Aromatherapy Massage vs. Foot Reflexology on the Severity of Restless Legs Syndrome in Female Patients Undergoing Hemodialysis

Mahbobeh Ghasemi, Nahid Rejeh, Tahereh Bahrami, Majideh Heravi-Karimooi, Seyed Davood Tadrisi, Mojtaba Vaismoradi, Mahbobeh Ghasemi, Nahid Rejeh, Tahereh Bahrami, Majideh Heravi-Karimooi, Seyed Davood Tadrisi, Mojtaba Vaismoradi

Abstract

This study aimed to compare the effects of reflexology and aromatherapy massage on the severity of restless legs syndrome (RLS) in 105 female patients undergoing hemodialysis. A randomized placebo-controlled clinical trial was conducted in a hemodialysis center with 48 beds in a high turnover hospital in an urban area of Iran. Intervention groups received reflexology (n = 35) and aromatherapy massage using lavender essential oil (n = 35) for 24 sessions, and the placebo group (n = 35) received simple foot massage. The restless legs syndrome rating scale was used to assess RLS severity in the groups before the intervention and after 4 and 8 weeks of the interventions. Results obtained by the mixed model analysis 3 * 3 (3 groups * 3 times) revealed the significant effect of time, group, and the time-group interrelationship (p = 0.001). Aromatherapy massage reduced the RLS severity, but reflexology did not appear to cause any significant reduction in it. Therefore, we suggest that aromatherapy massage be incorporated into routine care for relieving the ailment and suffering of patients undergoing hemodialysis.

Keywords: aromatherapy; hemodialysis; reflexology; restless legs syndrome.

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
The research process according to the Consolidated Standards of Reporting Trials (CONSORT) flow diagram.

References

    1. Lin X.-W., Zhang J.-F., Qiu M.-Y., Ni L.-Y., Yu H.-L., Kuo S.-H., Ondo W.G., Yu Q., Wu Y.-C. Restless legs syndrome in end stage renal disease patients undergoing hemodialysis. BMC Neurol. 2019;19:1–7. doi: 10.1186/s12883-019-1265-y.
    1. Sateia M.J. International Classification of Sleep Disorders-Third Edition: Highlights and modifications. Chest. 2014;146:1387–1394. doi: 10.1378/chest.14-0970.
    1. Guo S., Huang J., Jiang H., Han C., Li J., Xu X., Zhang G., Lin Z., Xiong N., Wang T. Restless Legs Syndrome: From Pathophysiology to Clinical Diagnosis and Management. Front. Aging Neurosci. 2017;9:171. doi: 10.3389/fnagi.2017.00171.
    1. Kim J.-M., Kwon H.-M., Lim C.S., Kim Y.S., Lee S.-J., Nam H. Restless Legs Syndrome in Patients on Hemodialysis: Symptom Severity and Risk Factors. J. Clin. Neurol. 2008;4:153–157. doi: 10.3988/jcn.2008.4.4.153.
    1. Jafari M., Rafie S., Azizi M., Bahadoram M., Jafari S. Restless legs syndrome in hemodialysis patients. Saudi J. Kidney Dis. Transplant. 2016;27:326–330. doi: 10.4103/1319-2442.178553.
    1. Lee J. A Review of Restless Legs Syndrome in Patients on Hemodialysis. Kidney. 2008;18:9–13. doi: 10.1007/s00596-008-0055-0.
    1. Selcuk N., Kutlu R., Sayin S., Kal O. Restless legs syndrome and quality of life in chronic hemodialysis patients. Niger. J. Clin. Pract. 2018;21:573–577. doi: 10.4103/njcp.njcp_84_17.
    1. Yıldız A. Assessment of cardiac autonomic functions by heart rate variability in patients with restless legs syndrome. Turk Kardiyol. Dern. Ars. 2018;46:191–196. doi: 10.5543/tkda.2018.33896.
    1. Lakasing E. Exercise beneficial for restless legs syndrome. Practitioner. 2008;252:43–45.
    1. Lettieri C.J., Eliasson A.H. Pneumatic Compression Devices Are an Effective Therapy for Restless Legs Syndrome: A prospective, randomized, double-blinded, sham-controlled trial. Chest. 2009;135:74–80. doi: 10.1378/chest.08-1665.
    1. Mitchell U.H., Myrer J.W., Johnson A.W., Hilton S.C. Restless legs syndrome and near-infrared light: An alternative treatment option. Physiother. Theory Pract. 2010;27:345–351. doi: 10.3109/09593985.2010.511440.
    1. Mitchell U.H. Nondrug-related aspect of treating Ekbom disease, formerly known as restless legs syndrome. Neuropsychiatr. Dis. Treat. 2011;7:251–257. doi: 10.2147/NDT.S19177.
    1. Draper D.O., Tessier D.G. Sports Massage: An Overview. Athl. Ther. Today. 2005;10:67–69. doi: 10.1123/att.10.5.67.
    1. Bahrami T., Rejeh N., Heravi-Karimooi M., Vaismoradi M., Tadrisi S., Sieloff C.L. Aromatherapy massage versus reflexology on female elderly with acute coronary syndrome. Nurs. Crit. Care. 2017;23:229–236. doi: 10.1111/nicc.12302.
    1. Embong N.H., Soh Y.C., Ming L.C., Wong T.W. Revisiting reflexology: Concept, evidence, current practice, and practitioner training. J. Tradit. Complement. Med. 2015;5:197–206. doi: 10.1016/j.jtcme.2015.08.008.
    1. Huang H., Chen K., Kuo S., Chen I. Can foot reflexology be a complementary therapy for sleep disturbances? Evidence appraisal through a meta-analysis of randomized controlled trials. J. Adv. Nurs. 2021;77:1683–1697. doi: 10.1111/jan.14699.
    1. Özdemir G., Ovayolu N., Ovayolu Ö. The effect of reflexology applied on hemodialysis patients with fatigue, pain and cramps. Int. J. Nurs. Pract. 2013;19:265–273. doi: 10.1111/ijn.12066.
    1. Ali B., Al-Wabel N.A., Shams S., Ahamad A., Khan S.A., Anwar F. Essential oils used in aromatherapy: A systemic review. Asian Pac. J. Trop. Biomed. 2015;5:601–611. doi: 10.1016/j.apjtb.2015.05.007.
    1. Metin Z.G., Donmez A.A., Izgu N., Ozdemir L., Arslan I.E. Aromatherapy Massage for Neuropathic Pain and Quality of Life in Diabetic Patients. J. Nurs. Sch. 2017;49:379–388. doi: 10.1111/jnu.12300.
    1. Gedney J.J., Glover T.L., Fillingim R. Sensory and Affective Pain Discrimination after Inhalation of Essential Oils. Psychosom. Med. 2004;66:599–606. doi: 10.1097/01.psy.0000132875.01986.47.
    1. Firoozeei T.S., Feizi A., Rezaeizadeh H., Zargaran A., Roohafza H.R., Karimi M. The antidepressant effects of lavender (Lavandula angustifolia Mill.): A systematic review and meta-analysis of randomized controlled clinical trials. Complement. Ther. Med. 2021;59:102679. doi: 10.1016/j.ctim.2021.102679.
    1. Hashemi S.H., Hajbagheri A., Aghajani M. The Effect of Massage with Lavender Oil on Restless Leg Syndrome in Hemodialysis Patients: A Randomized Controlled Trial. Nurs. Midwifery Stud. 2015;4:e29617. doi: 10.17795/nmsjournal29617.
    1. Özdemir S.T., Akyol A. Effect of inhaler and topical lavender oil on pain management of arteriovenous fistula cannulation. J. Vasc. Access. 2021 doi: 10.1177/11297298211031086.
    1. Kang H.-J., Nam E.S., Lee Y., Kim M. How Strong is the Evidence for the Anxiolytic Efficacy of Lavender? Systematic Review and Meta-analysis of Randomized Controlled Trials. Asian Nurs. Res. 2019;13:295–305. doi: 10.1016/j.anr.2019.11.003.
    1. Karadag E., Bağlama S.S. The Effect of Aromatherapy on Fatigue and Anxiety in Patients Undergoing Hemodialysis Treatment: A randomized controlled study. Holist. Nurs. Pract. 2019;33:222–229. doi: 10.1097/HNP.0000000000000334.
    1. Muz G., Taşcı S. Effect of aromatherapy via inhalation on the sleep quality and fatigue level in people undergoing hemodialysis. Appl. Nurs. Res. 2017;37:28–35. doi: 10.1016/j.apnr.2017.07.004.
    1. Ajorpaz N.M., Rahemi Z., Aghajani M., Hashemi S.H. Effects of glycerin oil and lavender oil massages on hemodialysis patients’ restless legs syndrome. J. Bodyw. Mov. Ther. 2020;24:88–92. doi: 10.1016/j.jbmt.2019.06.012.
    1. Habibzade H., Khalkhali H., Ghaneii R. Study of the relationship between restless legs syndrome and sleep disturbance among patients in critical care units. Iran J. Crit. Care Nurs. 2011;4:153–158.
    1. Babashahi M., Kahangi L., Babashahi F., Fayazi S. Comparing the Effect Of Massage Aromatherapy and Massage on Anxiety Level Of the Patients in the Preoperative Period: A clinical trial. Evid. Based Care. 2012;2:19–28.
    1. International RLS Study Group (IRLSSG) Diagnostic Criteria. [(accessed on 26 January 2020)]. Available online: .
    1. Atkinson M., Allen R., DuChane J., Murray C., Kushida C., Roth T. Validation of the Restless Legs Syndrome Quality of Life Instrument (RLS-QLI): Findings of a Consortium of National Experts and the RLS Foundation. Qual. Life Res. 2004;13:679–693. doi: 10.1023/B:QURE.0000021322.22011.d0.
    1. Karatas N., Dalgic A.I. Effects of reflexology on child health: A systematic review. Complement. Ther. Med. 2020;50:102364. doi: 10.1016/j.ctim.2020.102364.
    1. Buckle J. Clinical Aromatherapy-E-Book: Essential Oils in Healthcare. 3rd ed. Elsevier; St. Louis, MO, USA: 2015.
    1. Nasiri M., Abbasi M., Khosroabadi Z.Y., Saghafi H., Hamzeei F., Amiri M.H., Yusefi H. Short-term effects of massage with olive oil on the severity of uremic restless legs syndrome: A double-blind placebo-controlled trial. Complement. Ther. Med. 2019;44:261–268. doi: 10.1016/j.ctim.2019.05.009.
    1. Bouya S., Ahmadidarrehsima S., Badakhsh M., Balouchi A., Koochakzai M. Effect of aromatherapy interventions on hemodialysis complications: A systematic review. Complement. Ther. Clin. Pract. 2018;32:130–138. doi: 10.1016/j.ctcp.2018.06.008.
    1. Hassanzadeh M., Kiani F., Bouya S., Zarei M. Comparing the effects of relaxation technique and inhalation aromatherapy on fatigue in patients undergoing hemodialysis. Complement. Ther. Clin. Pract. 2018;31:210–214. doi: 10.1016/j.ctcp.2018.02.019.
    1. Şentürk A., Kartın P.T. The Effect of Lavender Oil Application via Inhalation Pathway on Hemodialysis Patients’ Anxiety Level and Sleep Quality. Holist. Nurs. Pract. 2018;32:324–335. doi: 10.1097/HNP.0000000000000292.
    1. Shahgholian N., Jazi S.K., Karimian J., Valiani M. The effects of two methods of reflexology and stretching exercises on the severity of restless leg syndrome among hemodialysis patients. Iran. J. Nurs. Midwifery Res. 2016;21:219–224. doi: 10.4103/1735-9066.180381.
    1. Unal K.S., Akpinar R.B. The effect of foot reflexology and back massage on hemodialysis patients’ fatigue and sleep quality. Complement. Ther. Clin. Pract. 2016;24:139–144. doi: 10.1016/j.ctcp.2016.06.004.
    1. Ahmadidarrehsima S., Mohammadpourhodki R., Ebrahimi H., Keramati M., Dianatinasab M. Effect of foot reflexology and slow stroke back massage on the severity of fatigue in patients undergoing hemodialysis: A semi-experimental study. J. Complement. Integr. Med. 2018;15 doi: 10.1515/jcim-2017-0183.
    1. Kliegel E. Holistic Reflexology: Essential Oils and Crystal Massage in Reflex Zone Therapy. 1st ed. Healing Arts Press, Simon and Schuster; Rochester, NY, USA: 2018.

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