than half providing this service. The results of this audit suggest that reflexology may be a worthwhile tratment for othwer cancer patients and requires further research to evaluate the bnefits."

Milligan M, Fanning M, Hunter S, Tadjali M, Stevens E, Int J Oalliat Nurs 2002 Oct;8(10):489-96 (PMID: 12419988)

Hospice

"Complementary therapies are being increasingly used in palliative care in the drive to improve patients' emotional, psychological and spiritual health, and enhance the quality of their lives. The importance of seeking the 'user' perspective when evaluating such services is becoming increasingly acknowledged. However, it is also extremely important that we elicit such perspectives in an ethically sensitive manner. This study used a simple semi-structured questionnaire to elicit the views of a convenience sample of 34 patients receiving palliative care at a specialist palliative core unit in the north of England who had completed a course of 4-6 sessions of reflexology. Patients' comments about the therapy and the service as a whole were overwhelmingly positive. They identified relaxation, relief from tension and anxiety, feelings of comfort and improved well-being as beneficial effects of their course of reflexology. Patients also spontaneously evaluated the experience holistically in terms of the wider therapeutic environment - the centre, the staff and the therapist as well as the therapy itself. The increasing demand for evidence based practice now challenges researchers to provide a relevant holistic assessment of complementary therapies using approaches that are both ethical and sensitive to the needs of this vulnerable patient population.

Gambles M, Crooke M, Wilkinson S, "Evaluation of a hospice based reflexology service: a qualitative audit of patient perceptions," Eur J Oncol Nurs. 2002 Mar;6(1):37-44. (Marie Curie Cancer Care, Marie Curie Centre Liverpool, Speke Road, Woolton, Liverpool, L25 8QA, UK) PMID: 12849608

Hospice

"Complementary therapies are being accessed increasingly by cancer patients. The aims of this audit were to investigate the impact of reflexology on the quality of life of 20 cancer patients, to determine their satisfaction with the service provided and to investigate the availability of this therapy within Scottish hospices. The audit findings suggest that the clients were satisfied with the service received. Respondents noted that their quality of life was improved through a reduction in physical and emotional symptoms. It was found that the provision of reflexology within Scottish hospices varied, with less than half providing this service. The results of this audit suggest that reflexology may be a worthwhile treatment for other cancer patients and requires further research to evaluate the benefits."

Milligan M, Fanning M, Hunter S, Tadjali M, Stevens E. "Reflexology audit: patient satisfaction, impact on quality of life and availability in Scottish hospices," In

Hyperlipimia

Hyperlipimia

* Doctors Shou-qing, Xian-qing, Yuna-zhong, and Wan-yan, conducted a study of 72 cases of hyperlipemia with a treated group of 41 and a control group of 31. Before and after the treatment session, 4 ml of "empty stomach blood" was collected. One group received a series of reflexo-therapy sessions of more strength and lasting 30 to 40 minutes. The control group received a 20 minute session with a forehead pillow application of iodineiontophoresis. The reflexo-therapy group showed an improvement of symptoms of 78% as opposed to 32% for the second group. The treatment group showed a reduction in cholesterol and monoglyceride with a marked statistical difference.
Shou-qing, Gui; Xian-qing, Xiao; Yuna-zhong, Li; and Wan-yan, Fu, "Impact of the Massotherapy Applied to Foot Reflexes on Blood Fat of Human Body," 1996 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 21

Hyperlipimia

* 186 cases of hyperlipemia were randomly divided into four groups: (A) foot reflexology, (B) kinesitherapy, (C) ion-introduction therapy, and (D) pharmacology (the drug lipunthyl). Groups A, C and D showed remarkable reduction in cholesterol. Group A and D had strong effect on triglyceride. "If one can insist on proper physical exercises and/reflexotherapy plus a balanced diet (low fat, low calorie), it is possible to prevent and treat arteriosclerosis, coronary atherosclerotic cardiopathy, cerebral thrombosis and cerebral apoplexy efficiently."
Shou-qing, Gui; Yuna-zhong, Li; Xian-qing, Xiao; Chen Shengping and Gu Xuejauna (The People's Hospital, Xianning District, Hubei Province), Zhu Shanhan, Liao Enguang (The People's Hospital of Hubei Province) and Luo Desheng (Xianning College of Medicine, Hubei Province), "Impact of the Massotherapy Applied to Foot Reflexes on Blood Fat of Human Body," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 34-37

Impotence

* Thirty-seven patients with sexual dysfunction (15: impotence, 9: premature ejaculation, 6: emission, and 7: ejaculation deficiens) were randomly assigned to two groups: 19 individuals were treated with foot reflexology and 18 with traditional Chinese medicine. No statistical difference was found between the two groups on age, occupation, education, degree of disease, spirit status, affection between the couple, sexual desire, and sexual intercourse for marital cases. In addition to foot reflex areas, massage was applied to specific acupuncture points of the body in the foot reflexology group. The effective rate of the foot reflexology treatment group was found to be 87.5% for impotence and 100% for the others. The effective rate of the traditional Chinese medicine group was found to be 85.7% for impotence and 100% for the others.
Jianhua, Sun, "The Comparison of Curative Effects Between Foot Reflexology and Chinese Traditional Medicine in Treating 37 Cases with Male's Sexual Dysfunction," 1996 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 75

Infertility

The four women had unsuccessfully tried to become pregnant for 1 to 3 years and were between the ages of 26 and 30. Each received a thirty to forty minute session daily for ten days, one course of treatment. One woman became pregnant after 6 courses of treatment, two after seven course and one after nine courses.

Dong Dahai, Xu Ping, Dong Congjun, Wei Lihua, "Treatment of 4 Cases of Infertility with Foot Reflexotherapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 58-59

Intestinal Function*

* Austrian researchers previously documented that blood flow to the kidneys improved with reflexology technique application. Now, the members of the same group have shown improvement of blood flow to the intestines following reflexology technique application. Once again a controlled, randomized study has demonstrated that application of reflexology technique to reflex areas of the feet has an influence on a reflected body part. Moreover, the researchers are hypothesizing that the mechanism of action at work in reflexology is improved blood flow.

"An influence on organ-associated blood flow is considered as a possible mechanism of action of reflex zone massage of the feet (FRZM) therapy. In the present study we investigated whether changes in intestinal blood flow can be achieved by FRZM. Material and Methods: 32 healthy adults (19 women and 13 men) were randomly assigned to the treatment or the placebo group. Subjects of the treatment group received foot massage on the zones assigned to the intestines and those of the placebo group received massage on zones unrelated to the intestines. Before, during and after FRZM, the blood flow velocity, the peak systolic and the end diastolic velocities in the superior mesenteric artery as well as the resistive index as a parameter of vascular resistance were calculated. Results: During FRZM, in the subjects of the treatment group there was a significant reduction in the resistive index (p = 0.021), suggesting an increase in the blood flow in the superior mesenteric artery and the subordinate vascular system. In contrast, there were no significant changes in the resistive index in the subjects of the placebo group. Conclusion: The reduction in the resistive index observed in the treatment group supports the assumption that FRZM improves blood flow in the organs considered to be associated with the specific foot zones, at least during the therapy process."

J, Egger I, Bodner G, Eibl G, Hartig F, Pfeiffer KP, Herold M., "Influence of reflex zone therapy of the feet on intestinal blood flow measured by color Doppler sonography," [Article in German] Forsch Komplementarmed Klass Naturheilkd. 2001 Apr;8(2):86-9. (Universitatsklinik fur Innere Medizin, Innsbruck, Austria) (Copyright 2001 S. Karger GmbH, Freiburg (Mur E, Schmidseder) PMID: 11340315

Irritable Bowel Syndrome

* "Reflexology does not help patients with Irritable Bowel Syndrome (IBS), a study has found. the complementary therapy, in which points in the feet are massaged in a particular way to ease discomfort in other parts of the body, was assessed in a study published in the British Journal of General Practice."

"Thirty-four patients with IBS were recruited from four GP practices. The study was approved and carried out in consultation with reflexologists. Half the patients received six 30 minute reflexology treatment sessions. The other half saw heath care staff for the same amount of time but received no reflexology treatment. Patients were asked to record symptoms for two weeks before their first session, two weeks after and for a fortnight three months after their treatment had ended. Severity of abdominal pain, constipation or diarrhoea and bloating were measured but the Leeds team, led by Dr. Philip Tovey, said none showed reflexology made no positive difference."

Dr. Tovey of the School for Healthcare Studies at the University of Leeds (p.a.tovey@leeds.ac.uk), noted that "While due caution would be exercised in generalising from a single study, the nature of the data is such that clear conclusions can be drawn. However, more research is needed, not only to test these initial findings but also to extend the range of participants to, for instance, those newly diagnosed with IBS Reflexology in particular remains not just under-researched but almost un-researched - something that is quite startling given the extent of its use."

Reported December 31, 2001 at http://news.bbc.co.uk/hi/english/health/newsid_1723000/17232900.stm

Kidney function

* Results of study: Kidney function improves after the application of reflexology work. "Using colour (sic) Doppler sonography blood flow changes of the right kidney during foot reflexology were determine in a placebo-controlled, double blind, randomised (sic) study. 32 healthy young adults (17 women, 15 men) were randomly assigned to the verum or placebo group. The verum group received foot reflexology at zones corresponding to the right kidney, the placebo group was treated on other foot zones. Before, during and after foot reflexology, the blood flow of three vessels of the right kidney was measured using colour Doppler sonography. Systolic peak velocity and end diastolic peak velocity was measured in cm/s, and the resistive index a parameter of the vascular resistance, was calculated. The resistive index in the verum group showed a highly significant decrease (p</=0.001) during and an increase (p=0.001) after foot reflexology. There was no difference between men and women and no difference between smokers and non-smokers. Verum and placebo groups significantly differed concerning alterations of the restive index, both between the measuring points before versus during foot reflexology (p=0.002) and those during versus after reflexology (p=0.031). The significant decrease of the resistive index during foot reflexology in the verum (treatment) group indicates a decrease of flow resistance in the renal vessels and an increase of renal blood flow. These findings support the hypothesis that organ-associate foot reflexology is effective in changing renal blood flow during therapy."

(PMID: 14060981, UI: 99392031)Sudmeier, I., Bodner, G., Egger, I., Mur, E., Ulmer, H. and Herold, M. (Universitatsklinik fur Innere Medizin, Inssbruk, Austria) "Anderung der nierendurchblutung durch organassoziierte reflexzontherapie am fuss gemussen mit farbkodierter doppler-sonograhpie," Forsch Komplementarmed 1999, Jum;6(3):129-34 (PMID: 14060981, UI: 99392031)

Kidney and Ureter Stones (Recovery from Lithotrity)

* In a controlled trial, 96 individuals were followed after receiving lithotrity (externally crushing kidney or ureter stones). 46 cases receiving foot reflexology were compared to 50 cases not receiving foot reflexology. A comparison was made between the beginning time to excrete the fragmented calculus (stones) between the treatment group and untreated group. Results: Members of the treated group experienced less pain, began excretion earlier, and completed the excretion process earlier. (1) 39 of 46 treated cases began excretion in less than 10 days compared to 13 of the 50 in the control group, (2) All members of the treated group completed the excretion process at 20 days, compared to 38 of the 50 in the untreated group.

Xiaojian, Ying, "Foot Reflexology as an Accessory Treatment after External Lithotrity a Clinical Observation of 46 Cases," 1996 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 58 - 59

Kidney stones

* A few years ago, researchers at Glostrop hospital, Copenhagen, demonstrated that reflexology can help relieve the acute pain suffered by patients with kidney stones. 30 patients participated in the study and were divided equally into three groups: one group received reflexology treatment, one group received placebo treatment and the remaining groups were used as controls.

If no pain relief was experienced within 5 minutes, the treatment would end for analgesic medications, but those who experienced a benefit within 5 minutes, treatment was continued for a further 10 minutes. The results showed that 9 out of the 10 patients in the reflexology group experienced complete pain relief after the treatment which lasted for over an hour and in 5 of the patients pain was relieved for 4 hours.

Medical doctors Niels Baekgaard and Vibe Hansen, who conducted the study, concluded that "Reflexology treatment of acute ureterolithiasis has a pain relieving effect" and when compared to Baralgin (a commonly administered analgesic), the findings revealed that reflexology actually works faster at alleviating pain although the effects last for a shorter duration.

Eriksen, Leila, "Reflexology use in (Pain Caused by) Ureter and Kidney Stone Attacks, Danish Reflexologists Association Research Committee Report, Feb. 1995 (Originally published in Zonetherapeuten, No. 6, 1993

Leukopenia

* Results of study: Foot reflexology work was found to be more effective than medication in effecting leukopenia, low white blood cell count. (A pathological level of white blood cell count) Ya-zhen, Xu, "Treatment of Leukopenia with Reflexotherapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 32-37

*Menopause

Menopause

* "Seventy-six women between 45 and 60 years, reporting menopausal symptoms. Methods: Women were randomised to receive nine sessions of either reflexology or nonspecific foot massage (control) by four qualified reflexologists over a period of 19 weeks. Main outcome measures: The Women's Health Questionnaire (WHQ), the primary measure s being the subscores for anxiety and depression. Severity (visual analog scale (VAS) a n frequency of flushes and night sweats. Results: Mean (SD) scores for anxiety fell from 0.43 (0.29) to 0.22 (0.25) in the reflexology group and from 0.37 (0.27) to 0.27 (0.29) in the control group over the course of treatment. Mean (SD) scores for depression fell from 0.37 (0.25) to 0.20 (0.24) in the reflexology group and from 0.36 (.023) to 0.20 (0.21) in the control (foot massage) group over the same period. For both scores there was strong evidence of a time effect (P<0.001) but no evidence of a time-group interaction (P>0.2). Similar changes were found for severity of hot flashes and night sweats. In the control group, 14/37 believed they had not received reflexology. Conclusion: Foot reflexology was not shown to be more effective than non-specific foot massage in the treatment of psychological symptoms occurring during menopause."

(Williamson J, White A, Hart A, Ernst E., "Randomised controlled trial of reflexology for menopausal symptoms," BJOG, 2002 Sep; 109(9):1050-5)

Menopause

* Eighty-two women diagnosed with menopause were randomly divided into two groups. Forty-two women received foot reflexology and forty received foot reflexology with auricular point magnet adhesion. Thirty minute session were provided daily for 60 days.
Among women provided with foot reflexology at the conclusion of the study, 17 (40.48%) of the women had fully recovered, 20 (47.62%) had significantly recovered, 4 (9.25%) had effective results and 1 had ineffective results.

Among women provided with foot reflexology and auricular magnet adhesion at the conclusion of the study, 9 (22.5%) of the women had fully recovered, 16 (40%) had significantly recovered, 9 (22.50) had effective results and 6 (15%) had ineffective results.

Sun Jianhua, "Observation on the Therapeutic Effect of 82 Cases of Climacterium Syndrome (menopause) Treated with Reflexotherapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 60-61

Mental Health (See also Emotional Needs)

"It is clear by the end of the research period that a significant number of participants had experienced many positive effects from the reflexology treatments." The findings of a study of "those in need of emotional support" were reported by Mind Affiliated Local Association Worthing in a publication titled "Making Connections, User Perception of the Effects of Reflexology & Counselling: an evaluation of a complementary health care project at Worthing Mind." Mind Worthing is an affiliate of national charity Mind.

The study was conducted at a day centre or a drop-in centre. "The people included in the study were all in need of emotional support." They ranged in age from 18 to 65. Forty-nine individuals participated in the reflexology project and twenty-five in the counselling project between May 1996 and August 1997. "Most of the reflexology sample received reflexology once a week for eight weeks, and each treatment lasted thirty minutes. Qualitative data collection included "Confidential profiles" (individual responses to questions) and "Focus group questions" (responses gathered in groups of four to eight individuals).

Findings from participant responses included: Improvement in physical aspects, significant improvement in emotional state, improvement in ability to concentrate, increase in motivation for a significant number of participants, significant increase in confidence and self-esteem levels, improvement in communication and ability to articulate ideas more effectively and readily, "importance of being touched during treatment in a safe non-intrusive / abusive manner," and reduction of medication by several.

Reports of benefits by the centre's staffs were noted: "Both services (reflexology and counselling), it was reported, have in addition (to positive feedback from members) helped to alleviate pressure on staff and avert crises because some members becoming more relaxed and at ease as a result of having had reflexology and/or counselling."

Assessment of cost-effectiveness included questions related to the cost of not providing reflexology and/or counselling services. At issue were expenses related to the cost of typical interventions such as psychotropic medications or consultation with a GP or Psychiatrist. Adverse outcomes for individual were noted to potentially include "psychiatric breakdown, attempted suicide, physical / sexual abuse of children, and inappropriate health care seeking behaviors."

Trousdale, Peta and Uphoff-Chmielnik, Andrea, Making Connections, User Perception of the Effects of Reflexology & Counselling: an evaluation of a complementary health care project at Worthing Mind, September 1997

Mental retardation

Mental retardation

* Results of study: The feet of mentally retarded children were found to be of abnormal color and to show abnormal toe shapes as opposed to other children.

Feng, Gu; Zhao, Lingyun; Yuru, Yang; Jiamo, Hao; Shuwen, Cao and Xiulan, Zhang, "Comparative Study of Abnormal Signs in the Feet of Feebleminded Children," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 9 - 13

Mental retardation

* Results of study: Mentally retarded children were shown to improve significantly in height, weight, health states, social living abilities, and intellectual development when receiving foot reflexology as opposed to those not receiving treatment. (G)

Lingyun, Yuru, Zhao; Yang Yuru, Feng gu; Jiamo, Hao; Shuwen, Cao and Xiulan, Zhang, "Observation on Improvement of Feeble-Minded Children's Social Abilities by Foot Reflexo-Therapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 24 - 28

Migraine headache

* "Foot reflexology is defined as massage of zones on the feet which correspond to different parts of the body. A medline-search yielded no literature in the field of foot reflexology. Indications for and results of foot reflexology have been extrapolated from case-descriptions and two pilot studies with small samples. One study (Lafuente et al.) found foot reflexology to be as helpful to patients with headaches as medication (flunarizine), yet foot reflexology was fraught with less side-effects than medication. In a second study (Eichelberger et al.) foot reflexology was used postoperatively on gynecological patients. The intervention group showed a lesser need for medication to enhance bladder tonus than did the control group. The literature describes foot reflexology as enhancing urination, bowel movements and relaxation." Foot reflex zone massage (Kesselring A, Institut fur Pflegeforschung, Bern.)

In a blind random trial, (Lafuente) "examined 32 patients between the ages of 15 and 57. There were 25 women and 7 men randomly assigned to two groups. One group was given a placebo and received reflexology treatments two times a week for two or three monthes, The other group received Flunarizin traterment ( a slecetive calcium entry blocker with calmodulin binding properties and histamine blocking activity that has been efective in preventing migraines) and massage of a non -specific area twice a week for 12 sessions. patients were evaluated at the end of the study and again three months after the study. It was concluded that the reflexology treatment was at least as effective as the Flunarizin treatment and may be clasifed as an alternative non-pharmacological therapeutic treatment that would be particularly appropriate to thsoe patiet\nts that were unable to follow pharmacological treatment." (Testa, Gail W., "A Study on the Effects of Reflexology on Migraine Headaches" August 2000 (http://members.tripod.com/GTesta/Dissertationall.htm)

Lafuente A et al (1990). Effekt der Reflex zonenbehandlung am FuB bezuglich der prophylaktischen Behandlung mit Flunarizin bei an Cephalea-Kopfschmerzen leidenden Patieten.Erfahrungsheilkunde. 39, 713-715.

Heydenreich A., Institution: Abteilung Neurologie, Wilhelm-Pieck-Universitat, Rostock, "Treatment of migraine with controlled reflex methods and stimulation therapy," Schweiz Med Wochenschr Suppl, 62: 88-93 (1994) Authors:. [Review] [0 refs] [German] Zeitschrift fur Arztliche Fortbildung. 82(24):1247-9, 1988.

MeSH Terms: English Abstract; Female; Flunarizine/therapeutic use; Foot*; Genital Diseases, Female/surgery; Headache/therapy; Headache/drug therapy; Human; Massage/methods*; Postoperative Complications/therapy; Reflexotherapy/methods*; Urination Disorders/therapy

Milk secretion in new mothers

* Two groups of new mothers were followed for satisfactory lactation. A treated group of 100 was given foot massage within 30 hours after delivery and 17 were given foot massage from 30 to 120 hours after for 10 to 15 minutes a day. No treatment was given to a group of 100 women. In the treatment group, lactation was initiated in 43.47 hours (+12.39 hours). In the control group it was 66.97 hours (+28.16 hours). In 72 hours satisfactory lactation was documented in 98% and 67% respectively in the two groups. Foot massage was found help avoid use of drugs in lactation that may be harmful to the baby.
Siu-lan, Li, "Galactagogue Effect of Foot Reflexology in 217 Parturient Women," (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996 p. 14

Multiple sclerosis

Multiple sclerosis

Following a number of reports by reflexologists of MS patients benefiting from reflexology treatment, a small scale study was initiated backed by the Grampian branch of the Charity Action and Research for Multiple Sclerosis (GARMS) and the Scottish Institute of Reflexology.

GARMS provides regular hyperbaric oxygen therapy and physiotherapy for people with MS, and volunteers were asked to participate in reflexology study. Fourteen were assigned to a treatment group to receive a one hour reflexology treatment every week, and 13 patients were selected to act as a control group (one member dropped out leaving twelve who completed the study in the control group)

At the commencement of the study, participants were asked to asses nineteen of the most common symptoms as either minor, major or not applicable. The assessment was repeated after 6 weeks and 12 weeks when the participants also noted whether their symptoms had improved, worsened or not changed. The control were assessed using the same form at the same intervals as the treatment group, and both the treatment and control groups were asked at the time of the assessment whether on not their medication or diet had changed to assess possible external factors.

After 6 weeks, a significant number of people in the treatment group showed an improvement in their symptoms, and most of these improvements were maintained. During the second 6 week period, however, many of the participants had lost some of the improvements they had gained in the first 6 weeks; but after 18 weeks, the results revealed that those patients in the treatment group experienced some improvements in 45% of the symptoms compared to a much lower rate of 13% in the control group.

The results indicate that reflexology does offer some therapeutic benefit to MS patients especially in the first 6 weeks of treatment, although the treatment sessions need to be regular, and the benefits seem to diminish after twelve weeks.

Joyce M, Richardson R., "Reflexology helps multiple sclerosis." JACM July 1997 10-12 (www.internethealthlibrary) (MS Centre (Glasgow), Unit 16, Chapel Hill Industrial Estate, Maryhill, Glasgow G20 9BD, Tel: 0141 945 3344)

Multiple sclerosis

* "To evaluate the effect of reflexology on symptoms of multiple sclerosis (MS) in a randomized, sham-controlled clinical trial. METHODS: Seventy-one MS patients were randomized to either study or control group, to receive an 11-week treatment. Reflexology treatment included manual pressure on specific points in the feet and massage of the calf area. The control group received nonspecific massage of the calf area. The intensity of paresthesias, urinary symptoms, muscle strength and spasticity was assessed in a masked fashion at the beginning of the study, after 1.5 months of treatment, end of study and at three months of follow-up. RESULTS: Fifty-three patients completed this study. Significant improvement in the differences in mean scores of paresthesias (P = 0.01), urinary symptoms (P = 0.03) and spasticity (P = 0.03) was detected in the reflexology group. Improvement with borderline significance was observed in the differences in mean scores of muscle strength between the reflexology group and the controls (P = 0.06). The improvement in the intensity of paresthesias remained significant at three months of follow-up (P = 0.04). CONCLUSIONS: Specific reflexology treatment was of benefit in alleviating motor; sensory and urinary symptoms in MS patients."

Siev-Ner I, Gamus D, Lerner-Geva L, Achiron A."Reflexology treatment relieves symptoms of multiple sclerosis: a randomized controlled study," Mult Scler. 2003 Aug;9(4):356-61(Complementary Medicine Clinic, Department of Orthopedic Rehabilitation, Sheba Medical Center, Tel-Hashomer, Israel) PMID: 12926840

Neurodermatitis

*Thirty cases of neurodermatitis were divided into two groups of 15 with the treated group receiving foot massage for 10 to 30 days and the other group receiving drug therapy. The effective rate for the treated group was 46.7% very effective and 53.3% effective. In the control group, 33.3% were very effective, 40% were effective and 26.7 were ineffective. Foot massage was seen as simple, effective, economical and lacking the side effects of drugs given the control group (fatigue, sleeplessness, gastrointestinal symptoms, with hormonal dermatitis resulting from long-term use).

Zhi-ming, Liu and Song, Fang, "Treatment of Neurodermatitis by Foot Reflex Area Massage (with a test group of 15 and a control group of 15)," (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996, p. 16

Nervous exhaustion

Recent research from China suggest that reflexology may be particularly helpful for patients suffering from nervous exhaustion.Twenty patients with a history of neurasthenia (nervous exhaustion) which had lasted between 1 & 8 years were given a course of reflexology at the department of physiotherapy, 52884 Military Hospital.

The patients' chief symptoms were dizziness, insomnia, memory loss, indigestion and headaches. All had previously received long term medical treatment none of which had helped them.The reflexology treatments focused on the areas of the feet relating to the adrenal gland, kidneys, bladder, sinus, brain and heart. Those patients who suffered from associated digestive problems were also treated to the areas of the feet relating to spleen, stomach, duodenum and celiac, while those patients who suffered from headaches had the areas of the feet relating to the cerebellum and trigeminal nerves treated.

The reflexology treatments were given daily over a period of seven days and the results were quite remarkable:40% experienced complete 'cure', further 35% had greatly improved, and a further 15% had mildly improved. Only 10% showed no change at all to the treatment.

Duan Shuang-Feng. Foot reflexology in neurosism: Clinical Observation of 20 cases. Presented at the China Reflexology Symposium in Beijing (July 1993). Reflexology research reports (Association of Reflexologists) 2nd edition

 

Pain

Reflexology was applied to 60 individuals from ages 1 to 73 who were experiencing pain. Sessions lasted 20 minutes to 40 minutes. the pain resulted from Toothache (6), headache (8), sore throat (50), stiff neck (40), shoulder pain/old wound (2), breast pain (2), chest & rib pain (2), dysmenorrhea (3), abdominal pain (5), wrist and leg pain (19), and joint pain in limbs. Following one session 18 of the 60 were healed. 11 were healed following 2 or 3 sessions, 22 were effectively treated after 2 or 3 sessions. Reflexology was ineffective for 9 cases after 1 to 3 sessions.

Jin Hui, "Reflexology Applied as a Pain-Killer - Observation of 60 Cases," 1998 Beijing International Reflexology Conference Report, China Reflexology Association, Beijing, p, 86-88

Pain, Chronic (Hand massage)

"Nurses have used complementary therapies for many years to relieve anxiety, promote comfort, and reduce or alleviate pain. The therapies described in this article are examples of the many therapies available for nurses to consider when planning care for patients with chronic pain. The increasing body of scientific knowledge is providing more guidance about the efficacy of specific therapies. As with all interventions, ongoing evaluation about the effectiveness of a therapy for each patient is an important component of quality nursing care. Complementary therapies provide an avenue for nurses to be autonomous in furthering the relief of chronic pain, as many of these therapies fall within the domain of nursing. Incorporating selected therapies into the plan of care provides multiple opportunities for nurses to demonstrate caring, a premier characteristic of nursing. A number of the complementary therapies, such as journaling, hand massage, and imagery, can be taught to patients and their families, thus promoting self-care. Anecdotal evidence and findings from numerous smaller studies provide some support for the use of many complementary therapies to manage chronic pain or their use as adjuncts in the treatment regimen. Still, the nurse must weigh the risks and benefits before suggesting a therapy to a patient. Evaluating the effectiveness of the complementary therapy to promote comfort in patients with chronic pain is essential. Obtaining this information is not only critical to the care of a particular patient, but these data will assist nurses in learning more about specific therapies. Most importantly, nurses need to pursue research to further the scientific basis for many of the complementary therapies."

PMID: 14567205 Snyder M, Wieland J. "Complementary and alternative therapies: what is their place in the management of chronic pain?" Nurs Clin North Am. 2003 Sep;38(3):495-508.

School of Nursing and Center for Spirituality and Healing, University of Minnesota School of Nursing, 6-101 Weaver-Densford Hall, 308 Harvard Street SE, Minneapolis, MN 55455-0342, USA. snyde002@umn.edu

Pain of kidney and ureter stones (See also Kidney stones)

* Results of study: Reflexology work reduces the pain of those with kidney and ureter stones.

A few years ago, researchers at Glostrop hospital, Copenhagen, demonstrated that reflexology can help relieve the acute pain suffered by patients with kidney stones. 30 patients participated in the study and were divided equally into three groups: one group received reflexology treatment, one group received placebo treatment and the remaining groups were used as controls.

If no pain relief was experienced within 5 minutes, the treatment would end for analgesic medications, but those who experienced a benefit within 5 minutes, treatment was continued for a further 10 minutes. The results showed that 9 out of the 10 patients in the reflexology group experienced complete pain relief after the treatment which lasted for over an hour and in 5 of the patients pain was relieved for 4 hours.

Medical doctors Niels Baekgaard and Vibe Hansen, who conducted the study, concluded that "Reflexology treatment of acute ureterolithiasis has a pain relieving effect" and when compared to Baralgin (a commonly administered analgesic), the findings revealed that reflexology actually works faster at alleviating pain although the effects last for a shorter duration.

Eriksen, Leila, "Clinical Trials of Acute Uretic Colic and Reflexology," Reflexology: Research and Effect Evaluation in Denmark, Danish Reflexologists Association, Kolding, Denmark, 1993, p. 10

Pain of herniated disc

"Foot reflexology is both a diagnostic technique and therapy. It is an alternative therapy which is considered useful in pain management. Its effectiveness as a therapy has been studied at the Mestre hospital where a clinical study has been undertaken to determine the effectiveness of reflexology in the reduction of pain. A group of 40 persons suffering almost exclusively from a lumbar-sacral disc hernia received three treatments of reflexology massage for a week. The results found that 25 persons (62.5%) reported a reduction in pain, (rating at 0.75 on a scale of 0-4). These results however did not take into consideration the relationship between the effectiveness of foot reflexology and variables such as the persons physicality (Body Mass Index), or their psychological or social status."

Degan M, Fabris F, Vanin F, Bevilacqua M, Genova V, Mazzucco M, Negrisolo A, "The effectiveness of foot reflexotherapy on chronic pain associated with a herniated disk," Prof Inferm. 2000 Apr-Jun;53(2):80-7 [Article in Italian] ULSS 12 Veneziana. (mardeg@libero.it )PMID: 11272089

Pain (Post surgical)

* Results of study: Post surgical patients who receive foot massage and medication report "significantly less" agony than those on painkillers alone.

"Foot Rubs Easing Pain," Third Age. com, December 4, 1998

Pain (Shoulder)

The 39 cases of shoulder pain ranged in age from 49 to 58 years old. At the completion of reflexology treatment, 32 had been cured (pain disappeared, the arm and shoulder could move freely) and 17 had received an effect (pain reduced, the movement of the arm and shoulder obviously improved).

Yu Baofu, Han Houngling, Yang Huaiqing, Li Caixia, "Treatment of Shoulder-Joint Pain with Foot Reflexology," 1998 Beijing International Reflexology Conference Report, China Reflexology Association, Beijing, pp. 69-70

Paralysis

A pilot study of the effects of foot and hand reflexology applied to paralyzed clients began in 1980. Foot and hand reflexology techniques were applied to a quadriplegic client and two paraplegic clients. The work consisted of 220 hours of sessions, 338 hours of sessions and 358 hours of sessions applied over a time period of three to five years.

From this work it was concluded: (1) A possible mechanism within the existing nervous system explains the workings of reflexology: the integration of autonomic-somatic information by the body. Such a mechanism allows the body to coordinate the involuntary internal reactions of the autonomic nervous system with the actions of the musculo-skeletal system for the purposes of survival. (2) The application of pressure, stretch and movement technique to the feet can effect a physical change within the body. (3) An interruption of the body's imaging process occurs in paralysis. The imaging can be changed by the exercise of locomotive components, pressure, stretch and movement.

A major observation was that pressure techniques applied to the feet elicited (1) what we came to recognize as a segment of the stride mechanism and (2) a direct response of the autonomic nervous system. Specifically, the spasming of paralyzed limbs in response to pressure applied to the feet of the paraplegic clients came to be conditioned into a series of sophisticated movements consistent with the positioning of hips, legs, ankles, and feet for walking. Pressure technique applied to one foot elicited movement of both limbs, each appropriate for a segment of stride in opposition to the other.

The response of the quadriplegic client differed from that of the paraplegic clients. Pressure technique applied to the sole of the foot, base of the toes of the left foot elicited movement of particular digits of the right hand, as if the client was playing a guitar. Responses were elicited from left foot to right foot and vice versa but paled in contrast to the left foot/right hand response.

Secondly, a stereotypical internal organ response was elicited in all three clients from general work on feet. The response varied from client to client but seemed to be internal body adjustments. One client shivered and her teeth chattered, yet when asked, she would report no sensation of being cold. One client perspired on one side of the head. One client perspired below the level of spinal cord injury and experienced intestinal tract grumbling. The responses developed over time and were extinguished over time.

Aside from immediate responses to reflexology work, none of the three clients experienced a bladder or kidney infection, a common occurrence, during the course of the work. In addition, the quadriplegic client experienced a gradual return of the ability to sense pain, heat, cold, light touch, and deep pressure. This ability varied over his body seemingly from dermatome to dermatome. The pain sensation developed into discrete localization of pain. He reported the ability to sense fullness in the stomach next followed by sensation of the need to empty the bladder.
Kunz K, Kunz B, "The Paralysis Project," Reflexions, Vol. 8, No. 1, J/F/M 1987

Pneumonia (Infantile)

Pneumonia (Infantile)

* 122 cases of infantile pneumonia were divided into two groups: 58 cases received medication and foot massage and 64 cases were treated with medication only. The results showed that those treatment group required 7.8 days average time of treatment with a course of the disease as 10.2 days. The crative rate was 96.5% with improvement in the other 2 cases. Those in the control group required an average treatment time of 9.7 days with the total course of the disease at 12.3 days. The curative rate was 92% with 5 cases improved. It was concluded that the treatment course is shorter and effect better in combined medication and foot massage group.
Liang-cai, Pei, "Observation of 58 Infantile Pneumonia by Combined Method of Medication with Foot Massage," A Clinical Analysis of 132 Cases," (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996, p. 34

Pneumonia (infantile)

Three different methods were used to work with pneumonia and bronchitis in children. Foot reflexology was utilized in 103 cases, antibiotics in 40 cases and antibiotica with Chinese herbs in 68 cases. Foot reflexology was found to be more effective than either of the others.
· Hui-ming, Wu, "Perspectives of foot reflex based on foot massage for treatment of pneumonia and bronchitis in childhood," (19)96 Beijing International Reflexology Conference (Report), the China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, p. 42

Post surgical pain

* Results of study: Post surgical patients who receive foot massage and medication report "significantly less" agony than those on painkillers alone.

"Foot Rubs Easing Pain," Third Age. com, December 4, 1998

* Post surgical care (Foot massage)

"This randomized-controlled study examined the effects of foot massage on patients' perception of care received following surgery. The sample of 59 women who underwent laparoscopic sterilization as day case patients were randomly allocated into two groups. The experimental group received a foot massage and analgesia post-operatively, whilst the control group received only analgesia post-operatively. Each participant was asked to complete a questionnaire on the day following surgery. This examined satisfaction, memory and analgesia taken. The 76% response rate was comparable with other patient satisfaction studies following day-case surgery. Statistical analysis showed no overall significant difference in the pain experienced by the two groups; however, the mean pain scores recorded following surgery showed a significantly different pattern over time, such that the experimental group consistently reported less pain following a foot massage than the control group. This study has attempted to explore the use of foot massage in a systematic way and is therefore a basis for further study."

Hulme J, Waterman H, Hillier VF, "The effect of foot massage on patients' perception of care following laparoscopic sterilization as day case patients," J Adv Nurs. 1999 Aug;30(2):460-8 (Stockport Acute Services NHS Trust, Anaesthetic Department, Stepping Hill Hospital, Stockport, England) PMID: 10457249

* Post surgical care (Foot massage)

"Because of the widely presumed association between heart disease and psychological wellbeing, the use of so-called 'complementary' therapies as adjuncts to conventional treatment modalities have been the subject of considerable debate. The present study arose from an attempt to identify a safe and effective therapeutic intervention to promote wellbeing, which could be practicably delivered by nurses to patients in the postoperative recovery period following coronary artery bypass graft (CABG) surgery. Aim. To investigate the impact of foot massage and guided relaxation on the wellbeing of patients who had undergone CABG surgery. METHOD: Twenty-five subjects were randomly assigned to either a control or one of two intervention groups. Psychological and physical variables were measured immediately before and after the intervention. A discharge questionnaire was also administered. RESULTS: No significant differences between physiological parameters were found. There was a significant effect of the intervention on the calm scores (ANOVA, P=0.014). Dunnett's multiple comparison showed that this was attributable to increased calm among the massage group. Although not significant the guided relaxation group also reported substantially higher levels of calm than control. There was a clear (nonsignificant) trend across all psychological variables for both foot massage and, to a lesser extent, guided relaxation to improve psychological wellbeing. Both interventions were well received by the subjects. CONCLUSIONS: These interventions appear to be effective, noninvasive techniques for promoting psychological wellbeing in this patient group. Further investigation is indicated."

Hattan J, King L, Griffiths P, "The impact of foot massage and guided relaxation following cardiac surgery: a randomized controlled trial," J Adv Nurs. 2002 Jan;37(2):199-207 (Institute of Nursing and Midwifery, University of Brighton, East Sussex, UK. jenniehattan@netscapeonline.co.uk) PMID: 11851788

*Post surgical nausea and vomiting (Hand acupressure)

To investigate the effectiveness of prophylactic Korean hand acupressure in the prevention of postoperative vomiting in women scheduled for minor gynecological laparoscopic surgery, we conducted a double-blinded, randomized, placebo-controlled study. In one group (n = 40), acupressure was performed 30 min before the induction of anesthesia by using special acupressure seeds, which were fixed onto the Korean hand acupuncture point K-K9 and remained there for at least 24 h. The second group (n = 40) functioned as the Placebo group. The treatment groups did not differ with regard to demographics, surgical procedure, or anesthetic administered. In the Acupressure group, the incidence of nausea and vomiting was significantly less (40% and 22.5%) than in the Placebo group (70% and 50%). We conclude that Korean hand acupressure of the acupuncture point K-K9 is an effective method for reducing postoperative nausea and vomiting in women after minor gynecological laparoscopic surgery. IMPLICATIONS: This randomized study was performed to investigate the antiemetic effect of the Korean hand acupuncture point K-K9. Acupressure of K-K9 reduces the incidence of postoperative nausea and vomiting in female patients after minor gynecological laparoscopic surgery.

Boehler M, Mitterschiffthaler G, Schlager A. "Korean hand acupressure reduces postoperative nausea and vomiting after gynecological laparoscopic surgery," Anesth Analg. 2002 Apr;94(4):872-5,

University Department of Anesthesiology and Critical Care Medicine, University of Innsbruck, Innsbruck, Austria.

PMID: 11916788 [PubMed]

*Post surgical nausea and vomiting (Hand acupressure)

A double-blind, randomized, placebo-controlled study was conducted to investigate the effectiveness of Korean hand acupuncture in preventing postoperative vomiting in children scheduled for strabismus surgery. In one group, acupressure was performed 30 min before induction of anaesthesia by applying an acupressure disc onto the Korean hand acupuncture point K-K9; the disc remained in situ for at least 24 h. The second group functioned as placebo group. The treatment groups did not differ with regard to patient characteristics, surgical procedure and anaesthetic administered. In the acupressure group, the incidence of vomiting was significantly lower (20%) than in the placebo group (68%). We conclude that Korean hand acupressure of the acupuncture point K-K9 is an effective method for reducing postoperative vomiting in children after strabismus repair.

Schlager A, Boehler M, Puhringer F., "Korean hand acupressure reduces postoperative vomiting in children after strabismus surgery," Br J Anaesth. 2000 Aug;85(2):267-70.

Department of Anaesthesia and Intensive Care Medicine, Leopold-Franzens-University of Innsbruck, Austria.

PMID: 10992837 [PubMed]

Post surgical recovery

Post surgical recovery

• Reports that Eichelberger et. al. demonstrated that reflexology enhances urination, stimulates bowel movements and so aids recovery. Patients who received reflexology also showed a much less need for medication than patients in the control group. (Eichelberger G (1993) Study of foot reflex zone massage. Alternatives to tablets. Krankenpfiege - Soins Infirmiers. 86, 61-63)

Kesselring, A. Fussrelszonemassage. Schweiz med Won\chenschr suppi (Switzerland) 1994, 62, pp. 88-93

Post surgical recovery

* The study's goal was to test if foot reflexology (FR) affects the well-being, voiding, bowel movements, pain, and/or sleep in women who underwent an abdominal operation. 130 subjects were randomised into three groups. For five days they were exposed to fifteen minutes of FR, foot/leg massage (FM) or talking respectively. Results show that the women in the FR group were more able to void without problems, after the indwelling catheter had been removed than did women in the comparison groups. There was also a tendency in the FR-group for the indwelling catheter to be removed earlier than in the other groups. In comparison the FR-subjects slept worse than the others. FM showed significant results in the subjective measures of well-being, pain and sleep."

Kesselring A., Spichiger E., Muller M, "Foot Reflexology: an intervention study, Pflege 1998, Aug; 11(4):213-8 (PMID: 9775925)

Post surgical recovery

* "The aim of the study was to investigate the possible usefulness of foot reflexology on the recovery after a surgical intervention. 130 patients participated in the study. They underwent abdominal surgery under full anesthesia for different, but exclusively gynecological reasons. Foot reflexology investigated in this study was applied only for a few days for each patient. The following parameters were recorded: the subjective, self-assessed, general condition, pain intensity, movement of the bowels, micturition and sleep beginning on the day before the operation until day 10. Two other treatments served as controls, a simple massage of the foot or a personal conversation. The simple massage turned out to be a relaxing, positive experience, whereas foot reflexology had various effects, some of them even negative. The conclusion was that foot reflexology is not recommended for acute, abdominal postsurgical situations in gynecology because it can occasionally trigger abdominal pain."

Kesselring A., "Foot Reflexology massage: a clinical study." Forsch Komplementarmed 1999 Feb; 6 Suppl 1:38-40 (PMID: 10077716)

Pre-menstrual syndrome

* Results of study: Reflexology improves the symptoms of 46% of those suffering from PMS.

OBJECTIVE: To determine whether reflexology therapy--the application of manual pressure to reflex points on the ears, hands, and feet that somatotopically correspond to specific areas of the body--can significantly reduce premenstrual symptoms compared to placebo treatment.

METHODS: Thirty-five women who complained of previous distress with premenstrual syndrome (PMS) were randomly assigned to be treated by ear, hand, and foot reflexology or to receive placebo reflexology. All subjects completed a daily diary, which monitored 38 premenstrual symptoms on a four-point scale. Somatic and psychological indicators of premenstrual distress were recorded each day for 2 months before treatment, for 2 months during reflexology, and for 2 months afterward. The reflexology sessions for both groups were provided by a trained reflexology therapist once a week for 8 weeks, and lasted 30 minutes each. RESULTS: Analysis of variance for repeated measures demonstrated a significantly greater decrease in premenstrual symptoms for the women given true reflexology treatment than for the women in the placebo group.

CONCLUSION: These clinical findings support the use of ear, hand, and foot reflexology for the treatment of PMS.

Oleson, Terry and Flocco, William, "Randomized Controlled Study of Premenstrual Symptoms Treated with Ear, Hand, and Foot Reflexology," Obstetrics and Gynecology, 1993;82(6): 906-11

Prostate (Hyperplasia)

* 90 cases of hyperplasia of the prostate were divided into 3 groups: in 30 cases foot reflex area was used, in 30 cases drug therapy was used, in 30 cases massage foot massage was combined with drug. "Ultrasonographic examinations were performed pre and post first course of treatment. Comparison is summation of sizes in three dimensions pre and after treatment. Criteria for effectiveness: significant effect - the differences >1.5cm., effective -difference=1-1.4cm. It is indicated that foot reflex area health promoting method may be used as a useful method in treatment for hyperplasia especially when combined with drug therapy."
Xiao-li, Chen, "Hyperplasia of Prostate Gland Treated by Foot Reflex Area Health Promoting Method (with a group of 90 study participants)," 1996 China Reflexology Symposium Report, China Reflexology Association, Beijing, October 1996, pp. 32 - 33

Prostate (Hypertrophy)

50 cases were treated with foot reflexology. All were above 55 years old and experienced frequent, urgent, difficult and nocturnal urination. Thirty minute sessions were applied once or twice a day. Among the 50 cases: (1) 10 were cured, all symptoms disappeared,(2) 5 showed markedly effective, main symptoms disappeared, (3) 30 were effective, symptoms alleviated and (4) 5 were ineffective, no improvement. Effectiveness was achieved within ten to 21 days.

Zhou Xin, Zhou Gengye, "Treatment of Prostatic Hypertrophy with Reflexotherapy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 50-5

Psoriasis

A 21 year-old college student had experienced a widely spreading skin lesions over 14 years. Numerous Western and traditional Chinese medicines had failed to effect the psoriasis. One to two treatments a week were applied for 50 minutes. After 14 treatments change was evident in the four largest lesions. After 15 courses of treatment all lesions disappeared.
Xi-guang, Xu and De-zhao, Liu, "Treatment of Psoriasis with Foot Reflexology," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 91-92 (Tianjin, China)

Reflexology chart

Accuracy of the widely used organ representation areas, currently used in different schools of foot and hand reflexology was evaluated using Bi-Digital O-Ring test resonance phenomenon. Our previous study indicated that mapping organ representation areas of the tongue using Bi-Digital O-Ring Test resonance phenomenon between 2 identical substances often provided more reliable clinical information for both diagnosis and treatment than the 2 widely used, but crude, traditional schools of Chinese tongue diagnosis. This same method was applied for the mapping of the organ representation areas on the feet and hands.

We succeeded in mapping the following areas on human feet: 1) Middle (3rd) toe on the sole side represents the following starting from the tip: A) Head, B) Face with eye, ear, nose, and mouth (1st Digit) C) Neck and organs within the neck (narrow band of space between 1st crease after the 1st digit and crease at the junction of the beginning of the sole); 2) 2nd and 4th toe represent upper extremities, the beginning tip being fingers and hands. The crease at the base of these toes represents the shoulder. The 2nd toe represents right upper extremity, and the 4th toe represents left upper extremity; 3) 1st and 5th toes in both the right and left feet represent lower extremities with the tip being the toes and soles of feet. The crease at the base of these toes represents the inguinal area. The 1st toe of each foot represents right lower extremity, and 5th toe represents left lower extremity. The sole of the foot is divided into the following 3 distinctive sections. 1) Upper (1st) section represents organs in the chest cavity including 2 thymus glands, trachea, 2 lungs, with the heart between them, and with the esophagus appearing as a narrow band outside of the lung near and below the 1st and 2nd toe depending upon the individual. Chest section occupies the first 1/3 to 1/5 (on a relatively long foot) of the entire sole. The boundary between the chest and G.I. system can be approximately estimated by extending the length of the entire toe or up to 25% longer to the sole, but it can be accurately determined using a diaphragm tissue microscope slide as a reference control substance. 2) Middle (2nd) section represents Gastro-Intestinal system, including lower end of the esophagus, liver, stomach, spleen, gall bladder, pancreas, duodenum, jejunum, ileum, appendix, colon, and anus.(ABSTRACT TRUNCATED AT 400 WORDS)

Omura Y. , Acupunct Electrother Res. 1994 Jun-Sep;19(2-3):153-90. "Accurate localization of organ representation areas on the feet & hands using the bi-digital O-ring test resonance phenomenon: its clinical implication in diagnosis & treatment--Part I." Heart Disease Research Foundation, New York.

PMID: 7863839 [PubMed] http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=7863839

Rhinitis

Foot reflexology was applied daily to three cases of rhinitis for 30 minutes. After three sessions symptoms had subsided even for a patient experiencing rhinitis for 20 years. A course of 10 sessions was applies to "consolidate the effect. Symptoms had not returned two years later for this patient.
Xiu, Ma, "Observation on the Treatment of Rhinitis with Foot Reflexology," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 139 (Tianjin, China)

(Male) Sexual dysfunction

* Thirty-seven patients with sexual dysfunction (15: impotence, 9: premature ejaculation, 6: emission, and 7: ejaculation deficiens) were randomly assigned to two groups: 19 individuals were treated with foot reflexology and 18 with traditional Chinese medicine. No statistical difference was found between the two groups on age, occupation, education, degree of disease, spirit status, affection between the couple, sexual desire, and sexual intercourse for marital cases. In addition to foot reflex areas, massage was applied to specific acupuncture points of the body in the foot reflexology group. The effective rate of the foot reflexology treatment group was found to be 87.5% for impotence and 100% for the others. The effective rate of the traditional Chinese medicine group was found to be 85.7% for impotence and 100% for the others.
Jianhua, Sun, "The Comparison of Curative Effects Between Foot Reflexology and Chinese Traditional Medicine in Treating 37 Cases with Male's Sexual Dysfunction," 1996 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 75

Sinusitis

"Reflexology massage" was found to be as effective as nasal irrigation for alleviation of chronic sinusitis in a University of Wisconsin School of Medicine study. Dr. Andrew Weil's Self Healing reports that "After two weeks of daily treatment, more than 70 percent of those who practiced either form of nasal douching reported improved symptoms. But surprisingly, the group that practiced reflexology massage - where pressure is applied to the feet or hands but may produce changes elsewhere in the body - appeared to fare equally well. The unexpected results for this technique may prompt further research." ("The Saline Solution?," Self Healing, January 2002, page 2)

· "Reflexology massage" was utilized as a control in the testing of two nasal irrigation study groups, nasal irrigation with a bulb syringe and nasal irrigation with a nasal irrigation pot. One hundred fifty individuals were randomly assigned to one of the three groups. "Groups one and two performed daily hypertonic saline irrigation for two weeks with one method (bulb syringe or nasal irrigation pot) and then switched to the other method for the following two weeks. Irrigation devices were collected and cultured after two weeks of use. Group three (the control) performed reflexology massage daily for two weeks. Data was collected prospectively including pre-treatment Medical Outcomes Study Short Form, pre and post-treatment Rhinosinusitis."

· "Overall, 36 percent of subjects reported decreased use of sinus medication (decongestants, antihistamines, pain relievers, and nasal sprays) during the study with no measurable difference between the three groups. Conclusions: The study demonstrated that daily nasal irrigation with hypertonic saline offers patients an inexpensive treatment protocol that improves chronic sinusitis symptoms. During the study, a number of patients decreased or eliminated medication.The choice of preferred irrigation protocol was likely linked to the randomization among patient subjects. It is unclear whether the improvement found in patients in the reflexology massage group reflects a therapeutic, placebo, or combination of effects. All the findings highlight the complex interactions of managing chronic sinusitis symptoms."

Diane G. Heatley MD, Glen E. Leverson PhD, Kari E. McConnell RN, and Tony L. Kille (the University of Wisconsin School of Medicine, Madison, WI) "Nasal Irrigation for the Alleviation of Sinonasal Symptoms," presented Monday, September 25, 2000, at the American Academy of Otolaryngology--Head and Neck Surgery Foundation Annual Meeting/Oto Expo, being held September 24-27, 2000, at the Washington, DC Convention Center

(http://www.askdrbob.com/archives/reference/sinus.htm) (Published in Otolaryngol Head Neck Surg. 2001 Jul;125(1):44-8)

Smoking cessation (Hand and ear massage)

"BACKGROUND: Attempts at smoking cessation have been correlated with severe withdrawal symptoms, including intense cigarette cravings, anxiety, and depressed mood. Massage therapy has been shown to reduce anxiety and stress hormones and improve mood.

"METHOD: Twenty adult smokers (M age = 32.6) were randomly assigned to a self-massage treatment or a control group. The treatment group was taught to conduct a hand or ear self-massage during three cravings a day for 1 month. RESULTS: Self-reports revealed lower anxiety scores, improved mood, and fewer withdrawal symptoms. In addition, the self-massage group smoked fewer cigarettes per day by the last week of the study.

"CONCLUSIONS: The present findings suggest that self-massage may be an effective adjunct treatment for adults attempting smoking cessation to alleviate smoking-related anxiety, reduce cravings and withdrawal symptoms, improve mood, and reduce the number of cigarettes smoked."

Hernandez-Reif M, Field T, Hart S. "Smoking cravings are reduced by self-massage." Prev Med. 1999 Jan;28(1):28-32.

Touch Research Institute, University of Miami, School of Medicine, Florida 33101, USA.

PMID: 9973585

Stroke

Foot reflexology was applied once a day for ten days, every other day for ten days, and once or twice a week for ten days. A review of 38 cases of cerebrovascular accident patients showed a 95% effectiveness rate. Results were evaluated as (1) effective if the "functions of palsy lower limbs got recovered to enable the patient to walk independently in the room and" and (2) remarkably effective if the "function of lower limbs got recovered, digital meticulous action partially recovered, Babinski's sign turned negative" Results: among the 28 patients of the cerebral thrombosis groups (a) 9 cases showed effect in the first course of treatment and 15 in the second course and (b) 3 cases showed remarkably effective in the second course of treatment and 3 cases in the third course. Among the cerebral infarction group (a) 2 cases showed effective in the first course of treatment and 2 cases in the second and (b) 2 cases showed remarkably effective in the third course of treatment.
Wu Zhen-sheng, Li Xue-zhen, "Treatment of 38 Cases of Ischemic Apoplexy," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, p. 1

See also Hyperlipimia: Shou-qing, Gui; Yuna-zhong, Li; Xian-qing, Xiao; Chen Shengping and Gu Xuejauna (The People's Hospital, Xianning District, Hubei Province), Zhu Shanhan, Liao Enguang (The People's Hospital of Hubei Province) and Luo Desheng (Xianning College of Medicine, Hubei Province), "Impact of the Massotherapy Applied to Foot Reflexes on Blood Fat of Human Body," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 34-37

* Surgery: anxiety during(Hand massage)

"To evaluate the effects of hand massage on patient anxiety during cataract surgery. SETTING: Kangnam St. Mary's Hospital, Seoul, Korea.

METHODS: This study comprised 59 patients having cataract surgery from December 11, 1996, to February 12, 1997. The patients were divided into those having a hand massage 5 minutes before surgery (experimental group, n = 29) and those not receiving a hand massage (control group, n = 30). Patients' anxiety levels were measured using the Visual Analog Scale and by assessing the systolic blood pressure, diastolic blood pressure, and pulse rate before and after the hand massage and 5 minutes before the end of surgery. Epinephrine, norepinephrine, cortisol, blood sugar levels, neutrophil, and lymphocyte percentages in white blood cells were also measured.

RESULTS: After the hand massage, the psychological anxiety levels, systolic and diastolic blood pressures, and pulse rate were significantly lower than before the massage. The hand massage significantly decreased epinephrine and norepinephrine levels in the experimental group. Epinephrine, norepinephrine, and cortisol levels increased in the control group. The differences between groups were significant. There were no significant between-group differences in blood sugar levels or neutrophil and lymphocyte percentages in white blood cells.

CONCLUSION: The findings indicate that hand massage decreases the psychological and physiological anxiety levels in patients having cataract surgery under local anesthesia."

Kim MS, Cho KS, Woo H, Kim JH, "Effects of hand massage on anxiety in cataract surgery using local anesthesia," J Cataract Refract Surg. 2001 Jun;27(6):884-90 (Department of Ophthalmology, Kangnam St. Mary's Hospital, Medical College, The Catholic University of Korea, Seoul, South Korea) PMID: 11408136

Toothache

* Results of study: Reflexology reduced the pain of 66% toothache patients and eliminated the symptoms of 26%.

Xue-xiang, Wang, "Relieve (150 Cases of) Toothache with Foot Reflexotherapy," 1994 China Reflexology Symposium Report, China Reflexology Association, Beijing, October 1994, p. 132 - 135

Urinary tract stones

Urinary tract stones

* Foot reflexology was applied to 46 cases of lithotrity and compared to the results of 50 cases not treated with foot reflexology. The process of excreting the calculi broken by external lithotrity begins within one week of the procedure and finishes approximately after a month of pain experienced by the patient. Reflexology was applied to the treatment group daily for 30 minutes. Thirty cases in the reflexology group had begun excretion of fragmented calculus in seven days or less compared to 5 of the untreated group. Forty-three had begun in fifteen days or less compared to 22 in the untreated group. All forty-six of the untreated group had completed excretion in less than 20 days compared to 38 in the untreated group.

Xiaojian, Ying, "Foot Reflexology as an Accessory Treatment after External Lithotrity a Clinical Observation of 46 Cases," 1996 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 58 - 59

Urinary tract stones

• "Foot reflex area massage" was applied to 34 individuals with a diagnosis of calculi of the urinary tract. A cure rate of 71% was achieved. Results were achieved by application of 3-5 times for three individuals, 6-8 times for eight individuals, 10-12 times for eight individuals and more than 20 times for 5 individuals.

Yue-jin, Zhang; Jing-Fang, Chung and Bao-rong, Ju, "Observation of the Effect of Foot Reflex Area Massage on 34 Cases of Calouli of Urinary Tract," (19)96 Beijing International Reflexology Conference (Report), 1996, China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996, p. 46

Urinary tract infection

* 24 cases of urinary tract infection were divided into two groups. In the treated group norfloxin and foot massage were used. In the control group only norfloxin was used. Of the treated group, 5 showed immediate amelioration of disappearance of symptoms with 7 showing amelioration or disappearance on the second day. Of the control group 4 showed amelioration or disappearance on the second day and 8 showed amelioration or disappearance on the third day. Foot massage was found to be effective in treating urinary tract infection.
Yu-lian, Zao, "Clinical Observation on Treatment of Infection of Urinary Tract by Foot Massage," (19)96 Beijing International Reflexology Conference (Report), China Preventive Medical Association and the Chinese Society of Reflexology, Beijing, 1996, p. 17

Uroschesis (retention of urine)

* Forty cases were divided into two groups randomly. Of the forty, 34 could not urinate 3 to 4 hours after surgery on the cranium or brain and 6 could not urinate in 5 hours. Those of the control group listened to the sound of flowing water, massage was applied to the urinary bladder and other conditional reflexes were applied. Foot Reflexotherapy was applied for thirty minutes to those in the observation group. Results of study: 65% of the control group could excrete urine within 10 minutes of treatment as opposed to 30% of the control group. 25% of those in the observation group could excrete urine but not completely within 10 to 30 minutes of treatment as opposed to 45% of the control group. 10 of the observation group were unable to urinate 30 minutes after treatment as opposed to 25% of the control group.

Cailian, Lin, "Clinical Observation on Treatment of 40 Cases of Uroschesis with Reflexology," 1998 China Reflexology Symposium Report, China Reflexology Association, Beijing, pp. 52 - 53

Other

• Teruo, Nakamura, "Using Technical Measuring Machine," RWO-SHR Health '90 Worldwide Conference Tokyo, Best Care, Tokyo, pp. 45 - 54

• Cho, Z. H., Chung, S. C., Jones, J. P., Park, J. B., Park, H. J., Lee, H. J., Wong, E. K., and Min, B. I., "New findings of the correlation between acupoints and corresponding brain cortices using functional MRI," Proceedings of the National Academy of Sciences USA, Vol. 95, pp. 2670-2673, March 1998, Physiology

• Oz, Mehmet C., Whitworth, Gerard C., and Liu, Eric C., "Complementary Medicine in the Surgical Wards (at Columbia-Presbyterian Hospital in New York City)," Journal of the American Medical Association, Vol. 279, pp. 710-711, March 4, 1998

 


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