IRCT2016112931166N1 IRCT 2017-01-30 Yasuj University of Medical Sciences The effect of foot reflexology massage and stretching exercises in patients with rheumatoid arthritis Comparison the effect of foot reflexology massage and stretching exercises on pain and fatigue of patients with rheumatoid arthritis 2016-12-15 anticipated 75 Complete https://irct.ir/trial/24573 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A Rheumatoid arthritis. Intervention 1: For trial group (1), reflexology of metatarsus would be performed in 3 levels including: preparation (5 minutes), warm up (10 minutes) and reflexology of metatarsus techniques (15 minutes) which last for a month, 3 30-minute sessions a week. The reflexive point starts from the end of the first knuckle of the finger and it ends in the sole. Preparation and warm up include warming up the feet by hands by determined movements, holding the foot from back and front by two hands and forming bending backwards movements, bending the metatarsus, rotation toward outside and movements in the sole. For stimulating reflexive points, massage would be performed using the fingers moving back and forth and by exerting a pressure about 0/5 centimeters. Intervention 2: The patients of the trial would only receive the routine treatment for a month and no intervention would happen during this period. Before proceeding to any intervention, the excessiveness of pain and fatigue would be assessed in every 3 groups utilizing visual-criterion scale and MFI-20 fatigue multi-dimensional questionnaire. Intervention 3: In trial group (2), stretching exercises would be used for intervention. Stretching exercises include 10 minutes of warm up, 15 minutes stretching and 5 minutes cooling down. Stretching exercises include 33 movements and have been chosen according to Bob Anderson stretching exercises in a way that no particular physical preparation is needed other than a simple warm up.