物理治疗干预管理男性性功能障碍的有效性:系统综述

IF 2.2 4区医学 Q2 PSYCHOLOGY, CLINICAL

International Journal of Sexual Health Pub Date : 2023-01-02 eCollection Date: 2023-01-01 DOI:10.1080/19317611.2022.2155288

Caleb Ademola Omuwa Gbiri, Joy Chukwumhua Akumabor

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引用次数: 0

摘要

摘要背景男性性功能障碍是一种常见的疾病。迄今为止，治疗是基于药理学方法，这种方法在可持续性方面收效甚微，并产生了伴随的并发症，包括超重/肥胖和心血管问题。因此，范式是朝着非药物的方法，但其疗效尚未总结临床实践。本研究总结了物理治疗男性性功能障碍的疗效，为临床决策和实践提供依据。方法电子检索PubMed、physical therapy Evidence Database (PEDro)、Cochrane Central、Scopus、谷歌Scholar等网站的临床试验，检索时间从研究成立到2021年7月，检索词为男性性功能障碍、物理治疗，进一步细化为勃起功能障碍、早泄、运动、电刺激、生物反馈。搜索策略包括通过医学主题标题(MeSH)进行扩展和截断关键词。使用了布尔运算符“AND”和“OR”。结果239项研究中，13项纳入本研究。结果测量采用国际勃起功能指数(IIEF/IIEF-5)的完整/精简版本、压力测量或数字肛门压力测量。11项研究是关于勃起功能障碍/勃起功能障碍伴更年期的，2项是关于早泄的。物理治疗为期6-12周，共9-20次。使用的物理治疗是单独/联合盆底肌肉锻炼、电刺激或生物反馈。研究的PEDro评分为4-9/10。研究涉及912名参与者(472/440干预/对照)，年龄在19至83岁之间，勃起功能障碍持续6-360个月。干预组与对照组相比，性功能有显著改善(0.0001≤p≤0.05)。没有什么能决定物理治疗的疗效或方法的选择。结论物理治疗是治疗男性性功能障碍的有效的非药物治疗方法。

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Effectiveness of Physiotherapy Interventions in the Management Male Sexual Dysfunction: A Systematic Review.

Background: Male sexual dysfunction is a common disorder with consequential implications. Hitherto, treatment was based on pharmacological approach which has yielded little success in sustainability and produced attendant complications including overweight/obesity, and cardiovascular problems. Hence, the paradigm is toward non-pharmacological approach, but their efficacy is yet to be summarized for clinical practice. This study summarized efficacy of physiotherapy for male sexual dysfunction to inform clinical decision-making and practice.

Methodology: Electronic search of clinical trials on PubMed, Physiotherapy Evidence Database (PEDro), Cochrane Central, Scopus, and Google Scholar was conducted covering from inception till July 2021 using words, such as male sexual dysfunction and physiotherapy and further refined to erectile dysfunction, premature ejaculation, exercises, electrical stimulation, biofeedback. Search strategy included expansion via medical subject headings (MeSH) and truncation of keywords. Boolean operators "AND" and "OR" were utilized.

Results: Out of 239 studies, 13 eligible ones were included in this study. Outcome measures used were full/abridged versions of International Index of Erectile Function (IIEF/IIEF-5), Manometric, or digital anal pressure measurement. Eleven studies were on erectile dysfunction/erectile dysfunction with climacturia and two on premature ejaculation. Physiotherapy was for 6-12 weeks covering 9-20 sessions. Physiotherapy used was standalone/combinations of pelvic floor muscle exercises, electrical stimulation, or biofeedback. PEDro scores of the studies were 4-9/10. Studies involved 912 participants (472/440 intervention/control) between 19 and 83 years with erectile dysfunction lasting 6-360 months. There was significant (0.0001 ≤ p ≤ .05) improvement in sexual function (interventions > controls). Nothing determines the efficacy of physiotherapy or choice of approach.

Conclusion: Physiotherapy is an effective non-pharmacological treatment approach for male sexual dysfunction.

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来源期刊

International Journal of Sexual Health Multiple-

CiteScore

3.00

自引率

20.00%

发文量

期刊介绍： As the official journal of the World Association for Sexual Health, the International Journal of Sexual Health promotes sexual health as a state of physical, emotional, mental, and social well-being through a positive approach to sexuality and sexual rights. The journal publishes peer-reviewed scientific papers, editorials, and reviews, using quantitative and qualitative methods, descriptive and critical analysis, instrument development, surveys, and case studies to examine the essential elements of this broad concept. Leading experts from around the world present original work that covers a variety of disciplines, including sexology, biology, medicine, psychology, sociology, anthropology, history, and religion.