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BMC Complementary and Alternative Medicine

Open Access

P04.73. Reflexology, cardiac patients and inconsistencies in the location of the heart reflex point: an online survey

  • J Jones1,
  • P Thomson1 and
  • S Leslie2
BMC Complementary and Alternative MedicineThe official journal of the International Society for Complementary Medicine Research (ISCMR)201212(Suppl 1):P343

Published: 12 June 2012


This survey aimed to generate preliminary data, in the face of inconsistent reflexology teaching literature, about two reflexology safety and quality control issues. First, whether reflexologists consider it safe to treat people with heart disease and if so, whether the presence of cardiac disease influences the therapist’s treatment decisions. Reflexology teaching literature is contradictory on this subject, with ‘heart' disease listed as both an indication, which can benefit from treatment, and as a significant contraindication where treatment should be avoided. The second concern is one of product quality, namely the issue of inconsistency of reflex points in reflexology maps.


An online survey invitation email was sent to all therapists in the membership database of the Association of Reflexologists. Survey questions included “do you treat clients with diagnosed heart problems”, “if you became aware of imbalances in the heart reflex area, what would you do”, “would you limit the treatment” and “would you expect the treatment to improve their heart condition? The email also contained a graphical attachment, an illustration of a blank outline of the feet with transparent bone structure. We asked respondents to mark where they placed the heart reflex point on the template.


The survey has shown that reflexologists beliefs and practises mirror the inconsistencies in the reflexology teaching literature, with almost a third of the respondents expressing concerns about treating cardiac patients and over half stating that they would limit or modify the treatment as a result. Furthermore, a signficant number of respondents demonstrated a marked level of inconsistency in heart reflex point placement on the foot template.


The survey findings demonstrate a lack of professional consistency and clarity regarding the suitability of reflexology for cardiac patients, marked inconsistencies in the heart reflex point placement and inconsistency in reflexologists treatment decisions for perceived heart imbalances.

Authors’ Affiliations

University of Stirling
Highland Heartbeat Centre, Cardiology Unit, Raigmore Hospital


© Jones et al; licensee BioMed Central Ltd. 2012

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.