Abstract
Background: Women with spinal cord injuries usually suffer from sexual dysfunction, such as alterations during arousal and an increase in the time to reach orgasm. However, little evidence has been found on its physiotherapeutic approach, as well as poor adherence to the latter. The aim of this study is to determine the effectiveness of two interventions to improve sexual dysfunction: the application of genital vibration and transcutaneous tibial nerve stimulation. Methods: This is a randomized clinical trial that will recruit 54 women who, one year after a spinal cord injury, suffer from sexual dysfunction associated with the latter. The participants will be randomized to three groups: (a) intervention group 1 treated with transcutaneous tibial nerve electrostimulation (n = 18), (b) intervention group 2 treated with genital vibration (n = 18), and (c) a control group (n = 18). The treatment time will be 12 weeks. Adherence to the treatment will be evaluated, as well as the effectiveness of the treatment, through the Female Sexual Function Index, the Sexual Quality of Life-Female questionnaire, quantitative sensory tests, and the improvement reported by the patient in terms of arousal and orgasm. The evaluations will be carried out before the treatment, at the end of the treatment and 3, 6 and 12 months after the end of the treatment.
Highlights
Published: 28 January 2022Neurological alterations after the Spinal cord injury (SCI) tend to produce changes in the sexual area
The aim of the present study is to evaluate the effectiveness on FSFI and Sexual Quality of Life-Female (SQOL-F) of an educational program plus transcutaneous tibial nerve stimulation (TTNS) and vibration in women with sexual dysfunction (SD) after SCI
The study is aimed at women with incomplete SCI, after which they had presented some type of SD
Summary
Neurological alterations after the Spinal cord injury (SCI) tend to produce changes in the sexual area. SCI is less frequent in women (20%) [4], it is worth highlighting that, in the last years, the percentage of women with SCI has increased [5] and that 88% of these women experience sexual dysfunction (SD). This percentage, compared to the one found in the general female population (37%), is significantly higher [6], with its consequent impact at the personal and social level, and on the quality of life
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