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Foot reflexology in feet impairment of people with type 2 diabetes mellitus: randomized trial
da Silva NCM, Chaves ECL, de Carvalho EC, Carvalho LC, Iunes DH
Revista Latino-Americana de Enfermagem [Latin American Journal of Nursing] 2015 Jul-Aug;23(4):603-610
clinical trial
3/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

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). RESULTS: 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). CONCLUSION: 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 -- RBR-8zk8sz.

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