The effect of reflexology on fatigue and other symptoms experienced by
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Abstract Background: It is asserted that individuals with Pernicious Anaemia (PA) often remain symptomatic despite allopathic treatment. This study sought to determine whether regular reflexology treatments could improve symptom management. Research question: What is the effect of reflexology on fatigue and other symptoms experienced by females with Pernicious Anaemia? Method: Four participants participated in this 13-week mixed methodologies single-subject experimental design (SSED). Each participant received six fortnightly reflexology treatments during the 12-week intervention period. Quantitative data were collected using valid outcome measures Measure Yourself Medical Outcome Measure (MYMOP), Visual Analogue Scale (VAS), Short Form 20 (SF-20), and a Pernicious Anaemia Society Symptom Checklist obtained from the Pernicious Anaemia Society (PAS) website. Qualitative data were collected using a short interview carried out at baseline and at follow-up. Results: There was a trend towards symptom improvement in some areas. No statistically significant differences were observed for fatigue or other symptoms. No negative responses to treatment were reported. Conclusion: Improvements, which were not statistically significant, were detected in some symptom areas. Further research using a larger scaled v design following participants over several cycles of vitamin B12 injections, and incorporating additional exclusion criteria, a symptom diary and a PA specific outcome measure, is indicated
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