Foot Reflexology in Feet Impairment of People With Type 2 Diabetes Mellitus

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Foot Reflexology in Feet Impairment of People With Type 2 Diabetes Mellitus


Objective: to evaluate the effect of foot reflexology on feet impairment of people with type 2 diabetes mellitus.

Method: this is a randomized, controlled and blind clinical trial. The sample was comprised by people with type 2 diabetes mellitus who, after being randomized into Treated group (n = 21) and Control group (n = 24), received guidelines on foot self-care.

To the Treated Group it was also provided 12 sessions of foot reflexology.

The scores of impairment indicators related to skin and hair, blood circulation, tissue sensitivity and temperature were measured by means of the instrument for assessing tissue integrity of the feet of people with diabetes mellitus.

Chi-square test, Fisher exact test, Mann-Whitney test and regression analyzes were applied to the data, considering a significance level of 5% (P value <0.05).


participants who received the therapy showed better scores in some impairment indicators related to skin and hair (hair growth, elasticity/turgor, hydration, perspiration, texture and integrity of the skin/ skin peeling).


the foot reflexology had a beneficial effect on feet impairment of people with type 2 diabetes mellitus, which makes it a viable therapy, deserving investment. This study was registered in the Brazilian Registry of Clinical Trials.



da Silva NC, Chaves Éde C, de Carvalho EC, Carvalho LC, Iunes DH. Foot reflexology in feet impairment of people with type 2 diabetes mellitus: randomized trial. Rev Lat Am Enfermagem. 2015;23(4):603–610. doi:10.1590/0104-1169.0036.2594

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.

Three therapy sessions a week were performed, totaling 12 sessions over a period of 30 days.

The application of foot reflexology followed the assumptions of Eunice Ingham.

The left foot was massaged first and then the right one and an order of pressure points has been established, first the points located on the toes, then the points located in the lateral and medial portions and, finally, in the plantar surface of feet.

Διεξήχθησαν τρεις συνεδρίες ρεφλεξολογίας την εβδομάδα, συνολικά 12 συνεδρίες σε διάστημα 30 ημερών.

Η εφαρμογή της ρεφλεξολογίας ποδιών βασίστηκε στη μεθοδολογία της Eunice Ingham. Το αριστερό πόδι μαλάχτηκε πρώτα και στη συνέχεια το δεξί με μια σειρά καθορισμένων σημείων πίεσης.

Πρώτα τα σημεία που βρίσκονται στα δάκτυλα των ποδιών, στη συνέχεια τα σημεία που βρίσκονται στη ραχιαία περιοχή και τα μεσαία τμήματα και τέλος στην πελματιαία επιφάνεια των ποδιών.

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