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.

scholarly journals Effectiveness of Physical Therapy in Addressing Sexual Dysfunction in Individuals with Multiple Sclerosis: A Systematic Review and Meta-analysis

2021 ◽  
Author(s):  
Arpita Gopal ◽  
Rebecca Sydow ◽  
Valerie Block ◽  
Diane D. Allen
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Physical Therapy ◽  
Sexual Dysfunction ◽  
Sexual Function ◽  
Pelvic Floor ◽  
Sexual Satisfaction ◽  
Well Being ◽  
Current Evidence

Abstract Background: Individuals with multiple sclerosis (MS) frequently report sexual dysfunction, a condition that may result in low sexual satisfaction and decreased quality of life. Although sexual dysfunction is usually treated pharmacologically, physical therapists, especially those trained in pelvic floor physical therapy (PT), are well-equipped to address a variety of impairments that contribute to poor sexual function. The current evidence for effectiveness of PT interventions in improving sexual dysfunction, sexual satisfaction, and the emotional well-being aspect of quality of life was analyzed. Methods: The PubMed, CINAHL, and PEDro databases were searched through December 2019. Articles were included if participants had a clinical diagnosis of MS, reported sexual dysfunction or pain with intercourse, and had an intervention within the PT scope that addressed sexual dysfunction. Means and SDs were extracted from each study independently by two authors. Effect sizes (d) and 95% CIs were calculated within and across studies. Results: Eight studies met the inclusion criteria. Combined effects were significant and large across six studies for sexual function (d = 0.82, 95% CI, 0.57–1.06), moderate across seven studies for sexual satisfaction (d = 0.65, 95% CI, 0.43–0.87), and moderately large across two studies for emotional well-being (d = 0.78, 95% CI, 0.17–1.40). Between-group differences reached significance for sexual satisfaction (d = 0.29, 95% CI, 0.03–0.55). Conclusions: Sexual function, sexual satisfaction, and emotional well-being can all be effectively addressed with various PT interventions. Highly effective interventions included pelvic floor muscle training and mindfulness. Future research should compare PT interventions with non-PT controls to determine best practice in this population.

scholarly journals Early physical therapy intervention in gynaecological surgery: “Case series”

2018 ◽  
Vol 52 ◽  
pp. 95-102
Author(s):  
Ébe dos Santos Monteiro Carbone ◽  
Mayara Ronzini Takaki ◽  
Maria Gabriela Baumgarten Kuster Uyeda ◽  
Marair Gracio Ferreira Sartori
Keyword(s):  
Physical Therapy ◽  
Case Series ◽  
Gynaecological Surgery ◽  
Early Physical Therapy ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

scholarly journals Effect of Cold Dialysis Solution on the Sexual Dysfunction of Patients with Chronic Renal Failure Undergoing Hemodialysis: A Randomized Clinical Trial

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Rahele Hassanpour Moghaddam ◽  
Fatemeh Nazemian ◽  
Sedigheh Rastaghi ◽  
Mostafa Rad
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Function ◽  
Female Sexual Function ◽  
Control Groups ◽  
Male And Female ◽  
Dialysis Solution ◽  
Significant Difference ◽  
Before And After ◽  
And Control ◽  
Experimental Group

Background: The present study aimed to evaluate the effect of cold dialysis solution on the sexual dysfunction of patients with chronic renal failure undergoing hemodialysis. Methods: This randomized clinical trial was conducted with a before and after parallel design among 60 hemodialysis patients diagnosed with sexual dysfunction. The selected subjects were randomly allocated to the two groups of experimental and control (30 per each). Patients in the experimental and control groups underwent hemodialysis for one month using 35.5°C and 37°C dialysis solutions, respectively. Following the procedure, male and female sexual function was assessed in the study groups. Data were collected using the International Index of Erectile Functions, the female sexual function index (FSFI), and a demographic questionnaire. Data analysis was performed using Chi-square, Fisher's exact test, Mann-Whitney U test, t-test, paired t-test, and Wilcoxon test at 95% confidence interval. Results: No significant difference was observed between the experimental and control groups regarding male sexual function before and after the intervention (P > 0.05). However, the Mann-Whitney U test indicated a significant difference in the female subjects’ arousal in the experimental group before (3.68 ± 0.38) and after the intervention (3.98 ± 0.46; z = 2.216; P = 0.027). Conclusions: Cold dialysis solution could only increase the sexual arousal of the women in the experimental group, and no changes were observed in other sexual function domains of the male and female patients. Given the short duration of our intervention, it is recommended that further longitudinal studies be performed on larger cohorts of patients in different geographical regions.

PHYSICAL THERAPY INTERVENTION FOR PATIENT WITH EAST SYNDROME- A CASE STUDY.

2021 ◽  
pp. 74-77
Author(s):  
Kinjal Bagthariya(M.P.T)
Keyword(s):  
Physical Therapy ◽  
Motor Function ◽  
Motor Performance ◽  
Treatment Approach ◽  
Sensorineural Deafness ◽  
Gross Motor ◽  
East Syndrome ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

EAST syndrome is autosomal recessive disorder due to mutations in gene KCNJ10, a gene encoding a potassium channel expressed in the brain, eye, ear and kidney. It is characterized by four cardinal features; Epilepsy, Ataxia, Sensorineural deafness, and renal salt-wasting Tubulopathy, thus the acronym EAST syndrome. It was rst described as a distinct clinical entity in 2009 by Bockenhauer and scholl, who named this condition EAST syndrome and SeSAME syndrome for Seizures, Sensorineural deafness, Ataxia, Mental retardation and Electrolyte imbalance respectively. Neurodevelopmental delay is evident in most patients with EAST syndrome that were old enough to be assessed; Thus, physiotherapy intervention also plays a vital role in EAST syndrome along with medical management. From physiotherapy perspective; symptomatic management to Improve overall health, wellbeing and motor control becomes ultimate goal in the patient with EAST syndrome. As there is no specic physical therapy treatment approach and no specic tool to evaluate function for children with EAST syndrome; for clinically presented delay development and ataxia, Neurodevelopment therapy (NDT) was utilized as treatment approach and Gross motor function measure (GMFM) & Gross motor performance measure (GMPM) were utilized for assessment in this case study to track progress on follow ups. Result showed marked improvement in GMFM and GMPM scores at follow ups and concluded that Physical therapy intervention improves the gross motor function as well as gross motor performance in patient with EAST syndrome.

scholarly journals An Analysis of the Relationship Between the Utilization of Physical Therapy Services and Outcomes of Care for Patients After Total Hip Arthroplasty

2000 ◽  
Vol 80 (5) ◽  
pp. 448-458 ◽  
Author(s):  
Janet K Freburger
Keyword(s):  
Physical Therapy ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Cost Of Care ◽  
Total Cost ◽  
Total Hip ◽  
Outcomes Of Care ◽  
The Relationship ◽  
Therapy Intervention ◽  
Physical Therapy Intervention

Abstract Background and Purpose. The effect of physical therapy intervention on the outcomes of care for patients treated in acute care hospitals has not been widely studied. This study examined the relationship between physical therapy utilization and outcomes of care for patients following total hip arthroplasty. Subjects. The sample consisted of 7,495 patients treated in US academic health center hospitals in 1996 who survived their inpatient stay and received physical therapy interventions. Methods. The primary data source was the University HealthSystem Consortium Clinical Data Base. Physical therapy use was assessed by examining physical therapy charges. Outcomes of care were assessed in terms of the total cost of care (ie, whether the care was more costly or less costly than expected, taking into account patient characteristics) and in terms of discharge destination (ie, whether the patient was discharged home or elsewhere). Regression analyses were conducted to examine the relationship between physical therapy use and outcomes. Results. Physical therapy intervention was directly related to a total cost of care that was less than expected and to an increased probability of discharge home. Conclusion and Discussion. The results of this study provide preliminary evidence to support the use of physical therapy intervention in the acute care of patients following total hip arthroplasty and indicate the need for further study of this topic.

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