Evidence map›Paper›PMID 40720491›Full record

Trial reportPloS one2025

Effect of foot reflexology on chronic pain in Parkinson's disease: A randomized controlled trial.

Karel Joineau, Estelle Harroch, Mathilde Boussac, Margherita Fabbri, Clémence Leung, Fabienne Ory-Magne, Vanessa Rousseau, Patrice Peran, Christine Brefel-Courbon, Emeline Descamps

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04705207 (Exploratory Study of the Impact of Foot Reflexology on Chronic Pain in Parkinsonian Patients), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04705207 nacompletednot on this map

Exploratory Study of the Impact of Foot Reflexology on Chronic Pain in Parkinsonian Patients

TypeinterventionalSponsorUniversity Hospital, ToulouseRan2021 to 2023Enrolled30ConditionsParkinson DiseaseArmsreflexology massage, sham massage
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Karel JoineauToulouse NeuroImaging Center (ToNIC - UMR1214 INSERM/Toulouse University III), Toulouse, France.ORCID https://orcid.org/0000-0003-4826-2731
Estelle HarrochDepartment of Clinical Pharmacology and Neurology, University Hospital of Toulouse, Toulouse, France.
Mathilde BoussacToulouse NeuroImaging Center (ToNIC - UMR1214 INSERM/Toulouse University III), Toulouse, France.ORCID https://orcid.org/0000-0002-3532-6743
Margherita FabbriToulouse NeuroImaging Center (ToNIC - UMR1214 INSERM/Toulouse University III), Toulouse, France.
Clémence LeungDepartment of Clinical Pharmacology and Neurology, University Hospital of Toulouse, Toulouse, France.
Fabienne Ory-MagneToulouse NeuroImaging Center (ToNIC - UMR1214 INSERM/Toulouse University III), Toulouse, France.ORCID https://orcid.org/0000-0001-6179-4500
Vanessa RousseauDepartment of Clinical Pharmacology and Neurology, University Hospital of Toulouse, Toulouse, France.
Patrice PeranToulouse NeuroImaging Center (ToNIC - UMR1214 INSERM/Toulouse University III), Toulouse, France.ORCID https://orcid.org/0000-0001-7200-0139
Christine Brefel-CourbonToulouse NeuroImaging Center (ToNIC - UMR1214 INSERM/Toulouse University III), Toulouse, France.
Emeline DescampsToulouse NeuroImaging Center (ToNIC - UMR1214 INSERM/Toulouse University III), Toulouse, France.ORCID https://orcid.org/0000-0002-0675-2989

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesEffectiveness of Foot Reflexology (FR) on the pain intensity in Parkinson's disease (PD) compared with Sham Massage (SM).

designMonocentric, longitudinal, prospective, double-blind, randomized controlled trial. Randomization with a random number generator in the R software. Fixed-sized block randomization of 3 implemented into Clinsight.

participantsIdiopathic PD patients with chronic pain (Visual Analogue Scale (VAS)≥4) were recruited from the Toulouse University Hospital between the 14th of April 2021 and the 25th of May 2025.

interventionFour one-hour long FR or SM sessions three weeks apart with the same specialized FR researcher.

main outcome measurePain intensity change measured by the mean VAS before and after full completed interventions. The difference was compared between group using a Wilcoxon Mann Witney test. Exploratory outcome: brain functional connectivity.

results30 PD patients were randomized and analyzed. Interventions were delivered as planned for all patients. Clinical variables did not significantly differed between FR and SM groups. Mean VAS decreased by -12.3 mm ± 15.2 in FR group (n = 15) and -17.9 mm ± 29.4 in SM group (n = 15). Analyses did not reveal any significant difference between the FR and SM groups (p-value = 0.88). There are different patterns in connectivity changes in the medial pain system between responders (at least 30% pain reduction) and non-responders to both therapies. There were no adverse events.

conclusionFR is not more effective than SM in relieving chronic pain in PD. The differences in connectivity patterns within the medial pain pathway may underlie the response to tactile stimulation (FR and SM).

trial registrationClinicalTrials.gov NCT04705207.

Indexed as

Chronic PainFootMassageParkinson DiseaseAgedDouble-Blind MethodFemaleHumansMaleMiddle AgedPain ManagementPain MeasurementProspective StudiesTreatment Outcome

Identifiers

PMID40720491
PMCPMC12303304

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.