Review Article
The Physiological and Biochemical Outcomes Associated with a Reflexology Treatment: A Systematic Review
Table 5
Assessment of quality using the GRADE system.
| Number of studies and participants | Study limitations | Consistency of results | Directness of the evidence | Precision | Reporting bias | Overall quality of the evidence |
| 17 RCTs and pilot studies (697 participants) start score = 4 | −2 serious limitations due to problems with blinding | −2 serious inconsistency in results between studies | −1 some indirectness as most studies not comparable | −1 some imprecision due to low participant numbers | Unlikely as positive and negative effects found | Very low |
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