- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04516005
Effect of Foot Reflexology on Blood Pressure and Pulse Rate: A Randomized Clinical Trial
Effect of Foot Reflexology on Blood Pressure and Pulse Rate: A Randomized Clinical Trial in Stage-2 Hypertensive Patients
Study Overview
Status
Intervention / Treatment
Detailed Description
Background Hypertension (HT) has been known for its prominent risk of cardiovascular events. Although there are various pharmacological choices, many patients fail to adhere to them. Therefore, adjunctive non-pharmacological treatment is a promising approach. Foot Reflexology is one of the complementary therapies that has been proved for its ability to decrease blood pressure (BP), however, there is limited data in patients with stage-2 HT.
Objective To examine the effectiveness of foot reflexology as adjunctive therapy for BP lowering.
Methods This was a single-center randomized clinical trial. Hypertensive patients who were regularly followed up at the hypertension clinic were enrolled and randomized into the intervention group (n=47) and control group (n=47). Foot reflexology was performed in the intervention group during a clinical visit. Office BP and pulse rate (PR) were measured before and immediately at 15 minutes (min) and 30 min after the procedure in the intervention group and after resting in the control group.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Diagnosed stage-2 HT (defined by office SBP≥140 mmHg and/or DBP ≥90 mmHg at first hospital visit)
- On stable anti-HT drugs for at least 3 months before enrollment.
Exclusion Criteria:
- Pregnant women
- History of foot surgery or bone fracture
- Skin disease of the foot
- Diabetes neuropathy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: foot reflexology
Foot reflexology was performed in every participant in the foot reflexology group after resting for 5 minutes in a sitting position by the same researcher who was trained and certified by the Department of Thai Traditional and Alternative Medicine, Ministry of Health.
|
Acupressure was applied at the plantar side of the right foot at the first metatarsal bone, around 1-1.5 centimeters proximal to the first metatarsophalangeal joint.
(Figure 2) Approximately 3-kilogram pressure was applied by using a knuckle of the right index finger (dorsal part of the proximal interphalangeal joint in flexing position) in a perpendicular manner and held for 15 seconds (sec) then released for 5 sec.
This hold-release cycle was done 5 times over the course of 2 min.
This method was recommended by the Department of Thai Traditional and Alternative Medicine in accordance with the Zone theory and the Meridian theory.
|
No Intervention: control
The control group received conventional treatment including anti-HT medications according to the standard HT guideline's recommendations.
In the end of the follow-up visit, every participants were informed to adhere to their medication and were encouraged to have healthy lifestyles including salt restriction, regular exercise, and consuming healthy diets.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of blood pressure level
Time Frame: Change from Baseline Systolic Blood Pressure at 15 minutes
|
The office blood pressures (BP) were measured by a nurse at baseline and at 15 and 30 min after foot reflexology was done in the intervention group.
While in the control group, office BPs were measured at baseline and after resting in a quiet room for 15 and 30 min.
A validated, FDA-approved automatic BP device (DINAMAP Pro 300, GE healthcare) with the appropriate cuff size for individual arm circumference was used for measurement.
Two BP measurements were taken at 2-min intervals, and the average BP were recorded for analyses.
|
Change from Baseline Systolic Blood Pressure at 15 minutes
|
Change of blood pressure level
Time Frame: Change from Baseline Systolic Blood Pressure at 30 minutes
|
The office blood pressures (BP) were measured by a nurse at baseline and at 15 and 30 min after foot reflexology was done in the intervention group.
While in the control group, office BPs were measured at baseline and after resting in a quiet room for 15 and 30 min.
A validated, FDA-approved automatic BP device (DINAMAP Pro 300, GE healthcare) with the appropriate cuff size for individual arm circumference was used for measurement.
Two BP measurements were taken at 2-min intervals, and the average BP were recorded for analyses.
|
Change from Baseline Systolic Blood Pressure at 30 minutes
|
Change of pulse rate
Time Frame: Change from baseline pulse rate at 15 minutes
|
The office pulse rate (PR) was measured by a nurse at baseline and at 15 and 30 min after foot reflexology was done in the intervention group.
While in the control group, office PR was measured at baseline and after resting in a quiet room for 15 and 30 min.
|
Change from baseline pulse rate at 15 minutes
|
Change of pulse rate
Time Frame: Change from baseline pulse rate at 30 minutes
|
The office pulse rate (PR) was measured by a nurse at baseline and at 15 and 30 min after foot reflexology was done in the intervention group.
While in the control group, office PR was measured at baseline and after resting in a quiet room for 15 and 30 min.
|
Change from baseline pulse rate at 30 minutes
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Difference in degree of reduction of blood pressure between groups
Time Frame: Difference in degree of reduction of blood pressure from baseline after 30 min
|
Compare the degree of reduction of blood pressure between intervention and control group
|
Difference in degree of reduction of blood pressure from baseline after 30 min
|
Difference in degree of reduction of pulse rate between groups
Time Frame: Difference in degree of reduction of pulse rate from baseline after 30 min
|
Compare the degree of reduction of pulse rate between intervention and control group
|
Difference in degree of reduction of pulse rate from baseline after 30 min
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- HE611181
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Supporting Information Type
- Study Protocol
- Statistical Analysis Plan (SAP)
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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