Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

ROLE OF PHYSIOTHERAPY IN MANAGING STRESS RELATED SEXUAL DISORDERS IN MODERN DAYS LIFE STYLE? A REVIEW OF LITERATURE

Author

Amalnerkar Tarun, Jacob Swapneela

Institution

Masterskill College Of Nursing & Health Sciences, Ipoh Perak.

Abstract

Objectives: In this fast, complex life, stress & struggle of economical independence, increasing financial responsibilities, competition & thrash about for the life has changed the scenario on a wider scale. Stress has become an inevitable part of the day to day life. Few studies shows that stress may be a cause of sexual disorders & are typified by erectile dysfunction, low libido, dwindled orgasms, disturbed and painful sexual intercourse. This review is an attempt to enlighten the efficacy of various physiotherapy interventions available for effective treatment of stress & associated psychiatric disorders.

Methods: A systematic review was performed from the database of available full studies & abstracts from Cochrane library, PubMed, Pedro databases, Embase, Amed, Mantis, Cinahl, Google. Corroborative researches, studies have been assessed & result has been compared and carefully evaluated. Effect of various physiotherapy protocols have been weigh up & observed.

Results: Corroborative researches show the efficacy of various protocols like Jacobson progressive relaxation techniques, diaphragmatic breathing, and Mitchell’s techniques in relieving tension, have shown the benefits. Effective permutation of various physiotherapeutic techniques like soft tissue mobilization may help in regaining soft tissue pliability. Various exercises like abdominal, pelvic floor, gluteal muscles might reinforce and helps in aptness. Psycho- physiological relaxation reduces anxiety, fretfulness, apprehension at the same time helps in regularizes muscle tone and thereby may corrects psycho morbidity by harmonizing segments of limbic system. Physiotherapy techniques may relax, tranquillize and unruffled patients by plummeting muscle spasm, regularizing cardiac cycle by regulating ventricular contraction, improving peripheral circulation at the same time perks up respiratory system by reducing the use accessory muscle of respiration, anxiety associated bronchospasm and so alveolar functioning. Substantial numbers of studies shows that improved pelvic floor muscle may bring out a great difference.

Conclusion: Colossal strives and relevant studies have shown success of physiotherapy as a therapeutic adjunct but very little has been documented till now especially in the field of management of stress associated sexual dysfunctions. Exercise could offers a low-cost alternative treatment adjunct which is less controversial, economical and easy to adapt and can be weigh against the operative methods. Certainly, Physiotherapy can do little comparative to the medicine’s but an inexpensive approach can establish very effective adjunct for moderating and restraining stress related sexual disorders and may abet in reducing the stress in day to day life also. This concept need’s more evidence based researches and studies. In future we can formulate specific protocols and physiotherapy.