Factors associated with sexual satisfaction of men with spinal cord injury

Authors

  • Fernando Luiz Cardoso Universidade do Estado de Santa Catarina; Programa de Pós-Graduação em Educação
  • Isabela Passos Porto Universidade do Estado de Santa Catarina; Programa de Pós-Graduação em Ciências do Movimento Humano
  • Helton Pereira De Carvalho Universidade Católica de Brasília (UCB) – Brasília (DF), Brasil
  • Elisa Pinheiro Ferrari Universidade Católica de Brasília; Programa de Pós-Graduação em Educação Física

DOI:

https://doi.org/10.1590/1809-2950/16742625012018

Keywords:

Men, Spinal Cord Injuries, Sex Factors, Rehabilitation, Motor Activity

Abstract

The aim of the study was to analyze the factors associated with sexual satisfaction after spinal cord injury. Eighty men with spinal cord injury composed the sample. We used a semi-structured questionnaire on the practice of post-injury physical activity, weekly sexual frequency and sexual satisfaction before and after the cord injury, besides the characteristics of the injury and the sociodemographic ones. The programs SPSS (version 20.0) and R (version 3.3.1) were used for statistical analysis, respecting the range of 5%. Initially, we used the descriptive analysis through absolute and relative frequencies. The Spearman correlation was used to analyze the magnitude of the association between the independent variables (weekly sexual frequency, age, education level and injury time) and the sexual satisfaction level after the injury. The association between sexual satisfaction and physical activity, and type of injury and stable sexual partner was verified by the Policoric test. We observed that the satisfaction level decreased significantly after the injury (p<0.001), and also an association between the level of sexual satisfaction after injury and its time (r=0.28, ρ =0.01) and weekly sexual frequency (r=0.25, ρ=0.02) with stable sexual partners (r=0.26, ρ=0.01). The conclusions point that sexual satisfaction is affected by spinal cord injury, associating positively with the injury time, sexual frequency and presence of stable sexual partners after injury. New studies based on the ASIA scale ratings are suggested.

Downloads

Download data is not yet available.

References

Greve JMDA, Casalis MEP, Barros Filho TEP. Diagnóstico e

tratamento da lesão da medula espinal. São Paulo: Roca;

Casalis MEP. Lesão medular. In: Teixeira E, Sauron LSB, Santos

LSB, Oliveira MC. Terapia Ocupacional na reabilitação física.

São Paulo: Roca; 2003.

Cardoso J. 2004. Sexualidade na doença crônica e na

deficiência física. Rev Port Clin Geral. 2004;20:385-94. [cited

Jun 16]. Available from: http://www.rpmgf.pt/ojs/index.

php/rpmgf/article/view/10046

Palmer ML, Toms JE. Treinamento funcional dos deficientes

físicos. São Paulo: Manole; 1988.

Trombly CA. Lesão do cordão espinhal. In: Trombly CA. Terapia

Ocupacional para disfunção física. São Paulo: Santos; 1989.

Schneider JW. Lesão Medular Traumática. In: Umphred DA.

Fisioterapia Neurológica. 2a ed. São Paulo: Manole; 1994.

Cunha FM, Menezes CM, Guimarães EP. Lesões Traumáticas

da coluna torácica e lombar. Rev Bras Ortop. 2000;35:17-22.

Suaid HJ, Rocha JN, Martins ACP, Cologna AJ, Suaid CA,

Ribeiro AGB, et al. Abordagem pelo urologista da sexualidade

no lesado raquimedular. Acta Cir. Bras. 2002;17(Supl 3):41-3.

doi: 10.1590/S0102-86502002000900009

Rede Sarah de Hospitais de Reabilitação. Neurorreabilitação

em lesão medular [Internet]. [updated 2016; cited 2016 Jul

. Available from: http://www.sarah.br/especialidades/

neurorreabilitacao-em-lesao-medular/

Widerstrom-Noga EG, Felipe-Cuervo E, Broton JG, Duncan

RC, Yezierski RP. Perceived difficulty in dealing with

consequences of spinal cord injury. Arch Phys Med Rehabil.

;80(5):580-6. doi: 10.1016/S0003-9993(99)90203-4

Fisher TL, Laud PW, Byfield MG, Brown TT, Hayat MJ, Fiedler

IG. Sexual health after spinal cord injury: a longitudinal study.

Arch Phys Med Rehabil. 2002;83(8):1043-51. doi: 10.1053/

apmr.2002.33654

McCabe MP, Taleporos G. Sexual esteem, sexual

satisfaction, and sexual behavior among people with

physical disability. Arch Sex Behav. 2003;32(4):359-69. doi:

1023/A:1024047100251

Mendes AK, Cardoso FL, Savall ACR. Sexual satisfaction in

people with spinal cord injury. Sex Disabil. 2008;26(3):137-47.

doi: 10.1007/s11195-008-9083-y

Freda M. Tratamento das atividades de vida diária: sexualidade e

incapacidade. In: Neistadt M, Crepeau EB. Willard & Spackman:

Terapia Ocupacional. Rio de Janeiro: Guanabara Koogan; 2002.

Bors E, Comarr AE. Neurological disturbances of sexual

function with special reference to 529 patients with spinal

cord injury. Urol. Surv. 1960;10:191-221.

Alexander CJ, Sipski ML, Findley TW. Sexual activities, desire,

and satisfaction in males pre- and post-spinal cord injury.

Arch Sex Behav. 1993;22(3):217-28. doi: 10.1007/BF01541767

Sipski ML, Alexander CJ. Sexual activities, response

and satisfaction in women pre and post-spinal cord

injury. Arch Phys Med Rehabil. 1993;74(10):1025-9. doi:

1016/0003-9993(93)90056-g

Salimene ACM. Sexo: caminho para a reabilitação – um

estudo sobre a manifestação da sexualidade em homens

paraplégicos. São Paulo: Cortez; 1995.

Sipski ML. Sexuality and spinal cord injury [Internet]. Where we

are and where we are going [cited 2016 Jun 16]. Available from:

http://www.sexsci.me/sexuality-and-spinal-cord-injury/

Alves AS, Guedes MHD, Alves VLR. Um estudo sobre a

satisfação sexual de pessoas portadoras de lesão medular.

Acta Fisiátr. 1999;6(1):6-9. [cited 2016 Jun 16]. Available from:

http://www.actafisiatrica.org.br/detalhe_artigo.asp?id=344

Ishibashi RAS, Olivieri FLD, Costa VSP. Perfil da função

sexual em homens com lesão medular completa.

UNOPAR Cient, Cienc Biol Saude. 2005;7(1):65-8. doi:

17921/2447-8938.2005v7n1p%25p

Cardoso FL, Savall AC, Mendes AK. Self-awareness of the male

sexual response after spinal cord injury. Inter J Rehab Res.

;32(4):294-300. doi: 10.1097/MRR.0b013e3283106ab7

Cardoso FL, Werner D. Same-sex behavior of heterosexual

men: a cross-cultural comparison. J. Bisexuality. 2013;13:310-

doi: 10.1080/15299716.2013.813000

Porto IP, Cardoso FL, Sacomori C. Sports practice, resilience,

body and sexual esteem, and higher educational level

are associated with better sexual adjustment in men with

acquired paraplegia. J a. J Rehab Med. 2016;48(9):787-92. doi:

2340/16501977-2171

a. J Rehab Med. 2016;48(9):787-92. doi:

2340/16501977-2171

Published

2018-04-04

Issue

Section

Original Research

How to Cite

Factors associated with sexual satisfaction of men with spinal cord injury. (2018). Fisioterapia E Pesquisa, 25(1), 35-42. https://doi.org/10.1590/1809-2950/16742625012018