Journal List > J Korean Acad Community Health Nurs > v.25(3) > 1058351

J Korean Acad Community Health Nurs. 2014 Sep;25(3):207-216. Korean.
Published online September 30, 2014.
© 2014 Korean Academy of Community Health Nursing
The Effects of Foot Reflexology on Arthralgia, Ankylosis, Depression, and Sleep in Community-dwelling Elderly Women with Osteoarthritis
Chung Soon Kim,1 Kwang Soo Yoo,2 and Se Hwa Hong3
1Department of Nursing, Hanyeong College, Yeosu, Korea.
2College of Nursing, Chonbuk National Universty, Jeonju, Korea.
3Department of Nursing, Jeonbuk Science College, Jeongeup, Korea.

Corresponding author: Hong, Se Hwa. Department of Nursing, Jeonbuk Science College. 509 Jeongeupsa-ro, Jeongeup 580-712, Korea. Tel: +82-63-530-9296, Fax: +82-63-532-3768, Email:
Received July 25, 2014; Revised September 24, 2014; Accepted September 28, 2014.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.



This study was conducted to examine the effects of foot reflexology on arthralgia, ankylosis, depression and sleep in community-dwelling elderly women with osteoarthritis.


The research adopted a non-equivalent control group pretest-posttest design. Participants were 47 elderly women: 22 in the experimental group and 25 in the control group. The experimental group received foot reflexology twice a week for 4 weeks. The results were analyzed using χ2-test, t-test, and ANCOVA with the SPSS/WIN 21.0 program.


The results showed that foot reflexology was statistically significantly effective in reducing arthralgia, ankylosis, and depression and in improving the quality of sleep as evidenced by differences between two groups.


The results of this study indicated that foot reflexology is an effective nursing intervention in reducing arthralgia, ankylosis, and depression, and improving the quality of sleep. Therefore, it is necessary to develop foot reflexology as an independent nursing intervention for elderly women with osteoarthritis in community.

Keywords: Reflexology; Arthralgia; Ankylosis; Depression; Sleep


Figure 1
Research design.
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Table 1
Homogeneity Test of General Characteristics (N=47)
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Table 2
Homogeneity Test of Dependent Variables (N=47)
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Table 3
Effect of Foot Reflexology Massage on Arthralgia, Ankylosis, Depression, and Sleep (N=47)
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1. Yang SJ, An JS. Health status, health behavior and quality of life in the elderly with osteoarthritis. Nurs Sci 2011;23(2):23–33.
2. Yang SO, Lee SH. A survey on the customized visiting nurse's assessment and management of chronic musculoskeletal pain in older adults. J Korean Acad Community Health Nurs 2010;21(3):311–320.
3. Chung KH, Oh YH, Lee YK, Son CK, Park BM, Lee SY, et al. Report No.:11-1352000-000672-12. In: 2011 Senior survey. Policy Report. Seoul: Ministry of Health and Welfare; 2012 Apr.
4. Gong SW, Bang JY, Seo MS, Hyun SS, Kim HJ, Lee MA, et al. Knowledge and attitudes of oncology nurses toward cancer pain managements. J Korean Acad Adult Nurs 2004;16(1):5–16.
5. Yang SO, Kwon MS, Choi YJ, Lee SH. The effects of a case management program of customized home visiting health service for clients with arthritis. J Korean Acad Community Health Nurs 2011;22(2):151–161.
6. Oh HS, Ahn SA. The effects of foot reflexology on pain and depression of middle-aged women with osteoarthritis. Korean J Rehabil Nurs 2006;9(1):25–33.
7. Lee YJ. A study on the effects of pain, sleep pattern, life satisfaction on depression in elderly women with osteoarthritis. J Korean Gerontol Soc 2011;31(2):211–222.
8. Yoon HS, Lee K, Cha MH, Kwon JH. The effectiveness of structured life review on late-life depression. J Welf Aged 2011;53:96–121.
9. Minardi HA, Blanchard M. Older people with depression: Pilot study. J Adv Nurs 2004;46(1):23–32.
10. Seo HL, Jung YK, Kim HN. The effects of physical diseases on elderly depression and moderate effects of the self-care performance. J Welf Aged 2013;61:57–83.
11. Feinsilver SH. Sleep in the elderly: What is normal? Clin Geriatr Med 2003;19(1):177–188.
12. Park HS, Kim KD, Kim KH, Chung BY. Comparison of quality of sleep and factors which are influenced on sleep among adolescents, adults and elderly. J Korean Acad Psychiatr Ment Health Nurs 2000;9(4):429–439.
13. Choi HK, Cho KS, Kim JI. A comparative study of the effects of stretching exercise and aquatic exercise program. J Muscle Joint Health 2010;17(1):5–13.
14. Wang MJ, Kim JA, Lee JE, Lee AH, Lee CH, Cha NH. In: Foot reflexology for health promotion. Seoul: Hyunmoonsa; 2002. pp. 415.
15. Kim JH, Park KS. The effect of foot massage on post operative pain in patients following abdominal surgery. J Korean Acad Adult Nurs 2002;14(1):34–43.
16. Shin KR, Kim AJ. In: Complementary alternative nursing intervention. 2nd ed. Seoul: Hyunmoonsa; 2009. pp. 399.
17. Lee KY. In: Effects of foot reflexo-massage on pain and depression of elderly women with knee osteoarthritis [master's thesis]. [Busan]: Dong-Eui University; 2008. pp. 62.
18. Uhm DC. Effects of foot reflexo-massage on physical, psychological, physiological parameters in patients with osteoarthritis. J Korean Acad Adult Nurs 2004;16(2):276–287.
19. Yang JH. The effect of foot reflexology on nausea, vomiting and fatigue of breast cancer patients undergoing chemotherapy. J Korean Acad Nurs 2005;35(1):177–185.
20. Lee SH. In: The effect of reflexology on the sleep, depression and feeling condition of the female elderly [dissertation]. [Daejeon]: Daejeon University; 2006. pp. 51.
21. Kim CS, Hong SH, Kim SR, Kim YJ. The effects of foot reflexology on sleep, depression and skin temperature of the female elderly at home. J Korean Acad Community Health Nurs 2011;22(4):409–419.
22. Bae SC, Lee HS, Yun HR, Kim TH, Yoo DH, Kim SY. Crosscultural adaptation and validation of Korean Western Ontario and McMaster Universities (WOMAC) and Lequesne osteoarthritis indices for clinical research. Osteoarthritis Cartilage 2001;9(8):746–750.
23. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res 1982;17(1):37–49.
24. Jung IK, Kwak DI, Joe SH, Lee HS. A study of standardization of Korean form of Geriatric Depression Scale (KGDS). J Korean Geriatr Psychiatry 1997;1(1):61–72.
25. Oh JJ, Song MS, Kim SM. Development and validation of Korean sleep scale A. J Korean Acad Nurs 1998;28(3):563–572.
26. Cline ME, Herman J, Shaw ER, Morter RD. Standardization of the visual analogue scale. Nurs Res 1992;41(6):378–380.
27. Song RH, Kim DH. The effect of foot reflexion massage on the sleep, depression and physiological index in the facility-cared elderly. J Korean Gerontol Soc 2006;26(1):31–43.
28. Kim EJ, Kyong BS. The effect of foot reflexology on pain and quality of sleep in patients with terminal cancer. J Korean Clin Nurs Res 2008;14(1):33–44.
29. Berić A. Central pain and dysesthesia syndrome. Neurol Clin 1998;16(4):899–918.
30. Kim IS, Yang HJ, Im ES, Kang HY. The effects of aroma foot reflex massage on mood states and brain waves in women elderly with osteoarthritis. Korean J Adult Nurs 2013;25(6):644–654.