Physiotherapy Approaches for Sexual Dysfunction Management in Adults With Spinal Cord Injury: An Observational Cross Sectional Analysis.
DOI:
https://doi.org/10.37506/ydq1ek14Keywords:
Erectile dysfunction, Female orgasmic dysfunction, Physiotherapy, Rehabilitation, Sexual Misconceptions.Abstract
Background: Spinal cord injury (SCI) is a life-altering event that is usually associated with loss of motor and sensory function, as well as sexual impairment.
Materials and Methodology: The study was conducted in Multi-disciplinary hospitals and tertiary care centers in and around Pune. The authors administered questionnaires via Google Forms to 113 practicing physiotherapists in and around Pune. Physiotherapists were asked 23 questions about awareness of sexual dysfunction in males as well as females with SCI. It included 13 questions for male SD (Sexual Dysfunction) and 10 for Female SD. Descriptive statistics and MS Excel were used for data analysis and the results were obtained.
Results: 61% of physiotherapists are aware that they have a role in treating SD. 58.66% are aware of electroejaculation (EEJ) and its role in the management of SD. Awareness about management approaches to induce erections is limited to 50.33%. Awareness about pelvic floor physiotherapy and its approaches is 31.25%.
Conclusion: This study concluded that there is very little awareness about physiotherapy, hormonal therapy, electroejaculation, pelvic floor management approaches and erectile dysfunction management among practicing Physiotherapists.
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References
Hess MJ, Hough S. Impact of spinal cord injury on sexuality: broad-based clinical practice intervention and practical application. The journal of spinal cord medicine.2012 Jul 1;35(4):211-8.
DeForge D, Blackmer J, Moher D, Garritty C, Cronin V, Yazdi F, Barrowman N, Mamaladze V, Zhang L, Sampson M. Sexuality and Reproductive Health Following Spinal Cord Injury: Summary. AHRQ Evidence Report Summaries. 2004 Dec.
Alexander M, Rosen RC. Spinal cord injuries and orgasm: a review. Journal of Sex & Marital Therapy. 2008 Jun 19;34(4):308-24.
Abramson CE, McBride KE, Konnyu KJ, Elliott SL. Sexual health outcome measures for individuals with a spinal cord injury: a systematic review. Spinal cord. 2008 May;46(5):320-4.
Susan B. O’ Sullivan. Thomas J. Schmitz. George D. Fulk. Physical Rehabilitation. 7th edition. New Delhi: Jaypee Brothers Medical Publishers; 2019
John Zizzo et al. Sexuality, Intimacy, and Reproductive Health after Spinal Cord Injury; 2022, 48(7): 225-9.
Kafetsoulis A, Brackett NL, Ibrahim E, Attia GR, Lynne CM. Current trends in the treatment of infertility in men with spinal cord injury. Fertility and sterility. 2006 Oct 1;86(4):781-9.
Linsenmeyer TA. Treatment of erectile dysfunction following spinal cord injury. Current urology reports. 2009 Nov;10(6):478-84.
de Oliveira Ferro JK, Lemos A, da Silva CP, de Paiva Lima CR, Raposo MC, de Aguiar Cavalcanti G, de Oliveira DA. Predictive factors of male sexual dysfunction after traumatic spinal cord injury. Spine. 2019 Sep 1;44(17):1228-37.
Simon JA. Identifying and treating sexual dysfunction in postmenopausal women: the role of estrogen. Journal of women's health. 2011 Oct 1;20(10):1453-65.
Chen H, Yang N, Yang H, Huang G, Zhou W, Ying Q, Mou J, Chen S, Dai Z, Li Z, Lan J. Efficacy of Kegel exercises combined with electrical stimulation on the restoration of postpartum pelvic floor muscle function. American Journal of Translational Research. 2023;15(1):622.
Krakowsky Y, Grober ED. A practical guide to female sexual dysfunction: An evidence-based review for physicians in Canada. Canadian Urological Association Journal. 2018 Jun;12(6):211.
Ben Ami N, Dar G. What is the most effective verbal instruction for correctly contracting the pelvic floor muscles? Neurourology and urodynamics. 2018 Nov;37(8):2904-10.
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