A fisioterapia em pacientes com disfunções sexuais após lesão raquimedular: revisão de literatura

Abstract

Spinal Cord Injury (SCI) is an aggression to the spinal cord that can cause irreversible damage, affecting vital functions, mobility and senses. The main causes are gunshot wounds, automobile accidents, falls from heights and dives into shallow water. The number of cases of gunshot wounds has been on the rise, due to violence in major cities. Active young people are the most affected, and the consequences of the injury impact physically, psychologically, and sexually. The sexuality of people with spinal cord injury is often neglected, and there is a lack of information and experience reports on the subject. The lack of information and interest of health professionals is also a barrier. Objective: to analyze the main physiotherapeutic techniques for the treatment of sexual dysfunctions in patients with spinal cord injury. Methodology: basic research using a qualitative approach. The present study consists of an integrative literature review. The searches were made on the websites of the VHL, SCIELO and PubMed. Results: The quality of life of people with SCI is unsatisfactory and especially with regard to the sexual scope, but physiotherapy plays an important role in the health of these patients, helping to solve problems of mobility, positioning and rediscovery of sexuality. Conclusion: The most effective physiotherapeutic techniques to treat sexual dysfunctions in patients with SCI were: exercise therapy, electrical stimulation, antihypoprecive gymnastics, biofeedback, vaginal cones, manual therapy, vacuum therapy, Kegel exercises, PA training and ozone therapy.