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Covid-19 pandemi limited the number of patients who was applied physical therapy
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Sexual function in low back pain and after lumbar surgery has been evaluated in many studies In a few studies, sexual function problems after surgery have also been reported. In the literature, there is no study that investigates the effectiveness of physical therapy on sexual function in patients with low back pain. In this study, the effectiveness of physical therapy on sexual function in patients with low back pain will be evaluated.
63 patients who had chronic low back pain who applied to City Hospital, Physical Medicine and Rehabilitation Department between January 2021 and January 2023 were enrolled in the study. Sexually active patients between the ages of 18 and 60, for whom physical therapy was planned for low-back pain related to lumbar pathologies, were included in the study. Informed consent was obtained from all patients. Exclusion criteria were defined as having contraindications for any physical therapy agents, having cardiovascular, neurological, psychiatric disease, or sexual disorders.
Short Form-12 (SF-12), Oswestry Disability Index (ODI), and Hospital Anxiety and Depression Scale (HAD) were recorded. International Index of Erectile Function (IIEF) and Female Sexual Function Index (FSFI) were utilized to evaluate sexual function
Fifteen sessions of physical therapy were planned for each patient. The physical therapy program included 15 minutes of conventional transcutaneous electrical nerve stimulation, 10 minutes of ultrasound, and 15 minutes of superficial heaters such as hot packs or infrarouge. All patients were evaluated the day before the first physical therapy session, the one-month and three-month after the last physical therapy session.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with low back pain | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Physical treatment agents | Device | Physical treatment agents such as TENS (transcutaneous electric nerve stimulation), hot pack and ultrasound will be applied to patients with low back pain. Sexual function will be assessed before, just after and 3 months later physical therapy. |
| Measure | Description | Time Frame |
|---|---|---|
| change from sexual function scores at just after physical therapy and 3 months | Female Sexual Function Index for women and International Index of Erectile Function for men will be used. There is no cut-off values. Better scores mean better results | Before, just after and 3 months later physical therapy |
| Measure | Description | Time Frame |
|---|---|---|
| change from disability scores at just after physical therapy and 3 months | Oswestry Disability Index will be used. min-max 0-100. better scores means worse results | Before, just after and 3 months later physical therapy |
| change from quality of life at just after physical therapy and 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gunay ER | Prof Dr Cemil Taşçıoğlu Şehir Hastanesi | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Prof Dr Cemil Taşçıoğlu Şehir Hastanesi | Istanbul | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D012735 | Sexual Dysfunction, Physiological |
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D001416 | Back Pain |
| D010146 | Pain |
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|
Short Form-12 will be used. min-max 0-100. better score means better quality of life. |
| Before, just after and 3 months later physical therapy |
| change from mood at just after physical therapy and 3 months | Hospital Anxiety and Depression Scale will be used. min-max 0-21. better score means better result. | Before, just after and 3 months later physical therapy |
| D009461 |
| Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |