scholarly journals Fisioterapia pélvica no tratamento da ejaculação precoce: uma revisão integrativa / Pelvic physiotherapy in the treatment of premature ejaculation: an integrative review

2017 ◽  
Vol 7 (3) ◽  
pp. 25-27
Author(s):  
Fernanda Santos Fontana ◽  
Kelfany De Melo ◽  
Lorrany Vieira Ferreira ◽  
Erica Feio Carneiro Nunes ◽  
Gustavo Fernando Sutter Latorre
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Electrical Stimulation ◽  
Physical Therapy ◽  
Sexual Dysfunction ◽  
Pelvic Floor ◽  
Premature Ejaculation ◽  
Cure Rate ◽  
Different Types ◽  
And Training

A ejaculação precoce (EP) é prevalente, apresentando diversos tipos de tratamento, evidenciando a falta de uma modalidade definitiva. A fisioterapia pélvica emerge como modalidade terapêutica e necessita de maior esclarecimento. Assim, buscou-se descrever a eficácia das técnicas de fisioterapia utilizadas no tratamento da EP. Para tanto, foi realizada uma revisão integrativa de ensaios clínicos nas bases de dados PubMed, LILACS e SciELO. Os resultados retornaram ensaios passíveis de inclusão, num total de cinco artigos utilizados. A fisioterapia pélvica mostrou sucesso de 54% a 83% de cura. O treino da musculatura do assoalho pélvico, auxiliado ou não por eletroestimulação e biofeedback, foi a técnica descrita. Conclui-se que a fisioterapia pélvica é eficaz na cura da maior parte das vítimas de EP. No entanto, mais estudos se fazem necessário nesta área, particularmente ensaios clínicos testando as diferentes técnicas.Palavras-Chave: Ejaculação precoce; Fisioterapia; SexualidadeABSTRACTPremature ejaculation (PE) is the most prevalent sexual dysfunction in men, and today there are several different types of treatment, indicating the lack of a definite mode for that. Physiotherapy emerges as a therapeutic, but needs further clarification. To describe the physiotherapy techniques currently used in the treatment of PE, discussing their effectiveness. Having this in mind, we performed a systematic review on PubMed, LILACS and SciELO, including clinical trials of physiotherapy techniques treating PE. Two databases returned files amenable to inclusion so, a total of five articles was used. Pelvic physiotherapy showed 54% to 83% cure rate and training of the pelvic floor muscles, aided or not by electrical stimulation and biofeedback, was the most frequent modality. Pelvic physiotherapy is effective in curing the majority of victims of PE, but further study in this area is a necessity, mainly clinical trials which test different techniques.Keywords: Premature ejaculation; Physical therapy specialty; Sexuality

scholarly journals Electromyogram-Related Neuromuscular Electrical Stimulation for Restoring Wrist and Hand Movement in Poststroke Hemiplegia: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 33 (2) ◽  
pp. 96-111 ◽  
Author(s):  
Katia Monte-Silva ◽  
Daniele Piscitelli ◽  
Nahid Norouzi-Gheidari ◽  
Marc Aureli Pique Batalla ◽  
Philippe Archambault ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Electrical Stimulation ◽  
Meta Analysis ◽  
Neuromuscular Electrical Stimulation ◽  
Structure And Function ◽  
Motor Recovery ◽  
Body Structure ◽  
Short Term ◽  
And Function

Background. Clinical trials have demonstrated some benefits of electromyogram-triggered/controlled neuromuscular electrical stimulation (EMG-NMES) on motor recovery of upper limb (UL) function in patients with stroke. However, EMG-NMES use in clinical practice is limited due to a lack of evidence supporting its effectiveness. Objective. To perform a systematic review and meta-analysis to determine the effects of EMG-NMES on stroke UL recovery based on each of the International Classification of Functioning, Disability, and Health (ICF) domains. Methods. Database searches identified clinical trials comparing the effect of EMG-NMES versus no treatment or another treatment on stroke upper extremity motor recovery. A meta-analysis was done for outcomes at each ICF domain (Body Structure and Function, Activity and Participation) at posttest (short-term) and follow-up periods. Subgroup analyses were conducted based on stroke chronicity (acute/subacute, chronic phases). Sensitivity analysis was done by removing studies rated as poor or fair quality (PEDro score <6). Results. Twenty-six studies (782 patients) met the inclusion criteria. Fifty percent of them were considered to be of high quality. The meta-analysis showed that EMG-NMES has a robust short-term effect on improving UL motor impairment in the Body Structure and Function domain. No evidence was found in favor of EMG-NMES for the Activity and Participation domain. EMG-NMES had a stronger effect for each ICF domain in chronic (≥3 months) compared to acute/subacute phases. Conclusion. EMG-NMES is effective in the short term in improving UL impairment in individuals with chronic stroke.

scholarly journals Evolving therapeutic strategies for premature ejaculation: The search for on-demand treatment – topical versus systemic

2012 ◽  
Vol 6 (5) ◽  
Author(s):  
Alvaro Morales
Keyword(s):  
Clinical Trials ◽  
Sexual Dysfunction ◽  
Sexual Satisfaction ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Premature Ejaculation ◽  
Therapeutic Strategies ◽  
Phase 3 ◽  
On Demand ◽  
Sexual Dissatisfaction ◽  
Ejaculatory Control

Premature ejaculation (PE) is a common sexual dysfunction affecting20% to 30% of men worldwide. Definitions of PE vary, but itis typically characterized by short intravaginal ejaculatory latencytime (IELT) with concomitant sexual dissatisfaction and distress.PE may be lifelong or acquired, but its etiology remains unclear.Treatment of PE typically involves pharmacotherapy, particularlywhen lifelong. Although there are numerous reports on the offlabeluse of selective serotonin reuptake inhibitors (SSRIs) andother compounds, only 2 treatments have been evaluated in randomizedcontrolled phase 3 clinical trials: PSD502 and dapoxetine(SSRI). Both significantly improved IELT and patient-reportedoutcome domains of ejaculatory control, sexual satisfaction, anddistress as measured by the index of premature ejaculation (IPE),compared with placebo. They constitute the focus of this review.Evidence demonstrated that PSD502, dapoxetine and other SSRIsall significantly improve the symptoms of PE. Systemic use of SSRIspresents risks associated with the known pharmacology of thisclass. PSD502 allows for topical on-demand treatment appliedapplied immediately before intercourse, and is not associated withsystemic adverse events.

scholarly journals Does the Physical Therapy Intervention Improve Female Sexual Dysfunction in Saudi Society?

2020 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Physical Therapy ◽  
Sexual Dysfunction ◽  
Sexual Function ◽  
Pelvic Floor ◽  
Muscle Power ◽  
Sexual Response ◽  
Before And After ◽  
Sexual Response Cycle ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

Introduction: Sexual dysfunction refers to a problem occurring during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity. The sexual response cycle traditionally includes excitement, plateau, orgasm, and resolution. Desire and arousal are both part of the excitement phase of the sexual response. The literature review confirmed that the sexual dysfunction is common, 43 % of women and 31 % of men report some degree of difficulty, it is a topic that many people are hesitant to discuss. But the treatment options are available [1]. The literature also supports the use of pelvic floor exercise in order to improve sexual function. The health concept for women magazine reported that the Neo-control magnetic chair improved the sexual dysfunctions in women specially the orgasm problems [2]. Objective: The objective of the study is to explore the role of the physical therapy intervention for the female sexual dysfunction in Saudi Arabia. Methods: Thirty women had sexual dysfunction, were evaluated by muscle power (Oxford scale) before and after the treatment, and FSFI questioners were answered before and after the completion of the treatment. Main Outcome Measures: The domain scores of the female sexual function index (FSFI), included desire, arousal, lubrication, orgasm, satisfaction, and pain, were calculated. The supervised pelvic floor muscle training, core strengthening pelvic exercises were conducted for 30 minutes, and magnetic field “neocontrol chair” frequency 50HZ, 15 sec. on, 1 sec. off for 20 min. power 75-80%, twice a week for six weeks(12 sesssions). Muscle power (Oxford scale) was measured before and after the treatment. Results: All subjects successfully completed the study with no adverse events significant improvement in sexual function as assessed by the FSFI, sex desire improved by 80%, sexual arousal improved by 86%, lubrication and orgasm improved by 80%, general satisfaction 87%, 73% pain free through intercourse. Muscle power were improved from 1-2 out of 5 to 3+ out of 5. Conclusion: The physical therapy intervention which include pelvic floor exercise, core strengthening exercise and magnetic field had improved the sexual function in female Saudi society.

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