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A randomised, controlled trial of the psychological effects of reflexology in early breast cancer.

In a study of 183 post-operative breast cancer patients, those receiving reflexology showed clinically significant improvements in quality of life compared with those undergoing self-initiated support alone.

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PMID: 19906525 [PubMed – indexed for MEDLINE]

Sharp DM, Walker MB, Chaturvedi A, Upadhyay S, Hamid A, Walker AA, Bateman JS, Braid F, Ellwood K, Hebblewhite C, Hope T, Lines M, Walker LG. “A randomised, controlled trial of the psychological effects of reflexology in early breast cancer.” Eur J Cancer. 2010 Jan; 46(2): 312-22. Epub 2009 Nov 10.

Source
The Institute of Rehabilitation, University of Hull, Kingston upon Hull, UK. d.m.sharp@hull.ac.uk

Abstract
PURPOSE:
To conduct a pragmatic randomised controlled trial (RCT) to evaluate the effects of reflexology on quality of life (QofL) in women with early breast cancer.

PATIENTS AND METHODS:
One hundred and eighty-three women were randomised 6 weeks post-breast surgery to self-initiated support (SIS) (comparator intervention), SIS plus reflexology, or SIS plus scalp massage (control for physical and social contact). Reflexology and massage comprised eight sessions at weekly intervals. The primary end-point was 18 weeks post surgery; the primary outcome measure was the Trial Outcome Index (TOI) of the Functional Assessment of Cancer Therapy (FACT-B) – breast cancer version. The secondary end-point was 24 weeks post surgery. Secondary outcome measures were the Hospital Anxiety and Depression Scale (HADS) and the Mood Rating Scale (MRS).

RESULTS:
At primary end-point, massage, but not reflexology, was significantly better than SIS on the TOI. Reflexology and massage were both better than SIS for MRS relaxation. Massage was better than reflexology and SIS for MRS easygoingness. At secondary end-point, reflexology, but not massage, was better than SIS on the TOI and MRS relaxation. There were no significant differences between reflexology or massage. There were no significant between group differences in HADS anxiety and depression. Self-reported use of out of study complementary therapies indicated that this was unlikely to have a significant effect on findings.

CONCLUSIONS:
When compared to SIS, reflexology and massage have statistically significant, and, for reflexology, clinically worthwhile, effects on QofL following surgery for early breast carcinoma.

Copyright 2009 Elsevier Ltd. All rights reserved.

PMID: 19906525 [PubMed – indexed for MEDLINE]
Source: http://www.ncbi.nlm.nih.gov/pubmed/19906525

Reflexology administered to women in labor

In a study of 100 overdue women in the maternity unit at Walsall Manor Hospital in Walsall, England, researchers found that “more women went into labour sooner and needing less pain relief than those without reflexology”. The study was carried out by a team of midwives qualified in reflexology.

“The results of their study show that, overall, the length of the first stage of labour was four hours shorter than of those in the control group of women who had not had reflexology and that the second stage of labour, when the woman starts to push, was 21 minutes shorter. They also found that fewer women in the reflexology group needed strong pain relief during labour.”

The research was nominated for a Royal College of Midwives Award for Innovation in Midwifery.

Though the researchers acknowledge they had a limited sample, the women in the study expressed having less pain and greater relaxation, making for more ease in their deliveries.

Hands on Method to Give a Baby a Head Start

Reflexology for symptom relief in patients with cancer

January 31, 2012 1 comment
Wilkinson SLockhart KGambles MStorey L., “Reflexology for symptom relief in patients with cancer,” Cancer Nursing. 2008 Sep-Oct; 31(5): 354-60; quiz 361-2.

Source
Department of Mental Health Sciences, Royal Free and University College Medical School, The Hampstead Campus, London, England.

Abstract
Complementary therapies are increasingly being used in hospices and hospitals alongside orthodox treatments in an attempt to improve patients’ emotional, spiritual, psychological, and physical well-being. An average of 31% of UK patients with cancer use some form of complementary therapy. Many UK cancer centers, out-patient units, and hospices are providing complementary services. There is strong anecdotal evidence that complementary therapies assist in the palliation of physical and psychological symptoms. This systematic review examines the research evidence base for the effectiveness of reflexology in cancer care. The study reports the results of a systematic review following the Cochrane principles of systematic reviewing. No meta-analysis was possible. Studies were retrieved from a comprehensive search of electronic databases from their start dates. An initial search was carried out in 2003 and updated in 2005 to 2006. Eligible studies were randomized controlled trials, controlled before and after studies, and interrupted time-series studies. Participants were adults with a diagnosis of cancer, receiving care in any healthcare setting. Interventions were limited to reflexology carried out by a qualified therapist as distinguished from another healthcare professional carrying out areflexology intervention. Outcome measures were patient-reported levels of physical and psychological indices of symptom distress and quality of life (measured using validated assessment tools).

PMID: 18772659 [PubMed – indexed for MEDLINE]
Source: http://www.ncbi.nlm.nih.gov/pubmed/18772659