{"title":"Foot Reflexology for Multiple Sclerosis-Related Fatigue: A Systematic Review.","authors":"Abdullah Avcı, Meral Gün","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Fatigue, a common and serious symptom in multiple sclerosis patients, negatively affects patients' activities of daily living and their quality of life. While foot reflexology has been widely used in fatigue management in recent years, its effect on multiple sclerosis-related fatigue patients remains unclear.</p><p><strong>Primary study objective: </strong>This systematic review aimed to examine the effect of foot reflexology on multiple sclerosis-associated fatigue.</p><p><strong>Methods/design: </strong>The protocol of the systematic review and the article writing were based on Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols criteria. In this systematic review, the literature search was conducted in September 2022, in the databases \"Scopus, Web of Science, PubMed, and Cochrane Library,\" without any year limitation. Inclusion and exclusion criteria were established according to the PICOS criteria. Two independent researchers selected the studies and assessed their quality. The reviewed articles were analyzed using the data extraction form developed by the researchers.</p><p><strong>Setting: </strong>Systematic review.</p><p><strong>Results: </strong>Seven studies, including six randomized controlled trials and one quasi-experimental study with a total of 434 participants, were included in this systematic review. In six studies, it was found that foot reflexology significantly reduced multiple sclerosis-associated fatigue, while in one study there was a decrease in fatigue level, but the difference was insignificant.</p><p><strong>Conclusıon: </strong>The reviewed studies showed that foot reflexology positively impacts the management of multiple sclerosis-related fatigue. It is suggested to perform further studies on foot reflexology's usefulness in multiple sclerosis patients, utilizing blinding and randomization techniques, with larger sample sizes and excellent methodological quality.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":" ","pages":"54-59"},"PeriodicalIF":1.9000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alternative therapies in health and medicine","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Fatigue, a common and serious symptom in multiple sclerosis patients, negatively affects patients' activities of daily living and their quality of life. While foot reflexology has been widely used in fatigue management in recent years, its effect on multiple sclerosis-related fatigue patients remains unclear.
Primary study objective: This systematic review aimed to examine the effect of foot reflexology on multiple sclerosis-associated fatigue.
Methods/design: The protocol of the systematic review and the article writing were based on Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols criteria. In this systematic review, the literature search was conducted in September 2022, in the databases "Scopus, Web of Science, PubMed, and Cochrane Library," without any year limitation. Inclusion and exclusion criteria were established according to the PICOS criteria. Two independent researchers selected the studies and assessed their quality. The reviewed articles were analyzed using the data extraction form developed by the researchers.
Setting: Systematic review.
Results: Seven studies, including six randomized controlled trials and one quasi-experimental study with a total of 434 participants, were included in this systematic review. In six studies, it was found that foot reflexology significantly reduced multiple sclerosis-associated fatigue, while in one study there was a decrease in fatigue level, but the difference was insignificant.
Conclusıon: The reviewed studies showed that foot reflexology positively impacts the management of multiple sclerosis-related fatigue. It is suggested to perform further studies on foot reflexology's usefulness in multiple sclerosis patients, utilizing blinding and randomization techniques, with larger sample sizes and excellent methodological quality.
背景：疲劳是多发性硬化症患者常见且严重的症状，严重影响患者的日常生活活动和生活质量。近年来足部反射疗法已广泛应用于疲劳治疗，但其对多发性硬化症相关疲劳患者的影响尚不清楚。主要研究目的：本系统综述旨在探讨足部反射疗法对多发性硬化症相关疲劳的影响。方法/设计：系统评价的方案和文章的撰写基于系统评价和meta分析方案的首选报告项目标准。在本系统综述中，文献检索于2022年9月在“Scopus, Web of Science， PubMed和Cochrane Library”数据库中进行，没有任何年份限制。根据PICOS标准建立纳入和排除标准。两名独立的研究人员选择了这些研究并评估了它们的质量。使用研究人员开发的数据提取表对综述文章进行分析。设置：系统评价。结果：本系统综述共纳入7项研究，包括6项随机对照试验和1项准实验研究，共纳入434名受试者。在6项研究中发现足部反射疗法显著降低了多发性硬化症相关的疲劳，而在一项研究中，疲劳水平有所降低，但差异不显著。Conclusıon：回顾的研究表明，足部反射疗法对多发性硬化症相关疲劳的治疗有积极的影响。建议进一步研究足部反射疗法在多发性硬化症患者中的有效性，采用盲法和随机化技术，样本量更大，方法学质量更好。
期刊介绍：
Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field.
Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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