Abstract
BACKGROUND: Irritable bowel syndrome (IBS) is a significant problem for primary care, as treatment options are limited and it can frequently develop into a chronic condition. Complementary and alternative medicine, including reflexology, is being turned to increasingly in an attempt to manage symptoms. There are currently no studies which address the effectiveness of reflexology for IBS. Despite this, it continues to be advocated and used. AIM: To provide the first evidence on the effectiveness of reflexology in the management of the core defining symptoms of IBS. DESIGN OF STUDY: A single-blind trial carried out in primary care settings. SETTING: Thirty-four participants diagnosed with IBS on the basis of the Rome Criteria. METHOD: Participants were allocated to receive either a reflexology foot massage or a non-reflexology foot massage control group. RESULTS: On none of the three symptoms monitored--abdominal pain, constipation/diarrhoea, and abdominal distention--was there a statistically or clinically significant difference between reflexology and control groups. CONCLUSION: On the basis of these results there is nothing to suggest that reflexology produces any specific benefit for patients with IBS. There is currently no evidence to support its use. However this was one (relatively) small scale study; further research that, for example, assesses the impact of therapist (professional and lay) versus therapy, is still needed.
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Selected References
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- Bensoussan A., Talley N. J., Hing M., Menzies R., Guo A., Ngu M. Treatment of irritable bowel syndrome with Chinese herbal medicine: a randomized controlled trial. JAMA. 1998 Nov 11;280(18):1585–1589. doi: 10.1001/jama.280.18.1585. [DOI] [PubMed] [Google Scholar]
- Chan J., Carr I., Mayberry J. F. The role of acupuncture in the treatment of irritable bowel syndrome: a pilot study. Hepatogastroenterology. 1997 Sep-Oct;44(17):1328–1330. [PubMed] [Google Scholar]
- Diehl D. L. Acupuncture for gastrointestinal and hepatobiliary disorders. J Altern Complement Med. 1999 Feb;5(1):27–45. doi: 10.1089/acm.1999.5.27. [DOI] [PubMed] [Google Scholar]
- Galovski T. E., Blanchard E. B. The treatment of irritable bowel syndrome with hypnotherapy. Appl Psychophysiol Biofeedback. 1998 Dec;23(4):219–232. doi: 10.1023/a:1022209631047. [DOI] [PubMed] [Google Scholar]
- Hodgson H. Does reflexology impact on cancer patients' quality of life? Nurs Stand. 2000 Apr 19;14(31):33–38. doi: 10.7748/ns2000.04.14.31.33.c2817. [DOI] [PubMed] [Google Scholar]
- Lewith G., Holgate S. CAM research and development. Complement Ther Nurs Midwifery. 2000 Feb;6(1):19–24. doi: 10.1054/ctnm.1999.0440. [DOI] [PubMed] [Google Scholar]
- Stephenson N. L., Weinrich S. P., Tavakoli A. S. The effects of foot reflexology on anxiety and pain in patients with breast and lung cancer. Oncol Nurs Forum. 2000 Jan-Feb;27(1):67–72. [PubMed] [Google Scholar]
- Tovey P., Adams J. Primary care as intersecting social worlds. Soc Sci Med. 2001 Mar;52(5):695–706. doi: 10.1016/s0277-9536(00)00179-9. [DOI] [PubMed] [Google Scholar]
- Tovey P. Contingent legitimacy: U.K. alternative practitioners and inter-sectoral acceptance. Soc Sci Med. 1997 Oct;45(7):1129–1133. doi: 10.1016/s0277-9536(97)00010-5. [DOI] [PubMed] [Google Scholar]
- Whorwell P. J., Prior A., Faragher E. B. Controlled trial of hypnotherapy in the treatment of severe refractory irritable-bowel syndrome. Lancet. 1984 Dec 1;2(8414):1232–1234. doi: 10.1016/s0140-6736(84)92793-4. [DOI] [PubMed] [Google Scholar]