Age

50–70

Sex

ALL

Healthy volunteers

Not accepted

Adult patients of both genders aged from 50 to 70 years old.
Patients are experiencing moderate to severe fatigue (as measured by a standardized fatigue scale).
Medically stable as determined by the attending nephrologist.
Able to understand and follow instructions for relaxation techniques

Patients with severe cognitive impairment or psychiatric disorders that interfere with participation.
Patients with foot ulcers, wounds, or any contraindications for foot reflexology.
Currently practicing any relaxation or complementary therapies regularly.
Patients with unstable medical conditions or undergoing treatment changes during the study period.
History of recent surgery.

Reflexology Versus Progressive Muscle Relaxation for Fatigue in Hemodialysis Patients