Reflexology for Chemotherapy Neuropathy in 28 Breast Cancer Patients

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A systematic review association of reflexology in managing symptoms and side effects of breast cancer treatment Acupuncture and Reflexology for Chemotherapy-Induced Peripheral Neuropathy in Breast Cancer

Abstract

Background: Treatment of chemotherapy-induced peripheral neuropathy (CIPN), which affects approximately 30% to 40% of patients treated with neuropathy-causing agents, is mainly symptomatic. Currently available interventions are of little benefit.

Study design: This study was conducted as a retrospective analysis of the efficacy of acupuncture and reflexology in alleviating CIPN in breast cancer patients.

Methods: Medical records of 30 consecutive breast cancer patients who received both chemotherapy and treatment for CIPN according to our Acupuncture and Reflexology Treatment for Neuropathy (ART-N) protocol between 2011 and 2012 were reviewed. Symptom severity was rated at baseline, during, and after treatment.

Results: The records of 30 breast cancer patients who had been concomitantly treated with chemotherapy and ART-N for CIPN were retrieved. Two records were incomplete, leaving a total of 28 patients who were enrolled into the study. Twenty patients (71%) had sensory neuropathy, 7 (25%) had motor neuropathy, and 1 (4%) had both sensory and motor neuropathy. Only 2 (10%) of the 20 patients with grades 1 to 2 neuropathy still reported symptoms at 12 months since starting the ART-N protocol. All 8 patients who presented with grades 3 to 4 neuropathy were symptom-free at the 12-month evaluation. Overall, 26 patients (93%) had complete resolution of CIPN symptoms.

Conclusion: The results of this study demonstrated that a joint protocol of acupuncture and reflexology has a potential to improve symptoms of CIPN in breast cancer patients. The protocol should be validated on a larger cohort with a control group. It also warrants testing as a preventive intervention.

Keywords: acupuncture; breast cancer; chemotherapy; peripheral neuropathy; reflexology.

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Acupuncture and Reflexology for Chemotherapy-Induced Peripheral Neuropathy in Breast Cancer

Idan Ben-Horin, MD1 , Peretz Kahan, Li.AC1 , Larisa Ryvo, MD1 , Moshe Inbar, MD1 , Shahar Lev-Ari, PhD1 , and Ravit Geva, MD1

Abstract Background:

Treatment of chemotherapy-induced peripheral neuropathy (CIPN), which affects approximately 30% to 40% of patients treated with neuropathy-causing agents, is mainly symptomatic. Currently available interventions are of little benefit.

Study Design:

This study was conducted as a retrospective analysis of the efficacy of acupuncture and reflexology in alleviating CIPN in breast cancer patients.

Methods:

Medical records of 30 consecutive breast cancer patients who received both chemotherapy and treatment for CIPN according to our Acupuncture and Reflexology Treatment for Neuropathy (ART-N) protocol between 2011 and 2012 were reviewed. Symptom severity was rated at baseline, during, and after treatment.

Results:

The records of 30 breast cancer patients who had been concomitantly treated with chemotherapy and ART-N for CIPN were retrieved. Two records were incomplete, leaving a total of 28 patients who were enrolled into the study.

Twenty patients (71%) had sensory neuropathy, 7 (25%) had motor neuropathy, and 1 (4%) had both sensory and motor neuropathy. Only 2 (10%) of the 20 patients with grades 1 to 2 neuropathy still reported symptoms at 12 months since starting the ART-N protocol.

All 8 patients who presented with grades 3 to 4 neuropathy were symptom-free at the 12-month evaluation. Overall, 26 patients (93%) had complete resolution of CIPN symptoms.

Conclusion:

The results of this study demonstrated that a joint protocol of acupuncture and reflexology has a potential to improve symptoms of CIPN in breast cancer patients. The protocol should be validated on a larger cohort with a control group. It also warrants testing as a preventive intervention.

Citation:

Ben-Horin I, Kahan P, Ryvo L, Inbar M, Lev-Ari S, Geva R. Acupuncture and Reflexology for Chemotherapy-Induced Peripheral Neuropathy in Breast Cancer. Integr Cancer Ther. 2017;16(3):258–262. doi:10.1177/1534735417690254

Actionable Information for Reflexologists

In this section you will find how this research paper enacted reflexology to produce these results. We at Reflexology.Report distilled the Methodology portion of this research paper and we are presenting you with:

  • General methods used
  • Organization and duration of sessions
  • Reflexology points

The purpose of this section is to make this research paper useful to all reflexologists. This is a tool developed by the Center of Reflexology and Research (Κέντρο Ρεφλεξολογίας και Έρευνας) in Greece and supervised volunteers from across the world.

Reflexology consisted of the following elements: (1) deep massage of the feet and hands in order to remove the stagnation and regulate a smooth flow of Qi and blood through the meridians

(the massage was performed both in the meridians’ flow direction and against it), (2) gha sha (Guasha) rubbing in the arms and ankles of the involved meridians, (3) deep massage of the feet cushions, and (4) rotations of the wrists, hands, ankles and feet.

(1) Εν τω βάθει μάλαξη στα χέρια και στα πόδια προκειμένου να αντιμετωπιστεί η στασιμότητα και να ρυθμιστεί η ομαλή ροή του Qi και του αίματος μέσω των μεσημβρινών (η μάλαξη πραγματοποιήθηκε τόσο προς την κατεύθυνση της ροής των μεσημβρινών όσο και ενάντια σε αυτήν),

(2) gha sha (Guasha) τρίβοντας στα χέρια και στους αστραγάλους τους εμπλεκόμενους μεσημβρινούς, (3) εν τω βάθει μάλαξη των μαλακών σημείων των πελμάτων και (4) περιστροφές των καρπών, των χεριών, των αστραγάλων και των ποδιών.

Full PDF of the Reflexology Research Paper

 

Ben-horin-2017-Acupuncture-and-reflexology-for-che

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