Rosenbaum Talli Yehuda
The Clinic for Sexual Treatment and Rehabilitation, Tel Aviv, Israel.
J Sex Marital Ther. 2005 Jul-Sep;31(4):329-40. doi: 10.1080/00926230590950235.
Physiotherapists provide treatment to restore function, improve mobility, relieve pain, and prevent or limit permanent physical disabilities of patients suffering from injuries or disease. Women with vulvar pain, dyspareunia, or vaginismus have limited ability to function sexually and often present with musculoskeletal and neurological findings appropriately addressed by a trained physiotherapist. Although pelvic floor surface electromyography (sEMG) biofeedback has been studied, the inclusion of physiotherapy in the team approach to treating women with sexual pain disorders is a relatively recent advancement, and its exact role is not widely understood by doctors, mental health professionals, or laypersons. This article will examine the supportive and often primary role of the physiotherapist in the overlapping conditions of vaginismus and dyspareunia.
物理治疗师为因受伤或疾病而遭受痛苦的患者提供治疗，以恢复功能、改善活动能力、减轻疼痛，并预防或限制永久性身体残疾。患有外阴疼痛、性交困难或阴道痉挛的女性在性功能方面存在限制，并且常常伴有肌肉骨骼和神经方面的症状，而训练有素的物理治疗师能够恰当地处理这些症状。尽管已经对盆底表面肌电图（sEMG）生物反馈进行了研究，但在治疗患有性疼痛障碍的女性时，将物理治疗纳入团队治疗方法是一项相对较新的进展，医生、心理健康专业人员或外行人对其确切作用并不广泛了解。本文将探讨物理治疗师在阴道痉挛和性交困难这两种重叠病症中所起的支持性且通常是主要的作用。
