Foot massage and biofeedback evaluation

Nursing and Health Sciences
Volume 4 Issue 3 Page A4 - September 2002

Proactive health-care services emphasize health promotion and the prevention of disabling conditions. Currently, in Thai society, the number of elderly with deteriorating health has increased. Therefore, self-care health promotion activities have become essential in order for the elderly to maintain their well-being.

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The purpose of this study was to investigate the effects of foot massage with biofeedback. Foot massage, a Thai primary self-care custom, has been found to enhance blood circulation, relaxation, and one's own healing power. In addition, touch has been found to stimulate secretion of endorphins and reduce pain and anxiety. It appears that foot massage, or reflexology, promotes a healthy lifestyle for all age groups.

An experimental study, utilizing a pilot project in elderly health care, was employed to investigate the effects of biofeedback using foot massage. A pretest/post-test quasi-experimental design was used. The sample consisted of four men and 16 women (age range 61-69 years). Four trained researchers massaged the feet of the subjects and measured vital-sign changes. Biofeedback also was used to measure the level effectiveness of the message before and after the foot massages. Results showed that the average biofeedback and temperature were lower before than after the foot massage (P < 0.01). The average pulse rate, respiratory rate, and blood pressure, however, were found to be higher before rather than after the foot massage (P < 0.01). It was concluded that the foot massage provided good circulation, relaxation, and comfort.

All subjects expressed positive feelings when they received the foot massage (i.e. 'It is very nice that foot massage can relieve my joint pain, I am happy and comfortable'). These findings appear to indicate that foot massage is beneficial both for physical and mental conditions. Foot massage, however, is just one key to achieving a full range of primary health-care services. It needs to not only be performed by nurses. Families, also, can provide foot massage for the elderly, anywhere and anytime.