Effect of Reflex Therapy on Stress and Blood Pressure among Older Adults with Hypertension

Aims: Reflex therapy relieves tension, relaxes the mind, improves the circulation of the body. In hypertension, vascular resistance increases the pressure of the blood vessels. The study was aimed to assess the pretest and post-test levels of stress and blood pressure (BP), evaluate the effectiveness of the reflex therapy among older adults with hypertension, and to associate the level of stress and BP with demographic variables. Study Design: Community-based randomized controlled trial was adopted. Place and Duration of Study: The urban area, Poonamallee, in Chennai, between October to December 2019. Methodology: Among 100 older adults, 50 participants were selected in each experimental and control group by using simple randomization. Perceived Stress Scale (PSS) and dual function BP monitor was used to assess the stress and BP respectively. Reflex therapy was provided for 6 weeks to the older adults with hypertension, who had low and moderate levels of stress in the experimental group. The different pressures such as 100%, 75%, and 50%, that was applied in foot for 15 minutes weekly twice by reflexology stick, when the participants were in an empty stomach. The data were analyzed using descriptive and inferential statistics. Results: The mean and standard deviation value of pretest and post-test stress level was 14.84 +/- 6.02, 9.4 +/- 4.73 in experimental group, 13.32 +/- 5.3 and 13.04 +/- 5.09 in control group respectively. This proves that reflex therapy was effective in reducing stress levels which was statistically significant (P=0.001). Mean and standard deviation of systolic BP in pretest and posttest was 142.74 +/- 5.98 and 137.78 +/- 5.69; 141.11 +/- 6.18 and 142.03 +/- 6.29, and diastolic BP was 98.21 +/- 3.28; 97.31 +/- 3.15 and 97.94 +/- 3.59; 98.96 +/- 3.34 in experimental and control group respectively indicated that the reflex therapy helps to reduce the level of BP (P=0.001). Conclusion: Reflex therapy is beneficial to older adults particularly with hypertension for relieving stress and reducing systolic and diastolic BP.