Evidence map›Paper›PMID 41540080›Full record

Trial reportScientific reports2026

Safety of Vojta's reflex locomotion in term pregnancy: a randomized controlled pilot study of uterine activity and labor onset.

Martinek Milan, Zapletal Jan, Drochytek Vit, Janovska Nikola, Svedova Barbora, Babkova Anna, Vlk Radovan, Rob Lukas, Halaska Jiri Michael, Novakova Tereza

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06339528 (Potential of Vojta's Reflex Locomotion as a Pre/Induction Method for Uterine Activity), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT06339528 nacompletednot on this map

Potential of Vojta's Reflex Locomotion as a Pre/Induction Method for Uterine Activity: a Pilot Study

TypeinterventionalSponsorFaculty Hospital Kralovske VinohradyRan2021 to 2024Enrolled40ConditionsInduced Vaginal DeliveryArmsVojta's Reflex Locomotion, Sham stimulation
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Martinek Milan *Department of Physiotherapy, Faculty of Physical Education and Sport, Charles University, Jose Martiho 31, 162 52, Prague 6, Czech Republic. milan.martinek@ftvs.cuni.cz.
Zapletal Jan *Department of Obstetrics and Gynaecology, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Srobarova 1150/50, 100 34, Prague 10, Czech Republic.
Drochytek VitDepartment of Obstetrics and Gynaecology, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Srobarova 1150/50, 100 34, Prague 10, Czech Republic.
Janovska NikolaDepartment of Obstetrics and Gynaecology, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Srobarova 1150/50, 100 34, Prague 10, Czech Republic.
Svedova BarboraDepartment of Obstetrics and Gynaecology, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Srobarova 1150/50, 100 34, Prague 10, Czech Republic.
Babkova AnnaDepartment of Obstetrics and Gynaecology, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Srobarova 1150/50, 100 34, Prague 10, Czech Republic.
Vlk RadovanDepartment of Obstetrics and Gynaecology, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Srobarova 1150/50, 100 34, Prague 10, Czech Republic.
Rob LukasDepartment of Obstetrics and Gynaecology, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Srobarova 1150/50, 100 34, Prague 10, Czech Republic.
Halaska Jiri Michael *Department of Obstetrics and Gynaecology, Third Faculty of Medicine, Charles University and University Hospital Kralovske Vinohrady, Srobarova 1150/50, 100 34, Prague 10, Czech Republic.
Novakova Tereza *Department of Physiotherapy, Faculty of Physical Education and Sport, Charles University, Jose Martiho 31, 162 52, Prague 6, Czech Republic.

Funding

Cooperatio project Maternal and Childhood Care No. 207035
6 · The paper itself

Abstract

The Vojta's method (VRL) is a neurophysiological rehabilitation method used to support and induce reflex responses of locomotor and vegetative systems. It uses involuntary motor reaction of the body during pressure stimulation of so-called trigger zones. Pregnancy is currently considered a contraindication for the use of VRL due to the potential risk of inducing regular uterine activity and, consequently, triggering labor. The aim of the study is to evaluate changes in uterine activity during Vojta's reflex locomotion and to determine whether the method is associated with the induction of labor. Secondary goal is to assess its safety in term pregnancy and its potential use for rehabilitative purposes. This single-center, single-blinded, parallel-group randomized controlled pilot trial included 40 pregnant patients between 40 + 0 to 41 + 0 weeks of gestational age. Participants were randomized (sealed envelope method) to receive either stimulation of trigger zones according to VRL (n = 20) or sham stimulation (n = 20). Cardiotocographic (CTG) recordings were conducted right before and immediately after stimulation and evaluated by two independent obstetricians. Additionally, participants completed a questionnaire evaluating subjective responses to stimulation. Primary outcomes were CTG-detected uterine changes and time from stimulation to delivery. Secondary outcomes included self-reported sensations and pain intensity (VAS). None of the patients delivered as a result of VRL stimulation. CTG showed increased uterine activity in 45% of VRL stimulated participants vs. 10% in the control group. Median time to labor onset in the VRL group was 5 days (1-8), compared to 4 days (1-9) in the control group. VRL was well tolerated (mean VAS 1.85), but rated significantly less pleasant than sham (p = 0.043). Our findings suggest that the use of VRL in term pregnancy is likely safe and well tolerated. While uterine activity was observed in 45% of cases, this activity was not sufficient to induce labor. Our findings, however, do not support pregnancy as a blanket contraindication.Trial registration: This clinical trial was registered at http://clinicaltrials.gov (ID: NCT06339528).

Indexed as

Labor OnsetLocomotionReflexUterusAdultCardiotocographyFemaleHumansPilot ProjectsPregnancySingle-Blind MethodNeurorehabilitationPregnancyTerm pregnancyVojta’s therapy

Identifiers

PMID41540080
PMCPMC12808321

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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.