Review of literature on the effectiveness of reflexology.

Public interest in complementary therapies continues to grow and many nurses and midwives are incorporating complementary therapies such as reflexology, aromatherapy and massage into their clinical practice. However, there are concerns regarding the use of such therapies when their effectiveness has not been clearly demonstrated. This article is a review of the literature relating to the effectiveness of reflexology. Anecdotal evidence is described and concerns relating to the literature's reliance on personal beliefs and experiences are presented. The need for research evidence to demonstrate effectiveness is highlighted. A critical review of published research studies is presented which focuses in particular on methodological issues such as the use of the randomized controlled trial to determine the effectiveness of complementary therapies such as reflexology.