Reflexology on Fatigue Severity of 57 Patients with Cancer

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Reflexology on Fatigue Severity of Patients with Cancer

The Effects of Reflexology on Fatigue Severity of Patients with Cancer

Hassan Nourmohammadi , Minoo Motaghi , Milad Borji , Asma Tarjoman , Behrouz Soltany

Abstract Introduction:

Breast cancer is a major threat to women’s health and a common factor that can reduce their life expectancy. Complementary medicine such as reflexology is known to reduce fatigue severity in cancer patients. The present study aimed to cultivate the effect of reflexology on fatigue severity of patients with breast cancer.


The present pre-post clinical trial recruited 57 patients with breast cancer and involved an experimental and a control group. All patients were livening in Ilam, Iran. Patients were randomly assigned to two groups of experimental (N=27) and control (N=30).
The experimental group received reflexology for 4 sessions. Data were collected using Fatigue severity scale (FSS) and demographic information questionnaire. FSS was completed by the patients twice; before the intervention and 2 months after the intervention. Data were analyzed using SPSS and running t-test and ANOVA.


Results showed no significant difference in fatigue severity between experimental (45.44±5.30) and control (43.66±7.68) groups prior to the intervention (p>0.05). However, after conducting the intervention, a significant difference in fatigue severity was seen between the experimental (20.66±4.54) and control (40.36±9.58) groups (p=0.000).


The present study showed that reflexology decrease fatigue severity in patients with breast cancer and community health nursing can to use of these complementary medicine to increase patients health conditions.


Nourmohammadi H, Motaghi M, Borji M, Tarjoman A, Soltany B. The Effects of Reflexology on Fatigue Severity of Patients with Cancer. Asian Pac J Cancer Prev. 2019;20(2):391–394. Published 2019 Feb 26. doi:10.31557/APJCP.2019.20.2.391

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.

Experimental group received reflexology twice a week for 4 consecutive weeks while each session lasted for 20 minutes. To prepare patients’ legs before performing reflexology, the patients carried out movements such as bending the legs up and down, stretching the calves and ankles, turning the ankles inward and outward, and flexing the feet. General reflexology was performed using a worm-like movement of the thumb and index finger on reflexive areas.

Specialized reflexology was then performed by pressing the major reflexive points of the soles (solar plexus, pituitary gland, spinal cord, vertebral column, pelvis, and limbs) with the thumb and index finger. The toes and other reflexive areas of the soles, as well as the back of the feet were also massaged. Pressing the thumb on the solar plexus signaled the end of the intervention (Soheili shahreza et al., 2014).

Η πειραματική ομάδα έλαβε ρεφλεξολογία δύο φορές την εβδομάδα για 4 διαδοχικές εβδομάδες, ενώ κάθε συνεδρία διήρκεσε 20 λεπτά. Για να προετοιμάσουν τα πόδια των ασθενών πριν από την εφαρμογή της ρεφλεξολογίας, οι ασθενείς πραγματοποίησαν κινήσεις όπως κάμψη των ποδιών πάνω και κάτω, διάταση της γάμπας και των αστραγάλων, στροφή των αστραγάλων προς τα μέσα και προς τα έξω και κάμψη των ποδιών.

Η γενική ρεφλεξολογία πραγματοποιήθηκε χρησιμοποιώντας μια κίνηση τύπου “κάμπιας” του αντίχειρα και του δείκτη στις αντανακλαστικές περιοχές. Εξειδικευμένη ρεφλεξολογία πραγματοποιήθηκε κατόπιν πιέζοντας τα μεγάλα αντανακλαστικά σημεία των πελμάτων (ηλιακό πλέγμα, υπόφυση, νωτιαίος μυελός, σπονδυλική στήλη, λεκάνη και άκρα) με τον αντίχειρα και τον δείκτη.

Τα δάχτυλα των ποδιών και άλλες αντανακλαστικές περιοχές των πέλματος, καθώς και το πίσω μέρος των ποδιών επίσης έλαβαν μάλαξη. Πιέζοντας τον αντίχειρα στο ηλιακό πλέγμα σηματοδοτήθηκε το τέλος της συνεδρίας (Soheili shahreza et al., 2014).

Full PDF of the Reflexology Research Paper


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