Review Article

Reflexology in Childbirth Pain Management

Abstract

This study was conducted to review the related articles and draw a final conclusion regarding the application of reflexology for delivery (labor and cesarean section) pain management in women all over the world. In this systematic review, relevant articles were searched in Google Scholar, PubMed, Cochrane Library, Science Direct, and Scopus databases from the year 2000 to 2018. All the human clinical trials that examined the effects of reflexology methods on delivery pain (labor or Cesarean section) were included, and others were excluded from the study. All the 18 included original articles (with 1391 patients) reported that reflexology significantly reduces the pain of delivery, confirming its decreasing effect on labor, Cesarean section, and post-delivery pain. Results of all articles showed that if true reflexology is performed on the right location of the body and at the appropriate time, the pain of delivery can be significantly decreased. Reflexology is appropriate pain relief and prophylaxis for any kind of pain, especially delivery and post-delivery pain. It is a safe remedy with no adverse effects reported so far.

 

1. Stephenson NL, Weinrich SP, Tavakolil AS. The effects of foot reflexology on anxiety and pain in patients with breast and lung cancer. Oncol Nurs Forum 2000;27:67-76.
2. Byers DC. Better health with foot reflexology. USA: Ingham Publishing, Incorporated, 1983.
3. McVicar A, Greenwood C, Ellis C, LeForis C. Influence of study design on outcomes following reflexology massage: an integrative and critical review of interventional studies. J Altern Complement Med 2016;22:739-50.
4. Frambes D, Sikorskii A, Tesnjak I, Wyatt G, Lehto R, Given B. Caregiver-Reported Health Outcomes: Effects of Providing Reflexology for Symptom Management to Women With Advanced Breast Cancer. Oncol Nurs Forum 2017;44:596-605.
5. McVicar A, Greenwood C, Ellis C, LeForis C. Influence of study design on outcomes following reflexology massage: An integrative and critical review of interventional studies. J Altern Complement Med 2016;22:239-50.
6. McCullough JE, Liddle SD, Close C, Sinclair M, Hughes CM. Reflexology: A randomised controlled trial investigating the effects on beta-endorphin, cortisol and pregnancy related stress. Complement Ther Clin Pract 2018;31:76-84.
7. Smith C, Levett K, Collins C, Dahlen H, Ee C, Suganuma M. Massage, reflexology and other manual methods for pain management in labour. Cochrane Database Syst Rev 2018;3:CD009290.
8. McCullough JE. Factors influencing reflexology treatment outcomes during pregnancy [dissertation]. Coleraine: Ulster University., 2015.
9. Arslan F, Guven SD, Özcan A, Vatansev H, Taşgin Ö. The Effect of Exercise, Reflexology and Chrome on Metabolic Syndrome. Int J Sport Health Sci 2018,7:77-85.
10. Demirtürk F, Yilar Erkek Z, Alparslan Ö, Demirtürk F, Demir O, Inanir A. Comparison of reflexology and connective tissue manipulation in participants with primary dysmenorrhea. J Altern Complement Med 2016;22:38-44.
11. Unal KS, Akpinar RB. The effect of foot reflexology and back massage on hemodialysis patients' fatigue and sleep quality. Complement Ther Clin Pract 2016;24:139-44.
12. McCullough JE, Liddle SD, Sinclair M, Close C, Hughes CM. The physiological and biochemical outcomes associated with a reflexology treatment: a systematic review. Evid Based Complement Alternat Med 2014;2014.502123:
13. Buchanan DR, White JD, O'mara AM, Kelaghan JW, Smith WB, Minasian LM. Design Issues in Cancer-Symptom–Management Trials Using Complementary and Alternative Medicine: Lessons From the National Cancer Institute Community Clinical Oncology Program Experience. J Clin Oncol 2005;23:6682-9.
14. White JD. Complementary and alternative medicine research: a National Cancer Institute perspective. Semin Oncol 2002;29:546-51.
15. Wyatt G, Sikorskii A, Rahbar MH, Victorson D, You M. Health-related quality-of-life outcomes: a reflexology trial with patients with advanced-stage breast cancer. Oncol Nurs Forum 2012;39:568-77.
16. Ruedy J, Kaufman DM, MacLeod H. Alternative and complementary medicine in Canadian medical schools: a survey. CMAJ 1999;160:816-7.
17. Hafner AW, Zwicky JF, Barrett S. Reader's guide to alternative health methods. American Medical Association, 1992.
18. Stephenson N, Dalton JA, Carlson J. The effect of foot reflexology on pain in patients with metastatic cancer 1. Appl Nurs Res 2003;16:284-6.
19. Stephenson NL, Swanson M, Dalton J, Keefe FJ, Engelke M. Partner-delivered reflexology: effects on cancer pain and anxiety. Oncol Nurs Forum 2007;34:127-32.
20. Yang JH. The effects of foot reflexology on nausea, vomiting and fatigue of breast cancer patients undergoing chemotherapy. Taehan Kanho Hakhoe Chi 2005;35:177-85.
21. Hodgson H. Does reflexology impact on cancer patients' quality of life? Nurs Stand 2000;14:33-8.
22. Kohara H, Miyauchi T, Suehiro Y, Ueoka H, Takeyama H, Morita T. Combined modality treatment of aromatherapy, footsoak, and reflexology relieves fatigue in patients with cancer. J Palliat Med 2004;7:791-6.
23. Wilkinson S, Lockhart K, Gambles M, Storey L. Reflexology for symptom relief in patients with cancer. Cancer Nurs 2008;31:354-60.
24. Sharp DM, Walker MB, Chaturvedi A, Upadhyay S, Hamid A, Walker AA, et al. A randomised, controlled trial of the psychological effects of reflexology in early breast cancer. Eur J Cancer 2010;46:312-22.
25. Brygge T, Heinig JH, Collins P, Ronborg S, Gehrchen PM, Hilden J, et al. Reflexology and bronchial asthma. Respir Med 2001;95:173-9.
26. Jeong IS. Effect of self-foot reflexology on peripheral blood circulation and peripheral neuropathy in patients with diabetes mellitus. J Korean Acad Fundamentals Nurs 2006;13:225-34.
27. Kim JI, Lee MS, Kang JW, Do Young Choi, Ernst E. Reflexology for the symptomatic treatment of breast cancer: a systematic review. Integr Cancer Ther 2010;9:326-30.
28. Crane B. Reflexology: The Definitive Practitioner's Manual: Recommended by the International Therapy Examination Council for Students and Pratitioners. USA: Element, 1997.
29. Williamson J, White A, Hart A, Ernst E. Randomised controlled trial of reflexology for menopausal symptoms. BJOG 2002;109:1050-5.
30. Blunt E. Foot reflexology. Holist Nurs Pract 2006;20:257-9.
31. Eghbali M, Safari R, Nazari F, Abdoli S. The effects of reflexology on chronic low back pain intensity in nurses employed in hospitals affiliated with Isfahan University of Medical Sciences. Iran J Nurs Midwifery Res 2012;17:239-43.
32. Mohamed MA, El Bandrawy AM, Gabr AA. Do Foot Reflexology and Relaxation Training Decrease Premenstrual Symptoms in Adolescent Females. Int J Physiother 2016;3:522-8.
33. Sahiner NC, Bal MD. A Randomized Controlled Trial Examining the Effects of Reflexology on Children With Functional Constipation. Gastroenterol Nurs 2017;40:393-400.
34. Rollinson K, Jones J, Scott N, Megson IL, Leslie SJ. The acute (immediate) effects of reflexology on arterial compliance in healthy volunteers: A randomised study. Complement Ther Clin Pract 2016;22:16-20.
35. Embong NH, Soh YC, Ming LC, Wong TW. Revisiting reflexology: Concept, evidence, current practice, and practitioner training. J Tradit Complement Med 2015;5:197-206.
36. Icke S, Genc R. Effect of Reflexology on Infantile Colic. J Altern Complement Med 2018;24:584-8.
37. Hughes CM, Krirsnakriengkrai S, Kumar S, McDonough SM. The effect of reflexology on the autonomic nervous system in healthy adults: a feasibility study. Altern Ther Health Med 2011;17:32-7.
38. Wright S, Courtney U, Donnelly C, Kenny T, Lavin C. Clients' perceptions of the benefits of reflexology on their quality of life. Complement Ther Nurs Midwifery 2002;8:69-76.
39. Tiran D, Chummun H. The physiological basis of reflexology and its use as a potential diagnostic tool. Complement Ther Clin Pract 2005;11:58-64.
40. Özdemir G, Ovayolu N, Ovayolu Ö. The effect of reflexology applied on haemodialysis patients with fatigue, pain and cramps. Int J Nurs Pract 2013;19:265-73.
41. Jang SH, Kim KH. Effects of Seff-Foot Reflexology on Stress, Fatigue and Blood Circulation in Premenopausal Middle-Aged Women. J Korean Acad Nurs 2009;39:662-72.
42. Sudmeier I, Bodner G, Egger I, Mur E, Ulmer H, Herold M. Changes of renal blood flow during organ-associated foot reflexology measured by color Doppler sonography. Forsch Komplementarmed. 1999;6:129-34.
43. Nazari F, Soheili M, Hosseini S, Shaygannejad V. A comparison of the effects of reflexology and relaxation on pain in women with multiple sclerosis. J Complement Integr Med 2016;13:65-71.
44. Wang MY, Tsai PS, Lee PH, Chang WY, Yang CM. The efficacy of reflexology: systematic review. J Adv Nurs 2008;62:512-20.
45. Gantt WH. Reflexology, schizokinesis and autokinesis. Conditional reflex: a Pavlovian journal of research & therapy 1966;1:57-68.
46. Ghavami H, Imani N, Shams S, Khalkhali HR. The effect of applying reflexology massage on Nitroglycerin Induced Migraine Type Headache. Eur J Integr Med 2016;8:32.
47. Wojciech K, Pawel L, Halina RZ. Effects of feet reflexology versus segmental massage in reducing pain and its intensity, frequency and duration of the attacks in females with migraine: a pilot study. J Tradit Chin Med 2017;37:214-9.
48. Williams J, Mitchell M. Midwifery managers’ views about the use of complementary therapies in the maternity services. Complement Ther Clin Pract 2007;13:129-35.
49. Safonov MI, Naprienko MV. Analysis of the efficacy of reflexology in the complex treatment of chronic migraine. Zh Nevrol Psikhiatr Im S S Korsakova 2017;117:22-5.
50. Bagheri-Nesami M, Shorofi SA, Zargar N, Sohrabi M, Gholipour-Baradari A, Khalilian A. The effects of foot reflexology massage on anxiety in patients following coronary artery bypass graft surgery: a randomized controlled trial. Complement Ther Clin Pract 2014;20:42-7.
51. Bakir E, Baglama SS, Gursoy S. The effects of reflexology on pain and sleep deprivation in patients with rheumatoid arthritis: A randomized controlled trial. Complement Ther Clin Pract 2018;31:315-9.
52. Kapila A, Chaplin P, Herd A, Knife N, Patel A. Can reflexology help in managing physical and psychological symptoms in breast cancer patients?. Eur J Surg Oncol 2018;44:881.
53. Whatley J, Street R, Kay S, Harris P. Use of reflexology in management of lymphoedema after surgery for breast cancer–The lived experience of patients with secondary lymphoedema. Eur J Integr Med 2016;4:588-9.
54. Ebadi A, Mahmoudi H. The effect of foot reflexology massage on the level of pain during chest tube removal after open heart surgery. Iran J Crit Care Nurs 2014;7:15-22.
55. Hudson BF, Davidson J, Whiteley MS. The impact of hand reflexology on pain, anxiety and satisfaction during minimally invasive surgery under local anaesthetic: A randomised controlled trial. Int J Nurs Stud 2015;52:1789-97.
56. Valizadeh L, Seyyedrasooli A, Zamanazadeh V, Nasiri K. Comparing the effects of reflexology and footbath on sleep quality in the elderly: a controlled clinical trial. Iran Red Crescent Med J 2015;17:e20111.
57. Grady LH. The Effects of Reflexology Treatment on Sleep Quality in Shift Workers [dissertation]. United Kingdom: Cardiff Metropolitan University., 2016
58. Naseri M, Rahmani A, Nerir B, Salari M, Farahani MM. Effect of Foot Reflexology Massage and Foot Bath on the Sleep Quality of Patients with Acute Coronary Syndrome: A Comparative Study. J Crit Care 2016;9:e10294.
59. Choi MS, Lee EJ. Effects of foot-reflexology massage on fatigue, stress and postpartum depression in postpartum women. J Korean Acad Nurs 2015;45:587-94.
60. Soheili M, Nazari F, Shaygannejad V, Valiani M. A comparison the effects of reflexology and relaxation on the psychological symptoms in women with multiple sclerosis. J Educ Health Promot 2017;6:11.
61. Kim CS, Yoo KS, Hong SH. The Effects of Foot Reflexology on Arthralgia, Ankylosis, Depression, and Sleep in Community-dwelling Elderly Women with Osteoarthritis. J Korean Acad Nurs 2014;25:207-16.
62. Close C, Sinclair M, Mc Cullough J, Liddle D, Hughes C. A pilot randomised controlled trial (RCT) investigating the effectiveness of reflexology for managing pregnancy low back and/or pelvic pain. Complement Ther Clin Pract 2016;23:117-24.
63. Whatley J, Street R, Kay S, Harris PE. Use of reflexology in managing secondary lymphoedema for patients affected by treatments for breast cancer: A feasibility study. Complement Ther Clin Pract. 2016;23:1-8.
64. Atkins RC, Harris P. Using reflexology to manage stress in the workplace: a preliminary study. Complement Ther Clin Pract 2008;14:280-7.
65. Coyle K, Basen-Engquist K, Kirby D, Parcel G, Banspach S, Collins J, et al. Safer choices: reducing teen pregnancy, HIV, and STDs. Public Health Rep 2001;116: 82-93.
66. Dimmock S, Troughton PR, Bird HA. Factors predisposing to the resort of complementary therapies in patients with fibromyalgia. Clin Rheumatol 1996;15:478-82.
67. Perales M, Calabria I, Lopez C, Franco E, Coteron J, Barakat R. Regular exercise throughout pregnancy is associated with a shorter first stage of labor. Am J Health Promot 2016;30:149-54.
68. Buzaglo N, Harlev A, Sergienko R, Sheiner E. Risk factors for early postpartum hemorrhage (PPH) in the first vaginal delivery, and obstetrical outcomes in subsequent pregnancy. J Matern Fetal Neonatal Med 2015;28:932-7.
69. Gallagher AC, Hersh AR, Scrivner KJ, Tilden E, Caughey AB. 579: Operative vaginal delivery compared to cesarean section modeled for a second pregnancy: a cost-effectiveness analysis. Am J Obstet Gynecol 2018;218:S347.
70. Arrowsmith S, Wray S, Quenby S. Maternal obesity and labour complications following induction of labour in prolonged pregnancy. BJOG 2011;118:578-88.
71. Begley CM, Gyte GM, Devane D, McGuire W, Weeks A. Active versus expectant management for women in the third stage of labour. Cochrane Database Syst Rev 2011;11:CD007412.
72. Lipski A, Pariente G, Baumfeld Y, Rotem R, Yezersky M, Press F, et al. 192: Association between placental complications during the third stage of labor and delivering a small for gestational age (SGA) neonate. Ame J Obstet Gynecol 2018;218:S128-9.
73. Coffee Jr JC, Sale H, Henderson MT. Securities regulation: Cases and materials. USA: Foundation Press, 2015.
74. Heidari G, Malek-Sadeghi N, Sheikhi E, Elyasi H, Rahimi H. Frequency of Vaginal Delivery in Women with Previous Cesarean Section: A Single Referral Center Experience. World Fam Med 2018;16:70-4.
75. Whitburn LY, Jones LE, Davey MA, Small R. Supporting the updated definition of pain. But what about labour pain? Pain 2017;158:990-1.
76. Adams J, Frawley J, Steel A, Broom A, Sibbritt D. Use of pharmacological and non-pharmacological labour pain management techniques and their relationship to maternal and infant birth outcomes: examination of a nationally representative sample of 1835 pregnant women. Midwifery 2015;31:458-63.
77. Karlsdottir SI, Halldorsdottir S, Lundgren I. The third paradigm in labour pain preparation and management: the childbearing woman's paradigm. Scand J Caring Sci 2014;28:315-27.
78. Levett KM, Smith CA, Dahlen HG, Bensoussan A. Acupuncture and acupressure for pain management in labour and birth: a critical narrative review of current systematic review evidence. Complement Ther Med 2014;22:523-40.
79. Floris L, Irion O. Association between anxiety and pain in the latent phase of labour upon admission to the maternity hospital: A prospective, descriptive study. J Health Psychol 2015;20:446-55.
80. Bergh IH, Johansson A, Bratt A, Ekström A, Mårtensson LB. Assessment and documentation of women's labour pain: a cross-sectional study in Swedish delivery wards. Women Birth 2015;28:e14-8.
81. Parthasarathy S, Ravishankar M, Hemanthkumar VR. Reported Pain During Labour–A Qualitative Study of Influencing Factors among Parturient During Confinement in Private or Government Hospital. J Clin Diagn Res 2016;10:UC01-3.
82. Weibel S, Jelting Y, Afshari A, Pace NL, Eberhart LH, Jokinen J, et al. Patient‐controlled analgesia with remifentanil versus alternative parenteral methods for pain management in labour. Cochrane Database Syst Rev 2017;4:CD011989.
83. Eri TS, Bondas T, Gross MM, Janssen P, Green JM. A balancing act in an unknown territory: A metasynthesis of first-time mothers׳ experiences in early labour. Midwifery 2015;31:e58-67.
84. Tan DJ, Sultana R, Han NL, Sia AT, Sng BL. Investigating determinants for patient satisfaction in women receiving epidural analgesia for labour pain: a retrospective cohort study. BMC Anesthesiol 2018;18:50.
85. Quinn K, Spiby H, Slade P. A longitudinal study exploring the role of adult attachment in relation to perceptions of pain in labour, childbirth memory and acute traumatic stress responses. J Reprod Infant Psychol 2015;33:256-67.
86. Hassani S, Hassani K. The Effect of Foot Reflexology on Physiologic Indices and Pain Severity Following Cesarean Delivery. Res J Med Sci 2015;9:114-7.
87. Hanjani SM, Tourzani ZM, Shoghi M. The effect of foot reflexology on anxiety, pain, and outcomes of the labor in primigravida women. Acta Med Iran 2015;53:507-11.
88. Dolatian M, Hasanpour A, Heshmat R, Alavi Majd H. The effect of reflexology on pain intensity of labor. ZUMS J;18:52-61.
89. Valiani M, Shiran E, Kianpour M, Hasanpour M. Reviewing the effect of reflexology on the pain and certain features and outcomes of the labor on the primiparous women. Iran J Nurs Midwifery Res 2010;15:302-10.
90. Dolatian M, Hasanpour A, Montazeri S, Heshmat R, Majd HA. The effect of reflexology on pain intensity and duration of labor on primiparas. Iran Red Crescent Med J 2011;13:475-9.
91. Moghimi Hanjani S, Shoghy M, Mehdizadeh Torzani Z, Ahmadi G, Khodadvastan Shahraki M. The Effect of foot reflexology on anxiety during of labor on primiparous. Ann Mil Health Sci Res 2012;10:219-24.
92. Varghese J, George J, Gowda YS. A randomized control trial to determine the effect of foot reflexology on intensity of pain and quality of sleep in post caesarean mothers. IOSR J Nurs Health Sci 2014;3:39-43.
93. Moghimi Hanjani S, Shoghi M, Ahmadi G. Effect of foot reflexology on pain intensity and duration of labor on primiparous. Koomesh 2013;14:166-71.
94. Razmjoo N, Yousefi F, Esmaeeli H, Azizi H, Lotfalizadeh M. Effect of foot reflexology on pain and anxiety in women following elective cesarean section. Iran J Obstet Gynecol Infertil 2012;15:8-16.
95. Jenabi E, Hajiloo Mohajeran M, Torkamani M. The effect of reflexology on relieving the labor pain. Iran J Obstet Gynecol Infertil 2012;14:34-8.
96. Hassani S, Hassani K. The Effect of Foot Reflexology on Physiologic Indices and Pain Severity Following Cesarean Delivery. Res J Med Sci 2015;9:114-7.
97. Smith CA, Levett KM, Collins CT, Dahlen HG, Ee CC, Suganuma M. Massage, reflexology and other manual methods for pain management in labour. Cochrane Database Syst Rev 2018;3:CD009290.
98. Mathew AM, Francis F. Effectiveness of Foot Reflexology in Reduction of Labour Pain among Mothers in Labour Admitted at PSG. Int J Nurs Stud 2016;8:11-5.
99. Hajighasemali S, Akbari A, Amir S, Baghban AA, Heshmat R. Comparison between Effect Acupressure on SP6 Point and Reflexology on the Severity of First-Stage Labor Pain. J Jahrom Univ Med Sci 2014;12:15-22.
100. Moghimi Hanjani S, Ahmadi G, Shoghi M, Mehdizadeh Torzani Z. The Effect of Foot Reflexology on the Outcomes of Labor on Primiparous. J Urmia Nurs Midwifery Fac 2012;10:700-5.
101. Metin ZG, Ozdemir L. The effects of aromatherapy massage and reflexology on pain and fatigue in patients with rheumatoid arthritis: a randomized controlled trial. Pain Manag Nurs 2016;17:140-9.
102. Thottingal S. A Study to Assess the Effect of Foot Reflexology on Pain and Discomfort of Mothers after Caesarean Sction in a Selected Hospitals Banglore [dissertation .[Int J Adv Nurs Manag (IJANM)., 2014
103. Yılar Erkek Z, Aktas S. The Effect of Foot Reflexology on the Anxiety Levels of Women in Labor. J Altern Complement Med 2018;24:352-60.
104. Linde K, Hondras M, Vickers A, Ter Riet G, Melchart D. Systematic reviews of complementary therapies–an annotated bibliography. Part 3: Homeopathy. BMC Complement Altern Med 2001;1:5.
105. Campbell B, Good CA, Kitchell RL. Neural mechanisms in sexual behavior. I. Reflexology of sacral segments of cat. Proc Soc Exp Biol Med 1954;86:423-6.
106. Frankel BS. The effect of reflexology on baroreceptor reflex sensitivity, blood pressure and sinus arrhythmia. Complement Ther Med 1997;5:80-4.
107. Lashley KS. Cerebral control versus reflexology: a reply to Professor Hunter. J Gen Psychol 1931;5:3-19.
108. Lee YM. Effect of self-foot reflexology massage on depression, stress responses and immune functions of middle aged women. J Korean Acad Nurs 2006;36:179-88.
109. Park HS, Cho GY. Effects of foot reflexology on essential hypertension patients. J Korean Acad Nurs 2004;34:739-50.
110. Cho GY, Park HS. Effects of 6-week foot reflexology on the blood pressure and fatigue in elderly patients with hypertension. J Korean Acad Fundamentals Nurs 2004;11:138-47.
111. Lu WA, Chen GY, Kuo CD. Foot reflexology can increase vagal modulation, decrease sympathetic modulation, and lower blood pressure in healthy subjects and patients with coronary artery disease. Altern Ther Health Med 2011;17:8-14.
112. Mc Vicar AJ, Greenwood CR, Fewell F, D’arcy V, Chandrasekharan S, Alldridge LC. Evaluation of anxiety, salivary cortisol and melatonin secretion following reflexology treatment: a pilot study in healthy individuals. Complement Ther Clin Pract 2007;13:137-45.
113. 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;9:203-8.
114. Brown CA, Lido C. Reflexology treatment for patients with lower limb amputations and phantom limb pain—An exploratory pilot study. Complement Ther Clin Pract 2008;14:124-31.
115. Tipping L, Mackereth PA. A concept analysis: the effect of reflexology on homeostasis to establish and maintain lactation. Complement Ther Nurs Midwifery 2000;6:189-98.
116. Tiran D, Mackereth PA. Clinical Reflexology E-Book: A Guide for Integrated Practice. UK: Elsevier Health Sciences, 2010.
117. Kemper KJ, Vohra S, Walls R. The use of complementary and alternative medicine in pediatrics. Pediatrics 2008;122:1374-86.
118. Padial ER, López NT, Bujaldón JL, Villanueva IE, del Paso GR. Cardiovascular effects of reflexology in healthy individuals: evidence for a specific increase in blood pressure. Altern Med Stud 2012;2:4.
119. Mackereth P, Dryden SL, Frankel B. Reflexology: recent research approaches. Complement Ther Nurs Midwifery 2000;6:66-71.
120. Ernst E. Is reflexology an effective intervention? A systematic review of randomised controlled trials. Med J Aust 2009;191:263-6.
121. Jones J, Thomson P, Lauder W, Howie K, Leslie SJ. Reflexology has an acute (immediate) haemodynamic effect in healthy volunteers: a double-blind randomised controlled trial. Complement Ther Clin Pract 2012;18:204-11.
122. Jones J, Thomson P, Irvine K, Leslie SJ. Is there a specific hemodynamic effect in reflexology? A systematic review of randomized controlled trials. J Altern Complement Med 2013;19:319-28.
123. Ghaffari F, Pour Ghaznein T. The reflexology of sole on tiredness intensity in pregnant women. Caspian J Intern Med 2010;1:58-62.
124. Mak HL, Cheon WC, Wong T, Liu YS, Tong WM. Randomized controlled trial of foot reflexology for patients with symptomatic idiopathic detrusor overactivity. Int Urogynecol J 2007;18:653-8.
125. Quinn F, Baxter GD, Hughes CM. Complementary therapies in the management of low back pain: a survey of reflexologists. Complement Ther Med 2008;16:9-14.
126. Hall NM. Reflexology: a guide to its technique and current use. Nurs Resid Care 2001;3:64-7.
127. Jones, Jenny, Stephen, Leslie. "Reflexology: Science or Belief?" STORRE: University of Stirling, 2012:27-60.
128. Green VL, Alexandropoulou A, Walker MB, Walker AA, Sharp DM, Walker LG, et al. Alterations in the Th1/Th2 balance in breast cancer patients using reflexology and scalp massage. Exp Ther Med 2010;1:97-108.
129. Sharp DM, Walker MB, Chaturvedi A, Upadhyay S, Hamid A, Walker AA, et al. A randomised controlled trial of the psychoneuroimmunological effects of reflexology in women with early-stage breast cancer. Breast Cancer Res 2010;12:P26.
130. Shobeiri F, Manoucheri B, Parsa P, Roshanaei G. Effects of counselling and sole reflexology on fatigue in pregnant women: a randomized clinical trial. J Clin Diagn Res. 2017;11:QC01-04.
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IssueVol 59, No 6 (2021) QRcode
SectionReview Article(s)
DOI https://doi.org/10.18502/acta.v59i6.6888
Keywords
Childbirth pain Complementary medicine Reflexology

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1.
Rahami H, Elyasi H, Galehdar N. Reflexology in Childbirth Pain Management. Acta Med Iran. 2021;59(6):312-321.