Effect of Reflexology on Pain and Sleep Disorders in Females With Fibromyalgia

This randomized controlled trial aims to investigate the effect of foot reflexology on pain and sleep disorders in Egyptian female patients with fibromyalgia. Sixty female participants aged 18 to 65 years diagnosed with fibromyalgia will be randomly assigned into two equal groups. The control group will receive conventional physical therapy, including aerobic exercise, resistance training, and transcutaneous electrical nerve stimulation (TENS), while the experimental group will receive the same treatment in addition to foot reflexology. Interventions will be delivered twice weekly for six weeks. Pain, sleep quality, psychological distress, and functional activity will be evaluated at baseline and after treatment using validated Arabic assessment tools and pressure pain threshold measurements. The study aims to determine whether reflexology provides additional benefits when combined with conventional physical therapy in women with fibromyalgia.

Inclusion Criteria: * Egyptian female participants aged 18 to 65 years * Diagnosis of fibromyalgia according to American College of Rheumatology (ACR) criteria * Moderate pain intensity * Poor sleep quality * Ability and willingness to provide written informed consent Exclusion Criteria: * Comorbid conditions affecting pain or sleep, including rheumatoid arthritis and related disorders * Previous reflexology treatment within the previous 6 months * Any medical condition preventing participation in physical therapy or reflexology intervention * Refusal or inability to comply with study procedures and follow-up requirements